A thesis to be submitted to jimma university, institute Of health, faculty ofpublic health, department of Health economics, management and policy for the Partial fulfillment of the requirements for master of Degree in health care and hospital adminstration

Abstract

ackground:Nursing care, which is one of the determinants of quality health services, isa major component of the health services. Patient’s satisfaction with the care they receive from health care providers has become one of the most important approaches to measure the quality of care in recent times as against the predominantly clinical and administrative approaches. Objective: -To assess status of patient satisfaction with inpatient nursing care and associated factors among adult inpatients in Debre Tabor General Hospital, Northwest Ethiopia, 2017 Methods: - Facility based cross sectional study was conducted in Debre-Tabor General Hospital from March1-April 30 /2017.Total of 285 participants participated in this study. Participants’ were selected using convenient sampling technique and interview conducted after discharge decided. The data was collected by using structured questionnaire with five Likert scale. Data was entered and analyzed using SPSS version 20.Bi-variate and multivariate analysis were carried out to identify factors associated with patients’ satisfaction with their nursing care after dichotomizing of patient satisfaction in to satisfied (satisfied & very satisfied) and dissatisfied (very dissatisfied, dissatisfied&neutral). Result:From the total 285 respondents, more than three fourth of admitted patients were fully satisfied with inpatients nursing care experience item questions. The overall status of adult inpatient satisfaction with nursing care was calculated to be 66 %( 95% CI: 60.4%, 71.2%). The common reasons for this level ofsatisfaction were: adequacy and maintenance of ward equipment, cleanliness of the ward, adequacy of space, adequacy of light and ventilation, condition of bed, condition of food, access to water and access to hand washing facility. Duration of stay in the ward (AOR=14.04, 95% CI: 2.948, 66.816), residence (AOR=2.01, 95% CI: 1.144, 3.536), sex (AOR=2.22, 95% CI: 1.102, 4.473), and frequency of re-admission (AOR=1.87, 95% CI: 1.090, 3.218) were significantly associated with adult inpatient satisfaction.Conclusion and Recommendation:The status of adult inpatient satisfaction was moderate. Short duration ofstay in the ward,femaleness, rural residence and first time admission of the study participants favored the satisfaction with care provided. Hence, the hospital should strengthen implementation of standard nursing care in wards to shorten stay of admitted patientsin Debretabore general hospital. Keywords:Inpatient Satisfaction, Nursing Care, Admission Ward, Debre Tabor General Hospital