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洪都拉斯护士对中风患者护理质量的认知:一项定性研究。

Honduran nurses' perceptions among the quality of care for stroke patients: a qualitative study.

作者信息

Figueroa Sandra Patricia Nájera, Martinez Oscar Fidel Antunez, Morales Perla Simons

机构信息

National Autonomous University of Honduras, School of Nursing, Tegucigalpa, Francisco Morazán, Honduras.

National Taipei University of Nursing and Health Sciences, College of Nursing, Beitou District, Taipei, Taiwan.

出版信息

Rev Lat Am Enfermagem. 2025 Jan 27;33:e4419. doi: 10.1590/1518-8345.7300.4419. eCollection 2025.

DOI:10.1590/1518-8345.7300.4419
PMID:39879480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11774144/
Abstract

OBJECTIVE

to explore the nurses' perceptions among the quality of care to stroke patients in a public hospital in Northern Honduras.

METHOD

a descriptive phenomenological study was carried out. The data collection was conducted by means of depth- interviews to 20 general nurses from the emergency and clinical medicine departments from the Atlántida General Hospital. Data analysis was by thematic technique.

RESULTS

the research found three key themes, and 10 subthemes, which illustrated the quality of stroke patients care in a general hospital from Honduras. The finding points up the theme "negative outcomes regarding the structure dimension of the patient care units", which means the failure to improve or maintain the quality of healthcare. Likewise, "positive outcomes regarding the nursing process", defined as pleasant and helpful among the care of stroke patients, such as ethical and humanized caring, and activities on promoting patient self-care with involvement of the relatives.

CONCLUSION

the results indicate that Honduran nurses do not have qualified graduate training in critical care, which is a limitation that compromises the quality of care. Therefore, it is recommended to have clear organization structures and better resources managing, consequently, it may increase user satisfaction, as well as reducing hospital stays.

摘要

目的

探讨洪都拉斯北部一家公立医院护士对中风患者护理质量的认知。

方法

开展一项描述性现象学研究。通过对阿特兰蒂达综合医院急诊科和临床医学科的20名普通护士进行深度访谈来收集数据。采用主题技术进行数据分析。

结果

研究发现了三个关键主题和10个子主题,这些主题阐述了洪都拉斯一家综合医院中风患者的护理质量。研究结果突出了“患者护理单元结构维度的负面结果”这一主题,这意味着未能提高或维持医疗保健质量。同样,“护理过程的积极结果”被定义为在中风患者护理中令人愉快且有帮助,比如道德和人性化护理,以及在亲属参与下促进患者自我护理的活动。

结论

结果表明洪都拉斯护士在重症护理方面没有合格的研究生培训,这一限制损害了护理质量。因此,建议要有清晰的组织结构和更好的资源管理,从而可能提高用户满意度,并减少住院时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/7f39ce9bc638/1518-8345-rlae-33-e4419-pt-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/054aa8defbcf/1518-8345-rlae-33-e4419-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/d1a48529dac0/1518-8345-rlae-33-e4419-es-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/7f39ce9bc638/1518-8345-rlae-33-e4419-pt-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/054aa8defbcf/1518-8345-rlae-33-e4419-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/d1a48529dac0/1518-8345-rlae-33-e4419-es-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a042/11774144/7f39ce9bc638/1518-8345-rlae-33-e4419-pt-f1.jpg

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Adapting the Donabedian model in undergraduate nursing education: a modified Delphi study.将 Donabedian 模型应用于本科护理教育:一项修正后的德尔菲研究。
BMC Med Educ. 2024 Feb 27;24(1):202. doi: 10.1186/s12909-024-05187-7.
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Implementation issues and barriers for assessing oral health in dependent patients after stroke: A qualitative study.
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A Qualitative Study on the Humanistic Care Needs of Patients with Stroke and Their Families.一项关于中风患者及其家属人文关怀需求的定性研究。
J Multidiscip Healthc. 2023 Mar 16;16:717-730. doi: 10.2147/JMDH.S388539. eCollection 2023.
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Students' Perception of Quality of Learning Experience (Structure, Process and Outcome): Discipline Versus Problem Based Medical Curriculum and the Mediation Role of Process Quality.学生对学习体验质量的认知(结构、过程与结果):学科本位医学课程与基于问题的医学课程对比及过程质量的中介作用
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