Healthcare professionals’ perception of quality of care of patients with cardiac disease in Nigeria: Implication for clinical guideline, inter-professional education and team work

Autor: Nse Ayooluwa, Odunaiya, Aderonke Omobonike, Akinpelu, Susan, Ogwu, Akinuemi, Aje
Rok vydání: 2019
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice

medicine.medical_specialty
Heart Diseases
Attitude of Health Personnel
Health Personnel
media_common.quotation_subject
030204 cardiovascular system & hematology
Interviews as Topic
perceptions
quality of care
health care professionals
perceptions
cardiac patients

03 medical and health sciences
0302 clinical medicine
Education
Professional

quality of care
Health care
medicine
Humans
030212 general & internal medicine
Disease management (health)
Qualitative Research
Quality of Health Care
Original Research
media_common
Patient Care Team
Teamwork
Descriptive statistics
business.industry
Professional development
General Medicine
Guideline
Middle Aged
cardiac patients
Family medicine
Practice Guidelines as Topic
health care professionals
Female
Perception
Clinical Competence
Patient Care
Thematic analysis
business
Qualitative research
Zdroj: Malawi Medical Journal; Vol 31, No 1 (2019); 31-38
Malawi Medical Journal
ISSN: 1995-7262
DOI: 10.4314/mmj.v31i1.6
Popis: Background Heart disease is one of the leading chronic conditions posing a major and growing threat to the public. Studies on quality of care given to patients with heart diseases in Nigeria are not available. The purpose of this study was to explore healthcare professionals’ perception of quality of care of patients with heart disease at a tertiary hospital in Nigeria. Methods A mixed method design was utilized in this study. Twenty eight healthcare professionals consisting of cardiologists, nurses, physiotherapists and dieticians were recruited into the study through purposive sampling technique. A questionnaire developed and validated from existing questionnaire was used to survey the health care professionals’ perception of care and qualitative design was further used to explore their perceptions of care. The data were analyzed using descriptive statistics of percentages and graphs. The qualitative data were analyzed using thematic analysis. Quality of care was assessed through structure, process and outcome of care indices. Results The mean age of the healthcare professionals was 38.46±8.988 years. 19 (66.7%) reported that there were treatment guidelines for cardiac disease management but there was no system for internal quality assurance. 18 (95%) out of these 19 healthcare professionals reported that the treatment guidelines were either never applied or not applied regularly during treatment. Other areas that were perceived as poor were poor teamwork, poor staff strength, inadequate equipment, and inadequate consultation with staff during procurement of medical supplies. Conclusion Quality of care for cardiac patients in a Nigerian tertiary hospital was perceived as sub-optimal. There is a need for the improvement of the structure and process of quality of care to enhance quality of care for cardiac patients in Nigeria.
Databáze: OpenAIRE