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Theys S, van Belle E, Heinen M, Malfait S, Eeckloo K, Beeckman D, Verhaeghe S, Van Hecke A. Individualised care in Flemish and Dutch hospitals: Comparing patients' and nurses' perceptions. Scand J Caring Sci 2021; 36:635-649. [PMID: 34241909 DOI: 10.1111/scs.13016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2020] [Accepted: 06/12/2021] [Indexed: 12/21/2022]
Abstract
BACKGROUND Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses' and patients' perceptions of the support and provision of patient-centred care is limited and focuses solely on nurses and patients working and staying on surgical wards. AIMS AND OBJECTIVES Comparing patients' and nurses' perceptions of patient-centred care on different types of hospital wards, and exploring if patient empowerment, health literacy, and certain sociodemographic and context-related variables are associated with these perceptions. DESIGN Cross-sectional design. METHODS Data were collected in ten Flemish (February-June 2016) and two Dutch (December 2014-May 2015) hospitals using the Individualised Care Scale (ICS). A linear mixed model was fitted. Data from 845 patients and 569 nurses were analysed. As the ICS was used to measure the concept of patient-centred care, it is described using the term 'individualised care.' RESULTS Nurses perceived that they supported and provided individualised care more compared with patients as they scored significantly higher on the ICS compared with patients. Patients with higher empowerment scores, higher health literacy, a degree lower than bachelor, a longer hospital stay, and patients who were employed and who were admitted to Dutch hospitals scored significantly higher on some of the ICS subscales/subsections. Nurses who were older and more experienced and those working in Dutch hospitals, regional hospitals and maternity wards scored significantly higher on some of the ICS subscales/subsections. CONCLUSION Nurses perceived that they supported and provided individualised care more compared with patients. RELEVANCE TO CLINICAL PRACTICE Creating a shared understanding towards the support and provision of individualised care should be a priority as this could generate more effective nursing care that takes into account the individuality of the patient.
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Affiliation(s)
- Sofie Theys
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium
| | - Elise van Belle
- IQ Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands.,Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Maud Heinen
- IQ Healthcare, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, The Netherlands
| | | | - Kristof Eeckloo
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Ghent University Hospital, Ghent, Belgium
| | - Dimitri Beeckman
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Skin Integrity Research Group (SKINT), Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,School of Health Sciences, Örebro University, Örebro, Sweden
| | - Sofie Verhaeghe
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Department Health Care, VIVES University College, Roeselare, Belgium
| | - Ann Van Hecke
- Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, University Centre for Nursing and Midwifery, Ghent University, Ghent, Belgium.,Nursing Department, Ghent University Hospital, Ghent, Belgium
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Alıcı CB, Koç Z. Quality of life and satisfaction affect individualized nursing care perceptions in intensive care. PSYCHOL HEALTH MED 2019; 25:148-159. [PMID: 31407602 DOI: 10.1080/13548506.2019.1654110] [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] [Indexed: 10/26/2022]
Abstract
This study was conducted as a cross-sectional and correlational study in order to determine the affects of quality of life and life satisfaction on individualized nursing care perceptions in intensive care patients. This study was conducted with the participation of 317 patients who were treated as inpatients in the adult intensive care units of two state hospitals between 15.02.2017-15.08.2017. The data were collected using the patient information form, SF-36 Quality of Life scale, Satisfaction with Life scale, ICS-A Patient Version and ICS-B Patient Version. The patients' mean total score of the ICS-A Patient Version was 3.5±0.7 while that of the ICS-B Patient Version 3.3±0.6, and that of the Satisfaction with Life scale was found to be 21.7±5.9. The scores of the ICS-A and ICS-B Patient Version as well as SF-36 Quality-of-Life Scale and Satisfaction with Life scalewere identified to differ depending on some sociodemographic and clinical characteristics of the patients. The individualized nursing care perceptions of the patients in the intensive care unit were found to be above moderate, and a relationship between quality of life, life satisfaction, and individualized care perceptions was found.
