The effect of doctor-nurse relationship on patient care

A CASE STUDY OF Federal Medical Centre Owerri, Imo State

Department of Nursing

ABSTRACT

This study seeks to examine the effect of doctor-nurse relationship on patient care in Federal Medical Centre Owerri, Imo State. The null hypotheses were formulated to guide the study. They are: Medical teamwork; hospital administrative structure; and doctor-nurse value orientation. In order to generate data for testing these hypotheses, a 42 item questionnaire was developed by the researcher and validated by the supervisor. Survey research design was adopted while data collected from 200 randomly selected respondents (male & female). Purposive, stratified and simple random sampling procedures were variously applied at appropriate stages of the study. The generated data was statistically tested using chi-square analysis procedure. The analysis revealed that: there is a significant relationship between medical team work and patient care, hospital administrative structure, doctor-nurse value orientation and patient care. It was however recommended that collaborative work relationship between doctors and nurses should be encouraged for effective health care delivery system.

TABLE OF CONTECT

Title page

Certification

Dedication

Acknowledgement

Abstract

Table of contents

List of tables

List of figures

CHAPTER ONE: INTRODUCTION

1.1    Background of the study

1.2    Statement of the problem

1.3    Research questions

1.4    Research hypotheses

1.5    Objectives of the study

1.6    Significance of the study

1.7    Scope of the study

1.8    Definition of concepts

1.9    Brief history of Federal Medical Centre, Owerri Imo State

CHAPTER TWO: LITERATURE REVIEW AND THEORETICAL                         FRAMEWORK

2.1    Literature review

2.1.1 The effect of doctor-nurse relationship on patient care

2.1.2 Medical team work and patient care

2.1.3 Hospital administrative structure and patient care

2.1.4 Value orientation and patient care

2.1.5 Health care delivery system in Nigeria

2.1.6 Mortality rate in Nigeria

2.1.7 The health status of Nigerians

2.1.8 Motivation and work relationship among medical staff

2.2    Theoretical framework

2.2.1 Neo-functionalism theory

2.2.2 Role Theory

2.2.3 Conflict Theory

CHAPTER THREE: RESEARCH METHODOLOGY

3.1    Research design

3.2    Research setting/area

3.3    Population of the study

3.4    Sample

3.5    Sampling procedure

3.6    Instrument of data collection

3.6.1 Validity of the instrument

3.6.2 Reliability of the instrument

3.7    Procedure of data collection

3.8    Method of data analysis

CHAPTER FOUR: DATA PRESENTATION, ANALYSIS AND                                                         DISCUSSION OF FINDINGS

4.1    General description of variables

4.2    Socio-economic features of respondents

4.3    Data presentation and interpretation of results

4.4    Discussion of findings

CHAPTER FIVE: SUMMARY, CONCLUSION AND RECOMMENDATION

5.1    Summary of the study

5.2    Conclusion

5.3    Recommendation

5.4    Suggestions for further research

          References

          Appendix

LIST OF TABLES

Table 1:     Frequency distribution of respondents by sex

Table 2:     Frequency distribution of respondents by age

Table 3:     Distribution of respondents by marital status

Table 4:     Distribution of respondents by educational qualification

Table 5:     Distribution of respondents by religion

Table 6:     Chi-square analysis of the relationship between medical                             team           work and patient care

Table 7:     Contingency table showing the relationship between                          medical team work and patient care.

Table 8:     Chi-square analysis showing the relationship between                       hospital administrative structure and patient care

Table 9:     Contingency table showing the relationship between                          hospital administrative structure and patient care.

Table 10:   Chi-square analysis showing the doctor-nurse value                          orientation           and patient care.

Table 11:   Contingency table showing the relationship between                          doctor-nurse value orientation and patient care.