| 1. |
- Räty, L., et al.
(författare)
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The relationship between illness severity, sociodemographic factors, general self-perception and illness-specific attitude in Swedish young people with epilepsy
- 2004
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Ingår i: Seizure. - : Elsevier BV. - 1059-1311 .- 1532-2688. ; 13:6, s. 375-382
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to describe the relationship between the epilepsy condition (illness severity), sociodemographic factors, general self-concept, and illness-specific attitude in adolescents with uncomplicated epilepsy. Methods: Adolescents, aged 13–22, fulfilling criteria registered in four Swedish hospitals, answered questionnaires (n=149). The instruments “I think I am” and “Sense of coherence” measured the patients’ general self-concept. The “Child Attitude Toward Illness Scale” measured illness-specific attitude. A summary score (index) calculated from seizure frequency, seizure type, and antiepileptic drug (AED) with side effects measured “Illness Severity”. Results: Illness severity was significantly related to the participants’ general self-concept, as well as to their attitude toward their condition; i.e. higher illness severity scores were correlated with lower sense of coherence (SOC), poorer self-esteem, and a more negative attitude towards the epilepsy condition. Females had more severe illness according to the Illness Severity Index, with almost 80% found in the moderate and high severity groups as compared to 63% of males in the moderate/high severity groups. Conclusions: It was concluded that the severity of the epilepsy condition was related to the adolescents’ general self-concept and illness-specific attitude, but further research is needed to understand the causality of the relationship. The brief assessment of illness severity, constructed and used in this study should be addressed and developed further.
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| 2. |
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| 3. |
- Wilde, B., et al.
(författare)
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Quality of care from a patient perspective : A grounded theory study
- 1992
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 7:2, s. 113-120
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to develop a theoretical understanding of quality of care from a patient perspective, using a grounded theory approach. Thirty-five interviews were conducted with a sample of 20 adult hospitalized patients (mean age: 60 years) in a clinic for infectious diseases. Data were analysed according to the constant comparative method. A model was formulated according to which quality of care can be understood in the light of two conditions, the resource structure of the care organization and the patient's preferences. The resource structure of the care organization consists of person-related and physical- and administrative environmental qualities. The patient's preferences have a rational and a human aspect. Within this framework, patients' perceptions of quality of care may be considered from four dimensions: the medical-technical competence of the caregivers; the physical-technical conditions of the care organization; the degree of identity-orientation in the attitudes and actions of the caregivers and the socio-cultural atmosphere of the care organization. The model is discussed in relation to existing theories in the field.
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| 4. |
- Wilde, B., et al.
(författare)
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Quality of care from the elderly person's perspective : Subjective importance and perceived reality
- 1995
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Ingår i: Aging. - 1945-4589. ; 7:2, s. 140-149
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to carry out a theoretically-based survey of elderly persons' perceptions of quality of care, in terms of their evaluations of actual care conditions, as well as the subjective importance they ascribe to these. The sample consisted of 428 elderly (> or = 60 years) persons, in four different care environments: a geriatric department (N = 51); persons receiving home nursing (N = 111); nursing homes (N = 111); and service homes (N = 154) in two Swedish cities. Data were collected by way of personal interviews, structured from the questionnaire, Quality from the Patients' Perspective (QPP). The QPP is theory-based and consists of 40 items covering 17 factors. Each item was evaluated in two ways by the respondent: assessment of perceived reality, and evaluation of subjective importance (Likert scales). The results show that personal characteristics, such as age, sex, and self-rated health, had a limited effect on reports of what were regarded as highly important care characteristics, as well as on ratings of actual care conditions. Psychological well-being was strongly related to perceived reality ratings: a favorable well-being covaried with favorable ratings and vice versa. Considerable differences were noted in both types of ratings when the four types of care environments were compared. On the subjective importance scales, persons living in service homes reported lower scores, particularly on the scales designed to measure the medical-technical competence of the caregivers. On the perceived reality scales, the participants in service homes and the geriatric department scored lower.
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| 5. |
- Wilde, B., et al.
