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Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018

Received: 3 September 2018     Accepted: 21 September 2018     Published: 22 October 2018
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Abstract

Background: Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Ethiopia. Methods: The study was conducted in the capital city of Ethiopia, Addis Ababa at selected three government tertiary hospitals because maintenance of hemo-dialysis procedure is provided in these hospitals. Study design: facility based cross-sectional quantitative and qualitative mixed study design were employed on patients undergoing maintenance of hemo-dialysis care. The data was collected in a three selected dialysis units using a census method applied for quantitative approach to determine sample size because of few members of source population and snow ball sampling for qualitative method. The study carried out from May to June 2018. Participants: A total of 115 patients treated in hemo-dialysis unit. The primary outcome was patient with hemodialysis care satisfaction with the overall care and secondary outcomes of individual aspect of hemodialysis care in patient experiences. Data collection & analysis procedure: Data was collected by structured pre tested questionnaire and in-depth interview and analyzed using Epi data and SPSS. Descriptive statistics, Bivariate and multivariate logistic regression analyses was undertaken. Result: A total of 113 participants were responding to questionnaire with response rate 98.3% from this 76(67.3%) were male. The overall satisfaction level was found to be 41.6%. Majority of the respondents (81.4%) were rated high nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%). The regression analysis shows that income, educational status, occupation and frequency of dialysis were predictors of the overall satisfaction score (p<0.05). Strength and limitation: Applying mixed methods of quantitative data was supported by qualitative method could cross check one another. Whereas limitation of the study was in fact studies conducted so far in Ethiopia in this topic are very limited therefore scarcity of literature to compare the finding in Ethiopian context was inadequate. Conclusion& Recommendation: Only 41.6% participants were satisfied with the care provided in hemo-dialysis units. This shows that the level of patient satisfaction is severely deficient and recommended to work for the achievement of optimal health care outcome then subsequently increase patient satisfaction.

Published in American Journal of Nursing Science (Volume 7, Issue 6)
DOI 10.11648/j.ajns.20180706.11
Page(s) 202-209
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Assessment, Patient Satisfaction, Care of Hemo-dialysis

