MST-Department of Medical Surgical Nursing and Pre-clinical Services

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Browsing MST-Department of Medical Surgical Nursing and Pre-clinical Services by Author "Mulinge, Kelvin"

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    Nurses’ Perception of the Quality of Patient Care in Selected County Hospital Critical Care Units in Kenya
    (Kenyatta University, 2023-05) Mulinge, Kelvin
    The global Intensive Care Units (ICUs) perception of quality of care remains below :\e:;?‘g:t\]:u:czz:; ]l:(?ca:ors such as highv mor?a.lity and high infection rates been reported 9 | gical advancements in critical care medicine. Studies have reported ;‘:::;:‘;:“:: :::011;;31!::6 1;1;rses anld the institutior} to havcf. a profound impact on the i perspectiveci) ” y]‘ car'e the Patlent rece.lvfs. This study assessed the CCU S quality patient care, the association between nurses’ characteristics and the perception of patient care, the association between institutional characteristics and perception of patient care and the predictors of the perception of care in selected hospitals critical care units in Kenya. The study was a correlational study that’s used stratified sampling and census sampling to collect data. Over a 6-month period between May and December 2021, a questionnaire named, nurses’ perception of the quality of patient care in selected county hospital critical care units in Kenya was distributed to 103 nurses in Machakos, Embu, Muranga and Nyeri CCUs. The study findings revealed that one third (33%)of the nurses rated the quality of care as good while the rest two thirds (67%) rated the quality of care in their unit as fair or poor. Test for association (Chisquare) was conducted to investigate demographic characteristics and nurses’ perception of quality of patient care and revealed that years worked in ICU (p<0.001), specialization in CCU (p=0.023) and © sadre (p<0.001) were significantly associated with the nurses’ perception of quality patient care. In investigating the association between institutional characteristics and the nurses’ perception of quality patient care provided using chi-square, the findings revealed that all institutional factors assessed were significantly associated with the nurses’ perception of quality patient care .(pfoAOOI) apart from multidisciplinary teamwork in the unit where there was no assocm.tlon f.ound (] =0.253). Regression analysis revealed that determinants like: years of experience in CCU, specialized in CCU, adherence to aseptic procedure, moisture and incontinence checks t resources were independently associated with the and availability of VAP managemen , . nurses’ perception of quality patient care. This study concluded that nurses perceptions of quality of patient care in selected critical care units was below average and was greatly i ializati rsing cadre and institutional influenced by nurses’ experience, specialization, nursing characteristics.