The Influence of Staffs’ Knowledge on Preparedness of Catholic Mission Hospitals for Health Service Delivery during Emergency Inflow of Patients in Nairobi County, Kenya

Petronella Mueni Kiteng’u, Lillian Muiruri, Oluoch Musa
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Abstract

Purpose: To determine the influence of staffs’ knowledge on preparedness of catholic mission hospitals for health service delivery during emergency inflow of patients in Nairobi County, Kenya. Methodology: A cross sectional descriptive study design was used with quantitative approach for data collection and analysis. Four tier-3 Catholic Mission Hospitals were purposively selected and a stratified random sample of 647 members of staff from different cadres was taken. A structured questionnaire was used to collect data. Data was analyzed using STATA software v.16, where descriptive statistics were presented using frequencies and percentages whereas inferential statistics were presented using correlation and regression analysis. Findings: The study found out that staff training and exercises for knowledge and skills influenced preparedness of Catholic Mission Hospitals for health service delivery during emergency influx of patients. A positive and significant relationship was found at (r=0.211; p<0.01). This means that the hospitals are perceived as prepared for health service delivery during emergency influx of patients. However, staff drills (staff exercises) at (r = -0.147; p<0.05) were found insignificantly influencing services delivery. This means that the hospitals would be unprepared even if staff drills were in place. Recommendations: The study recommends that the managers of catholic hospitals should have scheduled staff trainings and drills for efficient and timely response in times of need for emergency service deliver. Policy guidelines on skills acquisition for the staff in the health institutions need to be developed to guide the trainings and frequent drills to sharpen the theory and practice of the healthcare team.
肯尼亚奈洛比县天主教会医院医护人员知识对急诊病人入院时卫生服务准备的影响
目的:了解工作人员知识对肯尼亚内罗毕县天主教会医院在急诊病人流入期间提供保健服务的准备工作的影响。方法:采用横断面描述性研究设计,采用定量方法进行数据收集和分析。有目的地选择4所三级天主教会医院,分层随机抽样647名不同干部的工作人员。采用结构化问卷收集数据。使用STATA软件v.16分析数据,其中描述性统计使用频率和百分比表示,而推断统计使用相关性和回归分析表示。研究结果:研究发现,工作人员的培训和知识技能练习影响了天主教会医院在病人紧急涌入期间提供保健服务的准备工作。两者之间存在显著正相关(r=0.211;p < 0.01)。这意味着,人们认为医院已做好准备,可以在病人紧急涌入时提供保健服务。然而,员工演练(staff exercises)在(r = -0.147;P <0.05)对服务提供无显著影响。这意味着,即使有人员演练,医院也会毫无准备。建议:该研究建议,天主教医院的管理人员应安排工作人员培训和演习,以便在需要提供紧急服务时作出有效和及时的反应。需要制定卫生机构工作人员获得技能的政策指导方针,以指导培训和频繁的演习,以提高卫生保健团队的理论和实践。
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