1
|
Haruna J, Uemura S, Hayasaka N, Taguchi Y, Muranaka S, Niiyama S, Inamura H, Sawamoto K, Mizuno H, Himuro N, Narimatsu E. Prehospital emergency care family satisfaction scale for care provided by emergency medical technicians: Scale development and validation. J Eval Clin Pract 2024. [PMID: 38978398 DOI: 10.1111/jep.14090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 06/26/2024] [Indexed: 07/10/2024]
Abstract
RATIONALE To date, family satisfaction with emergency medical technicians (EMTs) has only been reported through narrative statements in subjective evaluations. Although a quantitative assessment of healthcare professional satisfaction is desirable, no specific measures have been devised to assess family satisfaction with the healthcare and care provided by EMTs. AIMS AND OBJECTIVES This study aimed to develop and validate an EMT care family satisfaction scale to measure patient satisfaction with prehospital emergency care. METHODS The study population comprised 216 family members (N = 216) of patients who used ambulances between November 2020 and May 2021 in a single region in Japan. Questionnaires were distributed to the participants who provided informed consent. An exploratory factor analysis of construct validity was performed to validate the Family Satisfaction Scale. The Cronbach's alpha was used to validate the internal consistency reliability of the scale. RESULTS The exploratory factor analysis results revealed a four-factor structure: 'explanation and communication,' 'physical treatment,' 'psychological support,' and 'environment in the ambulance.' The Cronbach's range (0.80-0.93) for the total score for each of these four factors and the overall total score confirmed favorable internal reliability of this study. CONCLUSIONS The family satisfaction scale developed in this study was constructed and validated to highlight the role of EMTs and needs of the families in the prehospital care settings. Moreover, this scale can be applied in the evaluation and consideration of interventions to improve family satisfaction with EMTs.
Collapse
Affiliation(s)
- Junpei Haruna
- Department of Intensive Care Medicine, School of Medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
| | - Shuji Uemura
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Emergency Medicine, Sapporo Medical University School of Medicine, Hokkaido, Japan
| | | | - Yukiko Taguchi
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Nursing, School of Health Sciences, Sapporo Medical University, Hokkaido, Japan
| | - Saori Muranaka
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Advanced Critical Care and Emergency Center, Sapporo Medical University Hospital, Hokkaido, Japan
| | - Sachi Niiyama
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Advanced Critical Care and Emergency Center, Sapporo Medical University Hospital, Hokkaido, Japan
| | - Hirotoshi Inamura
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Pharmacy, Sapporo Medical University Hospital, Hokkaido, Japan
| | - Keigo Sawamoto
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Emergency Medicine, Sapporo Medical University School of Medicine, Hokkaido, Japan
| | - Hirotoshi Mizuno
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Emergency Medicine, Sapporo Medical University School of Medicine, Hokkaido, Japan
| | - Nobuaki Himuro
- Department of Public Health, School of Medicine, Sapporo Medical University, Sapporo, Japan
| | - Eichi Narimatsu
- Department of Emergency Medical Services, Life Flight and Disaster medicine, Sapporo Medical University, Hokkaido, Japan
- Department of Emergency Medicine, Sapporo Medical University School of Medicine, Hokkaido, Japan
| |
Collapse
|
2
|
Mir-Tabar A, Pardo-Herrera L, Goñi-Blanco A, Martínez-Rodríguez MT, Goñi-Viguria R. Patient satisfaction with nursing care in an Intensive Care Unit measured through the Nursing Intensive-Care Satisfaction Scale (NICSS). ENFERMERIA INTENSIVA 2024; 35:201-212. [PMID: 38523052 DOI: 10.1016/j.enfie.2023.10.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 10/04/2023] [Indexed: 03/26/2024]
Abstract
BACKGROUND Patient satisfaction in relation with nursing care has become a key determinant of the quality of hospital care. OBJECTIVES To evaluate patient satisfaction in relation with nursing care in a critical care context; to determine the correlation between critical patient satisfaction and sociodemographic and clinical variables and to describe patient perceptions with nursing care. METHODS A descriptive, prospective, correlational study which includes the analysis of some open questions in the intensive care unit (ICU) of a tertiary level university hospital. The degree of satisfaction of all patients discharged from de ICU was evaluated. It was used the validated Spanish version of Nursing Intensive-Care Satisfaction-Scale (NICSS). There were also collected sociodemographic and clinical data and 3 open questions were asked. It was used the inferential and descriptive statistics considering statistically significant p<.05. Open questions were examined using a language context analysis. The approval of the hospital ethical committee was obtained. RESULTS 111 patients agreed to participate, with a mean age of 64.18 years (CI 95% 61.36-66.88) and with a medium level of satisfaction of 5.83 (CI 95% 5.78-5.88) being 6 the maximum score. Women, older patients and those who reflect a higher degree of recovery, are those who reported greater satisfaction. Three main themes emerged from the analysis of the open-ended questions of the surveys: nurse patient relationship, professional practice environment and ICU nature. CONCLUSION Patient satisfaction in relation with nursing care was elevated. Age, sex and degree of recovery significantly influenced their perception. Nurse patient relationship and the professional practice environment were aspects highlighted by patients. The professional model incorporated by the institution may encouraged these results.
