Bekele Yazew, Worku Teshager, Atnafe Genanaw, Debella Adera, Habte Sisay, Goshu Abel Tibebu, Assebe Tesfaye
Department of Nursing, Harar Health Science College, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
SAGE Open Med. 2022 May 13;10:20503121221097270. doi: 10.1177/20503121221097270. eCollection 2022.
The quality of nursing care has been evaluated using patient perception. Patients' participation in nursing care and decision-making is regarded as a prerequisite for effective clinical practice; however, poor communication can lead to incorrect diagnosis and delayed, or ineffective medical treatment.
This study sought to assess admitted adult patients' perceptions of, and factors influencing, nurse communication at public hospitals in Harar, eastern Ethiopia.
Facility-based cross-sectional study was conducted among 377 admitted adult patients in Harar Town public Hospitals from 15 April to 30 May 2020. A proportionate stratified sampling technique was used to select the study participants. A pretested and structured questionnaire was used to collect data through a face-to-face interview and which were entered into EpiData and analyzed using SPSS. Bivariate and multivariate logistic regression analyses were conducted, odds ratio and confidence intervals were calculated and statistical significance was declared at < 0.05.
This study outlined that the overall prevalence of good perception toward nurses' communication was 41.9% (95% confidence interval = 37.1%, 46.9%). Patients whose age group were 26-35 years (adjusted odds ratio = 0.46 (95% confidence interval: 0.24, 0.86), Being female patients (adjusted odds ratio = 1.89; 95% confidence interval: 1.20, 2.98), admitted in private room (adjusted odds ratio = 3.25; 95% confidence interval: 1.91, 5.51), patients who have family support (adjusted odds ratio = 2.56; 95% confidence interval: 1.16, 3.64), urban residence (adjusted odds ratio = 0.65; 95% confidence interval: 0.02, 0.66) and language difference (adjusted odds ratio = 0.61; 95% confidence interval: 0.40, 0.94) were statistically significant.
This study pointed out that less than half of the study participants had good perceptions toward nurses' communication. As a result, increasing the number of health care providers who speak the same language as the patients and communication and behavioral change training must be prioritized.
护理质量已通过患者的感知进行评估。患者参与护理和决策被视为有效临床实践的先决条件；然而，沟通不畅可能导致诊断错误以及治疗延迟或无效。
本研究旨在评估埃塞俄比亚东部哈勒尔市公立医院成年住院患者对护士沟通的看法及其影响因素。
2020年4月15日至5月30日，在哈勒尔市公立医院对377名成年住院患者进行了基于机构的横断面研究。采用按比例分层抽样技术选择研究参与者。通过面对面访谈使用预先测试和结构化的问卷收集数据，并将其录入EpiData并使用SPSS进行分析。进行了双变量和多变量逻辑回归分析，计算了比值比和置信区间，并在<0.05时宣布具有统计学意义。
本研究概述了对护士沟通有良好感知的总体患病率为41.9%（95%置信区间=37.1%，46.9%）。年龄在26 - 35岁的患者（调整后的比值比=0.46（95%置信区间：0.24，0.86））、女性患者（调整后的比值比=1.89；95%置信区间：1.20，2.98）、入住私人病房的患者（调整后的比值比=3.25；95%置信区间：1.91，5.51）以及有家庭支持的患者（调整后的比值比=2.56；95%置信区间：1.16，3.64）、城市居民（调整后的比值比=0.65；95%置信区间：0.02，0.66）和语言差异（调整后的比值比=0.61；95%置信区间：0.40，0.94）具有统计学意义。
本研究指出，不到一半的研究参与者对护士沟通有良好感知。因此，必须优先增加与患者说同一种语言的医护人员数量以及进行沟通和行为改变培训。
