Assessment Of Nursing Care Research Articles

Unraveling the impact of subjective and objective workload on patient experience: Mediation and moderation by missed nursing care assessments in a nested multisource diary design

BackgroundPatient reporting of their care experience is crucial for evaluating healthcare quality. Negative patient reports are often associated with missed nursing care, with previous research primarily attributing this to objective workload, neglecting the role of subjective workload. Furthermore, there is a gap in understanding the combined impact of patient and nurse assessments of missed nursing care on the overall patient experience. ObjectiveThis study aims to explore how the interaction of objective and subjective workload influences nurse-reported missed nursing care. Additionally, it investigates how the interaction of missed nursing care, as assessed by both patients and nurses, influences the patient's overall experience. DesignA quantitative daily diary design, employing a nested (shifts within nurses) and multi-sourced (nurses, patients, and objective data) approach, was implemented. SettingThe study was conducted in two medium-sized public hospitals, encompassing internal medicine and surgical wards. ParticipantsA total of 141 registered nurses providing direct patient care and 627 patients treated by these nurses participated in the study. MethodsParticipating nurses completed questionnaires during five morning shifts, detailing their experiences with specific patients. Concurrently, the same patients provided feedback through questionnaires. A dual moderated mediation model was analyzed using mixed-model regression analyses, suitable for the nested design. ResultsThe study supported the dual moderated mediation model. Subjective workload emerged as a statistically significant moderator, influencing the impact of objective workload on nurse-reported missed nursing care (β = −0.476, p = .009). Particularly, under high subjective workload, missed nursing care was higher during low compared to high objective workload. Moreover, patient-reported missed nursing care moderated the relationship between nurse-reported missed nursing care and patient experience (β = −0.411, p < .001). In instances of high patient-reported missed nursing care, positive patient experiences were observed with low compared to high nurse-reported missed nursing care. ConclusionsThis research emphasizes the need to recognize and address subjective aspects of nursing workload. Effectively managing these perceptions is vital for upholding high care standards and enhancing patient experiences. The study advocates for targeted strategies to manage workload effectively and improve patient–nurse communication, especially in high-workload healthcare settings.Tweetable abstract: Exploring the link between nursing workload and patient experience: revealing the impact of patient and nurse assessments on missed nursing care. #HealthcareQuality #NursingResearch.

Nursing Implementation of Ineffective Breathing Patterns in Toddlers with Acute Respiratory Infection: A Case Study

Acute Respiratory Infection is an upper and lower respiratory tract infection that attacks the throat, nose and lungs at mild to severe levels lasting approximately 14 days. This study uses a case study method in the form of a description of the nursing care process in patients in accordance with the theory and contains a discussion of nursing actions that occur in the field. This study was conducted for 3 days with a total of 3 visits to patients starting from 15-17 May 2023, data obtained from interviews, observations, physical examinations. This study uses the concept of nursing care starting from assessment, appointment of nursing diagnoses, provision of nursing interventions, nursing implementation and nursing evaluation carried out for 3 days. the instrument used is the surgical medical nursing care assessment format. The results obtained by Baby D that he was less congested after being given nebulizer therapy, pulse: 160x/min, Temperature: 36.70C, respiration rate: 55x/min, Spo2: 99%, baby D still looks a little tight, using a breathing apparatus (nasal cannula), the client's general condition has improved slightly. It is expected that clients and families maintain and improve health by implementing a healthy lifestyle and utilizing existing health facilities for health control to accelerate recovery, so that the problem of Ineffective Breathing Patterns in clients with Acute Respiratory Tract Infection can be resolved.

