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约旦护士与患者对精神科护理质量的认知

Nurses' and Patients' Perceptions of the Quality of Psychiatric Nursing Care in Jordan.

作者信息

Alsyouf Wafa S, Hamdan-Mansour Ayman M, Hamaideh Shaher H, Alnadi Khaled M

出版信息

Res Theory Nurs Pract. 2018 May 1;32(2):226-238. doi: 10.1891/1541-6577.32.2.226.

Abstract

BACKGROUND

The quality of care provided for patients in mental health-care facilities remains a challenge for health-care providers in general and for nurses in particular. Identifying the level of quality of care provided for patients in mental health-care facilities as perceived by nurses and patients may help health-care providers improve the quality of care and improve patients' outcomes.

OBJECTIVES

The purpose of the study was to assess the perceptions of nurses and patients of the quality of nursing care, and explore the differences in their perceptions of quality of care in mental health-care facilities in Jordan.

METHODS

A cross-sectional study was conducted using two convenience samples of 123 nurses and 150 patients. The nurses completed the Karen-personnel instrument, a self-administered questionnaire; One hundred and fifty patients from several mental health-care facilities in Jordan were interviewed using the Karen-patient instrument. The interviews were structured.

RESULTS

Sixtyfour percent of nurses rated the quality of psychiatric nursing care as satisfactory, and 47.6% of patients perceived the quality of nursing care as satisfactory. Male nurses, who attended courses in mental health nursing, chose to work in a psychiatric unit, committed to work in the future in a psychiatric unit, and were providing indirect care have significantly higher perception of quality of psychiatric nursing care than their counterparts. Patients in military hospitals have significantly higher perception of quality of psychiatric nursing care than those in governmental ones (p < .05).

IMPLICATIONS FOR PRACTICE

To improve the quality of care in psychiatric units, patients and nurses need to be educated about the quality indicators set by Joint Commission international standards related to mental health-care facilities.

摘要

背景

为精神卫生保健机构中的患者提供护理服务的质量,总体上对医疗保健提供者而言仍是一项挑战,对护士来说尤其如此。确定护士和患者所感知的精神卫生保健机构为患者提供的护理质量水平,可能有助于医疗保健提供者提高护理质量并改善患者的治疗结果。

目的

本研究的目的是评估护士和患者对护理质量的看法,并探讨他们对约旦精神卫生保健机构护理质量看法的差异。

方法

采用横断面研究,使用了由123名护士和150名患者组成的两个便利样本。护士完成了一份自填式问卷——卡伦人员问卷;使用卡伦患者问卷对约旦几家精神卫生保健机构的150名患者进行了访谈。访谈采用结构化方式。

结果

64%的护士将精神科护理质量评为满意,47.6%的患者认为护理质量令人满意。参加过精神卫生护理课程、选择在精神科工作、承诺未来继续在精神科工作且提供间接护理的男护士,对精神科护理质量的认知明显高于同行。军事医院的患者对精神科护理质量的认知明显高于政府医院的患者(p <.05)。

对实践的启示

为提高精神科病房的护理质量,需要对患者和护士进行关于国际联合委员会制定的与精神卫生保健机构相关的质量指标的教育。

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