Nursing Care Experiences of Ambulatory Surgery Patients in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Osun State

Amire, Titilola Idowu (2015-04-14)

Thesis

The study reviewed existing written policies, facilities, and procedures in support of ambulatory surgery, and determined the influence of age, sex, educational attainments and time spent in the hospital with a view to assessing patients' satisfaction with the nursing care received. Adopting an exploratory design, 65 respondents (20 parents of paediatric patients and 45 adults) who had ambulatory surgery, participated in the study. Twelve health care providers, (six nurses and six consultant surgeons) also took part. The respondents were interrogated using an interview guide, but a self-administered questionnaire was used in collecting data from healthcare providers. Furthermore, an observational checklist was used to determine the facilities available to support ambulatory surgery. The data were analysed using descriptive and inferential statistics. The result showed that there was no written policy or standard procedure for the management of patients who had ambulatory surgery in the hospital. The facilities were also deemed inadequate to meet the care needs of the patients. The mean and median ages of the respondents were 40 ± 16.21 and 38 years respectively. Thirty six (56%) had surgery under local while the rest had general anaesthesia. The respondents expressed dissatisfaction with physical care ((91%), counseling and health education(81%), psychosocial care (80%), spiritual care (78%), specific postoperative care (77%) and for lack of privacy and respect for the person (65%). There was no significant relationship (p>0.05) between the level of satisfaction with care received and the respondents' age (x2=1.88), sex (x2=0.31), level of education (x2=0.59) or time spent in the hospital (x2=5.75). The study concluded, that majority of respondents were dissatisfied with the care given during ambulatory surgery.

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