Extract Text 04-14-2025 08.21
Extract Text 04-14-2025 08.21
A total of 168 adult surgical patients were approached and 99.4% (n=167) returned the questionnaires
fully completed with a non-response rate of 0.6%. Most of the participants were; males (54.2%), age
group of 30-39yrs (32.1%) with mean age of(35yrs)3.02(SD=1.628).Most participants were married
(42.3%), business persons (38.7%), and had attended tertiary education (40.5%).Most participants
came from urban area (47.6%) and 82.1% were Christians. Therefore, this chapter presents the
Female 76 45.2
30-39 T 54 32.1
40 – 19yrs 25 14.9
50- 59 16 9.5
Divorced 23 13.7
Widowed 22 13.1
Separated 7 4.2
Muslim 29 17.3
Primary 29 17.3
Secondary 54 32.1
Tertiary 68 40.5
Farmer 28 16.7
Student 2 1.2
Not indicated 1
0.6
Semi-Urban 34 20.2
Rural 52 31.0
The study showed that majority of the respondents were males 91(54%), and females
76(45%).71(42.3%) were married, 44(26.2%) never married, 22(13.1%) were widowed while
7(4.2%) were separated. Most of the respondents had attained college/tertiary level of education
68(40.5%) followed by Secondary education 54(32.1%), Primary 29(17.3%) and 16(9.5%) did not
The age of the respondents ranged from less than 19 years to 60 years and above. The age group
with more response was 30-39 years 54(32.1%) followed by 20-29years 50(29.8%)
31(18.5%) were casual labourers, and 80(47.6%) were urban residents followed by 52(31.0%)were
Kind 4.00(9.3%) 3.58(29.7) 3.43(30.7) 3.76(15.6) 3.56(9.5) 4.00(5.3) 3.61 1.321 0.256
Cheerful 4.07(9.0) 3.68(29.2) 3.57(30.6) 4.00(15.8) 3.94(10.0) 4.25(5.4) 3.78 1.887 0.099
Rude 2.64(10.2) 2.26(31.0) 2.11(30.8) 2.04(14.0) 2.19(9.6) 2.00(4.4) 2.19 0.641 0.669
The table above is showing participants mean responses by age distribution on what patients were
expecting from nurses. In all age groups, patients were expecting nurses to be kind (m=3.61),
cheerful (m=3.78) and responsive (m=3.62).The study had revealed that there was no significant
differences among mean responses by age on what they expected from nurses (F=0.641, 1.321,
1.887, p>0.05) except responsiveness. It has been revealed that there was statistically differences
among mean responses by age on expectations that nurses should be responsive to patients concern,
F=2.772, p=0.020.
were expecting from nurses. The study revealed that females had a higher mean response
(mean=3.61-3.80) than males' mean response (mean=3.56-3.76) in agreeing that they expected
nurses to be kind, cheerful, responsive and not to be rude. But, the study showed that there was no
Table 4.4: Cross tabulation of Patients' mean responses on patients' expectations by Religion
The table above is showing participants' average responses on patients' expectations by religion
distribution. In religion categories, the study revealed that participants responses were in agreement
with expectations that nurses should be kind, cheerful and responsive(mean>3.61)and did not agree
that they expected nurses to be rude(m=2.19). The study also revealed that there was no statistically
differences among the mean responses by religion on patients' expectations (p>0.5).See table above.
