Patient Perceptions on Primary Health Care (PHC) Nurses and Its Impact on Services Delivery at County Level, Machakos, Kenya
Central African Journal of Public Health
Volume 5, Issue 1, February 2019, Pages: 17-23
Received: Aug. 11, 2018;
Accepted: Dec. 4, 2018;
Published: Jan. 24, 2019
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Desire Aime Nshimirimana, Department of Health Systems Management, School of Medicine & Health Sciences, Kenya Methodist University, Nairobi, Kenya
Donald Kokonya, Department of Mental Health, School of Medicine, Masinde Muliro University of Science & Technology, Kakamega, Kenya
Wanja Mwaura-Tenambergen, Department of Health Systems Management, School of Medicine & Health Sciences, Kenya Methodist University, Nairobi, Kenya
Background: Patient perceptions on services delivered by nurses are crucial when assessing the quality of health services. These are most attributable to their knowledge, competent skills and other personal characteristics. These can be described in how effective they handle clients when performing their nursing duties and their effectiveness including their ability to utilize a variety of communication skills and their attitudes at their regular work place. Methodology: This is a cross-sectional and qualitative study. Four public hospitals were randomly selected; Kathiani, Mwala sub-county hospital, Kangundo sub-district and Machakos county referral hospital. A systematic sampling was used for participant selection. A maximum of 12 and a minimum of 8 patients constituted a focus group for discussion (FGD) making a sample size of eighty (80) with eight (8) groups (four male and four female groups). The FGDs were conducted using standard guidelines by the researcher helped by a trained research assistant recording the proceedings with audio equipment. Participants aged 18-65 years and emancipated children were included. Data were analyzed using Atlas. ti 7 software. Results and Conclusion: (1) knowledge and competent skills of nurses, (2) personal characteristics, (3) other nurse’s behaviors are key when to effectively perform nursing duties. Participants acknowledged that nurses have the same knowledge because they can be transferred from health centers to at hospital level. Other participants added that patients need nurses who can perform their work with confidence. Personal characteristics like positive attitude, good mood, smile and willingness to provide medical information were also discussed by participants as very important when nurses have to deliver quality health care services. Lastly, other nurse behaviors like respect, honesty, confidentiality and compassion are as well other crucial characteristics on the top of knowledge which were emphasized by participants. All discussed characteristics should link together if nurses have to deliver quality health care. Nursing schools should review their curriculum to include the characteristics mentioned and introduce mentorship programs where the emphasis should be placed on the same.
Desire Aime Nshimirimana,
Patient Perceptions on Primary Health Care (PHC) Nurses and Its Impact on Services Delivery at County Level, Machakos, Kenya, Central African Journal of Public Health.
Vol. 5, No. 1,
2019, pp. 17-23.
Fee, E., Garofalo, M. E., & Chang, B. B. Florence nightingale and the crimean war. American Journal of Public Health, 2010100(9), 1591. https://doi.org/10.2105/AJPH.2009.188607.
Prakash B. Patient Satisfaction. Journal of Cutaneous and Aesthetic Surgery. 2010;3(3):151-155. doi:10.4103/0974-2077.74491.
Babiker, A., El Husseini, M., Al Nemri, A., Al Frayh, A., Al Juryyan, N., Faki, M. O., … Al Zamil, F. (2014). Health care professional development: Working as a team to improve patient care. Sudanese Journal of Paediatrics, 14(2), 9–16. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27493399%5Cnhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4949805.
Hughes, R. Nurses at the “sharp end” of patient care the everydayness of errors. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 2008 1–30. https://doi.org/NBK2672 [bookaccession].
Salmond, S. W., & Echevarria, M. Healthcare Transformation and Changing Roles for Nursing. Orthopaedic Nursing, 201736(1), 12–25. https://doi.org/10.1097/NOR.0000000000000308.