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Affiliation(s)
| | - Zeliha Koç
- Health Science Faculty, Department of Nursing, Ondokuz Mayıs University, Samsun, Turkey
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3
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Malfait S, Eeckloo K, Van Biesen W, Van Hecke A. The effectiveness of bedside handovers: A multilevel, longitudinal study of effects on nurses and patients. J Adv Nurs 2019; 75:1690-1701. [DOI: 10.1111/jan.13954] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2018] [Revised: 11/06/2018] [Accepted: 11/21/2018] [Indexed: 12/26/2022]
Affiliation(s)
- Simon Malfait
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; University Center for Nursing and Midwifery; Ghent University; Ghent Belgium
| | - Kristof Eeckloo
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; Ghent University; Ghent Belgium
| | - Wim Van Biesen
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Internal Medicine; Ghent University Hospital; Ghent Belgium
| | - Ann Van Hecke
- Ghent University Hospital; Ghent Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health; University Center for Nursing and Midwifery; Ghent University; Ghent Belgium
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Trivedi R, Jagani K. Perceived service quality, repeat use of healthcare services and inpatient satisfaction in emerging economy. INTERNATIONAL JOURNAL OF PHARMACEUTICAL AND HEALTHCARE MARKETING 2018. [DOI: 10.1108/ijphm-11-2017-0065] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
The purpose of this study is to understand that how different demographic variables and repeated availing of service from the same doctor or same hospital shape the overall perception of health-care service quality and satisfaction among inpatients admitted in private hospitals in an emerging economy.
Design/methodology/approach
A self-administered, cross-sectional survey of inpatients using a questionnaire was translated into Hindi and Gujarati. The data were collected from 702 inpatients from 18 private clinics located in three selected cities from Western India.
Findings
The results indicate that experience with hospital administration, doctors, nursing staff, physical environment, hospital pharmacy and physical environment is significant predictor of inpatient satisfaction. Physical environment was found to be significantly associated with satisfaction only among female inpatient. It was also found that repeat availing of services either from the same hospital or doctor does not increase patient satisfaction. The feasibility, reliability and validity of the instrument that measures major technical and nontechnical dimensions of quality of health-care services were established in the context of a developing country.
Originality/value
The study makes important contribution by empirically investigating the inpatient assessment of health-care service quality based upon their demographic information and repeated availing of services to understand how repeat visit shapes the service quality perception.
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Rose PM. Patients' characteristics informing practice: improving individualized nursing care in the radiation oncology setting. Support Care Cancer 2018; 26:3609-3618. [PMID: 29728842 DOI: 10.1007/s00520-018-4210-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Accepted: 04/13/2018] [Indexed: 11/25/2022]
Abstract
PURPOSE A large number of patients attend for radiotherapy daily. Primary nurses in the study settings aim to individualize care for their patients. The individual characteristics of patients may determine their perceptions of nursing care, and provide guidance in tailoring their care. This study aimed to assess patients' personal characteristics on their perceptions of individualized care (IC) provided by nurses during a course of radiotherapy, and to determine predictor variables that may inform nursing practice. METHODS This cross-sectional, exploratory study was conducted in three radiotherapy departments in Australia. Patients (n = 250) completed the Individualized Care Scale_Patient (ICS_P). Data were analyzed using descriptive and inferential statistics, univariate analysis, and multiple regression analysis. RESULTS Males reported significantly higher perceptions of IC than females in 7/9 subscales. Patients with head and neck and prostate cancer, as well as those requiring hospitalization during radiotherapy, scored significantly higher in 5/9 subscales. Courses > 30 days, those not receiving chemotherapy, and partnered patients reported greater IC across all subscales. Gender and hospitalization were the main predictor variables for IC. CONCLUSION Patients reported moderately high levels of IC during their radiotherapy; however, standard demographic information may provide limited insight into improving care for the individual. Patient characteristics routinely chosen, such as age, gender, and education may not predict how patients perceive their care or support the tailoring of interventions to improve IC. Researching a range of related patient characteristics may prove a more useful concept for future nursing studies aiming to predict outcomes to tailor nursing practice.
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Affiliation(s)
- Pauline M Rose
- Radiation Oncology, Princess Alexandra Hospital, Queensland Health, 31 Raymond Terrace, South Brisbane, Queensland, 4101, Australia.
