对住院产妇关于优质护理的调查

目的调查住院产妇对优质护理的观点。方法以开放式问卷的形式对132名住院产妇进行调查,从产妇的答案中找出代表优质护理指征的术语,用Excel表格处理软件进行频数和百分率的计算,运用内容分析的方法对代表优质护理指征的术语进行归类。结果产妇对优质护理指征的观点可归纳为6个主题：服务态度好、技术好责任心强、提供分娩相关知识及信息、关怀病人、及时提供满足其需要的护理、住院期间获得良好的感受。结论产妇对优质护理的要求全面且与其他科病人不完全相同,为制定产科护理质量管理标准提供参考,以指导临床护理实践。     

不同人群优质护理观点调查

目的:探讨不同人群对优质护理的观点。方法:研究者自行设计问卷,对2所市级“二甲”医院的医生、护士、住院病人及社区健康人群各200名进行优质护理观点调查,将调查项目进行编码,用SPSS软件进行频数和百分率的计算。结果:不同人群对优质护理的观点可归纳为:丰富的专业知识和娴熟的技能、良好的服务态度及行为、对病人的关爱与沟通、重视病人的良好感觉、提供健康教育。结论:不同人群对优质护理有其共同的观点,但各有侧重。本研究结果可为护理管理者制定护理质量标准和病人满意度调查问卷提供参考依据。     

探讨输液病人对优质护理指征要求的研究

目的：探讨输液病人对优质护理指征要求的科学标准,以适应新形势下“以人为本”的护理模式,让病人在科学护理、人文护理的关爱下,获得满意的护理服务。方法：研究者自行设计相关问卷,随即对500名输液病人进行调查。从研究对象的答案中找出具有代表优质护理指征的内容,进行编码。随后输入计算机,用科学的分类进行百分率的计算,得出相应的结论来指导护理工作。结果：病人（研究对象）对优质护理指征要求方面的内容可归纳为7个主题：即对病人的态度好;业务精湛责任感强;满足病人基本需要;运用游戏手段满足患儿需要;对病人关怀,讲解与疾病护理有关的知识;及时提供其需要的护理;病人输液期间获得良好感觉。结论：病人对优质护理指征有其独到的见解和看法,这给医院护理管理者制定护理质量标准,提供了非常优秀的参照样本,为科学地、规范地体现人文护理精神奠定了坚实的基础。     

社区人群对优质护理的认知调查

[目的]了解社区人群对优质护理的认知情况.[方法]采用自行设计的调查问卷对2个社区200名居民进行抽样调查.[结果]社区人群对优质护理的观点可归纳为:提供及时的健康教育,对病人的关爱与沟通,护士丰富的专业知识和娴熟的技能,良好的服务态度及行为,重视病人的良好感觉.[结论]社区人群对优质护理的认知与住院病人有其共同的特点,但关爱与沟通成为社区人群对优质护理认识的首选.本研究结果可作为社区护理管理者制定社区优质护理标准时参考.     

住院病人与护理人员对优质护理的认知调查

[目的]探讨住院病人与护理人员对优质护理的认知情况.[方法]自行设计的优质护理认识调查问卷,对2所市级二级甲等医院的住院病人和护理人员各200名进行调查.[结果]知识技能、服务态度及健康指导在住院病人和护理人员认知上存在统计学意义(P＜0.01),而在对病人的关爱与沟通及病人的感受比较差异无统计学意义(P＞0.05).[结论]住院病人和护理人员对优质护理的认识有共同的观点,也有其独特的见解.     

社区人群对优质护理的认知调查

[目的]了解社区人群对优质护理的认知情况。[方法]采用自行设计的调查问卷对2个社区200名居民进行抽样调查。[结果]社区人群对优质护理的观点可归纳为：提供及时的健康教育，对病人的关爱与沟通，护士丰富的专业知识和娴熟的技能，良好的服务态度及行为，重视病人的良好感觉。[结论]社区人群对优质护理的认知与住院病人有其共同的特点，但关爱与沟通成为社区人群对优质护理认识的首选。本研究结果可作为社区护理管理者制定社区优质护理标准时参考。     

对我院住院病人优质服务观点的动态调查及分析

目的探讨近几年我院住院病人对优质服务的观点及其变化.方法自行设计问卷,分别于1995年、1998年、2002年和2004年对我院住院病人进行调查.统计调查结果,并将住院病人对优质服务的观点进行纵向分析类比.结果我院病人在住院期间对优质服务的观点可归纳为4个方面服务态度好、业务精湛、讲解疾病相关知识、对病人实施人文关怀.结论病人对优质服务的观点在近年逐渐发生转变,临床护理应加强人文关怀.     

