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Surgical patients' assessment of healthcare encounters after elective surgery: A descriptive study.
Uhrenfeldt, Lisbeth; Pedersen, Preben Ulrich; Pedersen, Mona Kyndi; Ingstad, Kari.
Afiliación
  • Uhrenfeldt L; Department of Orthopaedic Surgery, Lillebaelt Hospital, Kolding and Uníversity of Southern Denmark, Odense, Denmark; Nord University, Faculty of Nursing and Health Sciences, Levanger, Norway. Electronic address: Lisbeth.uhrenfeldt@rsyd.dk.
  • Pedersen PU; Aalborg University, Aalborg, Denmark.
  • Pedersen MK; Centre for Clinical Research, North Denmark Regional Hospital, Hjoerring, Denmark; Aalborg University, Aalborg, Denmark.
  • Ingstad K; Nord University, Faculty of Nursing and Health Sciences, Levanger, Norway.
Article en En | MEDLINE | ID: mdl-39218738
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Z Evid Fortbild Qual Gesundhwes Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Z Evid Fortbild Qual Gesundhwes Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article Pais de publicación: Países Bajos