Individualised care in Flemish and Dutch hospitals: Comparing patients' and nurses' perceptions

被引:1
作者
Theys, Sofie [1 ]
van Belle, Elise [2 ,3 ]
Heinen, Maud [2 ]
Malfait, Simon [4 ]
Eeckloo, Kristof [1 ,4 ]
Beeckman, Dimitri [1 ,5 ,6 ]
Verhaeghe, Sofie [1 ,7 ]
Van Hecke, Ann [1 ,8 ]
机构
[1] Univ Ghent, Univ Ctr Nursing & Midwifery, Dept Publ Hlth & Primary Care, Fac Med & Hlth Sci, K3,5th Floor,Corneel Heymanslaan 10, B-9000 Ghent, Belgium
[2] Radboud Univ Nijmegen, Radboud Inst Hlth Sci, IQ Healthcare, Med Ctr, Nijmegen, Netherlands
[3] Radboud Univ Nijmegen, Dept Cardiol, Med Ctr, Nijmegen, Netherlands
[4] Ghent Univ Hosp, Ghent, Belgium
[5] Univ Ghent, Univ Ctr Nursing & Midwifery, Dept Publ Hlth & Primary Care, Skin Integr Res Grp SKINT, Ghent, Belgium
[6] Orebro Univ, Sch Hlth Sci, Orebro, Sweden
[7] VIVES Univ Coll, Dept Hlth Care, Roeselare, Belgium
[8] Ghent Univ Hosp, Dept Nursing, Ghent, Belgium
关键词
cross-sectional; hospitals; individualised care; nurses; nursing; patient-centred care; patients; perception; TRAUMA PATIENTS PERCEPTIONS; NURSING-CARE; HEALTH-CARE; CENTERED CARE; PARTICIPATION; SATISFACTION; ASSESSMENTS; OUTCOMES; IMPACT;
D O I
10.1111/scs.13016
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses' and patients' perceptions of the support and provision of patient-centred care is limited and focuses solely on nurses and patients working and staying on surgical wards. Aims and objectives Comparing patients' and nurses' perceptions of patient-centred care on different types of hospital wards, and exploring if patient empowerment, health literacy, and certain sociodemographic and context-related variables are associated with these perceptions. Design Cross-sectional design. Methods Data were collected in ten Flemish (February-June 2016) and two Dutch (December 2014-May 2015) hospitals using the Individualised Care Scale (ICS). A linear mixed model was fitted. Data from 845 patients and 569 nurses were analysed. As the ICS was used to measure the concept of patient-centred care, it is described using the term 'individualised care.' Results Nurses perceived that they supported and provided individualised care more compared with patients as they scored significantly higher on the ICS compared with patients. Patients with higher empowerment scores, higher health literacy, a degree lower than bachelor, a longer hospital stay, and patients who were employed and who were admitted to Dutch hospitals scored significantly higher on some of the ICS subscales/subsections. Nurses who were older and more experienced and those working in Dutch hospitals, regional hospitals and maternity wards scored significantly higher on some of the ICS subscales/subsections. Conclusion Nurses perceived that they supported and provided individualised care more compared with patients. Relevance to clinical practice Creating a shared understanding towards the support and provision of individualised care should be a priority as this could generate more effective nursing care that takes into account the individuality of the patient.
引用
收藏
页码:635 / 649
页数:15
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