Collapse
Affiliation(s)
- A Mir-Tabar
- Unidad de Cuidados Intensivos, Clínica Universidad de Navarra, Universidad de Navarra, Navarra, Spain.
| | - L Pardo-Herrera
- Unidad de Cuidados Intensivos, Clínica Universidad de Navarra, Universidad de Navarra, Navarra, Spain.
| | - A Goñi-Blanco
- Unidad de Cuidados Intensivos, Clínica Universidad de Navarra, Universidad de Navarra, Navarra, Spain.
| | - M T Martínez-Rodríguez
- Unidad de Cuidados Intensivos, Clínica Universidad de Navarra, Universidad de Navarra, Navarra, Spain.
| | - R Goñi-Viguria
- Práctica Avanzada del Área de Críticos, Clínica Universidad de Navarra, Universidad de Navarra, Navarra, Spain.
| |
Collapse
|
3
|
Salleras-Duran L, Fuentes-Pumarola C, Fontova-Almató A, Roqueta-Vall-Llosera M, Cámara-Liebana D, Ballester-Ferrando D. Pain and Satisfaction Perceptions of Ultrasound-Guided Versus Conventional Peripheral Intravenous Catheterization: A Randomized Controlled Trial. Pain Manag Nurs 2024; 25:e37-e44. [PMID: 37633742 DOI: 10.1016/j.pmn.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Revised: 05/31/2023] [Accepted: 07/29/2023] [Indexed: 08/28/2023]
Abstract
BACKGROUND While many emergency department (ED) patients need peripheral vascular catheterization, diagnosis and treatment are often delayed by difficult intravenous access (DIVA). AIMS This study of ED patients with DIVA was designed to evaluate ultrasound (US)-guided peripheral intravenous (IV) catheterization, compare it with conventional catheterization, and analyse patient pain and satisfaction regarding catheterization. DESIGN Randomized controlled clinical trial. METHODS Adult patients treated in the ED who scored >3 on the Adult-Difficult Venous Catheterization scale were randomly assigned to either US-guided or conventional peripheral IV catheterization. Data were collected from April to December 2016. Study variables were catheter insertion success, number of catheterization attempts, time required to perform the procedure, catheter length and calibre, puncture site, complications, and catheter functioning. Pain and patient satisfaction were also analysed for each group and the full sample. RESULTS 120 and 138 patients were recruited for the US-guided and conventional peripheral IV catheterization groups, respectively. For the US-guided compared to the conventional procedure, insertion success was greater (91.75% versus 89.9%; p=0.04), the mean (SD) number of attempts was lower (1.29 (0.59) versus 1.81 (1.28); p<0.001), mean (SD) satisfaction was greater (7.59 (2.04) versus 6.69 (2.28); p=0.03), and the mean (SD) required time in minutes was greater (7.89 (7.13) versus 5.1 (3.69); p=0.045). Mean (SD) pain was moderate in both groups (4.6 (2.75) versus 4.33 (2.91) (p=0.32). Logistic regression for the full sample indicated that more attempts and greater pain were both associated with reduced satisfaction, while use of higher-calibre catheters was associated with greater satisfaction. CONCLUSION US-guided compared to conventional peripheral IV catheterization in patients with DIVA was more successful, required fewer attempts, enabled use of longer and higher-calibre catheters, and led to greater patient satisfaction. Patients who underwent US-guided intravenous catheterization reported moderate pain, similar to that reported for the conventional procedure. CLINICAL IMPLICATIONS US-guided peripheral intravenous catheterization improves ED patient care, as it requires fewer catheterization attempts. It is especially recommended for patients with DIVA.
Collapse
Affiliation(s)
- Laia Salleras-Duran
- From the Hospital of Figueras, Salut Empordà Foundation. Health, Gender and Aging Research Group, Department of Nursing, University of Girona, Spain.
| | | | | | | | - David Cámara-Liebana
- Quality of Life Research Institute, Department of Nursing, University of Girona, Spain
| | | |
Collapse
|
4
|
Karachi F, van Nes MB, Gosselink R, Hanekom S. Patient perceptions of ICU physiotherapy: 'Your body needs to go somewhere to be recharged … '. SOUTHERN AFRICAN JOURNAL OF CRITICAL CARE 2023; 39:e1092. [PMID: 38357692 PMCID: PMC10866209 DOI: 10.7196/sajcc.2023.v39i3.1092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/15/2023] [Indexed: 02/16/2024] Open
Abstract
Background Patient satisfaction is an essential concept to consider for the improvement of quality care in healthcare centres and hospitals and has been linked to increased patient compliance with treatment plans, better patient safety and improved clinical outcomes. Objectives As part of a before-and-after clinical trial aimed to investigate the implementation of an evidence-based and -validated physiotherapy protocol within a surgical intensive care unit (ICU), we decided to include the patient perception of physiotherapy received in the intervention unit. Methods A nested, exploratory, descriptive, qualitative study design was adopted. Purposively selected adult patients discharged from ICU during the implementation phase of the trial were interviewed. Results Eighteen patients (10 male) with a median age of 44 years and median ICU length of stay (LOS) of six days were included. Three themes and nine categories emerged: (i) linking therapy to clinical outcome (patient expectations and understanding; physiotherapy activities and the implication of mobilisation; physiotherapy benefits and progression); (ii) the importance of developing a trusting relationship (physiotherapy value; safety; continuity of care); and (iii) communication (satisfaction; interactions and patient perception and experience of physiotherapy). Conclusion While confirming barriers to early mobility, patients perceived participation in mobility activities as a marked jolt in their journey to recovery following a critical incident. Effective communication and preservation of trust between physiotherapist and patient are essential for understanding expectations and can facilitate improved outcomes. Clinicians can use the information when managing critically ill patients. Including patient-reported outcomes to measure physiotherapy interventions used in the ICU is feasible and can inform the development of such outcomes. Contribution of the study The study highlights the feasibility and importance of the use of patient-reported outcomes to measure physiotherapy interventions and informs the development of patient reported outcomes and the importance of patient centred physiotherapy care in the ICU setting.
