Surgical patients’ assessment of healthcare encounters after elective surgery: A descriptive study

IF 1.4 Q4 HEALTH POLICY & SERVICES

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen Pub Date : 2024-09-01 DOI:10.1016/j.zefq.2024.08.001

Lisbeth Uhrenfeldt , Preben Ulrich Pedersen , Mona Kyndi Pedersen , Kari Ingstad

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引用次数: 0

Abstract

Introduction

A Norwegian-Danish research team identified a gap in research regarding how surgical patients felt about their post-operative care needs being met in hospitals. A study was subsequently developed to understand their subjective assessments of how they value the perceived fulfilment of their actual care needs. The study was further informed by international calls to focus on the fundamentals of care practice. Our aim was to determine the extent to which surgical patients receiving elective treatment experience the physical environment, atmosphere and collaboration with staff as supportive of their care and treatment, and what this means for them after treatment. In addition, we aimed to document the extent to which patients experienced being understood and having influence in their care.

Methods

A descriptive observation study using a cross-sectional design. The validated Perioperative User Participation Perspectives (POUP) questionnaire was completed on the day of discharge by 194 adult (male and female) patients (mean age: 56 years) who had undergone elective surgery on gynaecological, internal medicine or orthopaedic wards. Agreement between the subjective importance of nursing care for patients and the perceived reality was determined.

Results

Agreement regarding the physical environment, a clean bed and clean surroundings was between 91.7 and 96.2%, and agreement with regard to a good relational atmosphere with staff it was 94.2 to 96.7%. In terms of the relational aspects of care, being understood and having influence the agreement was calculated to be 89.4 to 94.4%. However, 42.6% of the patients reported they were involved in drawing up a care plan. For those patients who valued collaborating in their care planning the congruency was 80%.

Conclusion

A conducive atmosphere and a keen eye for the patients’ wishes and needs is of particular importance at the time of discharge after elective surgery.

查看原文本刊更多论文

外科病人对择期手术后就医情况的评估：描述性研究。

引言一个挪威-丹麦研究小组发现，关于手术患者如何看待医院满足其术后护理需求的研究存在空白。研究小组随后开展了一项研究，以了解他们对实际护理需求满足情况的主观评价。这项研究还进一步参考了国际上关于关注护理实践基础的呼吁。我们的目的是确定接受择期治疗的外科病人在多大程度上感受到物理环境、氛围以及与工作人员的合作对其护理和治疗的支持，以及这对他们治疗后的意义。此外，我们还希望记录患者在护理过程中被理解和影响的程度：方法：采用横断面设计的描述性观察研究。194名在妇科、内科或骨科病房接受择期手术的成年（男性和女性）患者（平均年龄：56岁）在出院当天填写了经过验证的围手术期用户参与视角（POUP）问卷。结果显示，患者对护理工作的主观重视程度与感知到的实际情况之间存在一致性：对物理环境、干净的床铺和整洁的周围环境的认同度在 91.7% 至 96.2% 之间，对与员工的良好关系氛围的认同度在 94.2% 至 96.7% 之间。在护理关系方面，被理解和有影响力的认同度为 89.4% 至 94.4%。然而，42.6%的病人表示他们参与了护理计划的制定。对于那些重视在护理计划中进行合作的病人来说，他们的一致性达到了 80%：结论：在择期手术后出院时，营造良好的氛围并密切关注患者的意愿和需求尤为重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen HEALTH POLICY & SERVICES-

CiteScore

1.90

自引率

18.20%

发文量

129