Application of Foot Massage Therapy to Reduce Pain Scale of Old Age with Rheumatoid Arthritis in Perumnas Public Health Center Working Area Lubuklinggau City 2023

Arthritis in RA patients causes pain, swelling, and decreased joint range of motion. It can lead to decreased independence and limited activities, reducing the quality of life. The process of foot massage also impacts the process of vasodilation and increased blood circulation. It increases the activity of the autonomic nervous system, which stimulates increased production of endorphins, which is expected to reduce pain. The case study used a descriptive method with two old older adults with Rheumatoid Arthritis, using the family nursing care assessment and pain scale assessment. The application of foot messages is carried out for 20 minutes for three days. After applying foot massage for three consecutive days, the study showed a decrease in pain intensity between before and after the intervention was given to the two subjects. The subject's pain intensity decreased from moderate pain intensity to mild pain. Applying foot massage effectively reduces the intensity of Rheumatoid Arthritis pain.

Impact of training on knowledge, confidence and attitude amongst community health volunteers in the provision of community-based palliative care in rural Kenya

ObjectivesExisting literature suggests multiple potential roles for community health volunteers (CHVs) in the provision of palliative care (PC) in low- and middle-income countries. In Kenya the role of CHV in the provision of PC has not been reported. The objective of this study was to assess knowledge, confidence, attitude, and clinical practice of community health volunteers after attending a novel palliative care (PC) training program.MethodsA total of 105 CHVs participated in a 3-day in person training followed by a 1-month in person and telephone observation period of the palliative care activities in the community. Structured questionnaires were used pre- and post-training to assess knowledge acquisition, impact on practice, and content delivery. A mixed method study design was conducted 12-month post training to assess impact on clinical practice.ResultsImmediately after training, CHV provided positive ratings on relevance and content delivery. In the month following training, CHVs evaluated 1,443 patients, referred 154, and conducted 110 and 129 tele consults with the patients and PC providers respectively. The follow up survey at 12 months revealed improved knowledge and confidence in various domains of palliative care including symptom and spiritual assessment and provision of basic nursing and bereavement care. Focus group discussions revealed the CHVs ability to interpret symptoms, make referrals, improved communication/ interpersonal relationships, spiritual intervention, patient comfort measures and health care practices as newly learned and practiced skills.ConclusionsWe noted improved knowledge, new skills and change in practice after CHVs participation in a novel training curriculum. CHVs can make important contributions to the PC work force and be first line PC providers in the community as part of larger hub and spoke care model.

Asuhan Keperawatan Medikal Bedah dengan Intervensi Penerapan Slow Stroke Back Massage Therapy pada Pasien Stroke Non Hemoragik dengan Masalah Perfusi Serebral Tidak Efektif dan Gangguan Mobilittas Fisik di Ruang Flamboyan RSUD dr. T.C Hillers Maumere

Non-hemorrhagic stroke is a clinical sign of dysfunction or damage to brain tissue caused by lack of blood flow to the brain, thereby disrupting the need for blood and oxygen in brain tissue. Slow stroke back massage therapy is a non-pharmacological therapy to overcome problems in patients with stroke. This research aims to be able to carry out nursing care for clients with non-hemorrhagic stroke using slow stroke back massage therapy in the Flamboyan Room at RSUD dr. T.C Hillers Maumere. The research design used was a case study. The approach used is a nursing care approach which includes identifying data from assessment results, nursing diagnoses, planning, implementation and evaluation. Slow stroke back massage therapy is carried out for 3 days. Data collection techniques used a medical-surgical nursing care assessment format, observation and literature study. The results of the case study showed that clients were diagnosed with ineffective cerebral perfusion and impaired physical mobility. The application of slow stroke back massage therapy showed improvements or changes on the third day, which resulted in the client experiencing a decrease in blood pressure from 180/100 mmHg to 160/90mmHg, not complaining of dizziness, and the patient's right hand was starting to be able to move. The conclusion of this case study is that slow stroke back massage therapy is effective in reducing blood pressure and also helps in increasing physical mobility in non-hemorrhagic stroke patients.

Palliative Care Practices and Knowledge of Home Care Nurses in Saudi Arabia: A Cross-Sectional Study.