Collapse
Affiliation(s)
- F Karachi
- Physiotherapy Department, Faculty of Community and Health Sciences, University of the Western Cape, Bellville, South Africa
| | - M B van Nes
- Physiotherapy Department, Department of Health and Rehabilitation Sciences, Stellenbosch University, Tygerberg, South Africa
| | - R Gosselink
- Respiratory Rehabilitation, Department of Rehabilitation Sciences, KU Leuven, Belgium; and Department of Physiotherapy, Stellenbosch University,
Tygerberg, South Africa
| | - S Hanekom
- Physiotherapy Department, Department of Health and Rehabilitation Sciences, Stellenbosch University, Tygerberg, South Africa
| |
Collapse
|
5
|
Delgado-Hito P, Alcalà-Jimenez I, Martinez-Momblan MA, de la Cueva-Ariza L, Adamuz-Tomás J, Cuzco C, Benito-Aracil L, Romero-García M. Satisfaction of intensive care unit patients linked to clinical and organisational factors: A cross-sectional multicentre study. Aust Crit Care 2023; 36:716-722. [PMID: 36456425 DOI: 10.1016/j.aucc.2022.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 10/17/2022] [Accepted: 10/17/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The satisfaction of critical care patients with the nursing care they receive is a key indicator of the quality of hospital care. OBJECTIVES The objectives of this study were to analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and sociodemographic, clinical, and organisational variables. DESIGN This was a prospective, descriptive correlational study. SETTING AND METHODS The population consisted of all patients discharged from the intensive care units (ICUs) of 19 hospitals in Spain between December 2018 and December 2019. The level of satisfaction was measured using the validated Nursing Intensive Care Satisfaction Scale, and sociodemographic, clinical, and organisational data were collected. RESULTS Participants' mean age (n = 677) was 59.7 (standard deviation: 16.1), and 62.8% of them were men (n = 426). Satisfaction with the nursing care received was 5.66 (SD: 0.68) out of a possible 6. The score for overall satisfaction presented statistically significant relationships with the hours of mechanical ventilation (p = 0.034), with the participant's perception of own health status (p = 0.01), with the participant's perceived degree of own recovery (p = 0.01), with the hospital's complexity level (p = 0.002), with the type of hospital (p = 0.005), and with the type of ICU (p = 0.004). Finally, the logistic regression model shows that the Nursing Intensive Care Satisfaction Scale score was not linked to age or sex but did have a statistically significant relationship with the perceived degree of recovery (p < 0.001) and the type of ICU (p=<0.001). The variables that predicted satisfaction were age, degree of recovery, and the type of ICU. CONCLUSION Several studies show that patient satisfaction is related to the patient's perceived health status and perceived degree of recovery, a finding that is confirmed in our study. Our study moves beyond these outcomes to show that the hours of mechanical ventilation and the characteristics of the hospital also have a significant relationship with patients' satisfaction.
Collapse
Affiliation(s)
- Pilar Delgado-Hito
- School of Nursing, University of Barcelona (Barcelona), Spain; Fundamental Care and Medical-Surgical Nursing Department, Spain; IDIBELL, Institute of Biomedical Research, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI, Spain
| | | | - Maria Antonia Martinez-Momblan
- School of Nursing, University of Barcelona (Barcelona), Spain; Fundamental Care and Medical-Surgical Nursing Department, Spain; IDIBELL, Institute of Biomedical Research, Spain
| | - Laura de la Cueva-Ariza
- School of Nursing, University of Barcelona (Barcelona), Spain; Fundamental Care and Medical-Surgical Nursing Department, Spain; IDIBELL, Institute of Biomedical Research, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI, Spain
| | - Jordi Adamuz-Tomás
- Nursing Knowledge Management and Information Systems Department, Bellvitge University Hospital (IDIBELL), L'Hospitalet de Llobregat, Catalunya, Spain; School of Nursing, Medicine and Health Science Faculty, University of Barcelona, Barcelona, Spain
| | - Cecilia Cuzco
- Department of Fundamental and Medical-Surgical Nursing, School of Nursing, University of Barcelona, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Llúcia Benito-Aracil
- School of Nursing, University of Barcelona (Barcelona), Spain; Fundamental Care and Medical-Surgical Nursing Department, Spain; IDIBELL, Institute of Biomedical Research, Spain.
| | - Marta Romero-García
- School of Nursing, University of Barcelona (Barcelona), Spain; Fundamental Care and Medical-Surgical Nursing Department, Spain; IDIBELL, Institute of Biomedical Research, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI, Spain
| |
Collapse
|
6
|
Alcalá-Jiménez I, Delgado-Hito P, Benito-Aracil L, Martínez-Momblan MA, Muñóz-Rey P, Otero-García I, Sánchez-Pamplona C, Romero-García M. National validation of the nursing Intensive-Care satisfaction scale: Research protocol. Nurs Open 2023. [PMID: 37157228 DOI: 10.1002/nop2.1777] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2021] [Revised: 02/19/2023] [Accepted: 04/16/2023] [Indexed: 05/10/2023] Open
Abstract
AIM Validate the Nursing Intensive-Care Satisfaction Scale in ICUs throughout Spain. Identify the improvement strategies recommended by the patients and professionals. DESIGN Quantitative psychometric methodology and a cross-sectional descriptive correlational design. METHODS The study population will be all patients discharged from 19 participating ICUs in Spain. Consecutive sampling (n = 564). Once discharged from the ICUs, they will receive the questionnaire and then, after 48 hours it will be given to them again to analyse the temporal stability. To validate the questionnaire, the internal consistency (Cronbach's Alpha) and temporal stability (test-retest) will be analysed. RESULTS Improve the quality of nursing care by modifying, changing or strengthening behaviours, skills, attitudes or areas for improvement involved in the process.
