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护理质量评估中发现的改进领域和障碍:患者与专业人员的看法

Areas for Improvement and Barriers Identified in Measuring the Quality of Nursing Care: Perceptions of Patients and Professionals.

作者信息

Company-Sancho Maria Consuelo, Rich-Ruiz Manuel, Guillen Toledano Marta, Cairós-Ventura Luis-Miguel, Gil Perez Josefa D, de Pascual Y Medina Ana María, Peláez Alba María Pilar, Barreno Estévez Ana Isabel, Alonso Poncelas María Emma, Rodríguez Orihuela Carolina, Brito-Brito Pedro Ruyman

机构信息

Health Promotion Service, Directorate-General for Public Health, Canary Islands Health Service, 35003 Las Palmas de Gran Canaria, Spain.

Nursing and Healthcare Research Unit (Investén-Isciii), Instituto de Salud Carlos III, 28029 Madrid, Spain.

出版信息

Nurs Rep. 2024 Oct 9;14(4):2896-2909. doi: 10.3390/nursrep14040211.

Abstract

BACKGROUND

Quality indicators in healthcare are essential to raising awareness about the appropriateness of nursing care. However, identifying the key indicators continues to pose a challenge, above all if one wants to include users and professionals.

AIM

Identify which aspects of nursing care should be measured to assess the results of nursing care and how to do so.

METHODOLOGY

Interpretive qualitative exploratory study. The participants were users and professionals of an autonomous regional health service in Spain. The information was collected by means of two focus groups and eight semi-structured interviews conducted between November 2022 and March 2024. The data were analysed thematically using the Braun and Clarke process.

RESULTS

The users and professionals agreed on the need to measure emotional skills and attitudes such as empathy, respect, and warmth when dealing with patients. The professionals highlighted workload and inefficiency of the current record system as barriers to adequately reflecting their work. They proposed improvements in the recording tool and the need for more human resources, as well as leadership that is more focused on quality.

CONCLUSIONS

It is crucial to develop indicators that reflect both the emotional and technical aspects of nursing care. The participation by patients and professionals alike in this design and selection will make it possible to improve the quality of care and advances in the nursing profession. This study was not registered.

摘要

背景

医疗保健中的质量指标对于提高对护理适宜性的认识至关重要。然而,确定关键指标仍然是一项挑战,尤其是当想要纳入用户和专业人员时。

目的

确定应衡量护理的哪些方面以评估护理结果以及如何进行衡量。

方法

解释性定性探索性研究。参与者是西班牙一个自治区卫生服务机构的用户和专业人员。通过2022年11月至2024年3月期间进行的两个焦点小组和八次半结构化访谈收集信息。使用布劳恩和克拉克的方法对数据进行主题分析。

结果

用户和专业人员一致认为,在与患者打交道时,需要衡量诸如同理心、尊重和热情等情感技能和态度。专业人员强调当前记录系统的工作量和效率低下是充分反映其工作的障碍。他们提议改进记录工具,增加人力资源的需求,以及更注重质量的领导力。

结论

制定反映护理情感和技术方面的指标至关重要。患者和专业人员共同参与这种设计和选择将有可能提高护理质量并推动护理专业的发展。本研究未注册。

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本文引用的文献

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