Perception of patients and student nurses of nursing care at Kenyatta National Hospital Medical wards
Recovery or alleviating the suffering of patients is through delivery of nursing care. The patients' perception of nursing care is dependent on various factors, one being the professional behaviours. The objective of this study was to explore the patients' and the students nurses' perception towards nursing care behaviours. In the methodology, a cross section, descriptive and comparative study was done and the population included patients in eight (8) medical wards, in Kenyatta National Hospital, and student nurses from University of Nairobi. Purposive sampling was employed to select participants, after which proportionate allocation was done to get samples of patients (134 participants) and students ( 68 participants). The patients were those with at least 4 days of stay in the ward, of sound mind, who were in stable health status and not in pain. The nursing students were those with more than two years in training. Data was collected by eight (8) research assistants using the Care-Quality instrument, (CARE-Q), which was developed by Larson, (1981), after undergoing a two day training on how to handle the tool. The tool was pretested at Mbagathi Hospital for reliability. Data was cleaned and SPSS database used for analysis. To compare patients and student nurses' perception scores on CARE-Q scales paired t-test was used. The study results showed that students rated highly the subscales of Aticipates (ANT), Explains and Facilitates (E&F) and Monitors and Follows through (M&F). More students than patient rated highly ANT with a mean difference of 6.029 .. The patients rated highly the subscales of Anticipates, Accessible (ACC), and Comforts. More patients (mean 4.8) rated Comforts highly than students (mean 3.08). Both the patient and students picked trusting relationship for almost a ratio of one to one, (t=31.5 vs t=32.6; P=<O.OOI). One recommendation is that similar studies should be done to find out factors that affect perceptions of patients and nurses on nursing care behaviours in Kenya.