Nurses perform a critical part in preliminary evaluation and educating colostomy surgery patients before and after surgery. However, the preparedness of health-based institutions in providing care to the patients determines the success of colostomy care. This study aims at evaluating the institutional factors that influence colostomy care among nurses at the surgical wards of Kenyatta National Hospital, Kenya. A descriptive cross-sectional design was adopted. The target population was 120 nurses working at Kenyatta National Hospital surgical wards. Systematic random sampling was used to select a sample size of 101 nurses. Data was collected using a questionnaire. Data analysis was done descriptively through the use of frequencies and percentages. The relationship between various institutional factors and colostomy care was tested through the use of chi-square test statistics. The findings of the study revealed that the quality of colostomy care was unsatisfactory. Chi-square test statistics revealed that nurse/patients ratio, equipment, on-job training and institutional support significantly influenced colostomy care performance. The study recommended that hospitals should conduct Colostomy Care On-Job Training Program aimed at improving nurses’ knowledge and thus quality of care. The study also recommended that more resources should be provided to the hospitals so as to employ additional specialized nurses and provide the necessary equipment towards colostomy care.
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