| 1. |
- Suhonen, Riitta, et al.
(författare)
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European orthopaedic and trauma patients' perceptions of nursing care : a comparative study
- 2009
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Ingår i: Journal of Clinical Nursing. - 0962-1067 .- 1365-2702. ; 18:20, s. 2818-2829
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To compare English, Finnish, Greek and Swedish orthopaedic and trauma patients' perceptions of nursing care received during hospitalisation. BACKGROUND: Patient perceptions are important when evaluating nursing care delivery. Evaluations usually take place sub-nationally though European citizens may be treated throughout the European Union. International comparative studies are possible because of the universal nature and philosophical roots of quality in nursing care. They are needed to assist in improving care outcomes. DESIGN: A cross-sectional, comparative study design was used. METHOD: The Schmidt Perception of Nursing Care Survey was used to obtain data from orthopaedic and trauma patients in acute hospitals in four countries: Finland (n = 425, response rate 85%), Greece (n = 315, 86%), Sweden (n = 218, 73%) and UK (n = 135, 85%). Data were first analysed using descriptive statistics, then between-country comparisons were computed inferentially using a one-way analysis of variance and a univariate analysis of covariance. RESULTS: Between-country differences were found in patients' perceptions of the nursing care received. Over the whole Schmidt Perception of Nursing Care Survey the Swedish and Finnish patients gave their care the highest assessments and the Greek patients the lowest. The same trend was seen in each of the four sub-scales: Seeing The Individual Patient, Explaining, Responding and Watching. Responding was given the highest assessments in each participating country and Seeing the Individual Patient the lowest except in Greece. CONCLUSIONS: Further research is needed to consider whether the between-country differences found are caused by differences between cultures, nursing practices, roles of healthcare personnel or patients in the different countries. The Schmidt Perception of Nursing Care Survey is suitable for the assessment of European orthopaedic and trauma patients' perceptions of nursing care received during hospitalisation. RELEVANCE TO CLINICAL PRACTICE: The results are useful in evaluating and developing nursing care in hospitals from different European countries.
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| 2. |
- Suhonen, Riitta, et al.
(författare)
-
Individualised care from the orthopaedic and trauma patients' perspective : an international comparative survey
- 2008
-
Ingår i: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 45:11, s. 1586-1597
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although individualised nursing care is considered a core value in nursing in different countries, international comparative studies in this area are rare. In Western countries, common hospitalised patients, e.g. orthopaedic patients, often perceive health care as impersonal rather than individualised; a term which may also have different connotations in different cultures. OBJECTIVES: To describe and compare orthopaedic and trauma patients' perceptions of individuality in their care in four European countries. DESIGN: A cross-sectional comparative study. SETTINGS: 24 orthopaedic and trauma wards in 13 acute care hospitals. PARTICIPANTS: Data were collected from orthopaedic and trauma patients in Finland (n=425, response rate 85%), Greece (n=315, 86%), Sweden (n=218, 73%) and UK (n=135, 58%) between March 2005 and December 2006. METHODS: Questionnaire survey data using the Individualised Care Scale (ICS) were obtained and analysed using descriptive and inferential statistics including frequencies, percentages, means, standard deviations, 95% confidence intervals (CI), one-way analysis of variance (ANOVA), chi2 statistics and univariate analysis of covariance (ANCOVA). RESULTS: Patients perceived that nurses generally supported their individuality during specific nursing interventions and perceived individuality in their care. There were some between-country differences in the results. Patients' individuality in the clinical situation and in decisional control over their care were also generally well supported and taken into account. However, patients' personal life situation was not supported well through nursing interventions and these patients perceived lower levels of individualised care. CONCLUSIONS: North-South axis differences in patients' perceptions of individualised care may be attributed to the way nursing care is defined and organised in different European countries. Differences may be due to the differences in regional samples, and so no firm conclusions can be made. Further research will be needed to examine the effect of patient characteristics' and health care organisation variables in association with patients' perceptions of individualised care.
