WOMEN’S SATISFACTION WITH INTRAPARTUM NURSING CARE AND ITS PREDICTORS IN HARAR HOSPITALS, EASTERN ETHIOPIA

Abstract

Introduction: Women’s satisfaction with intrapartum nursing care is used to measure the ability of service provided to meet consumers’ expectation; which is crucial for the wellbeing of the mother and her child and encourages future utilization and recommendation of the health facility to others to increase institutional delivery. Objective: The aim of this study was to assess women’s satisfaction with intrapartum nursing care and its predictors in Harar hospitals, Eastern Ethiopia. Methods and Materials: Hospital based quantitative cross sectional study design, supplemented with qualitative study using phenomenological study design, was employed on 398 women who delivered in Harar hospitals from February 01 to 28, 2017. Eight women who were not included in the quantitative part were involved for the qualitative study. Consecutive and purposive sampling methods were used to select study participants for the quantitative and qualitative study respectively. The collected data were entered into Epi-data version 3.1 and exported to Statistical Package for Social Science version 22 for analysis. Result: Three hundred ninety eight women were interviewed, forming a response rate of 100%. Overall women’s satisfaction with intrapartum nursing care was found to be 84.7% (95% CI: 81.1, 88.2). Not attending formal education (AOR=2.4, 95% CI: 1.10, 5.10), did not had ANC follow up (AOR=3.9, 95% CI: 1.54, 9.93), having plan to deliver in the hospital (AOR=2.9, 95 % CI: 1.47, 5.80), availability of drugs (AOR=2.73, 95% CI: 1.24, 6.03), short waiting time to be seen by the health care provider (AOR=3.09 95% CI: 1.03, 6.17) and short length of hospital stay after delivery (AOR=1.89 95% CI: 1.04, 3.55) were statistically and positively associated with women’s satisfaction with intrapartum nursing care. Conclusion and Recommendation: This study revealed that more than four fifth of women were satisfied with the intrapartum care provided. Educational status, antenatal care follow up, reason for delivery in the hospital, availability of drugs, waiting time to be seen by the health care provider and length of hospital stay were an independent predictors for women’s satisfaction. Therefore, much work is needed to engage women with facility delivery by providing patient centered care.