Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota, United States of America.
Center to Improve Veteran Involvement in Care, VA Portland Health Care System, Portland, Oregon, United States of America.
PLoS One. 2019 Mar 15;14(3):e0213767. doi: 10.1371/journal.pone.0213767. eCollection 2019.
Informal family caregivers play an increasingly important role in healthcare. Despite their role in ongoing management and coordination of care, caregiver satisfaction with the healthcare services care recipients receive has been understudied. We sought to assess what influences caregiver satisfaction with inpatient care provided to their care recipient among caregivers of veterans with traumatic brain injury (TBI) and polytrauma.
Data from the Family and Caregiver Experience Survey, a national survey of caregivers of veterans with TBI and polytrauma, was used to explore factors associated with caregiver satisfaction with the care his/her care recipient received while an inpatient at a US Department of Veterans Affairs (VA) Polytrauma Rehabilitation Center. Caregiver and care recipient demographic and injury factors and potential addressable factors including social support, caregiver training received, and caregiver perceptions of being valued by the VA were evaluated for their associations with caregivers' satisfaction with their care recipients' healthcare.
The majority of the 524 caregivers reported being mostly or very satisfied with their care recipient's inpatient care (75%, n = 393). Higher satisfaction with inpatient care was significantly associated with greater caregiver social support, receipt of training from the VA, and perceptions of being valued by the VA, both on univariate analysis and after controlling for care recipient TBI severity and caregiver's relationship to the care recipient.
Results suggest that supporting a strong social network for caregivers, providing caregiver training, and employing practices that communicate that family caregiving is valued by providers and healthcare organizations are promising avenues for improving caregiver satisfaction.
非专业家庭护理人员在医疗保健中发挥着越来越重要的作用。尽管他们在持续管理和协调护理方面发挥了作用,但护理人员对护理对象所接受的医疗服务的满意度却鲜有研究。我们试图评估创伤性脑损伤(TBI)和多发性创伤退伍军人的护理人员对其护理对象住院期间所接受的医疗服务的满意度的影响因素。
使用来自家庭和护理人员体验调查(一项针对 TBI 和多发性创伤退伍军人的护理人员的全国性调查)的数据,探讨与护理人员对其护理对象在退伍军人事务部(VA)多发性创伤康复中心住院期间接受的护理满意度相关的因素。评估了护理人员和护理对象的人口统计学和损伤因素以及潜在的可解决因素,包括社会支持、护理人员接受的培训以及护理人员对 VA 的重视程度,以评估它们与护理人员对其护理对象的医疗保健的满意度的关联。
524 名护理人员中的大多数报告对其护理对象的住院护理非常满意或满意(75%,n=393)。在单变量分析和控制护理对象 TBI 严重程度以及护理人员与护理对象的关系后,更高的住院护理满意度与更大的护理人员社会支持、从 VA 获得培训以及对 VA 的重视程度显著相关。
结果表明,为护理人员提供强大的社交网络、提供护理人员培训以及采用沟通家庭护理受到提供者和医疗保健组织重视的实践,是提高护理人员满意度的有前途的途径。