住院病人与护理人员对优质护理的认知调查

[目的]探讨住院病人与护理人员对优质护理的认知情况。[方法]自行设计的优质护理认识调查问卷，对2所市级二级甲等医院的住院病人和护理人员各200名进行调查。[结果]知识技能、服务态度及健康指导在住院病人和护理人员认知上存在统计学意义（P〈0．01），而在对病人的关爱与沟通及病人的感受比较差异无统计学意义（P〉0.05）。[结论]住院病人和护理人员对优质护理的认识有共同的观点，也有其独特的见解。     

肿瘤患者及相关人群优质护理观点调查

目的 探讨肿瘤患者及相关人群对优质护理的观点.方法 研究者自行设计问卷,对2所市级二级甲等医院肿瘤科的医生、护士、住院肿瘤患者及社区健康人群各60人进行优质护理观点调查,将调查项目进行编码,用SPSS软件进行频数和百分率的计算.结果 肿瘤相关人群对优质护理的观点可归纳为:丰富的专业知识和扎实的专业技术、认真负责的工作态度、良好的服务态度及行为、对患者的关爱与沟通、重视患者的感受、提供健康教育和心理援助.结论 肿瘤患者及相关人群对优质护理有其共同的观点,但各有侧重.本研究结果可为护理管理者制订护理质量标准和患者满意度调查问卷提供参考依据.     

妇科住院病人对优质护理的认知调查

[目的]了解妇科住院病人对优质护理的认知情况.[方法]设计优质护理认知调查问卷,对2所三级甲等医院450例妇科住院病人进行调查.[结果]妇科住院病人对优质护理的观点归纳为:过硬的操作技术和能力(92.9%),良好的服务态度(89.3%),密切的关爱与沟通(87.8%),重视病人的感受(93.6%),充分的健康教育(81.1%).[结论]护士在培养过硬的操作技术和能力的同时,也要做好更深层次的人文关怀和人性化服务,才能够达到病人对优质护理的期望.     

妇科肿瘤病区实施人性化护理服务的体会

目的妇科肿瘤病区实施人性化护理,提高病人满意度。方法在人性化护理服务中开展"微笑和微小"护理服务,应用护理语言、护理行为、改进环境和工作流程、以品牌服务于病人。结果科室整体护理质量、护士素质、病人满意度提高。结论妇科肿瘤病区实施人性化护理服务有利于提高专科护理质量,提升护士综合素质和病人满意度。     

Cancer Patients' Demographic Characteristics and Ratings of Patient-Centered Nursing Care

Purpose: To examine relationships between patients' demographic characteristics and patients' reports of patient-centered care.
Design: Secondary analysis of data (N=423) from a study in the northeastern United States focused on the psychometric properties of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale (OPPQNCS).
Methods: The quality of four interpersonal nursing interventions, representing patient-centered nursing care, was measured with the OPPQNCS subscales. Patients' characteristics included race (White or non-White), sex, age, education, income, and hospitalization for cancer. Four separate ordinary least squares regression models were constructed.
Findings: Hospitalization was inversely related to intervention quality in each model. Income was the only statistically significant characteristic for nonhospitalized patients, and only in the coordination model. For hospitalized patients, education was statistically significant in the coordination model, and income in the proficiency model. An interaction term for education and income was statistically significant in the responsiveness model, and a term for gender and education in the individualization model.
Conclusions: Hospitalized patients' exposure to nursing care may indicate a wider range of care quality than for nonhospitalized patients, possibly accounting for the inverse relationship between hospitalization and patient-centered care. Groups identified at risk for lower quality care—minorities, women, elders, and people in low-income groups—did not report a lower level of patient-centered nursing care. Nurses' contributions to patient-centered care and care equity are important components of care quality, particularly for hospitalized cancer patients.     