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| 3. |
- Mona, O'Moore, et al.
(författare)
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Guidelines to prevent cyberbullying: a cross-national review
- 2013
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Ingår i: Cyberbullying through the new media: Findings from an international network. - London and New York : Psychology Press. - 9781848722538 ; , s. 136-161
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Bokkapitel (refereegranskat)abstract
- Cyberbullying is one of the darker and more troubling aspects to the growing accessibility of new media technologies. Children in developed countries engage with cyberspace at younger and younger ages, and the use of the internet as a means to bully and harass has been greeted with alarm by educationalists, parents, the media, and governments. This important new book is the result of a four-year international collaboration, funded by the EU, to better understand how we can cope and confront cyberbullying, and how new media technologies can be used to actually support the victims of such abuse. The articles initially define the historical and theoretical context to cyberbullying, before examining key issues involved in managing this pervasive phenomenon. Coverage includes: The definition and measurement of cyberbullying. The legal challenges in tackling cyberbullying across a number of international contexts. The role of mobile phone companies and Internet service providers in monitoring and prevention How the media frame and present the issue, and how that influences our understanding. How victims can cope with the effects of cyberbullying, and the guidelines and advice provided in different countries. How cyber-bullying can continue from school into further education, and the strategies that can be used to prevent it. The ways in which accessing 'youth voice', or maximising the contribution of young people themselves to the research process, can enhance our understanding The book concludes with practical guidance to help confront the trauma that cyberbullying can cause. It will be a valuable resource for researchers, students, policy makers and administrators with an interest in how children and young people are rendered vulnerable to bullying and harassment through a variety of online channels.
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| 4. |
- Suhonen, Riitta, et al.
(författare)
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Adapting the Individualized Care Scale for cross-cultural comparison
- 2010
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Ingår i: SCANDINAVIAN JOURNAL OF CARING SCIENCES. - : Blackwell Publishing Ltd. - 0283-9318 .- 1471-6712. ; 24:2, s. 392-403
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Tidskriftsartikel (refereegranskat)abstract
- Rationale: Cross-cultural comparative studies using reliable and valid instruments can increase awareness of the differences and similarities between health workers ability to respond to patients individual needs within different health systems. This will enable a better understanding of cultural perspectives in individualized nursing care. Aim: To describe the translation and adaptation process of the Individualized Care Scale (ICS) and examine its reliability and validity in a cross-cultural study. Design: A cross-sectional comparative study. Settings: Twenty-seven orthopaedic and trauma in-patient units at 14 hospitals in 5 countries. Participants: A total of 1126 patients were included in the study: Finland (n = 425), Greece (n = 315), Sweden (n = 218), UK (n = 135) and USA (n = 33). Methods: A systematic forward-and back-translation procedure using bilingual techniques, a committee approach, pretest techniques and pilot testing were used with a convenience sample to produce a valid ICS for each participating group. Psychometric evaluation of the adapted ICS was based on means, SD, missing data analysis, Cronbachs alpha coefficients and average inter-item correlations. Construct validity was examined using sub-scale correlations to total scales and principal components analysis. Results: The use of the range of options and the sub-scale mean scores ranging from 2.72 to 4.30 demonstrated the sensitivity of the scale. Cronbachs alpha coefficients (0.77-0.97) and average inter-item correlations (0.37-0.77) were acceptable. The sub-scale correlations to total scales were high (0.83-0.97). The underlying theoretical construct of the ICS was demonstrated by the explained variances ranging from 58% to 79%. Conclusions: The ICS shows promise as a tool for evaluating individualized care in European cultures. The international expansion of an existing instrument developed for one country facilitates comparative studies across countries. There is a need to further test the construct validity and appropriateness of the ICS in different settings in European and nonwestern cultures.
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| 5. |
- Suhonen, Riitta, et al.
