SS  Vol.4 No.1 , January 2013
Quality Assurance in Wound Management in a Developing Country: How Satisfied Are Our Patients?
Abstract: Background: Quality is important in every setting especially in the health service where the needs of patients should be an utmost priority. However, this is sometimes not the situation in most health care centres due to increasing stress because of inadequate resources and increasing demands for services. This present study seeks to assess quality assurance in the management of wounds. Method: A descriptive survey involving 280 participants; data was collected using structured questionnaire. The questionnaires included some quality indicators which were used to assess the quality of care patients received from the health facility. Results: Out of the 280 participants, females were 57.1% (n = 160) and males, 42.9% (n = 120). Ages of the participants ranged from 15 - 70+ years with a mean age of 35.8 ± 1.5; 28.6% (n = 80) of staff had an excellent attitude while 5.7% (n = 16) had a fair attitude. The condition of 112 did not require surgery (40.0%), however, out of the 168 who underwent surgery, 32 (19.0%) were not satisfied while 136 (81.0%) were satisfied. Also, 97.1% (n = 272) were accorded privacy, 51.4% (n = 144) were assured of confidentiality, 48.6% (n = 136) were educated on diagnoses and treatment, 91.4% (n = 256) understood pharmacy instruction, 57.1% (n = 160) were satisfied with time spent in the facility, 97.1% (n = 272) were not shun by nurses because of their wounds. Conclusion: Patient satisfaction should be the priority of all persons working in the health facility. In accessing quality service, patient satisfaction can be met if quality assurance measures are put in place. This quality assurance measures should include all units of the health delivery system since it would help to ensure judicious use of resources in order to meet the health needs of patients.
Cite this paper: Agbenorku, P. (2013) Quality Assurance in Wound Management in a Developing Country: How Satisfied Are Our Patients?. Surgical Science, 4, 39-44. doi: 10.4236/ss.2013.41007.

[1]   P. L. N. Thi, et al., “Factors Determining Inpatient Satisfaction with Care,” Social Science & Medicine, Vol. 54, No. 4, 2002, pp. 493-504. doi:10.1016/S0277-9536(01)00045-4

[2]   A. K. Offei, et al., “Healthcare quality Assurance Manual, July 2004,” 2012.

[3]   G. Schultz, G. Sibbald, V. Falanga, E. Ayello, C. Dowsett, K. Harding, M. Romanelli, M. Stacey, L. Teot and W. Vanscheidt, “Wound Bed Preparation: A Systematic Approach to Wound Management,” Wound Repair and Regeneration, Vol. 11, No. S1, 2003, pp. 1-28. doi:10.1046/j.1524-475X.11.s2.1.x

[4]   S. Thomas, “Wound Management and Dressings,” The Pharmaceutical Press, London, 1990.

[5]   Royal College of Nursing, “Defending Dignity: Challenges and Opportunities for Nursing,” RCN, London, 2008.

[6]   K. Walsh and I. Kowanko, “Nurses’ and Patients’ Perceptions of Dignity,” International Journal of Nursing Practice, Vol. 8, No. 3, 2002, pp. 143-151. doi:10.1046/j.1440-172X.2002.00355.x

[7]   J. Ohlén, “Violation of Dignity in Care-Related Situations,” Research and Theory for Nursing Practice, Vol. 18, No. 4, 2004, pp. 371-385.

[8]   A. Gallagher and D. Seedhouse, “Dignity in Care: The Views of Patients and Relatives,” Nursing Times, Vol. 98, No. 43, 2002, pp. 39-40.

[9]   M. R. Matiti, “Patient Dignity in Nursing: A Phenomenological Study,” Unpublished thesis, University of Huddersfield, Huddersfield, 2002.

[10]   J. G. I. Williams and J. R. Jones, “Psychophysiological Responses to Anesthesia and Operation,” Journal of the American Medical Association, Vol. 203, 1968, pp. 415-417. doi:10.1001/jama.203.6.415

[11]   P. J. Torcson, “Patient Satisfaction: The Hospitalist’s Role,” The Hospitalist, 2005, pp. 27-30.

[12]   Ghana Health Service, “The Patients’ charter,” 2012. aboutus.php?inf=Patients 

[13]   P. Meredith and C. Wood, “Aspects of Patient Satisfaction with Communication in Surgical Care: Confirming Qualitative Feedback through Quantitative Methods,” International Journal for Quality in Health Care, Vol. 8. No. 3, 1996, pp. 253-264.

