Harrison L L, Novak D
University of Alabama Capstone College of Nursing, Tuscaloosa 35487-0358.
J Adv Nurs. 1988 Nov;13(6):684-92. doi: 10.1111/j.1365-2648.1988.tb00558.x.
The purpose of this study was to evaluate the effects of a four-session (8-hour) gerontological nursing continuing education (CE) programme on nurses' knowlege of and attitudes towards the elderly. The study also sought to ascertain the effects of the CE programme on patient satisfaction with and perceptions of nursing care. Seventy-six nurses completed the Miller-Dodder Revision of the Palmore Facts on Ageing Quiz and the Kogan Attitudes Towards Old People Scale before and after participating in the CE programme. Post-test scores on both measures were slightly but significantly higher than pretest scores. Thirty hospitalized elderly patients were interviewed before and 33 were interviewed after the CE programme was offered to the nurses on their hospital units, using the LaMonica-Oberst Patient Satisfaction Scale and the Harrison-Novak Patient Perception Scale. Post-test measures of patient satisfaction and perception were not significantly different from pretest scores. Patients were generally satisfied with their nursing care, but perceived that nurses did not focus on health promotion activities. In addition, 59% of the patients indicated that they were unable to distinguish nurses from other health care providers. The article identifies implications of the study for nursing education, practice and research.
本研究的目的是评估一个为期四节(8小时)的老年护理继续教育(CE)项目对护士关于老年人的知识及态度的影响。该研究还试图确定CE项目对患者对护理服务的满意度及看法的影响。76名护士在参加CE项目前后完成了帕尔莫尔老龄问题测验的米勒 - 多德修订版以及科根对老年人态度量表。两项测评的后测分数均略高于前测分数,但具有显著差异。在向护士所在医院科室提供CE项目之前,对30名住院老年患者进行了访谈,之后又对33名患者进行了访谈,使用的是拉莫尼卡 - 奥伯斯特患者满意度量表和哈里森 - 诺瓦克患者看法量表。患者满意度和看法的后测指标与前测分数无显著差异。患者总体上对护理服务感到满意,但认为护士没有将重点放在健康促进活动上。此外,59%的患者表示无法区分护士与其他医疗服务提供者。本文指出了该研究对护理教育、实践和研究的启示。