Table 4.5: Cross tabulation of Patients' mean responses on patients' expectations by marital
status
The table above is showing participants responses on patients' expectations by marital status. All the
responses were above the mean score, meaning that they were expecting nurses to be kind, cheerful
and responsive except that they did not agree that they were expecting nurses to be rude. The study
revealed that there was no significant differences between the mean responses by marital status on
Table 4.7: Correlation tables-Relationship between Patients' age, gender and level of
Education and Patients Expectations
The table above is showing that there was positive relationship between patients' gender, age and
level of education and what they were expecting from nurses but there were no significant
The above graph is showing the average responses on the participants' expectations of health worker
The majority expected nurses to be knowledgeable (86%) and also did not expect health worker to
response 3.42(10.3) 2.71(27.9) 2.91(33.7) 2.71(11.6) 3.36(11.8) 3.80(4.8) 2.95 3.283 0.008
when
control 3.23(8.8) 2.79(27.6) 2.85(31.2) 3.12(16.4) 3.06(10.3) 3.86(5.7) 2.97 2.616 0.027
th pain 3.21(9.7) 2.65(28.1) 2.70(30.9) 2.84(15.3) 2.94(10.2) 3.38(5.8) 2.81 1.782 0.120
expectations 2.79(9.1) 2.72(28.8) 2.35(31.8) 2.60(16) 2.12(8.5) 2.87(5.8) 2.44 1.571 0.171
of health
worker
consent 2.29(8.2) 2.28(27.8) 2.35(32.6) 2.52(16.2) 2.65(10.8) 2.43(4.4) 2.36 0.664 0.651
The above table is showing cross tabulation of patients' mean responses on patients' experiences by
age distribution. Respondents were asked to rate their responses on a four Likert scale. The study
revealed that age groups of 50-59years (m=3.36(11.8%)) and over 60 years m=3.80(4.8%) and
expressed that nurses usually responded quickly when they needed pain medications. The age
groups 40-49 years m=3.12(16.4%) and over 60years m=3.86(5.7%) expressed that they had good
pain control experience. The study revealed that there was statistically significant differences among
the mean responses by age on how quickly nurses were responding when they needed pain
medication (F=3.283, p=0.008) and how often their pain was controlled (F=2.616,=0.027). The
study also had revealed that participants were not usually asked for informed on sent by health
worker (m=2.36) and explanations on treatment and procedures were not usually given (m=2.44).
Table 4.9: Cross tabulation of Participants mean responses on patients' experiences by
gender.
The above table is showing the mean responses of participants on patients' experiences by gender.
The study showed that females had higher mean responses (m>3.11) than males (m<2.85) on the
responses that nurses were sometimes respecting their privacy (m=2.54were usually responding
quickly when they needed pain medication(m=3.11),their pain was usually controlled (m=3.11);
nurses were sometimes helping them with pain(m=2.91);nurses were sometimes providing
explanations on treatments and procedures and asked consent from patients. The study revealed that
there were no significant differences in their responses by gender distribution except on the
experience that nurses were responding quickly when they needed pain medication(F=3.547,
p=0.048)
Table4.10: Cross tabulation of Participants mean responses on patients' experiences by
religion
The table above is showing mean responses on patients' experiences by religion. It showed that the
Muslims had higher mean responses than Christians. There was statistically significant differences
between mean responses on the experience that nurses were responding quickly when patients
needed pain medication(F.5.511,p=0.020), but there was no significant differences in heir responses
on how often their pain was controlled; how often their privacy was respected and how often nurses
were providing information on treatment and procedures.
Nurse response 3.00(22.6) 2.80(45.0) 2.88(11.6) 3.37(16.1) 3.17(4.8) 2.95 1.691 0.156
when in pain
Pain control 3.00(25.9) 2.80(40.8) 3.00(13.9) 3.38(14.9) 3.14(4.6) 2.97 1.980 0.100
Help with pain 3.00(27.2) 2.63(40.4) 2.70(13.4) 3.09(14.7) 2.86(4.3) 2.81 1.831 0.125
Asked consent 2.28(25.2) 2.30(41.9) 2.30(13.6) 2.76(14.9) 2.43(4.4) 2.36 1.116 0.351
showed that there were no significant differences among the participants responses by marital status
distribution, p>0.05.The study revealed that the single, divorced, widowed and separated had their
mean responses (m>3.00),showing that they usually experienced that nurses were responding
quickly when they were in pain and their pain was usually controlled. The study showed that there
distribution, p>0.05
Table 4.12: Cross tabulation of Participants mean responses on patients' experiences by level
of education
Help with pain 2.94(10.2) 2.86(17.9) 2.69(31.3) 2.85(40.6) 2.81 0.524 0.666
The table above is showing the mean responses of participants on patients' experiences by level of
education distribution. The study showed that the participants who did not have formal education
and those with primary education had experienced that nurses usually responded quickly when they
were in pain (m=3.13, 3.14) and their pain was usually controlled (m=3.70,3.07) respectively. There
distribution p>0.05.
Assistance in bathing
support to bathroom/toilet
Observation of privacy
Nurses introduction
Consent to do procedures
Most participants' responses (59%) indicated that they had good experience in the control of their
pain and nurses' quick response to their pain. 41% of the responses indicated that nurses were not
introducing themselves to patients while 48% and 47% indicated that nurses were not usually
explaining procedures to the patients and informed consent were not usually sought respectively.