(författare)
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Quality of care from the patient's perspective : Development of a patient centered questionnaire based on a grounded theory model
- 1994
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 8:1, s. 39-48
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Tidskriftsartikel (refereegranskat)abstract
- In a previous study (Wilde et al. 1993), we developed a model of quality of care from a patient perspective using a grounded theory approach. The aim of the present study was to derive an instrument from this model. A questionnaire, Quality from Patients' Perspective (QPP), was developed which consisted of 56 items. Each item was evaluated in two ways by the respondent; assessment of perceived reality and evaluation of subjective importance (Likert scales). A personal quality of care index was computed on the basis of the relationship between these two scores. The QPP was tested on two samples, patients with infectious diseases (n = 147, mean age: 60 years) and nursing students (n = 103, mean age: 27 years). Patient's scores were factor analysed (principal factoring with oblique rotation) and 17 factors were extracted. Subgroups of patients were compared and correlations were computed between factor scores and self-rated health and well-being. Students also responded to a short form of the QPP (41 items) and personality scales. Correlations between these sets of variables were computed. The QPP was discussed in relation to existing scales.
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| 6. |
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| 7. |
- Wilde Larsson, B., et al.
(författare)
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Patients' views on quality of care : A comparison of men and women
- 1999
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 7:3, s. 133-139
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Tidskriftsartikel (refereegranskat)abstract
- Aim This study set out to explore gender differences among medical and surgical acute care inpatients regarding their perceptions of actual care conditions as well as their evaluation of the subjective importance of various care conditions.Background Firstly, the literature reports inconsistent findings regarding male and female patients’ views on care. Secondly, the instruments used in most previous research are not derived from a patient perspective.Methods The sample consisted of 831 patients (48% were women and 52% were men) at two Swedish hospitals. Data were collected using the questionnaire ‘Quality from the Patient’s Perspective’.Findings Male and female patients tended to evaluate the actual care received similarly. However, women tend to assign the different care aspects higher subjective importance.Conclusion More research is needed to illuminate the reasons why men and women hold these different values. Until these issues are better understood, there is no valid basis on a group (gender) level to give specific practical recommendations to nursing managers.
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| 8. |
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| 9. |
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| 10. |
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| 11. |
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| 12. |
- Larsson, Gerry, et al.
(författare)
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Analysis of the decision making process leading to appendectomy : A grounded theory study
- 2004
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Ingår i: Scandinavian Journal of Psychology. - : Wiley. - 0036-5564 .- 1467-9450. ; 45:5, s. 449-454
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to develop a theoretical understanding of the decision-making process leading to appendectomy. A qualitative interview study was performed in the grounded theory tradition using the constant comparative method to analyze data. The study setting was one county hospital and two local hospitals in Sweden, where 11 surgeons and 15 surgical nurses were interviewed. A model was developed which suggests that surgeons’ decision making regarding appendectomy is formed by the interplay between their medical assessment of the patient's condition and a set of contextual characteristics. The latter consist of three interacting factors: (1) organizational conditions, (2) the professional actors’ individual characteristics and interaction, and (3) the personal characteristics of the patient and his or her family or relatives. In case the outcome of medical assessment is ambiguous, the risk evaluation and final decision will be influenced by an interaction of the contextual characteristics. It was concluded that, compared to existing, rational models of decision making, the model presented identified potentially important contextual characteristics and an outline on when they come into play.
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| 13. |
- Larsson, Gerry, et al.
(författare)
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Contributions of stress theory to the understanding of helping
- 1991
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 5:2, s. 79-85
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Tidskriftsartikel (refereegranskat)abstract
- The paper is theoretical, patient centred, and focuses on the two following questions: (1) In what way might a stress theoretical approach further our understanding of how helping can affect somatic and psychological processes in patients, and (2) in what way might stress theory offer action oriented guidelines for those who offer help ? A stress model is outlined involving relationships between a patient's cognitive appraisal of a given care situation, his or her coping efforts, and emotional and physiological reactions. Several conditions, related to the patient and to the care giving situation, which might influence the patient's appraisal process are discussed. Possible short- and long-term effects of helping in the somatic and psychological domains are presented. Two examples of common care situations are analysed to show how stress theory may offer helpers an action oriented tool. The concept of participatory caring, implying not only patient involvement but actual power sharing between patients and health professionals, is discussed.