Palliative Care (PC) is an interdisciplinary specialty focused on relieving symptoms and optimizing quality of life for people living with serious illnesses and their families. A great need for PC exists in Saudi Arabia due to its aging population and prevalence of cancer and other chronic diseases. Home healthcare can make PC more accessible to patients, but clinicians must be equipped with the PC knowledge and skills to perform their roles. This study was a descriptive, correlational examination of PC practices and knowledge of home care nurses recruited from military hospitals in Saudi Arabia. We surveyed participants using the Palliative Care Quiz for Nursing (PCQN) and the Modified Global Home Health Nursing Care Assessment Questionnaire. The mean PCQN score was 8.40, indicating low levels of PC knowledge. A nurses' demographic and physical, spiritual, religious, cultural, linguistic, ethical, and legal aspects of care revealed significant associations. Given the low levels of PC knowledge and skills, we recommend focusing on education, training, and research. Universities should review their curriculum to ensure PC content. Hospitals should provide training programs focused on all aspects of PC, specifically emotional and spiritual, without limiting training to physical aspects of care. Future research is also needed to inform policy in this area.

A quality assessment of inflammatory bowel disease nursing care in Finland: a nationwide cross-sectional descriptive study

Objectives of the article Inflammatory bowel disease (IBD) nursing has been identified as a crucial component in the IBD service delivery. This article aims to provide a comprehensive overview of the state of IBD nursing care in Finland, and to identify areas that would benefit from further research. Materials and methods Tertiary IBD outpatient clinics nationwide were invited to participate in a cross-sectional descriptive study conducted using an electronic survey. The quality of IBD nursing services was assessed using the Nursing Care Quality in IBD (NCQ-IBD) evaluation tool. Results Of the 34 identified clinics, 27 participated (79.4%) in the study. The NCQ-IBD tool classifies the clinics in four categories, where A indicates the highest level of quality, and D the lowest. In this study, 26 clinics (96.3%) were classified at level C, and one clinic (3.7%) at level D. Nursing responsibilities in IBD management and informing the patients were at a high level of quality, whereas nursing research in IBD was at a low level. An IBD database (i.e. clinical IBD registry) was in use only in 10 clinics. Although training in the clinical aspects of IBD was readily available, there was a lack of training plans for IBD, and clinics seldom held an annual review of the IBD nursing activities and outcomes. There were very few clinics using structured indices and questionnaires, and only 16 clinics (59.3%) applied a written IBD protocol. Conclusion In the Finnish IBD nursing service, as measured with the NCQ-IBD tool, several areas for future improvement were identified.

The Relationship Between Safe Nursing Care and Professional Commitment of Nurses in Iranian Educational-Therapeutic Hospitals

Background: Safe nursing care and professional commitment are known as two important components influencing the nursing service quality. Objectives: The present study aimed to assess the relationship between safe nursing care and nurses’ professional commitment. Methods: In the present cross-sectional correlational research, 263 nurses were selected from the intensive care unit/cardiac care unit (ICU/CCU), internal, surgery, pediatrics, gynecology and obstetrics, oncology, burn, orthopedics, infectious, and neurology wards of educational-therapeutic hospitals affiliated with Qazvin University of Medical Sciences by quota sampling method between May 2022 and September 2022. Data collection was performed using the nurses’ professional commitment scale (NPCS) and the assessment of safe nursing care (ASNC) questionnaire. Nurses were selected using a convenience sampling method. The collected data were analyzed using descriptive and inferential statistical tests (t-test, Pearson’s correlation, and one-way analysis of variance (ANOVA)) by SPSS software version 16. Results: The mean scores of nurses’ professional commitment and safe nursing care were 86.16 ± 4.92 and 134.57 ± 16.15, respectively. Pearson’s correlation test showed a significant relationship between nurses’ professional commitment and safe nursing care (r = 0.345, P ≤ 0.001). Also, the test results indicated that the level of nurses’ professional commitment varied among individuals with different employment types (P = 0.008). Conclusions: According to this study, safe nursing care and nurses’ professional commitment are two important components influencing each other. Therefore, these results have important implications for policymakers and healthcare systems involved in promoting the level of safe nursing care and nurses’ professional commitment.

