影响住院患者对个性化护理认知的因素：一项横断面研究。
Factors influencing hospitalized patients' perception of individualized nursing care: a cross-sectional study.
作者信息
Köberich Stefan, Feuchtinger Johanna, Farin Erik
机构信息
Institute for Quality Management and Social Medicine, Medical Center - University of Freiburg, Engelbergerstr. 21, 79106 Freiburg, Germany ; Pflegedirektion, Heart Center - University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany.
Quality and Development in Nursing Care, Medical Center - University of Freiburg, Breisacher Str. 62, Freiburg, Germany.
出版信息
BMC Nurs. 2016 Mar 1;15:14. doi: 10.1186/s12912-016-0137-7. eCollection 2016.
BACKGROUND
Individualized care is a cornerstone of patient-centered nursing care. To foster individualized care, influencing factors should be known. The aim of this study was to identify the individual and organizational factors influencing hospitalized patients' perception of individualized care.
METHODS
A cross-sectional study was conducted of 606 patients from 20 wards from five hospitals across Germany. Individualized care and potential influencing factors were assessed via structured questionnaires. To identify influencing factors, we applied a hierarchical linear model with two levels.
RESULTS
Self-rated health, length of ward stay, educational level and shared decision-making process about nursing care were perceived to influence individualized care. A higher rating of health and longer ward stay correlated with improved perceptions of individualized nursing care. In addition, an educational level of nine or fewer years and a perceived shared decision-making process about nursing care positively influenced the perception of nursing care as being tailored to individual needs.
CONCLUSIONS
Several factors influence patients' perception of individualized care. However, only the decision-making process can be actively influenced by nurses. Therefore, nurses should be encouraged to promote shared decision-making regarding patients' nursing care.
TRIAL NUMBER
DRKS00005174 (Date of registration: 2013/08/01).
背景
个性化护理是以患者为中心的护理的基石。为了促进个性化护理，应了解其影响因素。本研究的目的是确定影响住院患者对个性化护理认知的个体和组织因素。
方法
对德国五家医院20个病房的606名患者进行了横断面研究。通过结构化问卷评估个性化护理及潜在影响因素。为了确定影响因素，我们应用了一个具有两个层次的分层线性模型。
结果
自评健康状况、病房住院时间、教育水平以及护理方面的共同决策过程被认为会影响个性化护理。健康评分较高和病房住院时间较长与对个性化护理的认知改善相关。此外，九年及以下的教育水平以及护理方面的共同决策过程会积极影响对护理是根据个体需求量身定制的认知。
结论
有几个因素会影响患者对个性化护理的认知。然而，只有决策过程可以由护士积极影响。因此，应鼓励护士促进关于患者护理的共同决策。
试验编号
DRKS00005174（注册日期：2013年8月1日）。
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