背景:护士最重要但未被重视的角色之一是患者的倡导。为了有效地为患者辩护,护士应该对病人的倡导有良好的态度。尽管如此,在埃塞俄比亚,护士对患者倡导的态度是未知的。因此,本研究旨在评估东Gojjam区公立医院护士对患者宣传的态度及其相关因素,2023年西北。
方法:自2023年3月1日至4月30日,在EastGojjamZone公立医院的385名护士中进行了基于机构的横断面研究设计。使用简单随机抽样技术从11家公立医院中选择了护士。数据以自我管理的方式收集。采用二元logistic回归进行数据分析。将双变量逻辑回归中P值<0.25的所有独立变量拟合到多变量逻辑回归中。95%置信区间的AOR用于识别关联的强度,0.05的p值用于在最终模型中声明其具有统计学意义。
结果:共有385名护士参与了这项研究,反应率为91%。其中,49.9%的护士持不利态度。在基层医院工作[AOR=2.3;95%CI:(1.4-3.8)],护士合作不力[AOR=1.7;95%CI:(1.1-2.8)],对工作不满意[AOR=1.7;95%CI:(1.1-2.7)],工作监督能力差[AOR=6.2;95%CI:(3.7-9.8)]是与护士对患者倡导态度相关的因素.
结论:对患者倡导持不利态度的护士人数较多。在基层医院工作,与他人合作不良,对工作不满意,对工作监督有不利的看法是与护士对患者倡导的不利态度相关的因素。建议所有医院更好地支持护士,以提高他们的工作满意度,并对护士的活动进行良好的监督。
BACKGROUND: One of the most important but underappreciated roles of nurses is patient
advocacy. To advocate for patients effectively, the nurses should have a favorable attitude towards patient
advocacy. Despite this fact, the nurses\' attitude towards patient
advocacy was not known in Ethiopia. Thus, this study aimed to assess nurses\' attitude towards patient
advocacy and its associated factors in East Gojjam Zone Public Hospitals, Northwest in 2023.
METHODS: Institutional-based cross-sectional study design was conducted among 385 nurses in East Gojjam Zone Public Hospitals from March 1 to April 30, 2023. Nurses were selected using simple random sampling techniques from 11 public hospitals. The data were collected in a self-administered way. Binary logistic regression was used for data analysis. All independent variables having a P value of < 0.25 in the bivariable logistic regression were fitted into a multivariable logistic regression. The AOR at a 95% confidence interval was used to identify the strength of the association, and a p value of 0.05 was used to declare it statistically significant at the final model.
RESULTS: A total of 385 nurses participated in the study, for a 91% response rate. Among these, 49.9% of nurses had an unfavorable attitude. Being working in a primary hospital [AOR = 2.3; 95% CI: (1.4-3.8)], poor cooperation of nurses [AOR = 1.7; 95% CI: (1.1-2.8)], being unsatisfied with the job [AOR = 1.7; 95% CI: (1.1-2.7)], and poor perceived supervision of work [AOR = 6.2; 95% CI: (3.7-9.8)] were factors associated with nurses\' attitudes towards patient advocacy.
CONCLUSIONS: The number of nurses who had an unfavorable attitude towards patient
advocacy was high. Working in a primary hospital, poor cooperation with others, being dissatisfied with the job, and having an unfavorable perception towards the supervision of work were the factors associated with the unfavorable attitude of nurses towards patient advocacy. It is recommended that all hospitals better support the nurses to increase their job satisfaction and have good supervision of the nurses\' activities.