Isola Arja, Backman Kaisa, Voutilainen Päivi, Rautsiala Tarja
Department of Nursing and Health Administration, University of Oulu, Oulu, Finland.
Scand J Caring Sci. 2003 Dec;17(4):399-408. doi: 10.1046/j.0283-9318.2003.00246.x.
The quality of institutional geriatric care is a topical issue in Finland. The study to be described here is part of a Finnish project on the quality assessment and development of long-term geriatric care provided by the City of Helsinki. The health care division of the City of Helsinki authorized an outside survey of long-term geriatric care in the hospitals providing such care in 1998. Based on the results, recommendations concerning the development of geriatric care were issued. In the years 1999-2000, a further education programme was arranged for ward nurses, chief nurses and heads of profit centres concerning leadership in long-term geriatric nursing. A re-survey was conducted in 2001, using the same criteria of quality assessment. The purpose of this paper is to report on the quality of institutional geriatric nursing as evaluated by family members in 2001 and to compare the responses to those obtained in 1998. The results are presented as frequency and percentage distributions, means and medians and cross-tabulations. The responding family members were generally content with the care of their elderly relatives: 92% said they were very satisfied or satisfied with the care, and the average of the marks given for geriatric care was 8.3 (range 4-10). Family members were more content now than in 1998, when the corresponding figures were 86% and 7.3 (range 4-10). Nevertheless, the results still highlight certain aspects that should be improved and developed.
机构老年护理的质量是芬兰的一个热门话题。本文所述的研究是芬兰赫尔辛基市长期老年护理质量评估与发展项目的一部分。1998年，赫尔辛基市医疗保健部门授权对提供此类护理的医院的长期老年护理进行外部调查。根据调查结果，发布了有关老年护理发展的建议。1999 - 2000年，为病房护士、护士长和利润中心负责人安排了关于长期老年护理领导力的继续教育项目。2001年使用相同的质量评估标准进行了重新调查。本文的目的是报告2001年家庭成员对机构老年护理质量的评估情况，并将这些回答与1998年获得的回答进行比较。结果以频率和百分比分布、均值和中位数以及交叉表的形式呈现。做出回应的家庭成员总体上对其老年亲属所接受的护理感到满意：92%的人表示他们对护理非常满意或满意，老年护理的评分平均为8.3（范围为4 - 10）。与1998年相比，家庭成员现在更满意了，当时相应的数字分别为86%和7.3（范围为4 - 10）。然而，结果仍然突出了某些应改进和发展的方面。