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| 14. |
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| 15. |
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| 16. |
- Larsson, Gerry, et al.
(författare)
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Quality improvement measures based on patient data : Some psychometric issues
- 2003
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Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 9:5, s. 294-299
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Tidskriftsartikel (refereegranskat)abstract
- Existing methods for handling patients’ opinions as a basis for quality improvement measures tend to be too sophisticated for practical nursing and/or weak psychometrically. An Index of Measures was developed by combining patients’ perceptions of actual care conditions with the subjective importance they ascribed to these conditions. Data from Swedish somatic inpatients (n = 4002) indicated that this index gave added value compared to patients’ ratings of actual care conditions only. Interpretation of the Index of Measures focused on the proportion of patients who receive the value ‘deficiency.’ This value is obtained if a given patient has a subjective importance rating on a given item which is higher than the mean subjective importance score for the whole patient group on that item, as well as a perceived reality rating on the item in question which is lower than the mean perceived reality rating for the whole group on that item. Guidelines are suggested on when improvement actions are necessary and when they are not necessary.
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| 17. |
- Larsson, Gerry, et al.
(författare)
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Quality of care : Relationships between the perceptions of elderly home care users and their caregivers
- 1998
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397 .- 0907-2055. ; 7:3, s. 252-258
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to study the relationship between elderly home care users', and their caregivers', perceptions of the quality of care. The sample consisted of 151 matched elderly home care user-caregiver pairs in a Swedish municipality. The elderly home care users were interviewed and their caregivers filled in questionnaires using an established, theory-based instrument. Results showed that the elderly home care users evaluated most care components more favourably than their caregivers. On ratings of the various care components' subjective importance to the caretaker, the caregivers consistently scored higher than the elderly home care users. Within the subset of elderly home care users who received help at least twice a day, there were greater similarities between caregivers and caretakers. The results are related to comparable research and discussed in terms of caregivers' needs to legitimize their professional identity and actions.
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| 18. |
- Larsson, Gerry, et al.
(författare)
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Refinement of the questionnaire 'quality of care from the patient's perspective' using structural equation modelling
- 1998
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712 .- 0000-0000. ; 12:2, s. 111-118
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Tidskriftsartikel (refereegranskat)abstract
- In 1994, the questionnaire 'Quality of Care from the Patient's Perspective' (QPP) was developed using a conventional factor analytical approach (Wilde et al. 1994). The items and conceptual framework of this questionnaire were derived from a theoretical model, which, in turn, was developed from qualitative patient interviews, using a grounded theory method of analysis (Wilde et al. 1993). The aims of this study were to develop further the dimensionality of the QPP using structural equation modelling combined with advances in factor analysis modelling, and to refine the instrument. This comparatively new methodology extracts more information out of questionnaire data and is considered to be superior to traditional scaling methods. The sample consisted of 611 somatic inpatients from four departments at a Swedish hospital. Data collected with the QPP were explored with the new tool tracing the dimensions postulated in the theoretical model underlying the QPP. A nested factor model was developed fulfilling statistical criteria for adjustment between model and data. The model consists of a general factor and 16 subordinate factors. Most of the original QPP scales were reproduced with the new statistical technique. However, some content changes were made which appear to bring the QPP scales closer to patients' meaning representations of the area. Some changes were also made to the response format, changes which appear to strengthen the psychometric properties of the instrument. The refined QPP will hopefully contribute to a more differentiated picture of quality of care when applied in the field. All scales, items, and response formats of the revised QPP are presented in an appendix.
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| 19. |
- Larsson, Gerry, et al.
