Leino-Kilpi Helena, Gröndahl Weronica, Pekonen Arja, Katajisto Jouko, Suhonen Riitta, Valkeapää Kirsi, Virtanen Heli, Salanterä Sanna
Department of Nursing Science, University of Turku, Turku, Finland.
Turku University Hospital, Turku, Finland.
Int J Nurs Pract. 2015 Dec;21(6):689-98. doi: 10.1111/ijn.12277. Epub 2014 Apr 1.
The main purpose of this study was to evaluate and analyse the connection between the level of quality of nursing care and knowledge received by patients (N = 266, n = 226), response rate was 85%. The data were collected using two structured instruments: one measuring the quality of nursing care experienced by patients (The Good Nursing Care Scale, GNCS) and one measuring the received knowledge of hospital patients (RKHP). The data were collected at one (out of five) Finnish university hospitals, in all medical wards during 5 weeks in 2009. A clear association between the level of the quality of nursing care and the level of received knowledge was found: on the total level of instruments, correlation was strong (r = 0.705). Support of empowerment (GNCS) had statistically significant strong correlation between biophysiological knowledge (RKHP), (r = 0.718), and experiential knowledge (r = 0.633), (P ≤ 0.01). Furthermore, there was a strong correlation between nursing activities and biophysiological knowledge (r = 0.637). Higher age, sufficient advance information and better self-perceived health status were associated both with the level of the quality of nursing care and level of received knowledge. In the future, a special attention should be paid to the sufficient information for patients before their hospital stays.
本研究的主要目的是评估和分析护理质量水平与患者所获知识之间的联系（N = 266，n = 226），应答率为85%。数据通过两种结构化工具收集：一种测量患者体验到的护理质量（优质护理量表，GNCS），另一种测量住院患者所获知识（RKHP）。数据于2009年在芬兰五所大学医院中的一所收集，在所有内科病房进行，为期5周。研究发现护理质量水平与所获知识水平之间存在明显关联：在工具的总体水平上，相关性很强（r = 0.705）。赋权支持（GNCS）与生物生理知识（RKHP）之间存在统计学上显著的强相关性（r = 0.718），与经验知识之间也存在强相关性（r = 0.633），（P≤0.01）。此外，护理活动与生物生理知识之间存在强相关性（r = 0.637）。年龄较大、有足够的预先信息以及自我感觉健康状况较好，均与护理质量水平和所获知识水平相关。未来，应特别关注在患者住院前为其提供足够的信息。
