Unit:
Τομέας Παθολογικός - ΝοσηλευτικόςLibrary of the School of Health Sciences
Dissertation committee:
Ελισάβετ Πατηράκη, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Χρυσούλα Λεμονίδου, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Στυλιανός Κατσαραγάκης, Επίκουρος Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Αθηνά Καλοκαιρινού, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Βασιλική Μάτζιου, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Παναγιώτα Σουρτζή, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Ιωάννης Κακλαμάνος, Καθηγητής, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Original Title:
Διερεύνηση των αντιλήψεων ογκολογικών ασθενών για την εξατομικευμένη νοσηλευτική φροντίδα και την ποιότητα της φροντίδας
Translated title:
Exploring individualized nursing care and quality of care as perceived by cancer patients
Summary:
Background: Individualized nursing care has been mainly studied by nurses' perceptions. The complexity of oncology care is influenced by many factors in providing high-quality nursing care. The correlations between individualized nursing care with the quality of nursing care, quality of life and trust remain unclear. Individualized nursing care has been associated with positive outcomes.
Aim: The purpose of the study was to describe the perceptions of oncology patients for individual care and to investigate their impact on the quality of care, quality of life and trust in nurses.
Methodology: A quantitative correlation study was performed. The empirical data was collected from oncology patients who were hospitalized in pathological and surgical clinics at the oncology hospital in Attica. The study sample: For the descriptive study, convenience sample was used, the sample was N = 150 (response rate 94%).Instruments: Data collection scale used: 1. Demographics and clinical features of patients. 2. The individualized care scale (ICS-A / ICS-B). 3. Oncology Patients Perceptions of Quality Nursing Care Scale (OPPQNCS). 4. Nurse Trust Scale. 5. Patient Quality of Life Questionnaire (EQ-5D). Throughout the study, the principles of the Helsinki Declaration (2004) were followed. Statistical analysis SPSS 22 was used for statistical analysis of data.
Results: The mean age of patients in the sample was 53.46 years. Most of the patients were Secondary and Academic education (82%) and married (60%). Also, most patients had previous experience of admission (88.7%) and the reason for hospitalization was chemotherapy (54%). Patients considered individualized nursing care as very important (89%). The patients gave the highest score in ISC-A was that the nurses "made sure I have understood the instructions I have received in hospital " (3.68 ± 1.11) while the lowest score "asked me at what time I would prefer to wash" ( 2.19 ± 1.19). While on the ICS-B scale, patients gave the highest score in the sentence that "I have followed the instructions I have received in hospital" (4.27 ± 0.86) while the lowest score "The opinions I have expressed have been taken into account in my care"(2.78 ± 1.15). In addition, on the OPPQNCS scale, patients gave the highest score to the suggestion that "The nurses respected my dignity" (5.01 ± 1.1), while the lowest score that "The nurses arranged for the same nurses to care for me regularly" 2.23 ± 1.34).
Only sub-scale of "personal health condition" from ICS-A was found to have a negative correlation with the age of the patients, while gender was not associated with perceptions on the scale of ndividualized care, although women rated the individuality of care more compared to men. Patients with Academic education and patients who were married or living with the partner gave higher scores for individualized nursing care. Patients whose length of time was longer were rated more favorably with individualized nursing care. The type of cancer and previous experience of oncology patients have shown not to greatly influence their perception of individualized care.The perceptions of oncology patients for individualized nursing care in the ISC-A part were statistically significantly related to the quality of life in the dimensions of "self-care", "normal activities", "pain/discomfort" and the visual proportional scale of EQ5D, while the dimensions "self-care", "pain/discomfort" and the optical proportional scale of the EQ5D were statistically significant in ISC-B. The correlation of quality of care with individualized care was statistically significant (p=0.00). In both part ICS-A and ICS-B patients' scores were statistically significant with the OPPQNCS sub-scale 'responsiveness', 'individualization' and 'proficiency' but not with the 'co-ordination' sub-scale. Individualized nursing care was positively related to trust in nurses. That is, as the trust in nurses grew, so did the perception of individualized care of oncology patients.
Conclusions: Patients in this study highlight the importance of individualized nursing care. The development of patient-centered care strategies based on their perceptions is imperative in promoting quality nursing care and trust between oncology patients and nurses.
Main subject category:
Health Sciences
Keywords:
Individualized nursing care, Cancer patients, Quality of care
Number of references:
354