(författare)
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Sörmlandskuppen : kartläggning av vårdkvalitet vid syncentralen vid Mälarsjukhuset i Eskilstuna 1998
- 1998
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- En kartläggning gjordes 1998 vid syncentralen, Mälarsjukhuset i Eskilstuna, av patienternas och personalens upplevelse av vårdens kvalitet. Personalens upplevelser av psykosocial arbetsmiljö och av egna stressrelaterade symptom kartlades också. Deltagare var 115 patienter (55 % svarsfrekvens) och 8 anställda (100 % svarsfrekvens). Flertalet patienter, liksom personalen, är tillfredsställda med huvuddelen av vården. Många, såväl patienter som personal, är mindre tillfredsställda med att patienterna inte kan delta i beslut om rehabilitering, att kontinuiteten i habilitering/rehabilitering brister, och att de inte får information om övriga tillgängliga habiliterings/rehabiliteringsresurser. Ett åtgärdsförslag presenteras.
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| 20. |
- Larsson, Gerry, et al.
(författare)
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Sörmlandskuppen : kartläggning av vårdkvalitet vid ortopedtekniska avdelningen Aktiv ortopedteknik Sörmland AB, vid Mälarsjukhuset i Eskilstuna 1998
- 1998
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- En kartläggning gjordes 1998 vid ortopedtekniska avdelningen Aktiv ortopedteknik Södermanland AB, vid Mälarsjukhuset i Eskilstuna, av patienternas och personalens upplevelse av vårdens kvalitet. Personalens upplevelser av psykosocial arbetsmiljö och av egna stressrelaterade symptom kartlades också. Deltagarna var 115 patienter (57 % svarsfrekvens) och 7 anställda (54 % svarsfrekvens). Flertalet patienter, liksom personalen, är tillfredsställda med huvuddelen av vården. Många av såväl patienter som personal är dock mindre tillfredsställda med väntetiden, med att telefonframkomligheten är för låg och med att inte personalen har efterfrågat hur hjälpmedlet fungerat. Ett åtgärdsförslag presenteras som handlar om uppläggningen av enskilda patienters habilitering/rehabilitering.
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| 21. |
- Larsson, Gerry, et al.
(författare)
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Sörmlandskuppen : kartläggning av vårdkvalitet vid hörcentralen och pedagogiska hörselvården vid Mälarsjukhuset i Eskilstuna 1998
- 1998
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- En kartläggning gjordes 1998 vid hörcentralen och pedagogiska hörselvården vid Mälarsjukhuset i Eskilstuna av patienternas och personalens upplevelse av vårdens kvalitet. Personalens upplevelser av den psykosociala arbetsmiljön och av egna stressrelaterade symptom kartlades också. Deltagarna var 152 patienter (64 % svarsfrekvens) och 19 anställda (100 % svarsfrekvens). Flertalet patienter, liksom personalen, är tillfredsställda med huvuddelen av vården. Många, såväl patienter som personal, är mindre tillfredsställda med telefonframkomligheten. Väntetiden för fortsatt hjälp efter det inledande hörseltestet är för lång. Ett åtgärdsförslag presenteras som handlar om uppläggningen av enskilda patienters habilitering/rehabilitering.
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| 22. |
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| 23. |
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| 24. |
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| 25. |
- Raty, L.K.A., et al.
(författare)
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Psychosocial aspects of health in adolescence : The influence of gender, and general self-concept
- 2005
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Ingår i: Journal of Adolescent Health. - : Elsevier BV. - 1054-139X .- 1879-1972. ; 36:6
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to describe age and gender differences in psychosocial aspects of health in adolescents. A further aim was to explore if self-rated behavior problems varied with the adolescents' general self-concept and sense of coherence. Methods: Questionnaires on self-rated psychosocial aspects of health were answered by 282 (n = 282/390) randomly selected adolescents, aged 13-22 years (M 17.9/18.0). The instruments used were "I think I am (ITIA)," "Youth Self Report (YSR)," "Sense of coherence (SOC)," and "Family APGAR." Differences between males and females (cross-individual grouping) were analyzed using nonparametric tests. A cluster analysis was performed using a three-cluster solution to identify and describe profiles (person-centered grouping). Results: Compared with males, adolescent females scored less favorably on self-esteem (ITIA) (p =. 028), reported more behavior problems (YSR) (p =. 000), and showed a lower sense of coherence (SOC) (p =. 003). The differences were most evident in the age group 15-17 years. The three clusters significantly differed from each other regarding how high proportions of problems the adolescents of each profile reported. Conclusions: Compared with male adolescents, adolescent females experienced a poorer psychosocial health in somatic, depressive, and internalizing areas. The result indicated that psychological factors had a major impact on the proportions of problems that the adolescents reported. © 2005 Society for Adolescent Medicine. All rights reserved.
