PROCESS EVALUATION OF NURSING CARE SERVICES IN MEDICAL & SURGICAL WARDS IN St. PAULO’S HOSPITAL MILLINIUM MEDICAL COLLEGE, ADDIS ABABA, ETHIOPIA 2022.

Abstract

Abstract Background: - Nursing care services are an important aspect of health system for enhancing patient health outcome and quality of health care. Poor-quality of care accounting for up to 15% of all deaths in low & middle-income countries. The previously studied researches have conducted in fragmented way such as focusing on structure or outcome part only. As a result, there is a need to conduct process of evaluation in nursing care service with structure, process and outcome. Objective: - To evaluate the process of nursing care service in medical and surgical wards at St. Paul’s Hospital, Millennium Medical College 2022 Methods of Evaluation: -formative evaluation approach, facility-based case study design with mixed method was employed from June 24 to July 30 2022. Availability, compliance, and satisfaction dimensions measured by 32 indicators. A sample of 384 participants and a chart, 20 observations, and six key informant interviews were taken using simple random sampling and purposive sampling techniques. Data entered into Epi-Data version 3.1 and analyzed by STATA 14.0; open-code software used to analyze qualitative data. A logistic regression analysis employed to assess the association of independent variables with the outcome variable. Variables with P-values less than 0.25 in bivariable analysis entered into multivariable models to identify the associated factors. In the multivariable analysis, variables with a p-value less than 0.05 chosen as an associated factor to the outcome variable. The overall process of nursing care determined based on judgmental criteria. Results: - The overall process of nursing care services in the SPHMMC medical and surgical wards was fair