Jemal Kemal, Hailu Dejene, Mekonnen Mathewos, Tesfa Bikila, Bekele Kumera, Kinati Tadele
Department of Nursing, College of Health Sciences, Salale University, PO Box 245, Fitche, Ethiopia.
Z Gesundh Wiss. 2023;31(2):167-178. doi: 10.1007/s10389-021-01495-0. Epub 2021 Mar 11.
Compassionate and respectful care (CRC) is an essential element for health care providers (HCPs), which builds a positive environment and intimacy among health care professionals, patients, and families. However, there is a lack of studies examining the prevalence of and factors associated with compassionate and respectful care practice in low-resource countries. Therefore, this study aimed to assess the practice of compassionate and respectful care and its associated factors among the health workforce (HWF).
This mixed-methods study was conducted through quantitative and qualitative data collection from April to May 2019 in North Shewa Zone health care facilities (NSHFs). For quantitative analysis, participants were selected using a systematic random sampling technique. Participants for qualitative analysis were selected using a purposive sampling technique. Data entries were made by EpiData version 3.2 and exported to SPSS version 23 software for analysis. Bivariable and multivariable logistic regression analyses were performed to determine the associated factors. Thematic analysis was carried out for qualitative data.
A total of 392 HWF responded to a self-administered survey, and 72 participants participated in focus group discussions (FGDs). Four categories of themes emerged: definition/knowledge, barriers, benefit, and leadership will. The prevalence of compassionate and respectful care practices was 38.8% and 46.2%, respectively. Female gender, health officer role, having a monthly salary equal to or greater than 5000 Ethiopian birr, and a positive attitude were significantly associated with compassionate care practice. The age category of 30-39, positive attitude, and ensuring a safe and clean care environment were significantly associated with respectful care practice.
Compassionate and respectful care among HWF requires an actual demonstration of humanity and kindness to promote person-centered practice for their clients. Therefore, the Ethiopian Federal Ministry of Health should emphasize CRC continuity by including it in the health care curriculum, improving the health care ethics skill gap, designing appropriate policy to reduce workload, and promoting patient rights.
关爱与尊重性照护（CRC）是医疗服务提供者（HCPs）的一项基本要素，它能在医疗专业人员、患者及其家庭之间营造积极的环境和亲密关系。然而，在资源匮乏的国家，缺乏对关爱与尊重性照护实践的患病率及其相关因素的研究。因此，本研究旨在评估卫生人力（HWF）中关爱与尊重性照护的实践情况及其相关因素。
本混合方法研究于2019年4月至5月在北谢瓦地区医疗机构（NSHFs）通过定量和定性数据收集进行。对于定量分析采用系统随机抽样技术选择参与者。定性分析的参与者采用目的抽样技术选择。数据录入使用EpiData 3.2版本，并导出到SPSS 23软件进行分析。进行双变量和多变量逻辑回归分析以确定相关因素。对定性数据进行主题分析。
共有392名卫生人力回复了自填式调查问卷，72名参与者参加了焦点小组讨论（FGDs）。出现了四类主题：定义/知识、障碍、益处和领导意愿。关爱性照护实践的患病率分别为38.8%和46.2%。女性性别、卫生官员角色、月工资等于或高于5000埃塞俄比亚比尔以及积极态度与关爱性照护实践显著相关。30 - 39岁年龄组、积极态度以及确保安全清洁的照护环境与尊重性照护实践显著相关。
卫生人力中的关爱与尊重性照护需要切实展现人性和善意，以促进以患者为中心的实践。因此，埃塞俄比亚联邦卫生部应通过将其纳入医疗保健课程、改善医疗保健伦理技能差距、制定适当政策以减轻工作量以及促进患者权利来强调关爱与尊重性照护的持续性。