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| 26. |
- Wilde-Larsson, B., et al.
(författare)
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Advanced home care : Can patients' opinions on the quality of care be replaced by those of family members
- 2004
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 13:2, s. 226-233
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Tidskriftsartikel (refereegranskat)abstract
- Background. Advanced medical care in the patient's home setting is becoming more common. Many of the patients who receive this kind of care have severe illnesses and are unable to respond to questions about the quality of care. The research question was: are the patients’ opinions congruent with those of family members?Aim. To explore and compare the relationship between patients’ perception of the quality of care and close family members’ perception of this care as well as their perception of the patients’ perception.Methods. Sixty-seven patients receiving advanced home care, 82 family members (54 matched patient + family member pairs) participated. Data were collected using a short version of the quality from the patient's perspective questionnaire modified to advanced home care.Results. A high degree of perceptual congruence was found between patients and their family members. The similarity was also high between family members’ own opinion and their appraisal of how the patient perceived the care. A subgroup of family members who met the patient once a week or less often deviated from this pattern.Conclusion. Patients’ views on the quality of care are congruent with the opinions of family members if they meet every day (live together) and share the same everyday and care-related experiences. The results can be understood in the light of empathic accuracy theory.Relevance to clinical practice. The findings of this study have important implications for clinical nursing practice. Family members’ perception of the quality of care may be a valuable data source for nurses in the case of advanced home care if the patient and family member share the same everyday, care-related experiences, otherwise family members’ perception tend to be more critical than those of the patients themselves.
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| 27. |
- Wilde-Larsson, B., et al.
(författare)
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Development of a short form of the Quality from the Patient's Perspective (QPP) questionnaire
- 2002
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 11:5, s. 681-687
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Tidskriftsartikel (refereegranskat)abstract
- • Patients' views on the quality of care are important and it is desirable that these can be assessed using short, yet valid and reliable instruments.• The aim of the work reported here was to develop and test a short version of an established questionnaire: Quality from the Patient's Perspective (QPP).• Patients (n=162, 79% response rate) receiving care at medical and surgical departments in two Swedish hospitals responded to the original QPP as well as to a newly developed short version. An ethical research committee approved the study.• Pearson correlations were computed between the long and short forms and differences between means were analysed with t-tests. Reliability was estimated by computing Cronbach alpha coefficients.• Correlations of acceptable size were found between the short form and the original QPP. The short form also had acceptable reliability coefficients.• The strengths of the work are that the items in the short version are derived from a patient perspective and are formulated in words used by patients; the items still have a theoretical foundation, which makes the interpretation of results more meaningful; global formulations such as `What do you think about your care?' have been avoided; the short format should make the questionnaire more attractive for many patients to respond to.• Limitations are that results indicate that the short form does not fully measure what the long form does. Therefore, when the short form is used in practice, a two-step procedure is suggested, where a follow-up is done with a selection of items from the original long form. This selection could be restricted to areas where problems may be suspected, based on the results from the short form.
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| 28. |
- Wilde Larsson, B., et al.
