FACTORS LEADING TO PROLONGED STAY OF PATIENTS IN KENYATTA NATIONAL HOSPITAL (NAIROBI COUNTY)
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Date
2025-10
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Publisher
Gretsa University
Abstract
The study titled "Factors Leading to Prolonged Stay of Patients in Kenyatta National Hospital,
Nairobi County" investigates the determinants of extended hospital stays and examines how
patients' financial status influences the quality of healthcare they receive. The research
objectives are to identify and analyse key factors contributing to prolonged hospital stays,
assess the impact of financial status on healthcare quality, explore dimensions of healthcare
quality affected by financial constraints—including access to services, treatment outcomes, and
patient satisfaction—and recommend evidence-based strategies to reduce prolonged hospital
stays while addressing healthcare disparities linked to financial challenges. A sample size of
289 patients was selected through stratified random sampling, ensuring representation across
different financial backgrounds and hospital departments. Data was collected via structured
questionnaires, patient interviews, and hospital records. Statistical techniques, including
multiple regression analysis and ANOVA, were employed to identify significant factors
contributing to prolonged hospital stays and to assess the influence of financial status on
healthcare quality. Findings revealed that key factors such as operational efficiency,
communication between healthcare providers and patients, and activity scheduling were
critical in determining the duration of hospital stays. Poor communication and inefficient
scheduling contributed to delays in patient discharge, particularly for patients facing financial
difficulties. Additionally, the quality of record-keeping and management processes
significantly influenced the hospital's ability to manage patient flow efficiently. Patients with
financial constraints experienced more challenges in accessing timely care, which in turn
prolonged their hospital stays. Conclusions drawn from the study indicate that addressing
operational inefficiencies, improving communication channels, and ensuring better access to
healthcare services for financially disadvantaged patients are essential strategies for reducing
prolonged hospital stays. The study recommends investing in hospital infrastructure, enhancing
staff training, and implementing policies aimed at reducing healthcare disparities linked to
patients' financial status. These interventions are expected to improve overall patient
satisfaction and healthcare outcomes at Kenyatta National Hospital. The study provides
valuable insights into the systemic issues prolonging hospital stays and offers strategic
recommendations for improving patient flow and reducing healthcare disparities. Ethical
considerations were adhered to throughout the study, including obtaining informed consent,
ensuring the confidentiality of patient information, and securing approval from relevant ethical
review boards.
Description
Research project
Keywords
MEDICINE::Social medicine::Public health medicine research areas::Public health science