How nursing is critical to quality care in humanitarian settings. A qualitative evaluation with primary data collection For questions after: Make sure I know: The definition for quality care, both MSF and the one I used Why is was exempt from MSF ERB © Jessica Petz

Why am I here? © Brian Buntz

© Lancashire Care NHS Foundation Trust

Aim: To understand how nursing is critical to the provision of quality medical care in humanitarian settings. © Maura Daly

Donabedian’s model of quality care Structure Process Outcome Fundamental components of nursing Nurse’s qualifications and experience, attitudes and perception of quality of care Hand hygiene Vital signs Patient Satisfaction Perception of quality care   Drug administration Equipment Documentation Support and supervision Communication

Methods Primary data collection Literature Review Data Analysis Theoretical Framework Primary data collection Data Analysis

Findings 3

“Some people because of money they are going to pay, their children are dying at home” Caretaker 1. Holistic Care © Maura Daly

2. The Nursing Community "Nurses need to be encouraged, yes if a nurse does a good thing you need to give the nurse a plus … The area where the person don't work well, you call him or her in the office and say you know what, these days I have noticed something is wrong.” Nurse © Maura Daly

3. Organisational and systematic structures of care “Like now we don’t have the strips for random blood sugar, you know children normally die from hypoglycaemia” Nurse “Because if you’re trained good you are going to do a perfect job” Caretaker © Maura Daly

Limitations © Maura Daly

Conclusion Nurse managers to lead the way Future evaluations can benefit from gaining the perspectives of all those involved A patient-centred nursing model is crucial © Maura Daly

Acknowledgements All the caretakers, nurses and the whole Magburaka and Sierra Leone team, as well as the Public Health Department in Amsterdam. I would also like to say a huge thank you to Beverley Stringer and Tracey Chantler for their continuous support throughout the evaluation.

References Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Quality & Safety. 2013;22(10):809-15. Wilson RM, Michel P, Olsen S, Gibberd RW, Vincent C, El- Assady R, et al. Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. BMJ. 2012;344. Hoyt P. Problem Solving for Better Health Nursing: A working approach to the development and dissemination of applied research in developing countries. Applied Nursing Research. 2006;19(2):110-2. We confirm we have permission to use images from participants included in this presentation.