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Patient satisfaction with intrapartum and postpartum nursing care

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par Ngwingmechi MBEINKONG Chwinui
University of Buea, Cameroon - Bachelor in Nursing Sciences (BNS) 2009
  

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MINISTRY OF HIGHER EDUCATION REPUBLIC OF CAMEROON

* * * * * * * * * * * *

THE UNIVERSITY OF BUEA PEACE-WORK-FATHERLAND

* * * * * * * * * * * *

FACULTY OF HEALTH SCIENCES
Department of Nursing

PATIENT SATISFACTION WITH INTRAPARTUM

AND POSTPARTUM NURSING CARE :

THE CASE OF BUEA REGIONAL HOSPITAL

ANNEX

A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE AWARD OF A BACHELOR OF NURSING
SCIENCE (BNS) DEGREE.

CHWINUI NGWINGMECHI MBEINKONG
UB 029154

Supervisor: Dr. NDE FON Peter

BUEA, July 2010.

CERTIFICATION.

This is to certify that the Research work «Patient Satisfaction with Intrapartum and Postpartum Nursing Care» carried out in the Buea Regional Hospital Annex was done by CHWINUI NGWINGMECHI MBEINKONG and meets the criteria for the award of a Bachelor Degree in Nursing Science.

Sign: Sign:

Dr. Nde Fon Peter Chief Ndeso Atanga

Supervisor Head of Department

Sign:

Pr. Peter Martins NDUMBE
Dean of Faculty

DEDICATION

This piece of work is dedicated to all Nurses who have the God-given

Assignment of caring for the Sick.

ACKNOWLEDGEMENTS

This research work would definitely not have been brought to light without the restless efforts of several personalities. I will like to appreciate all of you who built a step in one way or the other for me to climb to the top of this mountain: Special thanks to my Lord and Saviour Jesus Christ who gave me salvation and a reason to live.

A million thanks to my supervisor Dr. Nde Fon Peter for the sleepless nights in directing and correcting this piece of work.

Many thanks go to my lecturers Chief Ndeso Atanga, Dr. Mrs Mary Bih suh, Dr Palle John and Mr Sab Clement for all their guidance.

Innermost gratitude goes to my family: to my lovely parents

Mr and Mrs Ghogomu MBEINKONG for their unfailing love and tender care. To my caring sisters Yehyeh, Nuigo, Keinui and my dear brother Halle for their love.

Sincere thanks go to my lovely niece Pearl Ciana for the love she gave me through out my stay in Yaounde.

Heartfelt thanks to my special friend Edwin for all his assistance.

I must recognize the love and support of my friends Alvina, Calvin, Betrand, Kelvina and Lesley for their support and to all my classmates who made UB a place to be during my 4 years of study.

To the staff of the Buea Regional Hospital Annex Maternity, for all your collaboration, I say THANK YOU.

LIST OF ABBREVIATIONS

A/L Advanced Level

AAP American Academy of Paediatrics

ACOG American College of Obstetricians and Gynaecologists AIDS Acquired Immune Deficiency Syndrome

AMTSL Active Management of Third Stage of Labour

BRHA Buea Regional Hospital Annex.

