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- Abrahamsen Grøndahl, Vigdis, 1964-
(författare)
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Patients’ perceptions of actual care conditions and patient satisfaction with care quality in hospital
- 2012
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- There are theoretical and methodological difficulties in measuring the concepts of quality of care and patient satisfaction, and the conditions associated with these concepts. A theoretical framework of patient satisfaction and a theoretical model of quality of care have been used as the theoretical basis in this thesis. Aim. The overall aim was to describe and explore relationships between person-related conditions, external objective care conditions, patients’ perceptions of quality of care, and patient satisfaction with care in hospital. Methods. Quantitative and qualitative methods were used. In the quantitative study (I-III), 528 patients (83.7%) from eight medical, three surgical and one mixed medical/surgical ward in five hospitals in Norway agreed to participate (10% of total discharges). Data collection was conducted using a questionnaire comprising four instruments: Quality from Patients’ Perspective (QPP); Sense of Coherence scale (SOC); Big Five personality traits – the Single-Item Measures of Personality (SIMP); and Emotional Stress Reaction Questionnaire (ESRQ). In addition, questions regarding socio-demographic data and health conditions were asked, and data from ward statistics were included. Multivariate statistical analysis was carried out (I-III). In the qualitative study 22 informants were interviewed (IV). The interviews were analysed by conventional content analysis. Main findings. Patients’ perceptions of quality of care and patient satisfaction ranged from lower to higher depending on whether all patients or groups of patients were studied. The combination of person-related and external objective care conditions explained 55% of patients’ perceptions of quality of care (I). 54.7% of the variance in patient satisfaction was explained, and the person-related conditions had the strongest impact, explaining 51.7% (II). Three clusters of patients were identified regarding their scores on patient satisfaction and patients’ perceptions of quality of care (III). One group consisted of patients who were most satisfied and had the best perceptions of quality of care, a second group of patients who were less satisfied and had better perceptions, and a third group of patients who were less satisfied and had the worst perceptions. The qualitative study revealed four categories of importance for patients’ satisfaction: desire to regain health, need to be met in a professional way as a unique person, perspective on life, and need to have balance between privacy and companionship (IV). Conclusions. Patients’ perceptions of quality of care and patient satisfaction are two different concepts. The person-related conditions seem to be the strongest predictors of patients’ perceptions of quality of care and patient satisfaction. Registered nurses need to be aware of this when planning and conducting nursing care. There is a need of guidelines for handling over‑occupancy, and of procedures for emergency admissions on the wards. The number of registered nurses on the wards needs to be considered. Healthcare personnel must do their utmost to provide the patients with person‑centred care.
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| 2. |
- Vesterlund, Sabina, 1971-
(författare)
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Hälsa med andra ord : Innebörden av att genomföra och värdera street dance utifrån begriplighet, hanterbarhet och meningsfullhet
- 2018
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- To grasp what learning, teaching and knowing health might be in relation to a physical activity, the study explores what ninth grade students find difficult, and what they need to discern in teaching to experience the knowing of participation and evaluation of street dance classes through the concepts comprehensibility, manageability and meaningfulness. These concepts are brought from Aron Antonovsky perspective of salutogenic health by Sense of Coherence (SOC). However I do not claim to embrace the complete SOC since it relates to life as a whole (Antonovsky, 1991; 2005).The aim of the study is to investigate how to deal with the content of teaching making the students develop the ability to participate and evaluate physical activity in relation to the concepts mentioned. Furthermore by using the onset of phenomenography and theory of variation the study explores ways for teachers and students to discern critical features of the content of teaching.The study design used is Learning study. It is a cyclic, pedagogical design aiming for making it possible for teachers to scientifically explore the quality of their own teaching in relation to a specific content being taught. In a Learning study teachers are collaborating with content of teaching, trying to discern critical features of the content to make these aspects come clear for the students in renewed teaching. A phenomenographic perspective is used to discern how the students’ experiences of the teaching content vary. The theory of variation is used for planning and carrying out lessons and evaluating them in order to make the critical aspects discernable for the students.Three lessons within one Learning study cycle were staged. They were videotaped and field notes were taken. The sample consisted of three groups of ninth grade students, 15 to 16 years of age (n=52) and three teachers.Three critical aspects according to the object of learning were discerned in the study:Experiences of comprehensibility, manageability and meaningfulness within the context of street dance.Experiences of different forms of comprehensibility, manageability and meaningfulness within different situations of the context of street dance.Within the context of street dance experience how the actions and experiences of comprehensibility, manageability and meaningfulness by oneself simultane-ously relates to actions and experiences of comprehensibility, manageability and meaningfulness of others.The study shows how young students’ ability to carry through and evaluate street dance with point of departure in the meaning of comprehensibility, manageability and meaningfulness may be improved when the students are offered a variation in the critical features of the subject content.
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