Principal Investigator Department of Nursing Science, University of Turku, Finland.
J Adv Nurs. 2011 Sep;67(9):1895-907. doi: 10.1111/j.1365-2648.2011.05626.x. Epub 2011 Mar 30.
This paper is a report of a study of internationally-based differences in nurses' perceptions of individualized care in orthopaedic surgical in-patient wards.
Individualized care is valued in healthcare policy, practice and ethical statements as an indicator of care quality. However, nurses' assessments of individualized care are limited and comparative cross-cultural studies on individualized nursing care are lacking.
A descriptive comparative survey was used to sample orthopaedic surgical nurses (n = 1163) working in 91 inpatient wards in 34 acute hospitals in Finland, Cyprus, Greece, Portugal, Sweden, Turkey and the United States of America. Data were collected between March and November 2009 using the Individualized Care Scale-Nurse and analysed using descriptive and inferential statistics.
Nurses in different countries perceived that they supported patients' individuality generally and provided individualized care during nursing activities. Although the highest scores were in support of patients' individuality in the clinical situation both through nursing provision and nurses' perceptions of individuality, there were between-country differences within these scores. Generally, the Greek and American nurses gave the highest scores and the Turkish, Cypriot and Portuguese nurses the lowest.
Between-country differences found may be attributed to differing roles of nurses, care processes, healthcare systems and/or the ways nursing care is defined and organized. As this was the first time the Individualized Care Scale-Nurse was used in an international context, the results are formative and indicate the need to continue studies in this area.
本文是一项关于国际间骨科住院病房护士对个体化护理认知差异的研究报告。
个体化护理在医疗保健政策、实践和伦理声明中被视为护理质量的指标。然而，护士对个体化护理的评估有限，缺乏比较性跨文化个体化护理研究。
采用描述性比较调查方法，在芬兰、塞浦路斯、希腊、葡萄牙、瑞典、土耳其和美国的 34 家急性医院的 91 个住院病房中抽取骨科外科护士（n=1163）作为样本。数据于 2009 年 3 月至 11 月间使用护士个体化护理量表收集，并采用描述性和推断性统计进行分析。
不同国家的护士普遍认为他们支持患者的个体性，并在护理活动中提供个体化护理。尽管在护理提供和护士对个体性的看法方面，护士对临床情况下支持患者个体性的评分最高，但这些评分存在国家间的差异。总体而言，希腊和美国的护士评分最高，而土耳其、塞浦路斯和葡萄牙的护士评分最低。
发现的国家间差异可能归因于护士角色、护理流程、医疗保健系统以及护理定义和组织方式的不同。由于这是护士个体化护理量表首次在国际背景下使用，因此结果是初步的，表明需要继续在该领域进行研究。
