Grilo Ana M, Santos Margarida C, Rita Joana S, Gomes Ana I
Lisbon School of Health Technology, Polytechnic Institute of Lisbon, Av. D. João II, lote 4.69.01, Parque das Nações, 1990-096 Lisboa, Portugal.
Nurse Educ Today. 2014 Jan;34(1):35-9. doi: 10.1016/j.nedt.2013.02.022. Epub 2013 Apr 10.
Being patient centered is a core value for nursing. Patient centered-care has been related to patient and health provider satisfaction, better health outcomes, higher quality of care and more efficient health care delivery.
The purpose was to assess the orientation adopted by nurses and students in patient care, using The Patient-Practitioner Orientation Scale, as well as to compare the results between resident nurses and students from different academic years.
Public School of Nursing and a Central Hospital, in Lisbon (Portugal).
Students in the first, second and fourth year of nursing school and nurses participated in the study.
For data collection, we used The Patient-Practitioner Orientation Scale (European Portuguese version), an instrument designed to measure individual preferences toward the dimension of caring a sharing in health professional-patient relationship. Students and nurses also filled out two additional questions about their perception of competence in technical and communication skills. Additional demographic information was also collected, including gender, age, academic year and length of professional experience.
A total of 525 students (84.7% female) and 108 nurses (77.8% female) participated in this study. In general, caring sub-scores, measuring the preference of about attending to patient emotional aspects, were higher than sharing sub-scores, measuring beliefs about giving information and perceiving patient as a member of the health team. Students were significantly more patient-centered throughout their nursing education (p<0.001). Comparing to students in the second and fourth academic years (p<0.001) nurses' scores were significantly lower both in total PPOS and in caring and sharing subscales.
These results reinforce the idea that patient centeredness may be developed in academic context. The scores obtained highlight the importance of studies that aim to identify factors that may explain the decrease of patient centeredness in professional practice.
以患者为中心是护理的核心价值观。以患者为中心的护理与患者及医疗服务提供者的满意度、更好的健康结局、更高的护理质量以及更高效的医疗服务提供相关。
使用患者-从业者导向量表评估护士和学生在患者护理中所采用的导向，并比较不同学年的住院护士和学生之间的结果。
葡萄牙里斯本的公立护理学校和一家中心医院。
护理学校一年级、二年级和四年级的学生以及护士参与了该研究。
为收集数据，我们使用了患者-从业者导向量表（欧洲葡萄牙语版），该工具旨在测量个体在健康专业人员与患者关系中对关怀和分享维度的偏好。学生和护士还填写了另外两个关于他们对技术和沟通技能能力认知的问题。还收集了其他人口统计学信息，包括性别、年龄、学年和专业经验时长。
共有525名学生（84.7%为女性）和108名护士（77.8%为女性）参与了本研究。总体而言，衡量关注患者情感方面偏好的关怀子分数高于衡量提供信息信念和将患者视为医疗团队成员认知的分享子分数。在整个护理教育过程中，学生明显更以患者为中心（p<0.001）。与二年级和四年级的学生相比（p<0.001），护士在PPOS总分以及关怀和分享子量表上的得分均显著更低。
这些结果强化了以患者为中心可在学术环境中培养的观点。所获得的分数凸显了旨在识别可能解释专业实践中以患者为中心程度下降因素的研究的重要性。