Negative 46 27.4
Most respondents appreciated the services they received since107 (63.7%) responded positively
indicating that they experienced good care, explanation of their condition, understanding staff, good
technology, improved nursing care and good drugs during their stay in the wards. However,
37
others 46 (27.4%) responded negatively since they claimed to have experienced rudeness from the
nurses, poor communication; overcrowded wards; shortage of nurses; lack of equipment and
assumption of condition from the nurses, see table below
Overcrowding 3 1.8
em
act for privacy 4.29(10.3 3.27(29.9) 3.13(28) 3.88(16.6)4.19(11.5)4.50(6.2) 3.55 5.683 0.000
The table above is showing mean responses of participants on level of satisfaction with the nursing
care by age distribution. The study revealed that patients were generally quite satisfied with the
nursing care provided with mean response of above (3.00). The elderly were very satisfied with
information provided (m=4.25), respect for their privacy (m=4.50) and pain management (m=4.38).
It also showed that the elderly were more satisfied with the nursing care provided (m>4.00).All age
groups were very satisfied with wound dressing (m>4.00).The study showed that there were
management(F=3.065p=0.011).
Table 4.18: Cross tabulation of Participants' mean Responses on the level of satisfaction with
nursing care by gender distribution
Gender Total mean ANOVA
Variables
Male Female F P
The table above is showing the mean responses on the level of satisfaction with nursing care by
gender distribution. The study revealed that all gender categories were quite satisfied with nursing
care with mean response of above 3.00. Patients were very satisfied with wound dressing with mean
response of 4.31. But the study revealed that there were no statistically significant differences in
Approach to
3.50(10.2) 3.48(18.2) 3.23(30.8) 3.39(40.7) 3.35 0.553 0.647
examinations
Listening to patients
3.69(10.6) 3.99(19.1) 3.28(31.4) 3.32(38.9) 3.43 1.788 0.152
concern
Will agedness to
3.38(9.4) 3.86(19.5) 3.49(32.2) 3.39(39.0) 3.51 1.316 0.271
respond
Respect for privacy 3.50(9.6) 3.93(19.6) 3.30(30.0) 3.61(40.8) 3.55 1.753 0.158
The table above is showing the mean responses of participants on level of satisfaction with nursing
care by level of education distribution. All participants showed that they were quite satisfied with
nursing care with mean response of above 3.00. All participants were very satisfied with wound
dressing (m=4.31). The study showed that there were no statistically significant differences in
responses on the level of satisfaction with nursing care by level of education distribution except the
pre-operative care(F=2.908,p=0.036)
Table 4.21: Correlation Table: Relationship between Patients' characteristics and Satisfaction
Note: Pearson Correlation: -l=perfect negative correlation, +1-perfect positive linear correlation,
0=no correlation, <0.5=weak correlation and >0.5 strong correlation, significant at p<0.05.*
categories column do differ significantly from each other at the level of 0.05.
4.5 PATIENTS'PERCEPTION OF NURSING CARE
Good 68 40.5
Fair 30 17.9
Excellent 27 16.1
Poor 19 11.3
satisfactory 20 11.9
405%(n=68) of the respondents agreed that the nursing care they had received during their stay in
the ward was good, while 11.3%(n=19)perceived that nursing care was poor.
courtesy 19 11.3
Most respondents 38(22.6%) recommended that the nursing staff should be added. Others, 13.1%
(n=22) noted that there was communication breakdown among patients and nurses. 10.1%
(n=17)recommended that the hospital management should consider adding more equipment.
Table 4.24: Correlation Table: Patients' characteristics against Perception of nursing care
The table above is showing that there was positive relationship between patients' characteristics and
perception of nursing care but there were no significant differences from each other except on the
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Table 4.25: Correlation Table: Relationship between Patients' Expectations and
Satisfaction
Correlations
Indicate that strength of association between expectation variables and satisfaction variables is high
(p=0.014), and that the correlation coefficient is significantly different from zero (P<0.05)
Correlations
Sig.(2-tailed) .024
N 167 164
Indicate that strength of association between expectation variables and satisfaction variables is high
(p=0.024), and that the correlation coefficient is significantly different from zero (P <0.05)