Collapse
Affiliation(s)
- Isidro Alcalá-Jiménez
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
- International Research Project: Proyecto HU-CI, Madrid, Spain
| | - Llúcia Benito-Aracil
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
| | - María Antonia Martínez-Momblan
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- Center for Biomedical Research in Mental Health Network (CIBERSAM), Madrid, Spain
| | - Pilar Muñóz-Rey
- Intensive Care Unit, Hospital Germans Trias i Pujol, Barcelona, Spain
| | - Irene Otero-García
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Cristina Sánchez-Pamplona
- Hospital Vall d'Hebrón, Barcelona, Spain
- Intensive Care Unit, Hospital del Mar Medical Research Institute (IMIM), Barcelona, Spain
| | - Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, Faculty of Nursing, University of Barcelona, Barcelona, Spain
- IDIBELL, Bellvitge Biomedical Research Institute, Barcelona, Spain
- International Research Project: Proyecto HU-CI, Madrid, Spain
| |
Collapse
|
7
|
Santana-Padilla YG, Bernat-Adell MD, Santana-Cabrera L. Nurses’ perception on competency requirement and training demand for intensive care nurses. Int J Nurs Sci 2022; 9:350-356. [PMID: 35891902 PMCID: PMC9305005 DOI: 10.1016/j.ijnss.2022.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 05/29/2022] [Accepted: 06/13/2022] [Indexed: 11/19/2022] Open
Affiliation(s)
- Yeray Gabriel Santana-Padilla
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
- Corresponding author.
| | | | - Luciano Santana-Cabrera
- Complejo Hospitalario Universitario Insular Materno Infantil, Las Palmas de Gran Canaria, Canary Islands, Spain
| |
Collapse
|
8
|
Haruna J, Minamoto N, Shiromaru M, Taguchi Y, Makino N, Kanda N, Uchida H. Emergency Nursing-Care Patient Satisfaction Scale (Enpss): Development and Validation of a Patient Satisfaction Scale with Emergency Room Nursing. Healthcare (Basel) 2022; 10:healthcare10030518. [PMID: 35326996 PMCID: PMC8954055 DOI: 10.3390/healthcare10030518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2022] [Revised: 03/09/2022] [Accepted: 03/11/2022] [Indexed: 01/25/2023] Open
Abstract
This study aimed to develop and validate an emergency nursing-care patient satisfaction scale to measure patient satisfaction with emergency room (ER) nursing. Patient satisfaction scales for ER nursing have been validated without considering the perspectives of the healthcare system or cultural background of the country. Moreover, although nursing care is changing with COVID-19, no scale has been specifically designed to assess patient satisfaction with ER nursing. The study population included patients who visited five ERs in Japan (March to December 2021) (n = 135). The rating scales were provided to patients who visited the ER and gave consent, and the patients were asked to reply. In the process of validating the scale, exploratory and confirmatory factor analyses of the construct and criterion validity were conducted. The confirmatory factor analysis results showed a factorial structure consisting of four factors. The domain and summary scores demonstrated good-to-excellent internal reliability (Cronbach’s range = 0.81–0.89). This patient satisfaction scale was designed and validated from the perspective of the Japanese healthcare system and cultural backgrounds. This scale may be useful for developing assessments and interventions to improve patient satisfaction with ER nursing.
Collapse
Affiliation(s)
- Junpei Haruna
- Department of Intensive Care Medicine, School of Medicine, Sapporo Medical University, Sapporo 060-8543, Japan
- Correspondence:
| | - Naomi Minamoto
- Department of Nursing, Sapporo City General Hospital, Sapporo 060-8604, Japan;
| | - Mizue Shiromaru
- Department of Nursing, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan; (M.S.); (Y.T.)
| | - Yukiko Taguchi
- Department of Nursing, School of Health Sciences, Sapporo Medical University, Sapporo 060-8556, Japan; (M.S.); (Y.T.)
| | - Natsuko Makino
- Department of Nursing, Sapporo Medical University Hospital, Sapporo 060-8543, Japan; (N.M.); (H.U.)
| | - Naoki Kanda
- Department of Nursing & Social Services, Health Sciences University of Hokkaido, Tobetsu 061-0293, Japan;
| | - Hiromi Uchida
- Department of Nursing, Sapporo Medical University Hospital, Sapporo 060-8543, Japan; (N.M.); (H.U.)
| |
Collapse
|
9
|
Guerra-Martín MD, González-Fernández P. Satisfaction of patients and family caregivers in adult intensive care units: Literature Review. ENFERMERIA INTENSIVA 2021; 32:207-219. [PMID: 34764071 DOI: 10.1016/j.enfie.2020.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 07/07/2020] [Indexed: 10/19/2022]
Abstract
Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known. OBJECTIVE To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature. METHODOLOGY A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases. SEARCH STRATEGY "Personal Satisfaction" and (patients or caregivers) and "Intensive Care Units". INCLUSION CRITERIA studies published between 2013-2018, population aged between 19-64 years, English and Spanish language. RESULTS 760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n = 5), the quality of care (n = 4), and the cleanliness and environment of the units (n = 2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n = 5), inadequate communication (n = 4), and the involvement of families and patients in decision-making (n = 4). Training of professionals (n = 5), inclusion of the family during the process of hospitalization (n = 2) and redesigning the waiting room (n = 2) are some of the suggestions for improvement. CONCLUSIONS Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment.