The Application of Cinnamon Compresses To Reduce Pain Scale In Older Age With Gout Arthritis: Case Study

ABSTRACTIntroduction: The main complaint of patients with Gout Arthritis is pain problems. Bat to treat joint pain problems in the elderly with Gout Arthritis in total still does not exist, but there are many treatment options to relieve symptoms can be done. Giving warm compresses using cinnamon spices (cinnamomun burmani) containing eugenol and cinamaldehid can reduce the sensitivity of the nociceptor, so as to relieve pain symptoms. This study aimed to analyze the administration of cinnamon compresses in the elderly with Gout Arthritis with chronic pain nursing problems.Methods: This research uses a descriptive method with a case study approach. Samples used by 2 elderly people with Gout Arthritis using the format of family nursing care assessment, and pain scale assessment. The application of cinnamon compress is done for 4x a week using cinnamon liquid as much as 2 ml, with 200 cc of water, at a temperature of 40-450C, followed by compress for 15-20 minutes using a washlap. Data was analyzed using descriptive analysisResults: After applying cinnamon compresses four times a week, the study showed a decrease in pain intensity before and after the intervention was given to the two subjects. The subject's pain intensity decreased from moderate pain intensity to mild pain.Conclusion: The application of cinnamon compresses is effective in reducing the intensity of Gout Arthritis pain.Keywords: Cinnamon; Compress; Gout Arthritis; Painful

NURSING CARE OF HYPERTHERMIA IN CHILDREN FEBRILE SEIZURES: A CASE REPORT

Introduction: Febrile seizures occur due to increased temperature due to extracranial processes. There is a predisposition Familial and more common in boys than girls. Prolonged and repeated attacks can cause severe disturbances in the child's brain, so the child has a mental disability. This case study aims to apply hyperthermia nursing care for children with febrile seizures in the pediatric inpatient room at Lamongan Hospital. Methods: The research design used is to study cases with a nursing care approach. The sample in this study was one child patient with febrile seizures: data collection techniques using interviews, observation, documentation studies, and physical examination. The research instrument used the pediatric nursing care assessment format. Results: After implementing nursing for 3x24 hours, the nursing diagnosis of hyperthermia is resolved. The risk of injury does not occur during the treatment period because the body temperature has reached 36.5 0 C, and the patient has never had another seizure. Conclusions: It is necessary to collaborate with professional care providers and family participation for the success of nursing care according to nursing care standards to prevent happening seizures repeated.

The Relationship of Integrated Geriatric Assessment and Effective Communication Towards Holistic Nursing Care With Caring Nurse Behavior as an Intervening Variable at Islamic Hospital Siti Khadijah Palembang City

In the world of health, Holistic Nursing Care is a standard with a multi-disciplinary approach through integrated and holistic assessment. Geriatric patients have complex needs that must be identified to address the needs that must be met by a hospital service to provide patient survival, quality of life and satisfaction. Holistic nursing care is influenced by several variables such as integrated geriatric assessment and effective communication. In addition to these two variables, there are other variables that can affect this relationship, one of which is the caring behavior of nurses. The purpose of this study was to analyze the relationship between Integrated Geriatric Assessment and Effective Communication of Holistic Nursing Care with Nurse Caring Behavior as Intervening Variables at Siti Khadijah Islamic Hospital, Palembang City. This research is explanatory research with a quantitative approach in the form of causality using 7 hypotheses with a sample of 80. The conclusion in this study is that there is a significant relationship between integrated geriatric assessment and effective communication on nurse caring behavior and holistic nursing care, besides that caring behavior turns out to be able to Intervene a significant relationship between integrated geriatric assessment and effective communication of holistic nursing care. Meanwhile, another significant relationship is between the caring behavior of nurses and holistic nursing care at Siti Khadijah Islamic Hospital, Palembang. The theoretical implications of this study will prove the effect of research variables and managerially will further improve the evaluation system for the quality of nursing care for geriatric services in hospitals and the overall management of geriatric patients for healthy old age.

