Assessment of Patients Perceptions

Caring has been widely discussed in the health care professions, especially in nursing which is considered to be one of the caring professions (Boykin and Schoenhofer 2001). Watson (1985) describes caring as a moral ideal of nursing. According to Watson, caring preserves human dignity in cure dominated health care systems and becomes a standard by which cure is measured (Watson 1988c, p. 177). Research literature indicates that the assessment of quality of care from the patient’s perspective has been operationalised as patient satisfaction (Dufrene 2000). Nurse caring has been related to patient satisfaction in western literature (Wolf et al 2003; Wolf et al 1998; Forbes and Brown 1995; Boyle et al 1989). There are so many factors that influence patients’ perceptions of care given by the opposite sex. Some of these are: Age, ethnicity, gender, socio-economic and health status. The most consistent finding has been related to age. Older patients tend to be more satisfied with their health care. Studies that have looked at ethnicity have generally held that being a member of a minority group is associated with lower rates of satisfaction. Studies on the effect of gender show that women tend to be less satisfied and other studies show the opposite. Most studies have found that individuals of lower socio-economic status and less education tend to be less satisfied with their health care. Other studies have shown that poorer satisfaction with care is associated with experiencing worry, depression, fear or hopelessness, as is having a psychiatric diagnosis such as schizophrenia, post-traumatic stress disorder or drug abuse. Health status can greatly influence satisfaction of an individual (Hall, 1990). It is important to examine the relationships of nurse caring to patient satisfaction in Cape Coast because of severe staff shortages, heavy workload, and low salaries in Cape Coast Hospitals. Nursing literature had long recognized importance of these perceptions as major factors militating against prompt and effective service delivery in the care environment. One of the critical roles and ethics of the nurse is to treat all patients irrespective of their gender, colour, creed, political inclination and religious affiliations. High quality nurse-client communication is the backbone of the art and science of nursing. It has a significant impact on patient well-being as well as the quality and outcome of nursing care, and is related to patients’ overall satisfaction with their care. The maintenance of high nurse patient communication also depends on the nurse and patient. The quality of care in a hospital has been shown to be influenced by several factors including: inadequate nursing staff, lack of regular water supply on wards, too much nursing documentation, too long waiting time, and lack of specialized nurses. In Ghana, there is crisis in nurse-client communication evidence from four sources. These are personal observation, anecdotes from client and their families, media reports, and official health reports. Although there is ample evidence to demonstrate that most nurses are females, one cannot discount the enormous services that male nurses provide irrespective of their gender. The ever increasing number of female nurses compared to male nurses in our wards, coupled with patient dissatisfaction toward treatment received has raised a lot of questions as to whether there is a perceived idea that male nurses offer better care or otherwise. With the introduction of Health Insurance a few years ago, more patients report to the hospital and are also consciously aware of their rights and responsibilities as patients and hence will demand for better service delivery from care givers. Recently, patient dissatisfaction has been on the ascendancy in several hospitals across Ghana including University of Cape Coast Hospital. This has raised a lot of concerns about the perceptions patients have regarding the care given by male nurses.