title: Structure and process factors that influence patients' perception of inpatient psychiatric nursing care at Mathari Hospital, Nairobi.
abstract: To explore structure and process factors which influence patients' perception of quality inpatient psychiatric nursing care at Mathari hospital. This was a cross-sectional study of 236 inpatients selected by stratified random sampling. Competence to give consent was determined by a minimum score of 24 on Mini Mental State Examination. Patients were interviewed using a semi-structured questionnaire. Differences in proportions of variables were determined by calculating confidence interval and summary chi-squared statistics. P-values of < or =0.05 were considered significant. Majority of patients (87%) were aged 20-49 years with 43% having stayed in the ward for over a month. Structure factors related to patients' perception of care included physical environment, being happy with the way the ward looked was significantly related to satisfaction with care (chi(2) = 5.506, P = 0002). Process factors significantly related to patients' satisfaction with care included nurses providing patients with information on prescribed medicines (chi(2) = 10.50, P = 00012). Satisfaction with care was positively related to ability to recommend someone for admission in the same ward (chi(2) = 20.2, P = 00001). Structure and process factors identified as influencing patients' perception of care were physical environment and nurses' qualities that fit within the characteristics of Peplau's Interpersonal Relations Theory.
authors.affiliation: School of Nursing Sciences, University of Nairobi, Nairobi, Kenya. atienomo@yahoo.co.uk
authors.forename: M C A
authors.initials: MC
authors.lastname: Wagoro
authors.forename: C J
authors.initials: CJ
authors.lastname: Othieno
authors.forename: J
authors.initials: J
authors.lastname: Musandu
authors.forename: A
authors.initials: A
authors.lastname: Karani
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007297:Inpatients; D007630:Kenya; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D008875:Middle Aged; D009723:Nurse-Patient Relations; D010043:Outcome and Process Assessment, Health Care; D017060:Patient Satisfaction; D011568:Psychiatric Nursing