(författare)
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Patients' perceptions of quality of care, self-rated functional ability, and health one year after total knee arthroplasty : a follow-up of forty-one patients
- 1999
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Ingår i: Journal of Orthopaedic Nursing. - 1361-3111 .- 1873-4839. ; 3:1, s. 11-17
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the relationships between two care conditions of patients reveiving total knee arthroplastic surgery: firstly, patients' perceptions of the quality of care and their length of stay in hospital; secondly different indicators of health outcomes — self-rated functional ability and health. The sample consisted of 41 patients (median age 71 years) undergoing total knee arthroplastic surgery during 1995 at the Central Hospital of Karlstad, Sweden. Data were collected from the medical records and by means of telephone interviews and a postal questionnaire. Results show that functional ability (walking ability and need of walking aids) covaried with favourable patient perceptions of the quality of care. Favourable functional ability was also associated with a low need of walking aids before surgery. Self-rated health I year after surgery was not related to any of the measured care conditions or the need of walking aids before surgery.
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| 29. |
- Wilde Larsson, B., et al.
(författare)
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Patients' views on quality of care : Do they merely reflect their sense of coherence
- 1999
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 30:1, s. 33-39
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to explore the relationship between patients’ perceptions of the quality of care and their sense of coherence. The sample consisted of 782 Swedish in-patients at a gynaecological, a medical, an orthopaedic, and a surgical department. The median age was 59 years and 55% of the patients were women. Data were collected using the Quality from the Patient’s Perspective (QPP) Questionnaire and the Sense of Coherence Questionnaire. The QPP consists of 61 items designed to measure the following four quality dimensions: the medical-technical competence and the degree of identity-orientation in the actions of the caregivers, the physical-technical conditions and the socio-cultural atmosphere of the care organization. Each question is posed in two different ways in the QPP; one measures perceived reality of the item in question and one the subjective importance the patient ascribes to it. Results showed that patients’ ratings of perceived reality covaried systematically with their sense of coherence. This was particularly the case on questions rated by experts to be more abstract and emotionally loaded. Patients’ ratings of the subjective importance of the items were weakly related to their sense of coherence. The results are discussed in terms of negative affectivity and culturally shared ideals regarding quality of care.
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| 30. |
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| 31. |
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| 32. |
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| 33. |
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| 34. |
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| 35. |
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| 36. |
- Bjørsland, B, et al.
(författare)
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Opplevelse av brukermedvirkning i sykehus
- 2012
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Ingår i: Nordisk tidsskrift for helseforskning. - Tromsø : Septentrio Academic Publishing. - 1504-3614 .- 1891-2982. ; 8:1, s. 20-33
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Tidskriftsartikel (refereegranskat)abstract
- KOLS har erfart å medvirke i helsehjelpen. Når pasienter får nødvendig kunnskap om sin sykdom bidrar det til medvirkning. Det foreligger lite kunnskap om brukermedvirkning fra norske sykehusavdelinger, og hvordan og ved hvilke anledninger pasientene skal kunne medvirke. Metode: Studien har en kvalitativ, beskrivende design. Kvalitativt forskningsintervju ble benyttet som datasamlingsmetode. Analysen er inspirert av Malteruds systematiske tekstkondensering.Resultater: Informantene erfarte medvirkning når de var tydelige på egne behov og bevisst egen kunnskap, mens de opplevde at pustebesvær, manglende krefter og lav tiltro til egen erfaring hemmet medvirkning. Pasientene opplevde at sykepleierne fremmet deres medvirkning ved å vise omsorg og forståelse, ved at de var kjent for pasienten og hadde tid. Travelhet og mangel på respekt ble erfart som et hinder for medvirkning.Konklusjon: Informantenes opplevelse av medvirkning hang sammen med faktorer både hos dem selv og hos sykepleier. Pasientene bør utfordres til å være aktive og ha tiltro til egen kunnskap, og sykepleierne bør bli mer lyttende. Både pasientrollen og hjelperollen må endres slik at sykepleier og pasient blir mer likeverdige partnere.
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| 37. |
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| 38. |
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| 39. |
- From, Ingrid, et al.
