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居家护理的质量评估:患者、医生和护士的看法

Quality evaluation of home nursing care: perceptions of patients, physicians, and nurses.

作者信息

Riccio P A

机构信息

Department of Nursing, University of Southern California, Los Angeles, USA.

出版信息

Nurs Adm Q. 2000 Spring;24(3):43-52. doi: 10.1097/00006216-200004000-00007.

DOI:10.1097/00006216-200004000-00007
PMID:10986931
Abstract

Perceptions of patients (n = 135), physicians (n = 99), and nurses (n = 20) regarding home nursing care were studied using a descriptive survey conducted over a 6-month period in a large, voluntary, nonprofit home health agency. An original instrument, based on the American Nurses Association standards of home nursing care within a nursing process framework, was developed for this study. Factor analyses (varimax rotation) yielded four subscales: technical, professional, communication/psychosocial, and teaching aspects of nursing care. Overall, patients and physicians rated their satisfaction with nursing care identically (20% were satisfied, 71% were undecided, 9% were dissatisfied), while 70 percent of the nurses were satisfied, 20 percent were undecided, and 10 percent were dissatisfied with their nursing care. Both physicians and patients were most satisfied with professional aspects of nursing care; nurses were most satisfied with teaching aspects. Patients and physicians were most dissatisfied with teaching; nurses were equally dissatisfied with technical skills and communication/psychosocial aspects of nursing care.

摘要

在一家大型自愿非营利性家庭健康机构进行了为期6个月的描述性调查,研究了135名患者、99名医生和20名护士对家庭护理的看法。本研究基于护理程序框架内的美国护士协会家庭护理标准开发了一份原始工具。因子分析(方差最大化旋转)产生了四个子量表:护理的技术、专业、沟通/心理社会和教学方面。总体而言,患者和医生对护理的满意度相同(20%满意,71%不确定,9%不满意),而70%的护士对其护理工作满意,20%不确定,10%不满意。医生和患者对护理的专业方面最满意;护士对教学方面最满意。患者和医生对教学最不满意;护士对护理的技术技能和沟通/心理社会方面同样不满意。

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