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Structure and process factors that influence patients' perception of inpatient psychiatric nursing care at Mathari hospital, Nairobi
Author(s) -
WAGORO M. C. A.,
OTHIENO C. J.,
MUSANDU J.,
KARANI A.
Publication year - 2008
Publication title -
journal of psychiatric and mental health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 63
eISSN - 1365-2850
pISSN - 1351-0126
DOI - 10.1111/j.1365-2850.2007.01222.x
Subject(s) - medicine , nursing care , competence (human resources) , stratified sampling , perception , nursing , patient satisfaction , confidence interval , nursing process , interpersonal communication , psychiatric hospital , inpatient care , family medicine , psychology , psychiatry , health care , social psychology , pathology , neuroscience , economic growth , economics
To explore structure and process factors which influence patients' perception of quality inpatient psychiatric nursing care at Mathari hospital. This was a cross‐sectional study of 236 inpatients selected by stratified random sampling. Competence to give consent was determined by a minimum score of 24 on Mini Mental State Examination. Patients were interviewed using a semi‐structured questionnaire. Differences in proportions of variables were determined by calculating confidence interval and summary chi‐squared statistics. P ‐values of ≤0.05 were considered significant. Majority of patients (87%) were aged 20–49 years with 43% having stayed in the ward for over a month. Structure factors related to patients' perception of care included physical environment, being happy with the way the ward looked was significantly related to satisfaction with care (χ 2 = 5.506, P = 0002). Process factors significantly related to patients' satisfaction with care included nurses providing patients with information on prescribed medicines (χ 2 = 10.50, P = 00012). Satisfaction with care was positively related to ability to recommend someone for admission in the same ward (χ 2 = 20.2, P = 00001). Structure and process factors identified as influencing patients' perception of care were physical environment and nurses' qualities that fit within the characteristics of Peplau's Interpersonal Relations Theory.