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急性住院患者基础护理的适应性、益处和护理质量:一项横断面描述性研究
Author(s) -
Naef Rahel,
Ernst Jutta,
Petry Heidi
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13995
Subject(s) - medicine , nursing , primary nursing , cross sectional study , primary care , quality (philosophy) , nursing outcomes classification , acute care , descriptive statistics , nursing care , family medicine , descriptive research , nurse education , health care , philosophy , statistics , mathematics , pathology , epistemology , economics , economic growth
Aims The aim of this study was to investigate the adoption of primary nursing and to determine the quality of primary nurse‐led care in an acute inpatient setting. Design Descriptive cross‐sectional study. Methods Participants included inpatients ( N = 369) and nurses ( N = 381). To assess adoption of primary nursing, patient records were analysed and an online survey of nurses was conducted from May–June 2017. To measure quality of nursing care, a structured questionnaire was administered to inpatients. Results Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person‐centred caring. However, only two‐thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses. Conclusion While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care.