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“比起女护士,我更喜欢男护士”:患者对孔福·阿诺基教学医院男护士提供的护理服务的偏好及满意度

"I prefer a male nurse to a female nurse": patients' preference for, and satisfaction with nursing care provided by male nurses at the Komfo Anokye teaching hospital.

作者信息

Budu Hayford Isaac, Abalo Emmanuel Mawuli, Bam Victoria Bubunyo, Agyemang Deus Osei, Noi Shirley, Budu Florence A, Peprah Prince

机构信息

1Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

2Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.

出版信息

BMC Nurs. 2019 Oct 21;18:47. doi: 10.1186/s12912-019-0369-4. eCollection 2019.

Abstract

BACKGROUND

Although most male nurses join the profession for self-actualisation, the cultural and societal stereotyping of male nurses as "He-Man", "gay" and "troublemakers", and their marginalisation at the hospital during certain personal and intimate care procedures, tend to deepen the existing gender discrimination prevalent within the nursing profession. This study therefore assessed patients' preference for, and satisfaction with nursing care provided by male nurses at the medical and surgical wards of Komfo Anokye Teaching Hospital [KATH].

METHODS

An inferential cross-sectional study design, in which the prevalence of a condition among an identified population is determined, was used. Using convenience sampling, 150 respondents who meet certain practical criteria and are available and willing to participate were sampled. Data from a context-based research instrument on the opinion, preference and satisfaction of patients with male nursing were analysed using test, Mann Whitney U test, ordinal logistic regression and logistic regression.

RESULTS

The study indicates that more females than males had ever been attended to by a male nurse for the period considered by the study, and females described male nurses as polite and courteous and were comfortable with their treatment. Being single [OR = 0.111, 95% CI (0.013-0.928)] and professing Islamic faiths [OR = 36.533, 95% CI (2.116-630.597)] were functions of respondents' preference for a male nurse. Significantly too, affiliating to a religious sect (OR = 2.347, 95% CI [0.076-1.630]) and being educated (OR = 1.387, 95% CI [0.040-0.615]), were associated with higher odds of falling in one of the higher categories of satisfaction with nursing care provided by male nurses as against the lower categories.

CONCLUSION

Although marital status, religious affiliation and educational level were the significant predictors of patients' preference for, and satisfaction with care provided by male nurses, the effect of the other variables should not be overlooked. The finding disproves assertions on the negative effect of religion on male nurses. It is recommended that public awareness be created on the role of male nurses in the healthcare delivery system to promote acceptance of gender diversity in the nursing profession.

摘要

背景

尽管大多数男护士投身这一职业是为了实现自我价值,但文化和社会对男护士存在诸如“猛男”“同性恋”和“麻烦制造者”等刻板印象,且在某些个人护理和亲密护理程序中,他们在医院处于边缘地位,这往往加深了护理行业中普遍存在的性别歧视。因此,本研究评估了患者对孔福·阿诺基教学医院(KATH)内科和外科病房男护士提供的护理服务的偏好及满意度。

方法

采用推断性横断面研究设计,即确定特定人群中某种情况的患病率。采用便利抽样法,抽取了150名符合某些实际标准且愿意参与的受访者。使用卡方检验、曼-惠特尼U检验、有序逻辑回归和逻辑回归分析了一份基于情境的关于患者对男护士的看法、偏好和满意度的研究工具所收集的数据。

结果

研究表明,在本研究考虑的时间段内,接受过男护士护理的女性多于男性,且女性认为男护士礼貌周到,对他们的治疗感到满意。单身[比值比(OR)=0.111,95%置信区间(CI)(0.013 - 0.928)]和信奉伊斯兰教[OR = 36.533,95% CI(2.116 - 630.597)]是受访者对男护士偏好的影响因素。同样显著的是,隶属于某个宗教教派(OR = 2.347,95% CI [0.076 - 1.630])和受过教育(OR = 1.387,95% CI [0.040 - 0.615])与对男护士提供的护理服务满意度较高类别而非较低类别相关的较高几率有关。

结论

尽管婚姻状况、宗教信仰和教育水平是患者对男护士护理服务偏好及满意度的重要预测因素,但其他变量的影响也不应被忽视。该研究结果反驳了宗教对男护士有负面影响的说法。建议提高公众对男护士在医疗服务体系中作用的认识,以促进护理行业对性别多样性的接受。

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