Factors shaping good and poor nurse-client relationships in maternal and child care in rural Tanzania
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Date
2022-09-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Research squire
Abstract
Background
Evidence indicates that poor nurse-client relationships within maternal and child health (
Methods
Qualitative descriptive design was employed. About 9 Focus Group Discussions (
Results
Factors shaping nurse-client relationships were heuristically categorized into nurse, client and
health system factors. Nurse contributors of poor relationship ranged from poor reception and
hospitality, not expressing care and concern, poor communication and negative attitudes, poor
quality of services, job dissatisfaction and unstable mental health. Client contributors of poor
relationship include being ‘much know’, late attendance, non-adherence to procedures and
instructions, negative attitudes, poor communication, inadequate education and awareness,
poverty, dissatisfaction with care, faith in traditional healers and unstable mental health. Health
system contributors were inadequate resources, poor management practices, inadequate policy
implementation and absence of an independent department or agency for gathering and
management of complaints. Suggestions for improving nurse-client relationship included awards
and recognition of good nurses, improving complaints mechanisms, continued professional
development, peer to peer learning and mentorship, education and sensitization to clients,
improving service quality and working conditions, improving renumeration and incentives,
strengthening nursing school’s student screening and nursing curriculum and improving mental
health for both nurses and clients.
Conclusions
The factors shaping poor nurse- client relationships appear to extend beyond nurses to both
clients and healthcare facilities and system. Implementation of effective interventions for
addressing identified factors considering feasibility and acceptance to both nurses and clients
using novel strategies such as HCD could pave the way for employing good nurse-client
relationships as a tool for improving performance indicators and health outcomes within MCH
care.
Description
Keywords
Nurse-client relationship, Patient-provider relationship, Child Care
Citation
Isangula, K., Pallangyo, E.S., Mbekenga, C., Ndirangu-Mugo, E. and Shumba, C., 2022. Factors Shaping Good and Poor Nurse-Client Relationships in Maternal and Child Care in Rural Tanzania.