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Suhonen R, Stolt M, Berg A, Katajisto J, Lemonidou C, Patiraki E, Sjövall K, Charalambous A. Cancer patients' perceptions of quality-of-care attributes-Associations with age, perceived health status, gender and education. J Clin Nurs 2017; 27:306-316. [DOI: 10.1111/jocn.13902] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/19/2017] [Indexed: 12/31/2022]
Affiliation(s)
- Riitta Suhonen
- Department of Nursing Science; University of Turku; Turku Finland
- University Hospital and City of Turku; Welfare Division; Turku Finland
| | - Minna Stolt
- Department of Nursing Science; University of Turku; Turku Finland
| | - Agneta Berg
- Department of Health Science; Kristianstad University; Kristianstad Sweden
| | - Jouko Katajisto
- Department of Mathematics and Statistics; University of Turku; Turku Finland
| | - Chryssoula Lemonidou
- Faculty of Nursing; National and Kapodistrian University of Athens; Athens Greece
| | - Elisabeth Patiraki
- Faculty of Nursing; National and Kapodistrian University of Athens; Athens Greece
| | - Katarina Sjövall
- Department of Health Sciences and Skåne University Hospital; Lund University; Lund Sweden
| | - Andreas Charalambous
- Department of Nursing Studies; Cyprus University of Technology; Limassol Cyprus
- University of Turku; Turku Finland
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Cruz A, Tosoli Gomes AM, Parreira PM, Oliveira DCD. Tradução e adaptação transcultural do Hospitalized Elderly Needs Awareness Scale (Henas) para a língua portu- guesa (Brasil e Portugal). AQUICHAN 2017. [DOI: 10.5294/aqui.2017.17.4.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivos: traducir y adaptar el Hospitalized Elderly Needs Awareness Scale (Henas) para el portugués de Brasil y de Portugal. Metodología: se siguieron los procedimientos metodológicos de adaptación cultural y lingüística: traducción inicial, síntesis de las traducciones, retroversión, evaluación por comité de expertos de la equivalencia semántica, idiomática, cultural y conceptual. La versión adaptada fue probada (pre-test) con aplicación de la escala a 249 enfermeros brasileños y portugueses en el 2014. Resultados: no se encontraron palabras o expresiones consideradas divergentes, a excepción de la palabra awareness en el título del instrumento y de la expresión medical acuity del ítem K. De acuerdo con la fase IV del proceso de traducción y adaptación cultural, el comité de expertos planteó alterar la expresión 75 años o más por 65 años o más en la introducción del instrumento. En la versión portuguesa de Brasil, solo se reemplazó la palabra sanita por vaso sanitário. En cuanto la versión adaptada, los participantes no presentaron dudas ni refirieron dificultades en completar el instrumento. Conclusiones: el proceso de traducción y adaptación cultural del Henas para la lengua portuguesa siguió las etapas recomendadas internacionalmente y del cual se obtuvo equivalencia semántica, idiomática, cultural y conceptual. Son necesarias nuevas investigaciones para evaluar otras propiedades del instrumento y su comportamiento en muestras distintas
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Malfait S, Eeckloo K, Lust E, Van Biesen W, Van Hecke A. Feasibility, appropriateness, meaningfulness and effectiveness of patient participation at bedside shift reporting: mixed-method research protocol. J Adv Nurs 2016; 73:482-494. [DOI: 10.1111/jan.13154] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Simon Malfait
- Ghent University Hospital; Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health, UCVV; Ghent University; Belgium
| | - Kristof Eeckloo
- Ghent University Hospital; Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health, UCVV; Ghent University; Belgium
| | - Elisa Lust
- Faculty of Medicine and Health Sciences; Department of Public Health, UCVV; Ghent University; Belgium
| | - Wim Van Biesen
- Ghent University Hospital; Belgium
- Faculty of Medicine and Health Sciences; Department of Internal Medicine; Ghent University; Belgium
| | - Ann Van Hecke
- Ghent University Hospital; Belgium
- Faculty of Medicine and Health Sciences; Department of Public Health, UCVV; Ghent University; Belgium
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An international study of hospitalized cancer patients’ health status, nursing care quality, perceived individuality in care and trust in nurses: A path analysis. Int J Nurs Stud 2016; 61:176-86. [DOI: 10.1016/j.ijnurstu.2016.06.013] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2015] [Revised: 06/18/2016] [Accepted: 06/22/2016] [Indexed: 11/18/2022]
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Ceylan B, Eser I. Assessment of individualized nursing care in hospitalized patients in a university hospital in Turkey. J Nurs Manag 2016; 24:954-961. [DOI: 10.1111/jonm.12400] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Burcu Ceylan
- Department of Fundamentals of Nursing; Ege University Faculty of Nursing; Bornova Izmir Turkey
| | - Ismet Eser
- Department of Fundamentals of Nursing; Ege University Faculty of Nursing; Bornova Izmir Turkey