[14]   J. Repper, R. Ford and A. Cooke, “How Can Nurses Build Trusting Relationships with People Who Have Severe and Long-Term Mental Health Problems? Experiences of Case Managers and Their Clients,” Journal of Advanced Nursing, Vol. 19, No. 6, 1994, pp. 1096-1104. doi:10.1111/j.1365-2648.1994.tb01193.x

[15]   S. Kaplan, S. Greenfield and J. Ware, “Assessing the Effects of Physician-Patient Interactions on the Outcomes of Chronic Disease,” Medical Care, Vol. 27, No. 3, 1989, pp. 110-127. doi:10.1097/00005650-198903001-00010

[16]   C. Laine and F. Davidoff, “Patient-Centered Medicine,” Journal of the American Medical Association, Vol. 175, 1996, pp. 152-156. doi:10.1001/jama.275.2.152

[17]   J. M. Deadman, S. J. Leinster, R. G. Owens, M. E. Dewey and P. D. Slade, “Taking Responsibility for Cancer Treatment,” Social Science and Medicine, Vol. 53, No. 5, 2001, pp. 669-677. doi:10.1016/S0277-9536(00)00369-5

[18]   W. Insull, “The Problem of Compliance to Cholesterol Altering Therapy,” Journal of Internal Medicine, Vol. 241, No. 4, 1997, pp. 317-325. doi:10.1046/j.1365-2796.1997.112133000.x

[19]   K. P. Krueger, B. G. Felkey and B. A. Berger, “Improving Adherence and Persistence: A Review and Assessment of Interventions and Description of Steps toward a National Adherence Initiative,” Journal of the American Pharmacists Association, Vol. 43, No. 6, 2003, pp. 668-678. doi:10.1331/154434503322642598

[20]   J. H. LaRosa and J. C. LaRosa, “Enhancing Drug Compliance with Lipid-Lowering Treatment,” Archives of Family Medicine, Vol. 9, No. 10, 2000, pp. 1169-1175. doi:10.1001/archfami.9.10.1169

[21]   R. B. Haynes, X. Yao, A. Degani, S. Kripalani, A. Garg and H. P. McDonald, “Interventions for Enhancing Medication Adherence,” Cochrane Database of Systematic Reviews, Vol. 16, No. 2, 2008, Article ID: CD000011.

[22]   C. D. Hepler and L. M. Strand, “Opportunities and Responsibilities in Pharmaceutical Care,” American Journal of Hospital Pharmacy, Vol. 47, No. 3, 1990, pp. 533-543.

[23]   J. C. Schommer and S. N. Kucukarslan, “Measuring Patient Satisfaction with Pharmaceutical Services,” American Journal of Health-System Pharmacy, Vol. 54, No. 23, 1997, pp. 2721-2732.

[24]   A. Donabedian, “Exploration in Quality Assessment and Monitoring,” Vol. 1, Health Administration Press, Ann Arbor, 1980.

[25]   M. Calnan, et al., “Major Determinants of Consumer Satisfaction with Primary Care in Different Health System,” Family Practice, Vol. 11, No. 4, 1994, pp. 468-478. doi:10.1093/fampra/11.4.468

[26]   K. R. Epstein, C. Laine, N. J. Farber, E. C. Nelson and F. Davidoff, “Patients’ Perceptions of Office Medical Practice: Judging Quality through the Patients Eyes,” American Journal of Medical Quality, Vol. 11, No. 2, 1996, pp. 73-80. doi:10.1177/0885713X9601100204

[27]   B. Williams, “Patient Satisfaction: A Valid Concept?” Social Science and Medicine, Vol. 38, No. 4, 1994, pp. 509-516. doi:10.1016/0277-9536(94)90247-X

[28]   J. Bain, H. Kelly, D. Snadden and H. Staines, “Day Surgery in Scotland: Patient Satisfaction and Outcomes,” Quality in Health Care, Vol. 8 No. 2, 1999, pp. 86-91. doi:10.1136/qshc.8.2.86

[29]   C. Rathert and R. Douglas, “Health Care Work Environments, Employee Satisfaction, and Patient Safety: Care Provider Perspectives,” Health Care Management Review, Vol. 32, No. 1, 2007, pp. 2-11. doi:10.1097/00004010-200701000-00002