Perspectives of nurses about factors affecting quality of care at the Solomon Islands National Referral Hospital during the 2016-2017 dengue outbreak: a qualitative study

Goulolo, Norma Denty, Bugoro, Hugo, Whittaker, Maxine, Larkins, Sarah, Harrington, Humpress, Carlisle, Karen, MacLaren, David, and Evans, Rebecca (2021) Perspectives of nurses about factors affecting quality of care at the Solomon Islands National Referral Hospital during the 2016-2017 dengue outbreak: a qualitative study. Asia Pacific Journal of Public Health, 33 (6-7).

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Abstract

During the 2016-2017 Solomon Islands dengue outbreak, the National Referral Hospital (NRH) in Honiara was the epicenter for the national response. High-quality nursing care is critical for successful management and this study investigated the factors affecting the quality of nursing care for patients admitted to NRH with dengue. Data were collected using 2 methods: (a) Focus group discussions with nurses who cared for dengue patients and (b) a self-administered questionnaire completed by a senior manager. Analysis of qualitative data using a thematic technique found 2 key factors affected care: (a) training on protocols and guidelines for clinical management and (b) planning and preparedness of NRH. Quality of care was influenced by lack of basic equipment, transport provided for nursing staff to attend shifts, and confusion between allowances for regular salaried staff and extra staff assisting with the outbreak. Specific attention is needed in future outbreaks to ensure staff understand protocols, follow guidelines, and that adequate equipment is provided.

Item ID: 68886
Item Type: Article (Research - C1)
ISSN: 1941-2479
Keywords: dengue, Solomon Islands, nursing care, outbreak response
Copyright Information: © 2021 APJPH
Funders: Australian Department of Foreign Affairs and Trade (DFAT), James Cook University (JCU), Solomon Islands Ministry of Health and Medical Services
Projects and Grants: DFAT Tropical Partners project
Date Deposited: 02 Aug 2021 23:00
FoR Codes: 42 HEALTH SCIENCES > 4203 Health services and systems > 420312 Implementation science and evaluation @ 33%
42 HEALTH SCIENCES > 4205 Nursing > 420599 Nursing not elsewhere classified @ 33%
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 34%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200404 Disease distribution and transmission (incl. surveillance and response) @ 50%
20 HEALTH > 2003 Provision of health and support services > 200304 Inpatient hospital care @ 50%
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