(författare)
-
European orthopaedic and trauma patients perceptions of nursing care : a comparative study
- 2009
-
Ingår i: JOURNAL OF CLINICAL NURSING. - : Wiley. - 0962-1067 .- 1365-2702. ; 18:20, s. 2818-2829
-
Tidskriftsartikel (refereegranskat)abstract
- Aim. To compare English, Finnish, Greek and Swedish orthopaedic and trauma patients perceptions of nursing care received during hospitalisation. Background. Patient perceptions are important when evaluating nursing care delivery. Evaluations usually take place sub-nationally though European citizens may be treated throughout the European Union. International comparative studies are possible because of the universal nature and philosophical roots of quality in nursing care. They are needed to assist in improving care outcomes. Design. A cross-sectional, comparative study design was used. Method. The Schmidt Perception of Nursing Care Survey was used to obtain data from orthopaedic and trauma patients in acute hospitals in four countries: Finland (n = 425, response rate 85%), Greece (n = 315, 86%), Sweden (n = 218, 73%) and UK (n = 135, 85%). Data were first analysed using descriptive statistics, then between-country comparisons were computed inferentially using a one-way analysis of variance and a univariate analysis of covariance. Results. Between-country differences were found in patients perceptions of the nursing care received. Over the whole Schmidt Perception of Nursing Care Survey the Swedish and Finnish patients gave their care the highest assessments and the Greek patients the lowest. The same trend was seen in each of the four sub-scales: Seeing The Individual Patient, Explaining, Responding and Watching. Responding was given the highest assessments in each participating country and Seeing the Individual Patient the lowest except in Greece. Conclusions. Further research is needed to consider whether the between-country differences found are caused by differences between cultures, nursing practices, roles of healthcare personnel or patients in the different countries. The Schmidt Perception of Nursing Care Survey is suitable for the assessment of European orthopaedic and trauma patients perceptions of nursing care received during hospitalisation. Relevance to clinical practice. The results are useful in evaluating and developing nursing care in hospitals from different European countries.
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| 6. |
- Suhonen, Riitta, et al.
(författare)
-
Individualised care from the orthopaedic and trauma patients perspective : An international comparative survey
- 2008
-
Ingår i: INTERNATIONAL JOURNAL OF NURSING STUDIES. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 45:11, s. 1586-1597
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Although individualised nursing care is considered a core value in nursing in different countries, international comparative studies in this area are rare. In Western countries, common hospitalised patients, e.g. orthopaedic patients, often perceive health care as impersonal rather than individualised; a term which may also have different connotations in different cultures. Objectives: To describe and compare orthopaedic and trauma patients perceptions of individuality in their care in four European countries. Design: A cross-sectional comparative study. Settings: 24 orthopaedic and trauma wards in 13 acute care hospitals. Participants: Data were collected from orthopaedic and trauma patients in Finland (n = 425, response rate 85%), Greece (n = 315, 86%), Sweden (n = 218, 73%) and UK (n = 135, 58%) between March 2005 and December 2006. Methods: Questionnaire survey data using the Individualised Care Scale (ICS) were obtained and analysed using descriptive and inferential statistics including frequencies, percentages, means, standard deviations, 95% confidence intervals (CI), one-way analysis of variance (ANOVA), chi(2) statistics and univariate analysis of covariance (ANCOVA). Results: Patients perceived that nurses generally supported their individuality during specific nursing interventions and perceived individuality in their care. There were some between-country differences in the results. Patients individuality in the clinical situation and in decisional control over their care were also generally well supported and taken into account. However, patients personal life situation was not supported well through nursing interventions and these patients perceived lower levels of individualised care. Conclusions: North-South axis differences in patients perceptions of individualised care may be attributed to the way nursing care is defined and organised in different European countries. Differences may be due to the differences in regional samples, and so no firm conclusions can be made. Further research will be needed to examine the effect of patient characteristics and health care organisation variables in association with patients perceptions of individualised care.
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