{"title":"提高创伤患者家庭护理质量：定性内容分析。","authors":"Shima Farokhi, Azim Azizi, Masoud Khodaveisi, Eesa Mohammadi, Khodayar Oshvandi","doi":"10.30476/beat.2025.104692.1555","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to identify strategies for enhancing the quality of home care for trauma patients.</p><p><strong>Methods: </strong>Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman's method with the assistance of MAXQDA software (version 20).</p><p><strong>Results: </strong>Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.</p><p><strong>Conclusion: </strong>The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"37-46"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036507/pdf/","citationCount":"0","resultStr":"{\"title\":\"Enhancing Home Care Quality for Trauma Patients: A Qualitative Content Analysis.\",\"authors\":\"Shima Farokhi, Azim Azizi, Masoud Khodaveisi, Eesa Mohammadi, Khodayar Oshvandi\",\"doi\":\"10.30476/beat.2025.104692.1555\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>This study aimed to identify strategies for enhancing the quality of home care for trauma patients.</p><p><strong>Methods: </strong>Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman's method with the assistance of MAXQDA software (version 20).</p><p><strong>Results: </strong>Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.</p><p><strong>Conclusion: </strong>The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. 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引用次数: 0
摘要
目的：本研究旨在探讨提高创伤患者家庭护理质量的策略。方法：采用常规定性内容分析方法，于2023年9月至2024年9月在伊朗西北部的哈马丹进行研究。采用目的抽样的方法，选取家庭护理管理人员、护士、创伤患者及创伤患者家属共18人。采用半结构化访谈法收集数据，采用Graneheim and Lundman的方法，借助MAXQDA软件（version 20）进行分析。结果：通过对数据的分析，产生了430个初始代码，将其分为以患者为中心的护理、安全护理、精神护理、有效的教育项目开发、服务有效性增强和动态服务提供6个主要类别，共36个小类别。结论：研究结果表明，护理人员采用了多种策略来提高创伤患者的家庭护理服务质量。主要策略包括坚持以患者为中心的护理原则，为创伤患者提供安全护理，提供精神护理，制定有效的教育计划，提高服务效率，确保服务提供的活力。实施这些策略可以指导决策者和家庭护理护士提高创伤患者的护理质量，提高满意度。本研究结果可促进创伤患者居家照护服务的规划与实施，促进创伤患者从医院到家庭的转变。
Enhancing Home Care Quality for Trauma Patients: A Qualitative Content Analysis.
Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.
Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman's method with the assistance of MAXQDA software (version 20).
Results: Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.
Conclusion: The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.
期刊介绍：
BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.
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