Designing the Empowerment Model of Patients Hospitalized in the Hospitals Affiliated to Shahid Sadoughi University of Medical Sciences, Yazd

Safar Ali Dehghani Shoraki, S. Hessam, Roya Biabani Khankahdani
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Abstract

Introduction: Identifying factors that influence the patient experience are critical to implementing strategies that support patient engagement and ultimately achieve better health outcomes. The present study was conducted with the aim of presenting a model of empowerment of hospitalized patients. Methods: The current research was a qualitative-quantitative study that was cross-sectional by stratified sampling method with proper allocation in hospitals affiliated to Shahid Sadoughi University of Medical Sciences, Yazd, Iran, on 230 heads, managers, matrons, supervisors, heads of clinical and paraclinical departments and hospital headquarters units, nurses and doctors were done. The data were collected using the demographic information tool and the questionnaire made by the researcher to design a model of empowering patients admitted to the hospital. Determining the ability of the designed model by fitting the data was done with the confirmatory factor analysis method. Data were analyzed by SPSS version 16 software and Amos.v 24 software. Results: Questionnaire for designing a model of empowering patients in the hospital has 8 areas and 61 items or components. In the present study, the Chi-square ratio to the degree of freedom was significant (p<0.001), which indicated the appropriate fit of the model. The value of the GFI index was estimated at 0.93, which indicated that the model fits well. The values of GFI and AGFI for the empowerment model of hospitalized patients were higher than 0.8. Conclusion: Organizations and medical institutions have the opportunity to utilize this model to empower patients. The universities of medical sciences and affiliated hospitals should create an enabling environment for enhancing patient empowerment.
设计亚兹德沙希德-萨多菲医科大学附属医院住院病人的赋权模式
引言:确定影响患者体验的因素对于实施支持患者参与的策略并最终实现更好的医疗效果至关重要。本研究旨在介绍一种增强住院患者能力的模式。研究方法本研究是一项定性-定量研究,采用分层抽样法对伊朗亚兹德沙希德-萨多菲医科大学附属医院的 230 名院长、经理、护士长、主管、临床和准临床科室及医院总部单位的负责人、护士和医生进行了横断面抽样调查。研究人员使用人口统计学信息工具和调查问卷收集数据,以设计一个医院住院患者赋权模型。通过确认性因素分析法对数据进行拟合,以确定所设计模型的能力。数据采用 SPSS 16 版软件和 Amos.v 24 软件进行分析。结果医院患者赋权模型设计问卷包含 8 个方面、61 个项目或组成部分。在本研究中,智方与自由度的比值显著(P<0.001),这表明模型的拟合度合适。GFI 指数估计值为 0.93,表明模型拟合良好。住院患者赋权模型的 GFI 和 AGFI 值均高于 0.8。结论各组织和医疗机构有机会利用这一模型来增强患者的能力。医科大学和附属医院应为增强患者能力创造有利环境。
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