Clients visit the clinic every month so that nurses and doctors can monitor and evaluate their progress.,Findings of the study show clients expect that nurses should follow up the clients' progress through interviews to ensure that treatment or interventions are helping the clients.
Clients indicated that they are supposed to come to the clinic to receive or collect medication every month. Findings show that routinely clients go to the clinic to collect medication or receive injections.
Clients indicated their expectation on progress monitoring and treatment collection by the following quotes:
Weare supposed to come to clinicso that nurses can evaluate our progress.
Nurses are supposedto take our blood pressure and blood sample.
Nurses are supposed to examine and see our progress.
When we go to the clinic we are supposed to meet nursesso that we can collect our repeat medication.
I go to the clinic to collect medication and have my injection.
A lot ofpeople come to the clinic just to collect treatment.
Wearesupposed to come to collect medication from the clinic. Category 3: Information Giving
As per the findings of the study, clients expect that nurses should give health education and give information to clients regarding their illness, treatment and management of their illness and problems. The following quotes are what the clients reported:
Just as what they do at other hospitals nurses are supposed to give health education to clients. Of course sometimes we have health education especially when there are students from the nursing colleges.
rVeare supposed to learn about our illness and how we can manage it.
Weare supposed to know about our treatment and their bad effects i.e. drowsiness.
Isupp ose we are also expected to understand the causes ofour illness.
...and giveus information on how todeal with our problems.
Nurses are expectedtoensure that their clients know what they are suffering from.
Theyshould try to tell us the truth ifwewill get better or not..
Sometimesifwe could be told our problems I think we could not be so stressed as we always are when coming to the clinic.
Clients' Recommendations of Therapeutic Interaction
Findings indicated that clients had recommendations as to what they thought nurses could do to improve the nurse client interaction at the clinics. Clients reported that it would be very important if they were involved in quality evaluation of the care they receive at the clinic. Clients indicated that they should always be asked their opinion about their care. Clients also identified that a number of problems might. result from shortage of nurses. They indicated that clients might not be given enough time because nurses are rushing to finish with the big number of clients allocated to only a few nurses.Clients recommendedthat nurses should organise themselves so that there are enough of them when coming to clinic. Clients reported that this would give them enough time to interact with each client.
The clients also reported that clients should be made aware that nurses are also human beings who have different personalities.They indicated that it should be a mutual interaction inwhich both nurses and clients should work together to satisfy each other. Clients also recommended that nurses should not forget that they are dealing with people with mental illness. Theysuggested that nurses should understand when interacting with clients that clients do not make some mistakes deliberately. The following quotes indicate clients' recommendations abouttherapeutic interaction:
Personally I thinkthere should bea lot ofthis typeofresearch so that asyou saidnurses should be able toknowhow wefeel about themso that they can change wherethey arenot
doing well.
They should always ask our opinion on issues beforetheydecide for us.
There should be a change in the way they communicate to us. They should takeusas grown ups because it upsets youwhenyou are treatedas a child.
Clientsshould always be madeaware that they should look at nursesas peoplewho have differentbehaviors too.
lf
theycan give us enough time whenwe come to clinic to explain our problems, I feel thiswill helpto improveour interaction.
They should stop shouting at uswhenwe do somethingwrong.
Nurses should ensurethat they areputting us first. They shouldgive usenough time to discuss ourproblems.
QUANTITATIVE DATA ANALYSIS Introduction
This section will present the findings for demographic analysis for the participants who filled in questionnaires. Itwill also present results for the clients' responses on perceptions and expectations of therapeutic interaction with nurses at the clinic. Quantitative data was
collected using a questionnaire (Appendix 1). Data was collectedby askingthe participahts the questions in the questionnaire. The researcher filled in participants' responses by circling and marking the responses that the respondents gave as their perceptions and expectations of therapeutic interaction. Data from the questionnaire was analysed using SPSS. Descriptive statistics were used to analyse data. Data was analysed into frequencies and percentages.
Findings from the respondents will be presented in figures e.g. tables and graphs.
Sample realization
The sample consisted of one hundred and sixty participants all of whom completed the questionnaires, though some left some questions unanswered.
Age
Participants were supposed to indicate which age range they belonged to on the
questionnaire. There was onlyone participant (0.6%)who was under the age range of 11- 20.
Therewere 38 participants (23.8%)within the age range of2l- 30years. Findings of the studyshow that there were 62 participants (38.8%) in the age range of 31-40. Forty-three participants (26.9%)were aged between 41- 50years. Sixteen-participants (10%) were aged above 51 years.
Figure 2: A graph showing age distribution.
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Gender Distribution
11-20 21- 30 31- 40
Age
41- 50 above 51
Findings of the study show that of one hundred and sixty participants, 87 participants (45.6%) were female and 73 (54.4%) participants weremale.
Figure3: A graphshowinggend er
160
140
120
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40
20 0
male
Marital Status
Gender
female
Findings show that 70 participants (43.8%)were married. Findings indicated that 34 participants(2 1.3%) were unmarried. There were 32 participants (20%) who were divorced.
Twenty-oneparticipants (13.1%) were widowed and finally three participants (1.9%)were separated from their spouses.
Figure 4: A graph showing results on marital status
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60
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. . 1 . . - _single married divorced widowed separated
Educational Background