Construction and verification of a quantitative index system to evaluate the medical and nursing care for the elderly service needs.

To construct a quantitative index system with the integrated medical and nursing care assessment for the elderly service needs, this system can assess the cost of medical and care services accurately and objectively, so as to provide scientific basis for the allocation of old-age service resources in China. Based on the survival needs of the Existence, Relation and Growth theory, an index system is constructed through literature analysis, group discussion, and expert correspondence. Analytic hierarchy process was used to determine the weights of indicators at all levels. The 3-grades service items corresponding to each index were quantified through the measurement of working hours, and the medical and nursing care needs of 624 disabled/demented elderly people over 60 years old in Changsha were investigated to evaluate their reliability and validity. The authoritative coefficients of the 2 rounds of expert correspondence were 88.5% and 88.6%, respectively, and the opinion coordination coefficients were 0.159 and 0.167, respectively. The final quantitative evaluation index system included 4 first-level indicators, 17 second-level indicators, and 105 third-level indicators. The service time of doctor ranged from 6.01 to 22.64 min, the service time of nurses ranged from 0.77 to 24.79 min, and the service time of caregiver ranged from 0.12 to 51.88 min. The Cronbach's αcoefficient was 0.73, the split-half reliability was 0.74, the content validity was 0.93, and the calibration validity was 0.781. The quantitative evaluation index system of medical and nursing service need for the elderly can be used to accurately evaluate the medical and nursing service need.

Missed Nursing Care and its relationship with Nurses’ Perceptions of Professional Practice Environment during Hajj Season

Context: An important factor that significantly affects missed nursing care is the nursing work environment. Additionally, it significantly impacts the recruitment and retention of healthcare professionals and indirectly affects the standard of nursing care.&#x0D; Aim: To identify nurses' perception of the professional practice environment, identify types and reasons for missed nursing care, and find the relationship between nurses' perceptions of the professional practice environment and missed nursing care during the Hajj season.&#x0D; Methods: A descriptive correlational design was carried out at seven hospitals in Makkah region. A convenience sample of 463 registered nurse who has at least one year of nursing experience and working in inpatient units was included in this study. Data was collected through an online questionnaire. It included patients' demographic data, the revised professional practice environment scale, and missed nursing care assessment questionnaire.&#x0D; Results: The result of this study reveal that the mean scores of the professional practice environment and its subscales were 3.56±0.46, indicating a favorable environment. Furthermore, it was found that the overall missed nursing care among the studied nurses was 1.56±0.65, which indicates low missed nursing care. The highest reason for missed nursing care was the inadequate staff (2.85±1.12), supplies/equipment not functioning properly when needed (2.74±1.07), and not being available when needed (2.70±1.10). The professional practice environment statistically significantly negatively correlated with missed nursing care (r=-0.32, p=0.000).&#x0D; Conclusion: Missed nursing care in hospitals can be reduced by improving the professional practice environment. The study recommends that the hospital and nursing administrators consider keeping good practice environments for nurses to prevent missed care activities and potentially enhance patient outcomes in nursing units.

A Clinical Nursing Care Study on the Prevalence of Rotavirus Infection and Acute Diarrhea in Vaccinated Chinese Pediatric Population from 2019-2022.

