1. 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

2. Why am I here?
© Brian Buntz

3. © Lancashire Care NHS Foundation Trust

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

5. 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

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

7. Findings 3

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

9. 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

10. 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

11. Limitations
© Maura Daly

12. 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

13. 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.

14. 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):
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 ;19(2):110-2.
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