Highlights
- •Older caregivers have better perception of the quality of nursing care they received.
- •Nurses were perceived to give clear instructions and explanations about procedures.
- •Team work and coordination among nurses were perceived to be inadequate.
- •Interpersonal relationship and inclusion of caregivers as decision makers were perceived to be inadequate.
- •Perception of quality nursing care in pediatrics is determined by the level of satisfaction of the caregivers.
Abstract
The health care system has increasingly emphasized consumers' satisfaction in developing
models of health care quality. Among health professionals, nurses spend more time
with patients, hence, the measure of consumers' perception of quality nursing care
is crucial. Children are vulnerable and unable to effectively express their views;
hence, their caregivers often serve as their decision makers.This study aimed to assess
caregivers' perception of the quality of nursing care in child health care services.
A descriptive cross-sectional survey was conducted using a stratified sampling technique
to recruit 308 caregivers attending Immunization and Child welfare clinics of University
College Hospital, Nigeria. Participants were surveyed using an adapted version of
the Patient Satisfaction with Nursing Care Quality Questionnaire (PSNCQQ) which was
analyzed using descriptive and inferential statistics at a 0.05 level of significance.
A large percentage of the caregivers were female (86.9%).“Concern and caring by the
nurses”, “recognition of carers' needs”, “coordination of care” and “privacy” were
perceived to be fair (50.2%, 54.9%, 56.3%, 57%) while “clarity about instructions
given”, “helpfulness”, “skill and competence” were perceived to be good (61.7%, 56.3%,
63.8%).The age, occupation, and marital status of the caregivers had a significant
association with their perception of nursing care (p < 0.05). The attitudes of nurses regarding concern, caring and privacy were perceived to
be fair as compared with the skill and competence of nurses which were perceived to
be good.
Although caregivers had an overall average perception of quality of nursing care,
more efforts should be geared towards improving on areas that were fair, like care
and concern, courtesy, friendliness, and kindness, which are central to nursing as
a caring profession.
Good interpersonal relationships and acknowledgment of caregivers as decision-makers
in health care which were perceived to be inadequate in this study are key factors
that drive a good perception of quality nursing care. Nurses must continue to provide
inclusive quality care where caregivers are seen as significant contributors to health
care.
Keywords
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References
- Paediatric patients and primary care givers’ perception of nurse-caring behaviour in South-Western Nigeria.International Journal of Caring Sciences. 2014; 7: 610
- Patients’ perception of quality nursing care in a Federal Medical Centre.SSRG International Journal of Nursing and Health Science. 2018; 4: 1-6
- The Turkish version of the Newcastle satisfaction with nursing care scale used on medical and surgical patients.Journal of Clinical Nursing. 2007; 16: 646-653
- Patient satisfaction survey as a tool towards quality improvement.Oman Medical Journal. 2014; 29: 3
- Evaluation of communication skills with patients of physicians and nurses.Fırat Journal of Health Care. 2016; 1: 52-69
- Health care is a right, not a privilege: A new series on US health care and health policy.JAMA. 2021; 325: 227-228
- Essentials of health management planning and policy.University of Lagos Press, Akoka-Yaba Lagos, Nigeria2007
- Caregivers perception of the quality of child health care services in a general Hospital in Lagos State.Journal of Public Health and Epidemiology. 2015; 7: 29-33
- Patient’s perceptions of nursing care-a descriptive study from Turkey.Annals of Nursing Practice. 2016; 3: 1048
- Relationships between nurses’ empathy, self-compassion, and dimensions of professional quality of life: A cross-sectional study.International Journal of Nursing Studies. 2016; 60: 1-11
- In-patient satisfaction wıth nursing care: A case study at Kwame Nkrumah University of Science and Technology hospital.International Journal of Research in Medical and Health Sciences. 2013; 2: 19-24
- Factors influencing patients perception of nurses respect for their dignity in a public Hospital in Calabar, Nigeria: Implications for nursing education.International Journal of Humanities Social Sciences and Education. 2016; 3: 72-81https://doi.org/10.20431/2349-0381.0308007
- Patients’ perception of individualized care and satisfaction with nursing care level in Turkey.International Journal of Caring Sciences’. 2015; 8: 369
- Wong’s nursing care of infants and children.America. 2011; : 10-15
- Patient satisfaction with the quality of nursing care.Nursing Open. 2019; 6: 535-545
- Determination of the surgical patients’ satisfaction levels from nursing care.Florence Nightingale Journal of Nursing. 2014; 22: 105-113
- Patient satisfaction with the nursing care in hospital.Türkiye Klinikleri Journal of Medical Sciences. 2011; 31: 629-640
- Psychometric analysis of patient satisfaction with nursing care quality questionnaire; an actionable approach to measuring patient satisfaction.Journal of Nurse Care quality. 2005; 20: 220-230
- The patient satisfaction with nursing care quality: The psychometric study of the Serbian version of PSNCQ questionnaire.Scandinavian Journal of Caring Sciences. 2012; 26: 598-606
- Patient’s perceptions regarding quality nursing care in a Sri Lankan hospital.Imperial Journal of InterdisciplinaryResearch. 2016; 2: 1553-1556
- Consumers’ descriptions of quality health care.Journal of Nursing Care Quality. 1999; 14: 47-55
- Patients’ perceptions of nursing Care in a University Hospital.Nursing Science Quarterly. 2020; 33: 12-18
- Perceptions of patients regarding quality nursing care (QNC) at a tertiary hospital in Karachi, Pakistan.Journal of Clinical Research & Bioethics. 2015; 6
- Quality evaluation of home nursing care: Perceptions of patients, physicians, and nurses.Nursing Administration Quarterly. 2000; 24: 43-52
- Patient’s perception of nursing care at a large teaching hospital in India.International Journal of Health Sciences. 2008; 2: 92
- Development of an instrument to measure the patient perception of the quality of nursing care and related hospital services at the National Hospital of Sri Lanka.Asian Nursing Research. 2011; 5: 71-80
- Factors affecting parental satisfaction in the neonatal intensive care unit.Journal of Neonatal Nursing. 2012; 18: 183-192
- Under-five mortality.(Retrieved from)www.data.unicef.org/Date: 2015
- Children: Improving survival and well-being.
- Quality of care.
- Statistics: An introductory analysis.2nd ed. Harper and Row, New York1967
- Patients’ perceptions of quality nursing Care in a Chinese Hospital.International Journal of Nursing and Midwifery. 2011; 3: 145-149
Article info
Publication history
Published online: June 15, 2022
Accepted:
May 28,
2022
Received in revised form:
May 12,
2022
Received:
January 22,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
