ABSTRACT
This study was on impact of staff attitude on patronage ( Abubakar Tafawa Balewa hospital, Bauchi ) The total population for the study is 100 staff of Abubakar Tafawa Balewa hospital, Bauchi and 100 patients. The researcher used questionnaires as the instrument for the data collection. Descriptive Survey research design was adopted for this study. A total of 133 respondents made doctors, nurses, men patients and female patients were used for the study. The data collected were presented in tables and analyzed using simple percentages and frequencies
CHAPTER ONE
INTRODUCTION
- Background of the study
The attitudes of doctors and nurses toward patient safety represent a significant factor in hospital safety climates and medical error rates. In professional clinics, hospitals, and other workplace setting, negative attitude can affect physician and other healthcare professionals in terms of patient’s treatment. According to Corrigan et al. and Wahl negative attitude are suppressed by the majority of primary care physicians. In addition, even productive physicians harboring minor negative attitude can be involved in such unwanted behavior as discrimination. Quantitative survey research on patient safety climate attitudes has been conducted in Abubakar Tafawa Balewa, Bauchi, Bauchi state, showing doctors and nurses generally report more positive attitudes towards the dimensions of hospital safety climate and teamwork and less positive attitudes on the dimensions of hospital working conditions and the quality of management support among nurses and doctors with respect to management support and working conditions.
Health as a fundamental human right was recognized in the World Health Organization’s Constitution stating that the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, and political belief, economic or social condition. Patient’s gratification with the services proposed is one of the important objectives of medical care, which can have substantial impingement on health status of patients. Deprivation of patients right has a lot of strain for patients and families and may induce impairment to social esteem of the health system.
Caring is important in nursing (Gray, 2008:169). Finfgeld-Connett (2008:198) explains caring as an interpersonal process characterized by expert nursing, interpersonal sensitivity and intimate relationships. Nursing includes both technical or medical aspects and emotional aspects of care. Brilowski and Wendler (2005:642) acknowledge emotional and technical aspects to caring, listing attributes to caring as attitudes, actions, relationships, acceptance and variability. Opposite to caring is uncaring. Wiman and Wikblad (2004:427) describe uncaring attributes as being disinterested, insensitive, cold and inhuman. Providing high quality care involves doing the right thing at the right time, and improving health outcomes for patients, families and communities (Uys & Naidoo, 2004). Unfortunately, this does not always happen. Some researchers identified dissatisfaction among patients with the quality of care they received (Uys & Naidoo, 2004) and with uncaring nurses (Wiman & Wikblad, 2004:428). Other researchers found poor care provided for specializes, such as HIV (Van Dyk, 2007:50) and Hepatitis C (Frazer et al., 2010:597), which was related to poor health worker attitudes. Nurses need to have a positive attitude towards patients and patient care. Attitudes are “latent hypothetical characteristics that are inferred from external observable cues” (Ajzen, 2005:23). Health workers’ attitudes affect behaviour, quality of care and health outcomes (Dias et al., 2012). Negative attitudes affect care with elderly patients (Jacelon, 2002:232) and other vulnerable patients such as Hepatitis C (Frazer et al., 2010). This study explored the impact of staff attitude on patronage in Abubakar Tafawa Balewa, Bauchi, Bauchi state
- STATEMENT OF THE PROBLEM
This hospital received complaints about staff attitudes and poor standards of nursing care. Nurses’ attitudes needed to be explored so that strategies could be implemented to improve the quality of care and address problems experienced by patients.
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