Collapse
Affiliation(s)
- M D Guerra-Martín
- Profesora Titular de Universidad, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Sevilla, Spain.
| | - P González-Fernández
- Enfermera Interna Residente, Hospital Virgen de Valme, Servicio Andaluz de Salud, Sevilla, Spain
| |
Collapse
|
10
|
Cuzco C, Castro Rebollo P, Marín Pérez R, Núñez Delgado AI, Romero García M, Martínez Momblan MA, Estrada Reventós D, Martínez Estalella G, Delgado-Hito P. Mixed-method research protocol: Development and evaluation of a nursing intervention in patients discharged from the intensive care unit. Nurs Open 2021; 8:3666-3676. [PMID: 33955196 PMCID: PMC8510756 DOI: 10.1002/nop2.894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 01/28/2021] [Accepted: 03/29/2021] [Indexed: 11/06/2022] Open
Abstract
AIM (a) To understand patients' lived experience at intensive care unit (ICU) discharge and (b) to evaluate the impact of a nursing empowerment intervention (NEI) on patients' anxiety and depression levels at ICU discharge. DESIGN A mixed-methods approach will be applied. METHODS In the qualitative phase, the hermeneutic phenomenological method will be used. Participants will be patients from three university hospitals who will be selected by purposive sampling. Data will be gathered through in-depth interviews and analysed using content analysis. The qualitative data obtained will be employed to develop the nursing intervention. Subsequently, a multicenter, parallel-group, experimental pre-test/post-test design with a control group will be used to measure the effectiveness of the nursing empowerment intervention in the quantitative phase by means of the Hospital Anxiety and Depression Scale (HADS). Simple random probabilistic sampling will include 172 patients in this phase.
Collapse
Affiliation(s)
- Cecilia Cuzco
- Hospital Clinic, Barcelona, Spain.,Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain.,Biomedical Research Institute August Pi Sunyer (IDIBAPS), Hospital Clinic Barcelona, Barcelona, Spain
| | - Pedro Castro Rebollo
- Hospital Clinic, Barcelona, Spain.,Biomedical Research Institute August Pi Sunyer (IDIBAPS), Hospital Clinic Barcelona, Barcelona, Spain.,School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
| | | | | | - Marta Romero García
- Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain.,Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), l'Hospitalet de Llobregat, Spain
| | - M Antonia Martínez Momblan
- Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain
| | - Dolors Estrada Reventós
- Hospital Clinic, Barcelona, Spain.,Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain.,Biomedical Research Institute August Pi Sunyer (IDIBAPS), Hospital Clinic Barcelona, Barcelona, Spain
| | - Gemma Martínez Estalella
- Hospital Clinic, Barcelona, Spain.,Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain.,Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), l'Hospitalet de Llobregat, Spain
| | - Pilar Delgado-Hito
- Faculty of Medicine and Health Sciences, School of Nursing, Department of Fundamental and Medical-Surgical Nursing, Universitat de Barcelona, Barcelona, Spain.,Nursing Research Group (GRIN), Bellvitge Biomedical Research Institute (IDIBELL), l'Hospitalet de Llobregat, Spain
| |
Collapse
|
11
|
Abstract
The International Research Project for the Humanization of Intensive Care Units (Proyecto HU-CI) was initiated in 2014. The aim of this project is to change the current paradigm toward a human-centered care model. Patients, families, and professionals (everyday stakeholders) were asked to describe their ideal intensive care unit (ICU). Using their opinions, 8 fields of research to improve the management of ICUs and change the reality of care throughout the world were designed. This replicable tested model to humanize the ICU care delivery model is presented.
Collapse
Affiliation(s)
- José Manuel Velasco Bueno
- Hospital Virgen de la Victoria, Málaga, Spain; International Research Project for the Humanization of Intensive Care Units (Proyecto HU-CI)
| | - Gabriel Heras La Calle
- International Research Project for the Humanization of Intensive Care Units (Proyecto HU-CI); Intensive Care Unit, Hospital Universitario de Torrejón, Madrid, Spain; Universidad Francisco de Vitoria, Madrid, Spain.
| |
Collapse
|
12
|
Guerra-Martín MD, González-Fernández P. Satisfaction of patients and family caregivers in adult intensive care units: Literature Review. ENFERMERIA INTENSIVA 2020; 32:S1130-2399(20)30085-7. [PMID: 33097397 DOI: 10.1016/j.enfi.2020.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Revised: 06/13/2020] [Accepted: 07/07/2020] [Indexed: 11/19/2022]
Abstract
Intensive care units are hostile places, which must be conditioned to the needs of patients and families, and therefore the factors that influence their satisfaction must be known. OBJECTIVE To update the knowledge on the satisfaction of the patients admitted to an adult intensive care unit and that of their family caregivers as described in the scientific literature. METHODOLOGY A systematized literature review was carried out in PubMed, Scopus, Cinahl and WOS databases. SEARCH STRATEGY "Personal Satisfaction" and (patients or caregivers) and "Intensive Care Units". INCLUSION CRITERIA studies published between 2013-2018, population aged between 19-64 years, english and spanish language. RESULTS 760 studies were located and 15 were selected. The factors that increased satisfaction are: good communication with professionals (n=5), the quality of care (n=4), and the cleanliness and environment of the units (n=2). The factors that produced dissatisfaction are: the infrastructure of the waiting room (n=5), inadequate communication (n=4), and the involvement of families and patients in decision-making (n=4). Training of professionals (n=5), inclusion of the family during the process of hospitalization (n=2) and redesigning the waiting room (n=2) are some of the suggestions for improvement. CONCLUSIONS Factors related to professionals, environment and cleanliness of the units are satisfaction-generating factors. Factors generating dissatisfaction related to poor infrastructure, a lack of involvement in decision-making and poor professional communication. Strategies to improve patient and family satisfaction relate to the organization, professionals, family members, and infrastructure and environment.
