卫生系统和政策研究

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Patient's Expectations and Satisfaction with Nursing Care among Admitted Patients in Debra Tabor General Hospital, Northern Ethiopia: A Cross Sectional Study

Mulu Demle Adane, Berhane Megerssa Ereso and Tilahun Fufa Debela

Background: In the process of improving health care, patient point of view is becoming more important in today’s health system. Ignoring input from the patient or client is not living with reality today. Hence, this study is helpful to identify voice of patients that can be used as a tool for improving the health care delivery in the study area and similar settings.

Methods: Facility based cross sectional study was conducted in Debre-Tabor General Hospital from March 01-April 30/2017. All randomly selected patients admitted in the wards were included into the study. Data were collected by face to face interview using structured questionnaires. Sample was allocated proportionally to all adult wards. Data were entered into EpiData v3.1, exported to SPSS version 21 and cleaned to check for completeness and missing values. Both descriptive and inferential statistics were done. Logistic regression analysis was carried out to identify factors associated with patients’ satisfaction with their nursing care.

Result: A total of 398 respondents were interviewed making the response rate 94.5%. The overall adult inpatient satisfaction with nursing care was 66%. Patient expectation was 78%. Majority (71.6%) of respondents were satisfied with the way of nurses welcomed patients but, almost half (48.1%) of respondents were dissatisfied with the help/assistance given by the nurses. In this study sex of patients (AOR=2.22), residence (AOR=2.01), and duration of stay in the ward (AOR=14.04) as well as frequency of admission (AOR=1.87) were significantly associated with adult inpatient satisfaction.

Conclusion: The patients’ satisfaction with nursing care was found to be moderate. The expectation was good. The satisfaction was influenced by Sex of patients, residence, and duration of stay in the ward as well as frequency of admission. Health administrators should often emphasize on nursing procedural competency throughout patient care.