Describe the following related to management of nursing services unit:
a. Factors influencing the quality of patient care
b. Factors influencing ward management
c. Methods of assignment for nursing care

a)

Factors influencing the quality of patient care

 Patient socio-demographic variables

Socio-demographic factors influence the interaction between a provider and the patient and consequently the quality of services. For instance, a physician stated “I worked in a health centre in a village. They [The patients] did not understand me. They talked in a different language. They did not even obey my [medical] orders. For instance, I asked a patient with pharyngitis not to eat sausage and pickled cucumber. He agreed not to do so. However, in the afternoon, I saw him with a tin can of gherkin and some sausages” (MD2). Another participant said: “Socio- cultural issues make it difficult to have a desired outcome. I had a patient, a mother of eight children who was sick, and pregnancy was dangerous for her. She had the chance to abort the child legally but her husband wanted the child” (MD38). Healthcare professionals must be aware of and understand the socio-demographic characteristics of their patients to provide high-quality services.

• Patient cooperation

Patient involvement and cooperation is needed and affects the quality of healthcare service. “If the personnel do their job well, but the patient does not follow medical orders, the objectives would not be achieved” (MD50). Clinical outcomes depend on the ability of patients to provide information and cooperate with clinicians. A physician said: “I explained to a patient that this medicine might cause bleeding. So, if [he had] any history of heart problems or internal bleeding [he should] let me know. He [The patient] said ‘I do not __________ ________ _______ _______ _____ ____ _______ ________ _________ _______.
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