SECTION A: BIOGRAPHIC DATA

1. Age: a. 20-29 years (b)30-39 (c) 40-49 (d) 50 and above

2. Sex: (a) Male [ ] (b) Female [ ]

3. Religion (a) Christianity [ ] (b) Islam[ ] (c) Traditional [ ] Others please specify

_______________

4. Ethnicity (a) Igbo [ ] (b) Yoruba [ ] (c) Hausa [ ] (d) others please

specify_____________

5. Certification (a)RN [ ] (b)BNSc [ ] (c)MSc [ ] (d)Others Specify [ ] _____________

SECTION B: QUESTIONS ABOUT YOUR KNOWLEDGE OF QUALITY OF CARE

CONSIDERING NURSE-PATIENT RATIO

Element Yes No
Nursing force is a critical factor in determining the
quality of care in hospitals and the nature of patient
outcomes
Nurses are an important component of the health care
delivery system and nurse staffing has impacts on safety
and quality of care
lower nurse-to-patient ratios were associated with
higher rates of nonfatal adverse outcomes
Good staffing helps to recruit personnel to fill svailable
position, idnetufy and solve problems, provide sufficient
staff and helps to get necessary work done

SECTION C: QUESTIONS ABOUT YOUR PERCEPTIONS OF QUALITY OF CARE

CONSIDERING NURSE-PATIENT RATIO
8. Overall, in the past year, would you say the quality of patient care in your ward/unit has:
Improved................ [ ]
Remained the same……… [ ]
Deteriorated................... [ ]
9. Which of the following situations occurred on your last shift due to time pressures and low
nurse-patient ratio level? Tick all that apply.
a) Routine vital signs, medications or dressings not done [ ]
b) Routine vital signs, medications or dressings not done on time [ ]
c) Routine mobilization or turns not done [ ]
d) Routine mobilization or turns not done on time [ ]
e) Delay in responding to patient call longer than 5 minutes [ ]
How often in the last 7 working days did it Never Rarely Sometime Ofte
happen that…….. s n
10. Activity of daily livings (ADLs)
(a) You could not assist a patient with a necessary
bed bath, oral hygiene or skin care?
(b) You could not feed the patient as needed?
(c) You were not able to mobilize or change the
position of a patient?
(d) You had to leave a patient for longer than half
an hour in urine, stool, or vomit?
(e) You could not put clean sheets on a dirty bed?
11. Support/Rehabilitation/Education
(a) You could not offer emotional or psychosocial
support to a patient even though you felt it was
necessary e.g. dealing with grieving, insecurities
and fear of his/her illness, the feeling of
dependency?
(b) You could not have a necessary conversation
with a patient or his/her family?
(c) You had to put a patient in diapers or insert a
catheter because you did not have time for toilet
training?
(d) You could not perform activating or
rehabilitating care?
(e) You could not teach and/or educate a patient
and/or their family about their necessary self-care
e.g. insulin injection, behavior or coping with
illness- specific symptom (hypo-glycemia,
dyspnea)?
12. Monitoring/Safety/Documentation
(a) You could not monitor a patient as closely as
had been prescribed by a physician or as you felt
was necessary?
(b) You had to restrain and/or give confused
patients sedatives because you were not able to
watch them carefully enough?
(c) You could not wash or disinfect your hands
adequately?
(d) You could not set up or bring up to date a
patient's care plan?
(e) You could not document the performed nursing
care for a patient detailed enough?
Administration that listens and responds to SA A D Sd
nursing staff concerns
Adequate support services allow me to spend
time with my patients
15. Opportunity for nurses to participate in
hospital policy decisions making
16. Working with adequate equipment,
supplies and support staff (e.g. hospital maids)
RNs and support staff (e.g. hospital maids) have
good working relationships
RNs and nursing students have good working
relationships
Supervisory staff that is supportive of nurses
Request and schedule of vacation/holiday time
is properly design to aid quality patient care
Every nurse is assigned to care for patients
irrespective of the nurse cadre
Praise and recognition of a nurse for a job well
done
A nurse manager/leader who backs up the
nursing staff in decision-making, even if the
conflict is with a physician
Enough registered nurses and support staff to
provide quality patient care
Freedom to make important patient care and
work decisions