Impact Of Work Place Environment and Organisation on Nurses Attitudes Towards Patient Care in Nigerian Hospital. A Cross-Sectional Study of David Umahi Federal University Teaching Hospital Uburu.

Background: Nursing care involves both technical or medical and emotional aspects of care for a patient attending a healthcare facility whether admitted or not and attributes of caring includes, attitudes, actions, relationships, acceptance and variability in around the hospital facility, therefore, uncaring attributes as noted to be being disinterested, insensitive, cold and inhuman act. Patient satisfaction is the degree to which the patient's desired expectations, goals and or preferences are met by the health care provider and or service. Poor patient satisfaction has been related to some undesirable details and serious hospital management should be concerned about patient satisfaction in the facility they manage. Despite the compelling environment we work and the increasing patient dissatisfaction in many health facilities, studies has remained very scarce on the factors that impact positively and negatively on nurses’ attitude towards patient care in our teaching Hospital. Nurses and other health workers frequently work in environments with insufficient medical supplies, outdated equipment, and poor sanitary conditions due to a lack of adequate essential resources [18], this is largely due to poor attitudes of policy makers and politicians towards healthcare
Poor nursing care in many situations comes as a result of different challenges faced. In countries with low development skills, nurses face a greater challenge as a result of inadequate equipment, thereby exposing patients to more harm, and patients find it difficult to come to the hospital
Aims & Objectives: To explore the impact of work place environment and organization on nurses’ attitudes towards patient care in David Umahi Federal University Teaching Hospital, Uburu
Methodology: The study used a descriptive cross-sectional analysis to study and analyse the impact of work place environment and organization on nurse’s attitudes towards patient care in David Umahi Federal University Teaching Hospital, Ubu. The selected design is appropriate as it involves collecting data in order to analyse the relevant factors mitigating against nurses’ attitude. The quantitative approach will be involved the use of semi-administered questionnaires by Nursing staffs who were involved in patients care within the facility. These questionnaires will examine patients work load, management influence, nurses job satisfaction, behaviour of patients and availability of medical resources and how they influence or affect nurses’ attitude towards patients’ quality care.
Result: Factors contributing positive and negatively to Nurses’ attitude towards patient care, respondent reports are as follows: On heavy workload reduces the quality of nurses’ interaction with patient: 27.8% (44) strongly agree while 20.3% (32) agree. 15.2% (24) stayed neutral while 15.2% (24) disagree and 15.8% (25) strongly disagree. On hospital management support influences how, nurses treat patients: 20.9%(33) strongly agree while 19.6% (31) agree.22.2% (35) stayed neutral while 20.3% (32) disagree and 15.8% (25) strongly disagree. On Nurses job satisfaction affects their attitude towards patient care: 20.3% (32) strongly agree and 20.9% (33) agree. 23.4% (37) stayed neutral and 18.4% (29) disagree while 17.1% (27) strongly disagree. On behavior of patients influences how nurses interact with them: 27.8% (44) strongly agree and 24.7% (39) agree. 27.8% (44) stayed neutral and 19.6% (31) disagree. On availability of medical resources affects how nurses perform their duties: 31.6% (50) strongly agree and 25.9% (41) agree. 23.4% (37) stayed neutral while 19.0% (30) strongly disagree.
Conclusion: Poor working conditions can have an adverse impact on the nurse’s attitude and interactions to patient care in the hospitals, The most common detrimental effects of this is poor health outcome and decrease quality of healthcare for our teaming patients in the hospital. Organization’s effectiveness, improved work environment and adequate remuneration, incentives and effective reward system coupled with reduced workload are part of the necessary strategies an employers should consider their implementation which are beneficial to both employees and the health organization. This is important because hospital workers face a variety of highly stressful working conditions while meeting the physical and psychological needs of patients

Workplace environment, Organizational factors, Nurses' attitudes, Patient care, Nigerian hospitals.

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