Évaluation du respect des protocoles de soins infirmiers et de leurs effets sur la qualité des soins : étude menée à l’Hôpital Général de Référence de Wangata à Mbandaka (RDC)
Introduction: Compliance with nursing care protocols constitutes a major lever for quality assurance and patient safety at the bedside.
Objective: This study aimed to evaluate the level of compliance with care protocols by the nursing staff at the HGR/Wangata in Mbandaka, and to identify its independent determinants as well as its effects on the perceived quality of care.
Methodology: A quantitative, descriptive, and analytical cross-sectional study was conducted among 120 nurses selected through probability sampling. Data were collected using a standardized questionnaire and analyzed using Pearson’s Chi-square tests and a binary logistic regression model (significance threshold at 5%).
Results: Systematic implementation of protocols remains in the minority (47.5%). The major barriers identified are workload (78.3%) and input shortages (68.3%). In multivariate analysis, sufficient availability of care equipment (OR = 5.45; 95% CI: [2.34 – 12.68]; p < 0.001) and benefiting from recent continuous training (OR = 4.82; 95% CI: [2.12 – 10.95]; p = 0.001) constitute the only real independent determinants of procedural compliance, while years of experience lost its significance (p = 0.225). Rigorous compliance is strongly associated with the perceived reduction of clinical errors (85.0%) and user satisfaction (79.2%).
Conclusion: Clinical standardization at the HGR/Wangata requires logistical security and the institutionalization of continuous training.
Keywords: Evaluation, Compliance, Nursing care protocols, Care quality effects.
