Shin Nayeon, Park Jummi
Department of Nursing, Bundang CHA Hospital, Seongnam, Republic of Korea.
Department of Nursing, Namseoul University, Cheonan, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2018 Sep;12(3):203-208. doi: 10.1016/j.anr.2018.08.003. Epub 2018 Aug 20.
This study examined the effects of intentional nursing rounds based on the care model on patients' perceived nursing quality and their satisfaction with nursing services.
The study design was a nonequivalent control group pretest-posttest design. The participants were assigned to the intervention group or the control group in two orthopedic wards of a teaching hospital. A total of 9 rounds (at 7 AM, 9 AM, 12 PM, 3 PM, 5 PM, 8 PM, 10 PM, 2 AM, and 5 AM) were performed every 2 or 3 hours to the experimental group. The intentional nursing rounding intervention was developed through a theoretical development program involving six basic principles which are maintaining belief, knowing, being with, doing for, enabling, and patients' wellness. To evaluate the effects of intentional nursing rounds, data were collected through the Perception of Quality Nursing Care Scale and the Patients' Satisfaction with Nursing Care Quality Questionnaire.
The participants were 70 patients (experimental group) and 75 patients (control group). Results of difference-in-difference analysis confirmed that the patient-perceived nursing quality level from the experimental group was 0.85 points (out of 5.00) higher (p = .041) and the satisfaction with nursing services level was 8.28 points (out of 110.00) higher (p < .001) than the control group.
These results proposed that intentional nursing rounds based on the care model were effective in improving perception of quality nursing care and patients' satisfaction with nursing care. Structured patient-oriented intentional nursing rounds based on the care model are expected to expand to a variety of clinical settings further.
本研究探讨基于关怀模式的有意护理查房对患者感知护理质量及护理服务满意度的影响。
采用非等组对照前测后测设计。将教学医院两个骨科病房的患者分为干预组和对照组。对实验组每2或3小时进行共9次查房（上午7点、9点、12点、下午3点、5点、晚上8点、10点、凌晨2点和5点）。基于包括保持信念、了解、陪伴、为患者做、赋能和患者健康这六项基本原则的理论发展计划开展有意护理查房干预。为评估有意护理查房的效果，通过护理质量感知量表和护理服务质量患者满意度问卷收集数据。
参与者为70例患者（实验组）和75例患者（对照组）。差异分析结果证实，实验组患者感知护理质量水平比对照组高0.85分（满分5.00分）（p = 0.041），护理服务满意度水平比对照组高8.28分（满分110.00分）（p < 0.001）。
这些结果表明，基于关怀模式的有意护理查房在提高护理质量感知和患者对护理的满意度方面是有效的。基于关怀模式的结构化以患者为导向的有意护理查房有望进一步扩展到各种临床环境。
