Knowledge and Practice of Patient Environment Utilization in their Health Satisfaction Among Student Nurses in a College of Nursing in Kwara State

Abstract

Background: The patient environment plays a crucial role in promoting health satisfaction among hospitalized patients. As future healthcare professionals, nursing students must acquire knowledge and skills in using the patient environment to optimize patient outcomes. This study aimed to assess the level of knowledge and the extent of practice among nursing students in utilizing the patient environment to promote health satisfaction, and to identify barriers affecting the application of such knowledge during clinical experience.

Method: A descriptive cross-sectional survey was conducted among nursing students at Kwara State College of Nursing, Oke-Ode. The total target population was 500 nursing students; the calculated sample size was 222 using Taro Yamane’s formula, while 212 was the actual response obtained from the instrument administration (95.50% response rate). Data collected via the validated structured questionnaire were analyzed using descriptive statistics.

Results: An overwhelming majority of students (93.39%) were familiar with utilizing the patient environment to improve patient satisfaction, and 86.79% considered environmental modification an essential care component. While 89.62% actively considered environmental factors, only 51.42% consistently implemented physical modifications in wards. Obstacles were reported by 91.98% of respondents, primarily insufficient support from the healthcare team (46.22%), institutional policy constraints (55.24%), and ward layout limitations (42.45%). Additionally, 92.92% affirmed that structured mentorship would significantly bridge this theory-to-practice gap.

Conclusion: The findings indicate a positive knowledge base among nursing students regarding environmental health care practices, but a gap exists in translating this knowledge into clinical application. To bridge this gap, the study recommends curriculum reinforcement on environmental care, increased availability of clinical resources, and stronger mentorship during clinical postings.