两种护理交接班方法的效果比较

目的 :遵循以病人为中心的指导思想 ,观察实施护理床边交班对护理质量、护理差错发生和病人满意度的影响。方法 :观察记录 2 0 0 0年7月始实施护理床边交班后 ,3 98例病人护理质量、护理差错发生和病人满意度情况 ,并与上一年同期 3 69例未实行护理床边交班的传统办公室交班方式进行对照比较。结果 :开展护理床边交班后 ,进一步完善了护理工作、规范了护理管理 ,使护理质量合格率提高 ,护理差错发生率降低 ,病人满意度提高。结论 :实施护理床边交班 ,保证了护理质量 ,病人对护理工作满意 ,体现了护理工作对病人的个体关注更加细致入微 ,对病人病情了解更加全面、细致 ,有利于病人的早日康复     

助理护士岗位设置对提高基础护理质量的作用

目的探讨助理护士岗位设置对基础护理质量的影响。方法采用问卷调查形式,对助理护士岗位设置前后的基础护理合格率、危重病人护理合格率、病人对基础护理质量的满意度进行对比。结果助理护士岗位设置后基础护理质量、危重病人护理质量、病人对基础护理质量的满意度明显提高,差异具有统计学意义(P<0.01或P<0.05)。结论助理护士岗位设置能有效地提高基础护理质量,培养护士的专业内涵,提高护士的整体素质,并达到合理利用人力资源的效果。     

临床护理路径应用于不孕症腹腔镜手术患者的效果

目的探讨临床护理路径在不孕症患者腹腔镜手术中的应用效果。方法将106例实施腹腔镜手术的不孕症患者随机分为观察组和对照组各53例。观察组采用I临床护理路径进行护理,对照组采用常规护理,观察比较两组临床护理效果。结果两组的健康知识达标率和患者满意度、遵医行为、护理质量、平均住院日比较差异有统计学意义（P〈0．05）,观察组均优于对照组。结论临床护理路径应用于不孕症腹腔镜手术患者的护理,有利于规范护理行为,提高护理质量和患者满意度,创造更好的社会效益。     

Discrepancy between patients' perspectives,staff's documentation and reflections on basic nursing care

In recent years, Denmark has witnessed an increasing written and oral debate concerning the quality of basic nursing care. The present study is an attempt to characterize basic nursing care in a Danish hospital by collecting data on patient perceptions of their main somatic problems in seven pre-set categories. These data include documentation of patient problems in corresponding problem categories, and the staff's additional knowledge about patient problems. Triangulation of methods was used. Data were collected on 120 patients and from 22 nurses. The patients had 2.3 problems on average: pain (58%) and sleep (43%) were the problems cited most frequently. Only 31% of patients' experienced problems were documented in the nursing records. The nursing staff had more knowledge than was registered in the nursing records. However, one-third of the patients' problems was totally unknown to the nursing staff. From the patients' point of view, essential aspects of basic nursing care are overlooked in daily clinical practice. The findings show that the method employed is suitable for integration of the patients' perspective.     

分级护理标准在病区公示临床应用研究

目的：促进护士严格落实各级别护理常规,提高护理质量及满意度。方法：在病区公示分级护理标准内容并评价。结果：患者、护士对分级护理标准公示实施满意情况及公示前后护理质量控制检查结果比较,P〈0.05,差异具有统计学意义。结论：在病区实施分级护理公示保证了患者的知情权和监督权,对打造高质量护理服务品牌,构建和谐医院、和谐护患关系有较大促进作用。     

特需病房的临终关怀服务

目的提高临终病人及家属的生活质量。方法建立家庭式临终关怀病房,控制癌症晚期病人的疼痛,制定个性化临终护理计划,做好基础护理和心理护理,给予临终病人家属心理支持,尊重其民族习俗和宗教信仰,遵照病人生前愿望进行尸体料理,帮助家属办理后续事宜。结果提高了临终病人生命质量,满足了病人的心理需要,病人及家属满意度较高。结论在特需病房实施的临终护理模式提高了服务质量和特需医疗服务信任度,扩大了特需医疗服务的影响力。     

Factors affecting the quality of nursing care: the patient's perspective

The study described in this paper explored the adult patient's perspective of quality nursing care in acute-care hospital settings in Western Australia. Using grounded theory methodology, the author sought also to discover factors perceived by patients to influence the delivery of high quality nursing care. The findings revealed that patients perceived different levels, in terms of quality, of the care delivered. The level of quality of care was found to depend on certain contextual and intervening conditions pertaining to the broader environment, the organisation and personal factors of the nurse and patient. Variations in patient satisfaction and patients' feelings of vulnerability were related to the levels of care they received. The factors perceived by patients as either inhibiting or enhancing the quality of nursing care are the focus of this paper.