PurposeTo investigate the prevalence of rotavirus infection and acute diarrhea after immunization and further assess the quality of nursing care provided by the nurses to such patients.MethodsA total of 432 children aged 3–36 months with acute diarrhea between February 2019 and March 2022 were enrolled, and rotavirus testing was performed within 24 h using a rotavirus enzyme immunoassay kit. Clinical characteristics were evaluated, and regression analysis was performed.ResultsEighty vaccinated children (18.5%) were confirmed to have rotavirus infection out of 432 children. The prevalence of rotavirus positivity was the highest at 20–28 months (22 cases, 24.44%) and 11–19 months age group (27 cases, 22.50%). There is a significant association between rotavirus infection and hygiene score (p = 0.009). Based on the association with quality of nursing care, rotavirus infection was association with “appropriate care” (p = 0.001).ConclusionRotavirus infection was strongly associated with poor hygiene score which may be due to the hygienic nature of the mother and her family. Nursing care assessments revealed a huge gap between nurses and the guardians, which reflects the behavior of Chinese nurses. Thus, an intervention is required by the policymakers for implementing effective strategies of quality nursing for the improvement of the pediatric patients with rotavirus gastroenteritis.

Development of a Primary Palliative Nursing Care Competence Model and Assessment Tool: A Mixed-Methods Study.

The purpose of this study was to develop a new primary palliative nursing care (PPNC) competence model and assessment tool. Consensus guidelines, a national position statement, and new nursing program accreditation standards require nurses to be educated in providing PPNC. A means to assess PPNC competence for prelicensure nursing students and entry-level nurses is needed. The mixed-methods study utilized a three-phase design encompassing in-depth document analysis and expert workgroups; focus groups with palliative care educators, practitioners, and administrators; and stakeholder focus groups. Findings across all phases resulted in development of a PPNC competence model and assessment tool, each composed of nine domains and associated competency statements. There is a global imperative for nurses to provide high-quality PPNC. Both the model and assessment tool are vital to develop a nursing workforce with the skills to care for persons with serious illness and their families.

Ameliyat Sonrası Dönemde Hastaların Hemşirelik Bakımını Değerlendirmeleri

Aim: The aim of this study was to evaluate nursing care of patients hospitalized&#x0D; during the postoperative period.&#x0D; Methods: This descriptive study was conducted with 526 patients who were hospitalized in Surgical Clinics of a University Research Hospital in the province of Erzurum between April 2013 and August 2014. Being collected with form of descriptive characteristics and Nursing Care Assessment Inventory (NCAI), the data were evaluated as number and percentage in categorical measurements and mean and standard deviation in digital measurements.&#x0D; Results: A statistically significant difference was found between the mean scores of physiological factor according to the patients’ complication status, safety factor according to gender, educational status and surgical experience, and the psychosocial factor according to the educational status and surgical experience. Based on educational status and surgical experience, a significant difference was found between the NCAI total mean scores (p

An Analysis of Inconsistent Methodology to Compute Permanent Future Nursing Care Costs in Personal Injury Claim

Restitutio in integrum has been the underlying basis of assessment for damages under the corrective compensation scheme of the law of tort. This doctrine commands restoration of the claimant to the pre-existing condition prior to the commission of the tort. While this basis of assessment has no apparent problem in respect of pecuniary part of the claimable damages in a personal injury claim, however, from another side of the spectrum, there is an inconsistent methodology as to how to precisely calculate the ‘price’ of pain or even future loss. As a result, judicial activism plays its part in promoting its creativity of solution to the problem, leading to inconsistent methodology on this spectrum of damages that bears diverse output. The objective of this paper is to highlight the flaws of the inconsistent methodology for the assessment of permanent future nursing care. The method used for this research is by tracing the relevant authorities that use the various methods of computing the multiplier and analysing the outcome of each method. The findings revealed anomalies of output as each method produces different output without any qualification on why a particular method is chosen. This flaw in the computation of the multiplier for future losses other than related to loss of earnings should not remain viable as there is no consistency of the output based on similar factual circumstances. One of the solutions for this debacle is to forgo lump sum payment altogether and move towards structured settlement payment.

Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review protocol

IntroductionSmart technologies, digital health and eHealth have been shown to enhance institutional elderly care. Because of the rapidly ageing societies, information technologies in geriatric healthcare are urgently needed. A lot...

Sustainable implementation of person-centred care in residential care facilities: hindering and supporting factors when improving incontinence care

Purpose: The aim of the present study was to focus on the impact of the implementation of a person-centred approach on staff perception of the likelihood of being able to provide person-centred care and strain in the workplace. Design: The study was a controlled prospective cohort study performed at three residential care facilities in western Sweden involving all nursing staff members active from 2013 through 2015 at baseline and at three follow-ups during and after the implementation period. Two of the residential care facilities were assigned to the intervention group and one was assigned to the control group. Method: The study was designed to test the sustainability of a person-centred approach based on three aspects: partnership, narrative and documentation. A cross-section of 20 coworkers were purposively sampled from a total of 100 persons working at the two Intervention nursing homes to participate in the intervention group. The process outcome was measured as: perceived ward atmosphere, using the staff version of the validated Person-Centred Climate Questionnaire; person-centred care, measured using the validated Person-centred Care Assessment Tool; and experience of strain in work, using the Strain in Nursing Care Assessment Scale. Descriptive statistics were calculated for all variables using the SPSS Statistics software package. Findings: The results show that, at the control site, there were lower staff perceptions of the care atmosphere, higher level of strain experienced in their work and a lower likelihood of providing a person-centred care approach, whereas these factors remained rather stable over time at the intervention residential care facilities. Two contrasting results were observed—namely, that the higher the staff's perception of the likelihood of being able to provide individualised care and of a more person-centred ward atmosphere, the higher their stress levels experienced at work. In addition, older ages and long durations of work experience significantly negatively affected the staff's assessment of their ability to create an atmosphere of everydayness and to adopt a person-centred approach in care. Conclusions: The findings show that sustainability of a person-centred ward atmosphere is possible in the care of older people, despite staffing problems and other organisational challenges, according to the staff's assessment, after implementation of a person-centred programme. The more experienced staff members assessed their likelihood of being able to provide a person-centred care as lower after the implementation phase, indicating that despite the ambition of supporting person-centredness and quality of care, staffing and management difficulties that are present at the outset of the programme's implementation can later lead to stress and frustration relating to roles and routines.

Quality of nursing care assessment in the context of coronavirus disease (COVID-19) pandemic in the University of Benin teaching hospital, Benin-City, Nigeria: Patients' perspectives

Context: Quality of nursing care is the extent to which nursing health-care services provide an improved desired health outcome. Thus, using patients' perception as a proxy in measuring the quality of nursing care is highly recommended. Aims: The aim is to assess the quality of nursing care in the context of Coronavirus diseases (COVID-19) pandemic in the University of Benin Teaching Hospital (UBTH) from patients' perspectives. Materials and Methods: A cross-sectional descriptive study on the quality of nursing care: patients' perspective. Self-administered questionnaires were distributed to selected patients who had been on admission for not <2 weeks from the onset of the pandemic. A multistage sampling technique was used to select the sample size of 200 patients. Data collected were analysed using tables, percentages, means, standard deviation and Chi-square test; at 0.05 level of significance, through the Statistical Package for the Social Science software. Results: The findings revealed that patients had poor perception in some areas of nursing practice, and this is attributed to the shortage of nurses on the wards for patients' care. It also showed that nurse-patient relationship, and nurse-patient communication were significantly related to patients' perception of quality of nursing care (χ2 = 3.84, P ≤ 0.001) and (χ2 = 17.61, P = 0.003), respectively. Conclusion: The patient's perception of nursing care in UBTH was not perfect and this they attributed to the shortage of nurses on the wards for patients 'care, therefore the hospital management and the government should ensure more nurses are employed in the hospital so that the nurses can implement the standard ratio of nurse–patient relationship.