Avtor/Urednik		Irurita, Vera F
Naslov		Dejavniki, ki s stališča bolnika vplivajo na kvaliteto zdravstvene nege
Prevedeni naslov		Factors affecting the quality of nursing care: patient's perspective
Tip		članek
Vir		Obz Zdrav Nege
Vol. in št.		Letnik 31, št. 3-4
Leto izdaje		1997
Obseg		str. 133-40
Jezik		slo
Abstrakt		This study explored the adult patient's perceptions of quality nursing care in an acute care, hospital setting in Western Australia. It sought also to discover factors perceived by patients to influence the delivery of high quality nursing care. Grounded theory method was used, the major source of data being transcribed interviews with 23 patients (post discharge), as well as participant observation, hospital quality assurance surveys, biographical data sheets, and relevant literature. Theoretical sampling guided data collection which continued until saturation of the major categories was achieved: data were analysed using constant comparative analysis. The findings revealed that, from the patient's perspective, different levels of care were delivered. The level of nursing care was found to depend on certain contextual and interventing conditions pertaining to the broader environment, the organisation, and personal factors (nurse and patient). Different outcomes, in terms of patient vulnerability, were related to the levels of care. The factors perceived by patients as either inhibiting or enchancing the quality of nursing care delivery are the focus of this paper.
Izvleček		V okviru pričujoče študije smo preučevali doživljanje kvalitete zdravstvene nege odraslih bolnikov na intenzivnem oddelku v bolnišnici v Zahodni Avstraliji. Preučevali smo tudi dejavnike, ki so z vidiki bolnika odločilni za visokokvalitetno zdravstveno nego. Uporabili smo metode v praksi utemeljene teorije, glavni vir podatkov so bili pisni intervjuji s 23 bolniki (opravljeni po odpustu iz bolnišnice), bolnišnični pregledi zagotavljajo kvalitete, biografski podatki in ustrezna literatura. Zbiranje podatkov je potekalo na podlagi teoretičnih vzorcev, dokler nismo pokrili najpomembnejših kategorij; podatke smo analizirali s pomočjo konstantne primerjalne analize. Ugotovitve so pokazale, da je bila zdravstvena nega z vidika bolnikov izvajana na različnih ravneh. Ugotovili smo, da je raven zdravstvene nege odvisna od določenih kontekstnih in spremljajočih okoliščin, ki izvirajo iz širšega okolja, organizacije in osebnih dejavnikov (medicinska sestra in bolnik). Različni rezultati, glede na bolnikovo ranljivost, so bili povezani z ravnijo zdravstvene nege. Članek se osredinja na dejavnike, ki z bolnikovega stališča bodisi ovirajo ali omogočajo kvaliteto izvajanja zdravstvene nege.
Deskriptorji		PATIENT SATISFACTION QUALITY OF HEALTH CARE NURSING CARE NURSING EVALUATION RESEARCH