Ottonello M, Pistarini C, Ruvolo S, Costa S, Navarra V, Murianni C, Cristallo E, Maiello S, Tritto M R, Pagliarulo M G, Manera M R
Istituti Clinici Scientifici Maugeri IRCCS, Psychology Unit, Pavia Institute, Pavia, Italy.
Istituti Clinici Scientifici Maugeri IRCCS, Department of Neurorehabilitation, Pavia Institute, Pavia, Italy.
J Healthc Qual Res. 2025 Jan-Feb;40(1):48-55. doi: 10.1016/j.jhqr.2024.09.005. Epub 2024 Nov 13.
The aim of the present study was to identify information and educational needs of neurological inpatients during residential rehabilitation from the caregivers' perspective. On top of that, it was important to acknowledge the conceptual framework underlying the complexity of needs, for the development in future research of an early identification of caregiver's information needs assessment tool. This preliminary study will allow to define the dimensions on which to measure caregiver needs and the quality of care provided to the patients and their families.
Focus groups of family caregivers of inpatients admitted to the Neurorehabilitation Units by the ICS Maugeri Institutes were conducted to explore the caregivers needs. All focus groups were tape-recorded and contemporaneous notes made. The tapes were transcribed and thematic analysis was used to develop categories of needs. To ensure consistency between groups, a semi-structured schedule was used to guide the focus groups.
In the analysis of the statements extracted from the transcripts we defined five main themes of information needs expressed from caregivers: education, hospital care organization, legal and social care management and emotional or psychological support.
The results provided the identification of the domains essential for the development of a questionnaire that measures the complexity of the caregiver's information needs during residential rehabilitation. The caregivers' statements expressed in the focus groups allowed to identify five main kinds of needs. Moreover, some suggestions and ideas to improve the information and education materials to satisfy these needs emerged from caregivers and health professionals during team meetings.
本研究的目的是从护理人员的角度确定神经科住院患者在住院康复期间的信息和教育需求。除此之外,认识到需求复杂性背后的概念框架对于未来研究开发护理人员信息需求评估工具的早期识别至关重要。这项初步研究将有助于确定衡量护理人员需求以及提供给患者及其家属的护理质量的维度。
对由ICS Maugeri研究所收治到神经康复科的住院患者的家庭护理人员进行焦点小组访谈,以探讨护理人员的需求。所有焦点小组访谈都进行了录音并做了同步记录。对录音进行转录,并采用主题分析法来确定需求类别。为确保各小组之间的一致性,使用了半结构化的提纲来指导焦点小组访谈。
在对转录文本中提取的陈述进行分析时,我们确定了护理人员表达的信息需求的五个主要主题:教育、医院护理组织、法律和社会护理管理以及情感或心理支持。
研究结果为开发一份问卷确定了关键领域,该问卷用于衡量住院康复期间护理人员信息需求的复杂性。焦点小组访谈中护理人员表达的陈述确定了五种主要需求。此外,在团队会议期间,护理人员和卫生专业人员提出了一些改进信息和教育材料以满足这些需求的建议和想法。