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Köberich S, Feuchtinger J, Farin E. Factors influencing hospitalized patients' perception of individualized nursing care: a cross-sectional study. BMC Nurs 2016; 15:14. [PMID: 26937220 PMCID: PMC4774135 DOI: 10.1186/s12912-016-0137-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 02/24/2016] [Indexed: 11/30/2022] Open
Abstract
Background Individualized care is a cornerstone of patient-centered nursing care. To foster individualized care, influencing factors should be known. The aim of this study was to identify the individual and organizational factors influencing hospitalized patients’ perception of individualized care. Methods A cross-sectional study was conducted of 606 patients from 20 wards from five hospitals across Germany. Individualized care and potential influencing factors were assessed via structured questionnaires. To identify influencing factors, we applied a hierarchical linear model with two levels. Results Self-rated health, length of ward stay, educational level and shared decision-making process about nursing care were perceived to influence individualized care. A higher rating of health and longer ward stay correlated with improved perceptions of individualized nursing care. In addition, an educational level of nine or fewer years and a perceived shared decision-making process about nursing care positively influenced the perception of nursing care as being tailored to individual needs. Conclusions Several factors influence patients’ perception of individualized care. However, only the decision-making process can be actively influenced by nurses. Therefore, nurses should be encouraged to promote shared decision-making regarding patients’ nursing care. Trial number DRKS00005174 (Date of registration: 2013/08/01).
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Affiliation(s)
- Stefan Köberich
- Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstr. 21, 79106 Freiburg, Germany ; Pflegedirektion, Heart Center - University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany
| | - Johanna Feuchtinger
- Quality and Development in Nursing Care, Medical Center - University of Freiburg, Breisacher Str. 62, Freiburg, Germany
| | - Erik Farin
- Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstr. 21, 79106 Freiburg, Germany
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Sharp S, McAllister M, Broadbent M. The vital blend of clinical competence and compassion: How patients experience person-centred care. Contemp Nurse 2015; 52:300-12. [DOI: 10.1080/10376178.2015.1020981] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Suhonen R, Land L, Välimäki M, Berg A, Idvall E, Kalafati M, Katajisto J, Lemonidou C, Schmidt LA, Leino-Kilpi H. Impact of patient characteristics on orthopaedic and trauma patients' perceptions of individualised nursing care. INT J EVID-BASED HEA 2010; 8:259-67. [DOI: 10.1111/j.1744-1609.2010.00185.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mattila E, Kaunonen M, Aalto P, Ollikainen J, Åstedt-Kurki P. Support for hospital patients and associated factors. Scand J Caring Sci 2010; 24:734-45. [DOI: 10.1111/j.1471-6712.2010.00771.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Badri MA, Attia S, Ustadi AM. Healthcare quality and moderators of patient satisfaction: testing for causality. Int J Health Care Qual Assur 2010; 22:382-410. [PMID: 19725210 DOI: 10.1108/09526860910964843] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this article is to present a comprehensive structural equation based service quality and patient satisfaction model taking into account the patient's condition before and after discharge. The authors aim to test for causality in a sample of patients from United Arab Emirates public hospitals. DESIGN/METHODOLOGY/APPROACH Data were collected using questionnaires completed by adults discharged (n = 244) from UAE public hospitals. The proposed model consists of five main constructs. Three represent service quality: quality of care (four variables); process and administration (four variables) and information (four variables). There is also one construct that represents patient's status (two variables--health status before admission and after discharge). Finally, there is one construct that represents patient's satisfaction with care (two variables--general and relative satisfaction). Structural equation modeling and LISREL using maximum likelihood estimation was used to test hypothesized model(s)/parameters(s) derived deductively from the literature. FINDINGS The structural equation modeling representation provides a comprehensive picture that allows healthcare constructs and patient satisfaction causality to be tested. The goodness-of-fit statistics supported the healthcare quality-patient status-satisfaction model. ORIGINALITY/VALUE The model has been found to capture attributes that characterize healthcare quality in a developing country and could represent other modern healthcare systems. Also, it can be used to evaluate other healthcare practices from patients' viewpoints. The study highlights the importance of healthcare quality as patient satisfaction predictors by capturing other effects such as patient status.