References
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[2] Woldeyohanes TR, Woldehaimanot TE, Kerie MW, Mengistie MA, Yesuf EA. Perceived patient satisfaction with in-patient services at Jimma University Specialized Hospital, Southwest Ethiopia. BMC research notes. 2015; 8(1):285.
[3] Haile Eyasu K, Adane AA, Amdie FZ, Getahun TB, Biwota MA. Adult Patients’ Satisfaction with Inpatient Nursing Care and Associated Factors in an Ethiopian Referral Hospital, Northeast, Ethiopia. Advances in Nursing. 2016; 2016.
[4] Nathan R, Samuel T, Fatoba, Jason L, Jennifer A, Christopher A, et al. Global Prevalence of Chronic Kidney Disease – A Systematic Review and Meta-Analysis. open access journal 2016;11(7).
[5] Patients’ Satisfaction and its determinants in Outpatient Department of Deberebirhan Referral Hospital, North Shoa, Ethiopia. Int J Econ Manag Sci. 2014; 3(191):2.
[6] Rojas JN. Hemodialysis Patient Care in Renal Dialysis Unit among Selected Hospitals in the Sultanate of Oman 2017; 6(2).
[7] Magda Bayoumi1 HAEG, Abeer Ahmed Patients’ Satisfaction with Care at Dialysis Unit International Journal of Nursing Science 2016; 6(5):117-22.
[8] [8]Sanabria-Arenas M, Tobón-Marín J, Certuche-Quintana MC, Sánchez-Pedraza R. Validation of an instrument for measuring satisfaction of patients undergoing hemodialysis. BMC health services research. 2017; 17(1):321.
[9] Gedefaw M, Setargie F, Awoke W. Satisfaction of Chronic Illness Patients at Felege Hiwot Referral Hospital, Bahir Dar City, Northwest Ethiopia. Open Journal of Epidemiology. 2014; 4(04):217.
[10] Ammo MA, Abu-Shaheen AK, Kobrosly S, Al-Tannir MA. Determinants of patient satisfaction at tertiary care centers in Lebanon. Open Journal of Nursing. 2014; 4(13):939.
[11] Palmer SC, et al. Patient satisfaction with in-centre haemodialysis care: an international survey BMJ Open doi: 101136/bmj open-2014-005020 PMCID: PMC4039823 2014 4(5).
[12] Claudia Bernardi Cesarino RdCHMR, Isanne Carolina Pantaleªo Cintra Lima, Daniela Comelis Bertolin4, Daniele FÆvaro Ribeiro, Ana Maria Silveira Rodrigues. Evaluation of satisfaction in patients with chronic renal disease on hemodylysis. Acta Paul Enferm. 2009; 22: 519-23.
[13] Ali T. Shnishil KAM. Assessment of Patients' Satisfaction toward Nursing Care at Hemodialysis units Iraqi National Journal of Nursing Specialties 2013; 26(1).
[14] Shnishil A, Mansour K. Assessment of Patients’ Satisfaction Toward Nursing Care at Hemodialysis Units. Iraqi National Journal of Nursing Specialties. 2013; 26(1):1-9.
[15] Shibiru T, Gudina EK, Habte B, Deribew A, Agonafer T. Survival patterns of patients on maintenance hemodialysis for end stage renal disease in Ethiopia: summary of 91 cases. BMC nephrology. 2013; 14(1):127.
[16] Stavroula G. concerns of patients on dialysis: a research study. Health Science Journal. 2014.
[17] S. M. Survival patterns of patients on maintenance hemodialysis for end stage renal disease in Ethiopia: summary of 91 cases. BMC Nephrology, 2013; 14.
[18] M. AlEissa MA, M. Jondeby, A. Karkar, M. Barahmein, F. A. M. Shaheen, and A. AlSayyari. Factors Affecting Hemodialysis Patients’ Satisfaction with Their Dialysis Therapy. International Journal of Nephrology Volume 2010.
[19] Ndambuki J. The level of patients’ satisfaction and perception on quality of nursing services in the Renal unit, Kenyatta National Hospital Nairobi, Kenya Open Journal of Nursing, 2013, 186-194 2013;3:186-94.
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  • APA Style

    Teshome Habte Wurjine, Semien Ketema Regasa. (2018). Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018. American Journal of Nursing Science, 7(6), 202-209. https://doi.org/10.11648/j.ajns.20180706.11

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    ACS Style

    Teshome Habte Wurjine; Semien Ketema Regasa. Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018. Am. J. Nurs. Sci. 2018, 7(6), 202-209. doi: 10.11648/j.ajns.20180706.11

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    AMA Style

    Teshome Habte Wurjine, Semien Ketema Regasa. Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018. Am J Nurs Sci. 2018;7(6):202-209. doi: 10.11648/j.ajns.20180706.11