(författare)
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Caregivers in older peoples’ care : perception of quality of care, working conditions, competence and personal health
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 27:3, s. 704-714
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to describe and compare nursing assistants’, enrolled nurses’ and registered nurses’ perceptions of quality of care, working conditions, competence and personal health in older peoples’ care. Altogether 70 nursing assistants, 163 enrolled nurses and 198 registered nurses completed a questionnaire comprising Quality from the Patient’s Perspective modified for caregivers, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items on education and competence and Health Index. The caregivers reported higher perceived reality of quality of care in medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere. In subjective importance, the highest rating was assessed in one of the physical-technical items. The organisational climate was for three of the dimensions rather close/reached the value for a creative climate, for seven dimensions close to a stagnant climate. In perceived stress of conscience, there were low values. Nursing assistants had lower values than enrolled nurses and registered nurses. The caregivers reported highest values regarding previous education making them feel safe at work and lowest value on the item about education increasing the ability for a scientific attitude. Registered nurses could use knowledge in practice and to a higher degree than nursing assistants/enrolled nurses reported a need to gain knowledge, but the latter more often received education during working hours. The health index among caregivers was high, but registered nurses scored lower on emotional well-being than nursing assistants/enrolled nurses. The caregivers’ different perceptions of quality of care and work climate need further attention. Although stress of conscience was low, it is important to acknowledge what affected the caregivers work in a negative way. Attention should be paid to the greater need for competence development among registered nurses during working hours. © 2012 Nordic College of Caring Science.
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| 40. |
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| 41. |
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| 42. |
- Jansson, Annkristin, et al.
(författare)
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First-time mothers' satisfaction with early encounters with the nurse in child healthcare: home visit or visit to the clinic?
- 2002
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Ingår i: Acta Pædiatrica. - : Taylor & Francis. - 1651-2227 .- 0803-5253. ; 91:5, s. 571-577
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe first-time mothers' views of satisfaction with their first encounter with the nurse, in order to investigate differences between home visits and clinic visits and between high/middle and low socioeconomic classification (SEC). A nation-wide postal questionnaire sent to 800 first-time mothers yielded the data for statistical analysis. Data were collected using a modified version of the questionnaire "Quality of Care from the Patient's Perspective", the part concerning child healthcare. The results showed that mothers who had received home visits were more content with the encounter than were mothers who had to visit the clinic. This particularly concerned advice on breastfeeding, being able to talk to the nurse in peace and quiet, and the fact that the nurse took time and was personal. In contrast, the mothers who had received a home visit were less content with the competence of the nurse when she examined the child. Mothers of low SEC were less satisfied with the first encounter than were mothers of high/middle SEC with regard to several points. Conclusion: Home visits were shown to have advantages over visits to the clinic. Mothers of low SEC were less satisfied with the first encounter with the nurse than were mothers in the high/middle SEC.
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- Larsson, Gerry, et al.
(författare)
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Daughters helping their elderly mothers : Impact of early attachment, daughter's trait anxiety, and helping interaction characteristics
- 1994
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Ingår i: International Journal of Social Welfare. - : Wiley. - 1369-6866 .- 1468-2397 .- 0907-2055. ; 3:3, s. 167-172
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to explore the relationships between early attachment between mother and daughter, the adult daughter's general anxiety level, and characteristics of the helping interaction between the adult daughter and her elderly mother on the one hand and the quality of this help on the other. One sample consisted of 46 Swedish women (mean age: 55 years) who acted as informal caregivers for their elderly mothers. A second sample consisted of 106 Swedish female nursing students (mean age: 27 years). The participants rated the quality of the practical, physical and psychosocial help they gave their elderly mothers (imagined helping activities in a predefined situation among the nursing students). Subjects also rated their mother's degree of caring and overprotection in childhood, their own trait anxiety, and various characteristics of their helping interactions. A high degree of motherly caring and a low degree of motherly overprotection in childhood covaried with a lower level of trait anxiety in the adult daughters. These conditions, in turn, covaried with mutual friendliness during the helping interactions. All these conditions covaried with high-quality psychosocial support. The quality of practical help and physical caring covaried with friendliness during the helping interactions only.
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