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Affiliation(s)
- Masood A Badri
- United Arab Emirates University, College of Business Administration, Al Ain, United Arab Emirates.
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Suhonen R, Leino-Kilpi H. Older orthopaedic patients’ perceptions of individualised care: a comparative survey. Int J Older People Nurs 2010; 7:105-16. [DOI: 10.1111/j.1748-3743.2010.00243.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Suhonen R, Berg A, Idvall E, Kalafati M, Katajisto J, Land L, Lemonidou C, Schmidt LA, Välimäki M, Leino-Kilpi H. European orthopaedic and trauma patients’ perceptions of nursing care: a comparative study. J Clin Nurs 2009; 18:2818-29. [DOI: 10.1111/j.1365-2702.2009.02833.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
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Galik EM, Resnick B, Pretzer-Aboff I. 'Knowing what makes them tick': motivating cognitively impaired older adults to participate in restorative care. Int J Nurs Pract 2009; 15:48-55. [PMID: 19187169 DOI: 10.1111/j.1440-172x.2008.01721.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Nursing home residents with dementia represent a majority of the most functionally impaired individuals residing in nursing homes. Although many perceive this population as having little restorative potential, maintaining resident functional abilities for as long as possible helps to optimize quality of life and decrease caregiver burden. This study used a qualitative design with a focus group methodology to explore facilitators and barriers to engaging cognitively impaired residents in functional activities and exercise. A purposive sample of seven geriatric nursing assistants who were experts in dementia care participated in the study. Twenty-seven codes were reduced to three themes: (i) knowing what makes them tick and move; (ii) teamwork and utilizing resources; and (iii) barriers to restorative care. The study findings were used to revise the Restorative Care for the Cognitively Impaired Intervention and could direct future implementation of programmes in nursing home settings.
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Affiliation(s)
- Elizabeth M Galik
- University of Maryland School of Nursing, Baltimore, Maryland 21201, USA.
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Individualised care from the orthopaedic and trauma patients’ perspective: An international comparative survey. Int J Nurs Stud 2008; 45:1586-97. [DOI: 10.1016/j.ijnurstu.2007.12.005] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2007] [Revised: 12/09/2007] [Accepted: 12/27/2007] [Indexed: 11/17/2022]
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Badri MA, Attia ST, Ustadi AM. Testing not-so-obvious models of healthcare quality. Int J Health Care Qual Assur 2008; 21:159-74. [PMID: 18578201 DOI: 10.1108/09526860810859021] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to show that, although there has been some research to identify the dimensions on which healthcare quality and in-patient satisfaction should be measured, the confirmation of constructs and indicators that constitute an overall care quality and satisfaction remains unclear. The objective is to present several models of service quality and satisfaction in healthcare for discharged patients; and to test those models in a sample of discharged patients in public hospitals in the United Arab Emirates. DESIGN/METHODOLOGY/APPROACH A detailed in-patient survey (using interviews) was used. Data were collected with questionnaires from adult discharges (n = 244) in public hospitals in the UAE. Several structures are proposed and tested. Confirmatory Factor Analysis (CFA) and LISREL SIMPLIS using maximum likelihood estimation were used to estimate and test the parameters of the hypothesized models derived deductively from the previous literature. FINDINGS Several models (with one, two, three and four constructs) with different structures were tested using CFA. The final recommended model is based on three constructs--quality of care, process and administration, and information. The goodness-of-fit statistics supported the basic solution of the healthcare quality-satisfaction model. ORIGINALITY/VALUE The model has been found to capture attributes that characterize healthcare quality in a developing country such as the UAE and could represent other modern healthcare systems. It can be used as a basis for evaluation in healthcare practices from discharges (in-patients) point of view. The study highlights the importance of patients' satisfaction with care as predictors of quality of care. The results also confirm the construct validity of the previously discussed healthcare quality scales.
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Affiliation(s)
- Masood A Badri
- College of Business Administration, United Arab Emirates University, Al Ain, United Arab Emirates.
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