Factors Influencing Guardian Participation In The Care Of Children Under 5 Years At Kenyatta National Hospital In Kenya

Citation:
Omuga DB. "Factors Influencing Guardian Participation In The Care Of Children Under 5 Years At Kenyatta National Hospital In Kenya." Kenya Nursing Journal. 2012;42(1):16-22.

Abstract:

Parents/guardians participation in care of their hospitalized children has been shown to have benefits to both the child and the parent/guardian. However, this is faced by challenges like negative staff attitudes and inadequate knowledge. The study aimed at establishing factors influencing parents/guardians participation in the care of their hospitalized children under five years old at the paediatric medical wards of Kenyatta National Hospital. The study was conducted in August and September 2009. A descriptive cross-sectional survey used both quantitative and qualitative methods to gather information. A sample of 178 parents/guardians and 54 nurses were selected. The statistical package for social sciences (SPSS) was used to analyze data. ANOVA test was used to analyze for the relationship between the independent variables and participation in care as the dependent variable. The tests level of significance was set at 5%.The data was presented in form of descriptive statistics, frequency tables and graphs. Results showed that parents/guardians were willing to participate in the care f their hospitalized children. Participation was influenced by their level of education (p= 0.014) and age group (p= 0.039). There was a varied opinion among the parents and nurses on who should perform some care activities. Twenty nine (55.8%) of the nurses thought that parents/guardians should not be involved in the decisions of their child's management. Guidelines or policies on parents/guardians' participation in the care of hospitalized children should be put to standardize and maximize the benefits of this practice. Nurses should be trained to enhance effective parents/guardians participation in care.

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