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意大利居家护理中的工作条件、护理缺失和患者体验:一项观察性研究。

Working conditions, missed care and patient experience in home care nursing in Italy: An observational study.

机构信息

Scientific Committee CERSI-FNOPI, Department of Health Sciences, University of Genoa, Genoa, Italy.

Scientific Committee CERSI-FNOPI, Department of Biomedicine and Prevention, Faculty of Medicine, University of Rome Tor Vergata, Rome, Italy.

出版信息

Public Health Nurs. 2024 Jul-Aug;41(4):709-722. doi: 10.1111/phn.13320. Epub 2024 May 6.

DOI:10.1111/phn.13320
PMID:38708563
Abstract

INTRODUCTION

The aging of the population requires an appropriate knowledge of the type of care that needs to be provided to inform healthcare policies. In Italy, neither home care nursing, nor the patient experiences have ever been described.

OBJECTIVES

To describe the characteristics of nurses and care recipients involved in home care.

METHODS

A descriptive cross-sectional study conducted in 18 Italian Regions. Between April and October 2023, data from nurses and patients involved in home care were collected through two surveys. Psychosocial conditions in workplaces, missed care, and care experiences were assessed using validated tools. Descriptive statistics and Pearson's correlations were performed.

RESULTS

A total of 46 local healthcare units were included in this study, with a total of 2549 nurses and 4709 care recipients. Nurses (mean age 46.60; 79.48% female; 44.68% regional nursing diploma as the highest qualification) reported good working conditions (42.37; SD = 12.25; range = 0-100) and a high mean number of missed care activities (5.11; SD = 3.19; range 0-9). Most nurses (83.41%) reported high levels of job satisfaction, while 20.28% intended to leave their job. Patients (mean age 75.18; 57.57% female; 36.95% primary school), on the other hand, rated positively the care they had received (8.23; range = 0-10).

CONCLUSIONS

Despite the perception of critical issues at work and some missed care, satisfaction in nurses and patients was high. These data constitute a preliminary snapshot of the studied phenomena, which will be investigated through more in-depth analyses.

摘要

简介

人口老龄化需要适当了解需要提供的护理类型,以为医疗保健政策提供信息。在意大利,从未描述过家庭护理护士或患者的体验。

目的

描述参与家庭护理的护士和护理接收者的特征。

方法

这是一项在意大利 18 个地区进行的描述性横断面研究。2023 年 4 月至 10 月期间,通过两项调查收集了参与家庭护理的护士和患者的数据。使用经过验证的工具评估工作场所的心理社会条件、遗漏的护理和护理体验。进行了描述性统计和 Pearson 相关性分析。

结果

本研究共纳入 46 个地方医疗保健单位,共有 2549 名护士和 4709 名护理接收者。护士(平均年龄 46.60 岁;79.48%为女性;44.68%拥有区域护理文凭作为最高学历)报告称工作条件良好(42.37;SD=12.25;范围 0-100),错过的护理活动数量较多(5.11;SD=3.19;范围 0-9)。大多数护士(83.41%)对工作满意度高,而 20.28%的护士打算离职。另一方面,患者(平均年龄 75.18 岁;57.57%为女性;36.95%为小学文化)对他们所接受的护理给予了积极评价(8.23;范围 0-10)。

结论

尽管工作中存在一些问题和一些遗漏的护理,但护士和患者的满意度仍然较高。这些数据构成了所研究现象的初步快照,将通过更深入的分析进行调查。

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