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  • @article{10.11648/j.ajns.20180706.11,
      author = {Teshome Habte Wurjine and Semien Ketema Regasa},
      title = {Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018},
      journal = {American Journal of Nursing Science},
      volume = {7},
      number = {6},
      pages = {202-209},
      doi = {10.11648/j.ajns.20180706.11},
      url = {https://doi.org/10.11648/j.ajns.20180706.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20180706.11},
      abstract = {Background: Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Ethiopia. Methods: The study was conducted in the capital city of Ethiopia, Addis Ababa at selected three government tertiary hospitals because maintenance of hemo-dialysis procedure is provided in these hospitals. Study design: facility based cross-sectional quantitative and qualitative mixed study design were employed on patients undergoing maintenance of hemo-dialysis care. The data was collected in a three selected dialysis units using a census method applied for quantitative approach to determine sample size because of few members of source population and snow ball sampling for qualitative method. The study carried out from May to June 2018. Participants: A total of 115 patients treated in hemo-dialysis unit. The primary outcome was patient with hemodialysis care satisfaction with the overall care and secondary outcomes of individual aspect of hemodialysis care in patient experiences. Data collection & analysis procedure: Data was collected by structured pre tested questionnaire and in-depth interview and analyzed using Epi data and SPSS. Descriptive statistics, Bivariate and multivariate logistic regression analyses was undertaken. Result: A total of 113 participants were responding to questionnaire with response rate 98.3% from this 76(67.3%) were male. The overall satisfaction level was found to be 41.6%. Majority of the respondents (81.4%) were rated high nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%). The regression analysis shows that income, educational status, occupation and frequency of dialysis were predictors of the overall satisfaction score (p<0.05). Strength and limitation: Applying mixed methods of quantitative data was supported by qualitative method could cross check one another. Whereas limitation of the study was in fact studies conducted so far in Ethiopia in this topic are very limited therefore scarcity of literature to compare the finding in Ethiopian context was inadequate. Conclusion& Recommendation: Only 41.6% participants were satisfied with the care provided in hemo-dialysis units. This shows that the level of patient satisfaction is severely deficient and recommended to work for the achievement of optimal health care outcome then subsequently increase patient satisfaction.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Assessment of Patients’ Satisfaction with Care at Selected Governmental Dialysis Units in Addis Ababa, Ethiopia, 2018
    AU  - Teshome Habte Wurjine
    AU  - Semien Ketema Regasa
    Y1  - 2018/10/22
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajns.20180706.11
    DO  - 10.11648/j.ajns.20180706.11
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 202
    EP  - 209
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20180706.11
    AB  - Background: Assessment of patient satisfaction is beneficial as an indicator of care values provided by health care workers. Patient satisfaction is examined as a significant and valid measure of efficiency in health care service. Objective: This study aimed to assess the patients’ satisfaction with care at selected dialysis unit in Addis Ababa, Ethiopia. Methods: The study was conducted in the capital city of Ethiopia, Addis Ababa at selected three government tertiary hospitals because maintenance of hemo-dialysis procedure is provided in these hospitals. Study design: facility based cross-sectional quantitative and qualitative mixed study design were employed on patients undergoing maintenance of hemo-dialysis care. The data was collected in a three selected dialysis units using a census method applied for quantitative approach to determine sample size because of few members of source population and snow ball sampling for qualitative method. The study carried out from May to June 2018. Participants: A total of 115 patients treated in hemo-dialysis unit. The primary outcome was patient with hemodialysis care satisfaction with the overall care and secondary outcomes of individual aspect of hemodialysis care in patient experiences. Data collection & analysis procedure: Data was collected by structured pre tested questionnaire and in-depth interview and analyzed using Epi data and SPSS. Descriptive statistics, Bivariate and multivariate logistic regression analyses was undertaken. Result: A total of 113 participants were responding to questionnaire with response rate 98.3% from this 76(67.3%) were male. The overall satisfaction level was found to be 41.6%. Majority of the respondents (81.4%) were rated high nurses care on vascular access site and nurses advice on post dialysis results were rated very low (1.8%). The regression analysis shows that income, educational status, occupation and frequency of dialysis were predictors of the overall satisfaction score (p<0.05). Strength and limitation: Applying mixed methods of quantitative data was supported by qualitative method could cross check one another. Whereas limitation of the study was in fact studies conducted so far in Ethiopia in this topic are very limited therefore scarcity of literature to compare the finding in Ethiopian context was inadequate. Conclusion& Recommendation: Only 41.6% participants were satisfied with the care provided in hemo-dialysis units. This shows that the level of patient satisfaction is severely deficient and recommended to work for the achievement of optimal health care outcome then subsequently increase patient satisfaction.
    VL  - 7
    IS  - 6
    ER  - 

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Author Information
  • Department of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia

  • Saint Paul Hospital Millennium Medical College, Addis Ababa, Ethiopia

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