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结构化护士主管查房对癌症患者护理满意度的影响。

Impact of Structured Nurse Leader Rounds on Satisfaction With Nursing Care Among Patients With Cancer.

机构信息

Nurse Supervisor, Quality and Patient Safety, King Hussein Cancer Center in Amman, Jordan.

Senior Manager for Nursing Research & EBP, King Hussein Cancer Center, Amman, Jordan.

出版信息

J Nurs Scholarsh. 2019 Sep;51(5):526-536. doi: 10.1111/jnu.12503. Epub 2019 Jul 22.

Abstract

BACKGROUND

The patient satisfaction rate is considered a challenge for nurse leaders, especially among patients with cancer, due to the complexity of the disease, diagnostic procedures, and treatment.

AIM

The purpose of this study was to evaluate the impact of structured nurse leader rounds (NLRs) on satisfaction with nursing care among patients with cancer. Moreover, we assessed the relationship among NLRs, patient satisfaction, and demographical variables.

METHODS

A two-group posttest design was used in four adult inpatient oncology units in a specialized oncology center. A stratified random sampling technique was utilized to select 169 patients for the experimental group (80 patients) and control group (89 patients). Structured leader rounds were conducted by nurse leaders using a scripted nurse leader tool to standardize the rounds in the experimental group, while the unstructured leader round was conducted in the control group. Patient satisfaction was measured using the Patient Satisfaction with Nursing Care Quality Questionnaire.

RESULTS

The findings revealed that there was a significant difference in total score of patients' satisfaction between study groups (t = -9.213, p > .001). Conversely, the structured leader round has a significant impact on the patient's experience with nurse concern and caring (t = -2.054, p = .042).

CONCLUSIONS

Adoption of a structured NLR has a significant impact on improving patient satisfaction in an oncology setting where patients receive care from many disciplines, such as surgical, medical, radiotherapy, and radiology.

CLINICAL RELEVANCE

Efficient structured NLRs of nursing professionals are important for enhancing the quality of nursing care and patient satisfaction.

摘要

背景

患者满意度被认为是护士领导者面临的挑战,尤其是在癌症患者中,这是由于疾病的复杂性、诊断程序和治疗。

目的

本研究旨在评估结构化护士领导查房(NLR)对癌症患者护理满意度的影响。此外,我们评估了 NLR、患者满意度和人口统计学变量之间的关系。

方法

在一家专门的肿瘤中心的四个成人肿瘤住院病房中采用了两组后测设计。采用分层随机抽样技术,选择 169 名患者进入实验组(80 名患者)和对照组(89 名患者)。护士领导者使用脚本化护士领导者工具进行结构化领导者查房,以规范实验组的查房,而对照组则进行非结构化领导者查房。使用患者对护理质量满意度问卷测量患者满意度。

结果

研究结果表明,研究组患者满意度总分存在显著差异(t=-9.213,p>.001)。相反,结构化领导者查房对患者对护士关注和关怀的体验有显著影响(t=-2.054,p=0.042)。

结论

在一个患者接受手术、内科、放疗和放射科等多学科护理的肿瘤环境中,采用结构化 NLR 对提高患者满意度有显著影响。

临床意义

高效的结构化护士领导查房对于提高护理质量和患者满意度非常重要。

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