Collapse
Affiliation(s)
- M D Guerra-Martín
- Profesora Titular de Universidad. Facultad de Enfermería, Fisioterapia y Podología. Universidad de Sevilla, Sevilla, España.
| | - P González-Fernández
- Enfermera Interna Residente. Hospital Virgen de Valme. Servicio Andaluz de Salud, Sevilla, España
| |
Collapse
|
13
|
Romero-García M, Delgado-Hito P, de la Cueva-Ariza L, Martínez-Momblan MA, Lluch-Canut MT, Trujols-Albet J, Juvé-Udina ME, Benito L. Level of satisfaction of critical care patients regarding the nursing care received: Correlation with sociodemographic and clinical variables. Aust Crit Care 2018; 32:486-493. [PMID: 30591313 DOI: 10.1016/j.aucc.2018.11.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 09/13/2018] [Accepted: 11/05/2018] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND The satisfaction of critical care patients regarding the nursing care received is a key indicator of the quality of hospital care. It is, therefore, essential to identify the factors associated with the level of satisfaction of critical care patients. OBJECTIVES To analyse the level of satisfaction of critical care patients in relation to the nursing care received and to determine the relationship between the level of satisfaction and the sociodemographic and clinical variables. METHODS This is a prospective and descriptive correlational study. The population were all patients discharged (January 2013 to January 2015) from three intensive care units of a third-level hospital (n = 200). The data on the satisfaction level were collected using the previously validated Nursing Intensive-Care Satisfaction Scale, and the sociodemographic and clinical data were recorded by means of a questionnaire. RESULTS Mean participants' age in the study (n = 200) was 65.9 years (standard deviation 13.4 years), with a 66% proportion of men (n = 132). There was a very high level of satisfaction regarding the nursing care received during the patients' stay in the intensive care unit, with a rating of 5.73 (standard deviation 0.41). There is no correlation between the level of satisfaction and the sociodemographic variables collected. However, there were statistically significant differences in the average score of the overall level of satisfaction (rho = 0.182, p = 0.010) with respect to the perception of the state of health. CONCLUSION Critical care patients expressed very high rates of satisfaction, for both the scale as a whole and each of the factors. A high level of satisfaction is strongly influenced by the perception of the state of health.
Collapse
Affiliation(s)
- Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project: Proyecto HU-CI, Cerceda Nº 11, 28400 Collado Villalba, Madrid, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project: Proyecto HU-CI, Cerceda Nº 11, 28400 Collado Villalba, Madrid, Spain.
| | - Laura de la Cueva-Ariza
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain; International Research Project: Proyecto HU-CI, Cerceda Nº 11, 28400 Collado Villalba, Madrid, Spain
| | - Maria Antonia Martínez-Momblan
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain
| | - Maria Teresa Lluch-Canut
- Public Health, Mental Health and Perinatal Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain
| | - Joan Trujols-Albet
- Psychiatry Service, Santa Creu i Sant Pau Hospital, Sant Quintí, 89, 08041 Barcelona, Spain; Biomedical Research Institute (IIB Sant Pau), Sant Antoni M(a) Claret, 167 Pavelló Nº 16, Sant Frederic, 08025 Barcelona, Spain; Center for Biomedical Research in Mental Health Network (CIBERSAM), Hospital General Universitario Gregorio Marañón, Pabellón de Gobierno 1, Dr. Esquerdo, 46, 28007 Madrid, Spain
| | - Maria-Eulàlia Juvé-Udina
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain
| | - Llúcia Benito
- Fundamental Care and Medical-Surgical Nursing Department, School of Nursing, University of Barcelona, Pavelló de Govern, 3° pl. 08907 L'Hospitalet de Llobregat, Barcelona, Spain; IDIBELL, Bellvitge Biomedical Research Institute, Avinguda de la Granvia, 199. 08908 L'Hospitalet de Llobregat, Barcelona, Spain
| |
Collapse
|
14
|
Fernández-Castillo A, Vílchez-Lara MJ. [Satisfaction with care received in pediatric emergency services: impact of family interaction and emotional disturbance]. CIENCIA & SAUDE COLETIVA 2018; 23:1033-1044. [PMID: 29694582 DOI: 10.1590/1413-81232018234.28492015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Accepted: 06/23/2016] [Indexed: 11/22/2022] Open
Abstract
This study addresses the relationship between two key elements in satisfaction with pediatric emergency services, namely emotional disturbance and family interaction. The main goal is to determine whether family cohesion and adaptability and anger may be associated with differential levels of satisfaction among parents whose children were attended in pediatric emergency units. It is a descriptive study for which a sample of 711 parents whose children were attended in 6 pediatric emergency services was studied. The Spanish version of the State-Trait Anger Expression Inventory-2 (Staxi-2), the Satisfaction with Healthcare Services Scale and the Family Adaptability and Cohesion Evaluation Scale (Faces) were used respectively. Data analysis included a Spearman bivariate correlations analysis, Kruskal Wallis, Mann-Whitney test and path-analysis using a structural equations model. The results support the hypothesis that higher levels of family cohesion and adaptability as well as lower levels of anger are associated with higher levels of satisfaction among parents.
