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[危重症患者对护理的认知:满意度概念的一种探讨]

[Perception of the critical patient on nursing cares: an approach to the concept of satisfaction].

作者信息

Romero-García M, de la Cueva-Ariza L, Jover-Sancho C, Delgado-Hito P, Acosta-Mejuto B, Sola-Ribo M, Juandó-Prats C, Ricart-Basagaña M T, Sola-Sole N

机构信息

Unidad de Cuidados Intensivos, Hospital de Santa Creu i Sant Pau, Barcelona, España.

出版信息

Enferm Intensiva. 2013 Apr-Jun;24(2):51-62. doi: 10.1016/j.enfi.2012.09.003. Epub 2012 Nov 29.

Abstract

INTRODUCTION

Level of satisfaction is a key indicator of quality of care. There are many tools that measure satisfaction with nursing care, however they do not respond to the reality of the critical care patient or to our context.

OBJECTIVES

To define and to identify the dimensions of the satisfaction of patients admitted to the intensive care unit of a tertiary hospital with nursing cares and to define and identify the dimensions of the concept of satisfaction from their point of view.

MATERIAL AND METHODS

A qualitative research study was conducted according to the Grounded Theory Method in three Intensive Care Units with 34 individual boxes, with theoretical sampling. Nineteen patients remained after data saturation sampling. Data collection was obtained through recorded in-depth interviews and field logbook. Contents analysis was made according to the Grounded Theory. Guba and Lincoln rigor's criteria were followed. There was a favorable report from the Hospital's Ethics Committee and informed consent was obtained from the patients.

RESULTS

Four categories were found: The definition and dimensions of the satisfaction concept, expectations and life experiences. The participants included the following dimensions in their satisfaction definition: professional competences, human, technical and continuous cares. The combination of these elements produces feelings of security, calmness, being monitored, feeling like a person, perceiving a close relationship and trustfulness with the nurse who performs the individualized cares.

CONCLUSIONS

The definition and dimensions of satisfaction concept from the patient's point of view show the important aspects of the person and also clarify their dimensions, allowing the construction of tools more in line with the context and real perception.

摘要

引言

满意度是护理质量的关键指标。有许多工具可用于衡量对护理的满意度,但它们无法反映重症监护患者的实际情况或我们所处的环境。

目的

明确并识别一家三级医院重症监护病房患者对护理的满意度维度,并从他们的角度定义和识别满意度概念的维度。

材料与方法

采用扎根理论方法,在三个重症监护病房进行了一项定性研究,共设置34个单独的访谈单元,并进行理论抽样。数据饱和抽样后,留下19名患者。通过记录的深度访谈和现场日志进行数据收集。根据扎根理论进行内容分析。遵循了古巴和林肯的严谨性标准。医院伦理委员会给出了有利报告,并获得了患者的知情同意。

结果

发现了四个类别:满意度概念的定义和维度、期望和生活经历。参与者在满意度定义中纳入了以下维度:专业能力、人文关怀、技术护理和持续护理。这些要素的结合产生了安全感、平静感、被监测感、被当作人对待的感觉、感受到与提供个性化护理的护士建立了密切关系以及信任感。

结论

从患者角度出发的满意度概念的定义和维度显示了人的重要方面,也阐明了其维度,从而能够构建更符合实际情况和真实感受的工具。

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