School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China.
J Clin Nurs. 2012 Nov;21(21-22):3257-67. doi: 10.1111/j.1365-2702.2012.04241.x. Epub 2012 Aug 24.
To explore the patients' leisure experience and their leisure needs and expectations during hospitalisation in a private hospital setting.
Leisure plays positive roles in patient satisfaction and has functional values. However, studies on how inpatients spend their time and hospital-based qualitative studies on leisure needs and expectation among patients were rarely conducted. Through exploring patients' perspective on leisure, nurses could improve patient satisfaction from a different dimension and enhance quality of care.
A descriptive qualitative study based on 12 semi-structural interviews.
Applied purposive sampling to select and interview a total of 16 participants, including 12 patients and four patients' significant others in a private hospital. Semi-structured interviews were conducted at the patients' bedside in summer 2011. Interviews were recorded and transcribed verbatim. Content analysis approach was used to analyse data and to categorise themes.
Four themes were developed: (1) getting through the day, which describes how patients spend their time during hospitalisation and their daily leisure activities; (2) necessity of leisure, which reveals the reasons why patients conducted the activity; (3) resources amelioration, which describes patients' needs and satisfaction on current leisure resources in the hospital; (4) nurses' roles in leisure, which is about the involvement of nurses in patients' leisure activities.
As patients understand hospital is a place for recovery, they seldom discuss or request their choices of leisure activity. This study could provide some insight into patients' needs and expectation of leisure activity during hospitalisation, allowing nurses to know the importance of providing leisure activities to patients.
This study suggests that clinical nursing practice should support leisure provision and hospital resources management of facilities on the effects of leisure.
探索患者在私立医院住院期间的休闲体验以及他们的休闲需求和期望。
休闲对患者满意度有积极作用，具有功能价值。然而，很少有关于住院患者如何度过时间的研究，也很少有关于患者休闲需求和期望的基于医院的定性研究。通过探索患者对休闲的看法，护士可以从不同的角度提高患者满意度，提高护理质量。
基于 12 个半结构式访谈的描述性定性研究。
采用目的性抽样方法，共选择并访谈了 16 名参与者，包括 12 名患者和 4 名患者的重要他人，在 2011 年夏季在患者床边进行半结构式访谈。访谈进行了录音，并逐字记录。采用内容分析方法对数据进行分析和分类主题。
得出了四个主题：（1）度日，描述了患者在住院期间如何度过时间和日常休闲活动；（2）休闲的必要性，揭示了患者进行活动的原因；（3）资源改善，描述了患者对医院现有休闲资源的需求和满意度；（4）护士在休闲中的角色，是关于护士在患者休闲活动中的参与。
由于患者认为医院是康复的地方，他们很少讨论或要求选择休闲活动。本研究可以深入了解患者在住院期间对休闲活动的需求和期望，让护士了解为患者提供休闲活动的重要性。
本研究表明，临床护理实践应支持休闲活动的提供和设施的医院资源管理，以发挥休闲的效果。