Collapse
Affiliation(s)
| | - María J Vílchez-Lara
- Servicio Andaluz de Salud, Hospital Universitario "Virgen de las Nieves", Granada, España
| |
Collapse
|
15
|
Romero-García M, de la Cueva-Ariza L, Benito-Aracil L, Lluch-Canut T, Trujols-Albet J, Martínez-Momblan MA, Juvé-Udina ME, Delgado-Hito P. Nursing Intensive-Care Satisfaction Scale [NICSS]: Development and validation of a patient-centred instrument. J Adv Nurs 2018; 74:1423-1435. [PMID: 29444339 DOI: 10.1111/jan.13546] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/30/2018] [Indexed: 01/03/2023]
Abstract
AIM The aim of this study was to develop and validate the Nursing Intensive-Care Satisfaction Scale to measures satisfaction with nursing care from the critical care patient's perspective. BACKGROUND Instruments that measure satisfaction with nursing cares have been designed and validated without taking the patient's perspective into consideration. Despite the benefits and advances in measuring satisfaction with nursing care, none instrument is specifically designed to assess satisfaction in intensive care units. DESIGN Instrument development. METHODS The population were all discharged patients (January 2013 - January 2015) from three Intensive Care Units of a third level hospital (N = 200). All assessment instruments were given to discharged patients and 48 hours later, to analyse the temporal stability, only the questionnaire was given again. The validation process of the scale included the analysis of internal consistency, temporal stability; validity of construct through a confirmatory factor analysis; and criterion validity. RESULTS Reliability was 0.95. The intraclass correlation coefficient for the total scale was 0.83 indicating a good temporal stability. Construct validity showed an acceptable fit and factorial structure with four factors, in accordance with the theoretical model, being Consequences factor the best correlated with other factors. Criterion validity, presented a correlation between low and high (range: 0.42-0.68). CONCLUSIONS The scale has been designed and validated incorporating the perspective of critical care patients. Thanks to its reliability and validity, this questionnaire can be used both in research and in clinical practice. The scale offers a possibility to assess and develop interventions to improve patient satisfaction with nursing care.
Collapse
Affiliation(s)
- Marta Romero-García
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Laura de la Cueva-Ariza
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Llucia Benito-Aracil
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Teresa Lluch-Canut
- Public Health, Mental Health and Perinatal Nursing Department, University of Barcelona, Barcelona, Spain
| | - Joan Trujols-Albet
- Sant Pau Biomedical Research Institute (IIB Sant Pau), Center for Biomedical Research in Mental Health Network (CIBERSAM), Santa Creu i Sant Pau Hospital, Barcelona, Spain
| | | | - Maria-Eulàlia Juvé-Udina
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| | - Pilar Delgado-Hito
- Fundamental Care and Medical-Surgical Nursing Department, Bellvitge Biomedical Research Institute (IDIBELL), HU-CI International Research Project, University of Barcelona, Barcelona, Spain
| |
Collapse
|
16
|
Tejada-Pérez II. “No es fácil estar 24 horas en una cama”: confort del paciente con sedación en una unidad de cuidado intensivo. AQUICHAN 2017. [DOI: 10.5294/aqui.2017.17.4.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: comprender el significado que tiene para el enfermero el confort del paciente en estado crítico, que se encuentra bajo efectos de sedación en la unidad de cuidado intensivo. Materiales y métodos: enfoque cualitativo, con herramientas de la etnografía particularista; se realizaron 100 horas de observación, 9 entrevistas, 1 grupo focal y registro en el diario de campo; lo anterior permitió triangular, codificar y categorizar la información para obtener una visión total del fenómeno; se garantizó la confidencialidad de los participantes. Resultados: el significado que le otorgan los enfermeros al confort del paciente bajo efectos de sedación es “estar tranquilo”, entendido como la armonía entre tres filiaciones: ambiente y compañía, comodidad y protección, analgesia y sedación, cada una con elementos excluyentes pero interdependientes, que determinan la tranquilidad del paciente. Conclusiones: el paciente en estado crítico, bajo efectos de sedación, no es consciente de sus necesidades, por tanto, depende del enfermero para identificarlas y satisfacerlas. Para ello, el enfermero interpreta los signos manifestados por el paciente y aplica el cuidado compasivo, para brindar confort a la persona cuidada.
Collapse
|
17
|
Arias-Rivera S, M. Sánchez-Sánchez M. ¿Es necesario « humanizar » las Unidades de Cuidados Intensivos en España? ENFERMERIA INTENSIVA 2017; 28:1-3. [DOI: 10.1016/j.enfi.2017.02.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2017] [Accepted: 02/06/2017] [Indexed: 11/16/2022]
|
18
|
Santiago de Castro E. Experiencia de estar hospitalizado en una unidad de cuidado intensivo coronario de Barranquilla. AVANCES EN ENFERMERÍA 2016. [DOI: 10.15446/av.enferm.v33n3.41841] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
<p>La experiencia de estar hospitalizado en una unidad de cuidado intensivo genera ansiedad, angustia y estrés en la persona. Los pacientes con enfermedad coronaria requieren de cuidados especiales en este tipo de unidades, por lo que las percepciones, sentimientos y vivencias del paciente durante su estancia en la unidad se constituyen en elementos significativos de su experiencia. Objetivos: Conocer el significado de las experiencias vividas en una unidad de cuidado intensivo coronario de una clínica de Barranquilla. Metodología: Estudio cualitativo, descriptivo, con enfoque fenomenológico, en el que se entrevistaron nueve pacientes entre 59 y 74 años que estuvieron hospitalizados en una unidad de cuidado intensivo coronario con diagnóstico de infarto agudo de miocardio. Como estrategia de investigación, se utilizó el método de Colaizzi, siguiendo cada uno de los pasos sugeridos y guardando el rigor ético correspondiente. Resultados: Se identificaron cuatro categorías que reflejan de forma exhaustiva el fenómeno estudiado: 1) El primer contacto con la unidad 2) Lo malo de estar hospitalizado en la unidad 3) Confianza en Dios y 4) Pérdida de la percepción del tiempo. Conclusiones: Las vivencias expresadas por los participantes corroboran lo hallado en estudios similares, los cuales convergen al afirmar que el ingreso a la unidad de cuidado intensivo genera una serie de sentimientos negativos en la persona, que marcan de manera significativa su experiencia de vida. Pero también influyen aspectos positivos derivados de la atención humanizada del personal de enfermería.</p>
