Report on the baseline survey of the integration of teaching and clinical service between Tikur Anbesa specialized hospital and school of nursing and midwifery, Addis Ababa, Ethiopia, 2019
Teshome Habte, Yosief Tsige and Amsal Cherie
Background: The integration of Nursing and midwifery service, education and research activities are expected to improve the quality of health care service outcomes for individual patient and population via the efficient and effective use of resources.
Objective: This baseline survey is aimed to assess quality of nursing and midwifery service for integration of teaching and clinical service between Tikur Anbesa Specialized Hospital and School of nursing and midwifery.
Methods: An institution based descriptive cross-sectional study design was used for quantitative and qualitative methods. For the quantitative study 35 nurses, 35 patients and 52 patient charts were selected by simple random sampling technique from the eight randomly selected wards of the hospital. For the qualitative study a purposive sampling technique was employed to select participants for focus group discussion and in-depth interview. Twelve instructors and 11 Head nurses were employed and a guide was used to collect data. Quality audit tool developed by Ethiopian Federal Ministry of Health was utilized for the quantitative study (standard tool1 to 4). The collected data was coded, entered, and cleaned with EpiData software version 3.1. Frequencies and percentages were used to describe the responses of the quantitative data. For the qualitative responses all transcripts from focus group discussions and in-depth interviews were coded, transcribed verbatim and analyzed thematically.
Result and Discussion: Among the eight wards that were visited during the survey, half of them have nursing stations that have visibility of patients and of circulation paths, has organized and efficient chart filing systems in to a shelf and central or room cabinet for medication store based on the patient bed number. Seven of eight wards have dressing room with locker and only two wards have medical equipment’s for nursing diagnosis or intervention use (Standard1). Fifty percent for the first quality measure which is about the functionality of nursing and midwifery management (standard 2). Regarding to the Standard 3; the hospital is not ensuring quality nursing and midwifery service for all patients. The survey revealed that majority (82.7%) of nursing and midwifery assessment was not completed within eight hours of patient arrival and in most (57.7%) of charts, there was no written evidence of compilation of data based on Gordon functional model. In regard to standard 4; Majority of them replied that there is a system to involve all patients when changes to nursing and midwifery services are proposed and all patients are provided with information about arrangements for first contact (65.7 % and62.9 % respectively).
Conclusion and Recommendations: According to this finding, nursing and midwifery service quality standards were very low or met below the standard. All most all wards in this hospital have scarcity of the necessary materials and supplies needed to provide a quality nursing service (standard 1). All wards were not ensuring quality nursing midwifery service for all patients (standard 3). To increase the application of nursing care practice throughout the ward of the hospital and to maintain sustainability, it is crucial to incorporate nursing care practice standards in pre- service curricula and provide in-service training to nurses and midwifes. Moreover, for successful and sustainable integration of the service, education and research for evidence based decision process functional and structural integration is recommended by the discussants and interviewees.
Teshome Habte, Yosief Tsige, Amsal Cherie. Report on the baseline survey of the integration of teaching and clinical service between Tikur Anbesa specialized hospital and school of nursing and midwifery, Addis Ababa, Ethiopia, 2019. Int J Midwifery Nurs Pract 2021;4(1):43-50. DOI: 10.33545/26630427.2021.v4.i1a.76