Engström B
Int J Nurs Stud. 1986;23(3):231-45. doi: 10.1016/0020-7489(86)90021-0.
The purpose of this study was to investigate whether changes in the method of organizing medical and nursing care in the neurological ward would affect the patients' satisfaction with information during their stay in the ward. The changes consisted of systematic information routines, systematic follow-up and feedback of information which was provided by a 'mentor' system and systematic routines for written communication between informants and 'mentors' about the patients' need for information. A general improvement of the information to the patients occurred. General information was judged almost completely adequate with the aid of the new routines. The effect of the organizational changes upon the patients' satisfaction with medical information could not be fully studied. The physicians continued to give information about diagnosis, prognosis and after-care very late during the patients' hospital stay and this information was not followed up at all during the experimental period.
本研究的目的是调查神经科病房医疗护理组织方式的改变是否会影响患者在住院期间对信息的满意度。这些改变包括系统化的信息流程、由“导师”系统提供的信息的系统化跟进与反馈，以及信息提供者和“导师”之间就患者信息需求进行书面沟通的系统化流程。患者所获信息总体得到了改善。借助新流程，一般信息被判定几乎完全足够。组织变革对患者对医疗信息满意度的影响未能得到充分研究。医生在患者住院后期才继续提供有关诊断、预后和后续护理的信息，且在实验期间根本没有对这些信息进行跟进。