Collapse
|
19
|
Bengoechea Calpe L, Marín Fernández B, Regaira Martínez E. [Analysis of the intensity of professional collaboration among nurses in a critical care area]. ENFERMERIA INTENSIVA 2016; 27:44-50. [PMID: 26803375 DOI: 10.1016/j.enfi.2015.12.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2015] [Revised: 11/18/2015] [Accepted: 12/01/2015] [Indexed: 11/28/2022]
Abstract
OBJECTIVE/S To analyse the intensity of professional collaboration (IPC) between the nurses in a multidisciplinary critical area (CA) and the relationship with the workplace "intensive care unit (ICU) and special hospitalisation area (SHA)", educational level, age, and years of professional activity in CA. METHOD A cross-sectional descriptive study was conducted with 57 nurses from CA, recording socio-demographic data: age, educational level, speciality titles, years of professional activity and workday type, years of professional activity in the CA, and involvement in scientific works. Tool: Intensity of Inter-professional Collaboration Questionnaire. STATISTICAL ANALYSIS SPSS 20.0. RESULTS The study included a total of 47 nurses (ICU/SHA), with a mean age of 35.91 (9.59) years. Almost three-quarters (74.46%) were nursing graduates with a posgraduate in ICU. Median and interquartile range of professional experience was 14 and 14.50 years, respectively, and years working in CA was 8.50 and 16 years, respectively. Just over half of them (51.10%) worked part-time, and 61.70% participated in scientific works. The mean IPC score was 61.68 (6.84), with 57.40% providing values of high IPC. The relationship between the workplace (ICU/SHA) and educational level with IPC was not statistically significant (p>.05). There are statistical significant differences between IPC with age and years of professional activity in CA (p<.05). CONCLUSIONS The present study demonstrates the existence of good IPC in the CA. Younger nurses obtain a better IPC score, as well as nurses who have been working for less time in CA. Nurses with a Degree or Masters have a higher level of IPC than the rest, as well as nurses who perform professional activity combining ICU and SHA.
Collapse
Affiliation(s)
| | - B Marín Fernández
- Departamento de Ciencias de la Salud, Universidad Pública de Navarra
| | | |
Collapse
|
20
|
Silva-Fhon J, Ramón-Cordova S, Vergaray-Villanueva S, Palacios-Fhon V, Partezani-Rodrigues R. Percepción del paciente hospitalizado respecto a la atención de enfermería en un hospital público. ENFERMERÍA UNIVERSITARIA 2015. [DOI: 10.1016/j.reu.2015.04.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
21
|
Jover-Sancho C, Romero-García M, Delgado-Hito P, de la Cueva-Ariza L, Solà-Solé N, Acosta-Mejuto B, Ricart-Basagaña MT, Solà-Ribó M, Juandó-Prats CL. [Perception of UCI nurses in relation with satisfactory care: convergences and divergences with the perception of critical patients]. ENFERMERIA INTENSIVA 2015; 26:3-14. [PMID: 25616997 DOI: 10.1016/j.enfi.2014.12.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Revised: 11/12/2014] [Accepted: 12/01/2014] [Indexed: 11/16/2022]
Abstract
OBJECTIVE Explore convergences and divergences between perception of nurses and of critically ill patients, in relation to the satisfactory care given and received. METHODS It is part of a larger qualitative study, according to the Grounded Theory. Carried out in 3 intensive care units with 34 boxes. Sampling theoretical profiles with n=19 patients and n=7 nurses after data saturation. Recruitment of patients included in the profiles of elderly and long-stay got stretched over some time due to the low incidence of cases. Data collection consisted of: in-depth interview to critically ill patients, group discussion of expert nurses in the critical care patient and field diary. Analysis themed on Grounded Theory according Strauss and Corbin: open coding, axial and selective. Analysis followed criteria of Guba and Lincoln rigor, Calderón quality and Gastaldo and McKeever ethical reflexivity. There was a favorable report from the ethical committee of the Hospital and informed consent of the participants. RESULTS Four matching categories were found: professional skills, human, technical and continued care. Combination of these elements creates feelings of security, calmness and feeling like a person, allowing the patient a close and trusting relationship with the nurse who takes individualized care. Not divergent categories were found. CONCLUSIONS Perceptions of nurses in relation to care match perceptions of critically ill patients in both the definition and dimensions upon satisfactory care.
Collapse
Affiliation(s)
| | - M Romero-García
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL).
| | - P Delgado-Hito
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL)
| | - L de la Cueva-Ariza
- Departamento de Enfermería Fundamental y Medicoquirúrgica, Escuela Universitaria de Enfermería, Universidad de Barcelona, Barcelona, España; Grupo de Investigación Enfermera del Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL)
| | - N Solà-Solé
- Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | | | | | - M Solà-Ribó
- Hospital de la Santa Creu i Sant Pau, Barcelona, España
| | - C L Juandó-Prats
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, and Applied Health Research Centre (AHRC), Keenan Research Centre, Li Ka Shing Knowledge Institute, St. Michaels Hospital, Toronto, Canadá
| |
Collapse
|
22
|
Romero-García M, Trujols-Albet J. Hacia una mayor incorporación de la perspectiva del paciente en el diseño de los instrumentos de evaluación de la efectividad y calidad de los cuidados. ENFERMERIA INTENSIVA 2015; 26:1-2. [DOI: 10.1016/j.enfi.2015.01.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2015] [Accepted: 01/22/2015] [Indexed: 11/15/2022]
|