C/S Caesarean Section

DIVC Disseminated Intravascular Coagulation

EFW Estimated Foetal Weight

FH Fundal Height

FSH Follicle Stimulating Hormone

FSLC First School Leaving Certificate

HIV Human Immunodeficiency Virus

O/L Ordinary Level

TB Tuberculosis

WHO World Health Organization

LIST OF TABLES

Table 1: The Bishop Scoring System 21

Table 2: Distribution according to Age 37

Table 3: Distribution according to Levels of Education 38

Table 4: Distribution according to Profession 39

Table 5: Distribution according to Marital Status 40

Table 6: Distribution according to Number of days spent at Maternity 40

Table 7: Distribution according to Parity 41

Table 8: Mode of Delivery 41

Table 9: Distribution according to Nurses' Attitude on Admission 42

Table 10: Distribution according to Nursing Comfort Measures 42

Table 11: Distribution according to Breathing Techniques Taught 43

Table 12: Distribution according to Environmental Hygiene 43

Table 13: Distribution according to Time spent with patients 43

Table 14: Distribution according to Interpretation of Patients' feelings 44

Table 15: Distribution according to Monitoring Vital signs 44

Table 16: Distribution according to Patient Education 45

Table 17: Distribution according to Examination of Baby 46

Table 18: Distribution according to Examination of Mother 46

Table 19: Rating during Intrapartum (using the Likert's Scale) 47

Table 20: Rating during Postpartum(using the Likert's Scale) 48

Table 21: Patients' Recommendation of the Maternity 49

Table 22: Patients' Opinion on how satisfaction can be improved. 50

LIST OF FIGURES

Figure 1: Spontaneous Symphysiotmy 18

Figure 2: Estimated Foetal Weight 20

Figure 3: Intramuscular administration of Oxytocin 24

Figure 4: Deliverance of the placenta 25

Figure 5: Examining the placenta 25

Figure 6: Sketch diagram of BRHA 32

Figure 7: Organigram of BRHA 33

Figure 8: Distribution according to Age 47

Figure 9: Distribution according to Levels of Education 48

Figure 10: Distribution according to Professional 49

Figure 11: Distribution according to Marital Status 50

Figure 12: Distribution according to Number of days spent at Maternity 51

Figure 13: Distribution according to Gravidity 52

Figure 14: Distribution according to Mode of Delivery 52

Figure 15: Distribution according to Patient Education 56

Figure 16: Rating during Intrapartum 58

Figure 17: Rating during Postpartum 59

Figure 18: Patients' Recommendation of the Maternity 60

Figure 19: Data Entry Form 64

TABLE OF CONTENTS

CERTIFICATION i

DEDICATION ii

ACKNOWLEDGEMENTS iii

LIST OF ABBREVIATIONS iv

LIST OF TABLES v

LIST OF FIGURES vi

TABLE OF CONTENTS vii

ABSTRACT ix

CHAPTER 1: INTRODUCTION AND OBJECTIVES

1.0. Introduction 2

1.1. Background 3

1.2. Problem statement 4

1.3. Objectives of the study 5

1.4. Research questions 5

1.5. Hypothesis 5

1.6. Purpose of study 5

1.7. Justification 6

1.8. Limitations of the study 6

1.9. Operational definition of terms 7

CHAPTER 2: LITERATURE REVIEW

2.0. AN OVERVIEW OF LABOUR, DELIVERY AND POSTPARTUM 9

A. Introduction 9

B. Normal Labour and Delivery (Intrapartum) 9

C. The Postpartum Period (Puerperium) 12

2.1. NURSING CARE AND RESPONSIBILITIES 19

A. Introduction 19

B. Nursing role during labour and delivery 19

C. Nursing role during the postpartum period 26

2.2. PATIENTS' PERCEPTION ON NURSING CARE 29

Patient Satisfaction with Intrapartum and Postpartum Nursing Care: Buea Regional Hospital Annex.

CHAPTER 3: METHODOLOGY

3.1. Study design 32

3.2. Study period: 32

3.3. Study site 32

3.4. Study population 34

3.5. Sampling method 34

3.6. Sample size 34

3.7. Data collection procedure 34

3.8. Ethical considerations 35

3.9. Budget 35

CHAPTER 4: PRESENTATION AND ANALYSIS OF RESULTS

4.1 Socio-Demographic Data 37

4.2. Intrapartum Nursing Care Assessment 42

4.3. Postpartum Nursing Care Assessment 44

4.4. Assessment of Patient Satisfaction 47

4.4.1. Rating during Intrapartum (using the Likert's Scale) 47

4.4.2. Rating during Postpartum(using the Likert's Scale) 47

4.5. Patients' Recommendation of the Maternity 49

4.6. Patients' Opinion on how satisfaction can be improved. 50

CHAPTER 5: DISCUSSION, CONCLUSION AND RECOMMENDATIONS

5.0. Introduction 52

5.1. Discussion of results 52

5.2. Conclusion 58

5.3. Recommendations 59

REFERENCES

APPENDIX

ABSTRACT

This research project «Patient Satisfaction with Intrapartum and Postpartum nursing care the case of Buea Regional Hospital Annex» was conceived due to the fact that nursing care is hardly evaluated and so rarely improved on. This research aims at evaluating nursing care by assessing patient satisfaction with nursing care offered.

It is a descriptive study targeting patients in the postpartum ward who either had a normal delivery or an emergency caesarian section in the BRHA maternity. Data was collected using a structured questionnaire which was self-administered to a convenient sample of 37 participants.

The study revealed that the nursing care offered during intrapartum was average but was poor during postpartum. Majority of the ratings for patients' satisfaction during intrapartum (42.3%) were good implying that the patients were fairly satisfied; while a majority of the ratings during postpartum (37.6%) were poor implying that they were unsatisfied with the care. A majority (52.8%) of the population somewhat agreed to recommend the maternity services based solely on the nursing care they received. This therefore means that the participants were fairly satisfied with the care offered in this maternity.

Nurses therefore must improve on the care offered during labour and delivery (intrapartum) and strive to provide adequate and standard care to the postpartum mothers.

 
 

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