Larsson, I. E., Sahlsten, M. J. M., Segesten, K., & Plos, K. A. E. Patients’ Perceptions of Nurses’ Behaviour That Influence Patient Participation in Nursing Care: A Critical Incident Study. Nursing Research and Practice, 2011, 1–8. https://doi.org/10.1155/2011/534060.
Sofaer, S., & Firminger, K. Patient Perceptions of the Quality of Health Services. Annual Review of Public Health, 2005 26(1), 513–559. https://doi.org/10.1146/annurev.publhealth.25.050503.153958.
Iloh, G., Njoku, P., Amadi, A., Godswill-Uko, E., Ofoedu, J., & Okafor, G. Satisfaction with Quality of Care Received by Patients without National Health Insurance Attending a Primary Care Clinic in a Resource-Poor Environment of a Tertiary Hospital in Eastern Nigeria in the Era of Scaling up the Nigerian Formal Sector Health In. Annals of Medical and Health Sciences Research, 2013 3(1), 31. https://doi.org/10.4103/2141-9248.109471.
R, A., Z, K., J, D., & R, R. Perceptions of Patients Regarding Quality Nursing Care (QNC) at a Tertiary Care Hospital, Karachi, Pakistan. Journal of Clinical Research & Bioethics,20156(6), 1–5. https://doi.org/10.4172/2155-9627.1000254.
Ndambuki, J. The level of patients ’ satisfaction and perception on quality of nursing services in the Renal unit, Kenyatta National Hospital Nairobi, Kenya. Open Journal of Nursing, 201313(June), 186–194. https://doi.org/10.4236/ojn.2013.32025.
Munyewende, P. O., Levin, J., & Rispel, L. C. An evaluation of the competencies of primary health care clinic nursing managers in two South African provinces. Global Health Action,20169(1), 32486. https://doi.org/10.3402/gha.v9.32486.
Reyes, H., Hadley, L., & Davenport, D. A Comparative Analysis of Cultural Competence in Beginning and Graduating Nursing Students, 2013.
Diniz, I. A., Cavalcante, R. B., Otoni, A., & Mata, L. R. F. da. Perception of primary healthcare management nurses on the nursing process. Rev Bras Enferm,201568(2), 206–213. https://doi.org/10.1590/0034-7167.2015680204i.
McHugh, M., & Lake, E. Understanding Clinical Expertise: Nurse Education, Experience, and the Hospital Context. Research in Nursing & Health,201133(4), 276–287. https://doi.org/10.1002/nur.20388.Understanding.
Jamshidi, N., Molazem, Z., Sharif, F., Torabizadeh, C., & Najafi Kalyani, M. The Challenges of Nursing Students in the Clinical Learning Environment: A Qualitative Study. The Scientific World Journal, 2016, 1–7. https://doi.org/10.1155/2016/1846178.
Baxter, C. A. The effect of coaching on nurse anager leadership of unit based performance improvement: exploratory case studies. DNP Practice Inquiry Projects, 2013 (3). Retrieved from http://uknowledge.uky.edu/dnp_etds/3.
Taylor, L. D. The affective domain in nursing education: Educators’ perspectives. Theses and Dissertations, 2014 (151). Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=109774671&site=ehost-live.
Hudon, C., & Fortin, M. Measuring patients’ perceptions of patient-centered care: a systematic review of tools for family medicine. Journal of Family Medicine, 2011 155–164. https://doi.org/10.1370/afm.1226.
van Graan, A. C., & Williams, M. J. S. A conceptual framework to facilitate clinical judgement in nursing: A methodological perspective. Health SA Gesondheid, 2017 (22) 275–290. https://doi.org/10.1016/j.hsag.2017.01.004.
Cónsul-Giribet, M., & Medina-Moya, J. L. Strengths and weaknesses of Problem Based Learning from the professional perspective of registered nurses. Revista Latino-Americana de Enfermagem, 2014 22(5), 724–730. https://doi.org/10.1590/0104-1169.3236.2473.