Quality Nursing Care from the Perspective of Patients With Life Threatening Illness

2.50
Hdl Handle:
http://hdl.handle.net/10755/157760
Type:
Presentation
Title:
Quality Nursing Care from the Perspective of Patients With Life Threatening Illness
Abstract:
Quality Nursing Care from the Perspective of Patients With Life Threatening Illness
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Izumi, Shigeko (Seiko), RN
P.I. Institution Name:Oregon Health & Science University, School of Nursing
Title:Postdoctoral fellow
Contact Address:3455 SW US Veterans Hospital Rd, SN-5S, Portland, OR, 97239, USA
Contact Telephone:503-494-3675
Co-Authors:Judith G. Baggs, PhD, RN, FAAN, Professor and Sr. Associate Dean for Academics; Kathleen A. Knafl, PhD, FAAN, Associate Dean for Research and Frances Hill Fox Distinguished Professor
Purpose: The purpose of this study was to explore views about quality nursing care from the perspective of hospitalized patients with advanced life threatening illness. This presentation is based on the hybrid approach to concept development and focuses on the fieldwork phase of the process. Findings will be integrated with a literature review to develop the concept of quality nursing care for this population. Background: Providing quality care to all patients is nurses' professional responsibility and quality improvement is an urgent issue in the current healthcare system. However, a clear definition of quality nursing care grounded in the patient's perspective is lacking. Most quality indicators in hospital nursing are selected by healthcare providers; studies exploring quality of nursing care from patients? perspectives are limited. Furthermore, these studies fail to differentiate quality of care across different patient groups, overlooking the possibility that different groups may have different expectations and beliefs regarding quality nursing care. No study has addressed conceptualizing quality nursing care for hospitalized patients with life-threatening illness from the patient's perspective. Absence of a clear conceptualization of the defining attributes of the concept is an obstacle to improve  quality of nursing care for these patients. Method: The Hybrid Model of Concept Development was used to guide the process of concept development. Following a literature-based concept analysis of quality nursing care, semi-structured fieldwork interviews were conducted with hospitalized adult patients with advanced life threatening illness. Audio-recordings of the interviews were transcribed verbatim and analyzed using qualitative content analysis. Results: Fifteen hospitalized patients (8 men and 7 women, aged 24 to 85) with advanced illness participated in the interviews. Each participant had multiple hospital admission experiences with advanced life threatening illness. From their perspective, quality nursing care contains three attributes: competence, caring, and professional attitudes. When nurses provided quality nursing care by demonstrating these attributes, patients felt good, comfortable, and safe. Implication: Results from this study will be integrated with literature-based concept analysis to define the concept of quality nursing care for this patient group. The newly defined concept will provide direction for quality improvement efforts. In addition, the attributes in the concept will provide a framework for developing a standardized measure of quality of nursing care for seriously ill patients.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleQuality Nursing Care from the Perspective of Patients With Life Threatening Illnessen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157760-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Quality Nursing Care from the Perspective of Patients With Life Threatening Illness</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Izumi, Shigeko (Seiko), RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Oregon Health &amp; Science University, School of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Postdoctoral fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">3455 SW US Veterans Hospital Rd, SN-5S, Portland, OR, 97239, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">503-494-3675</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">izumis@ohsu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Judith G. Baggs, PhD, RN, FAAN, Professor and Sr. Associate Dean for Academics; Kathleen A. Knafl, PhD, FAAN, Associate Dean for Research and Frances Hill Fox Distinguished Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this study was to explore views about quality nursing care from the perspective of hospitalized patients with advanced life threatening illness. This presentation is based on the hybrid approach to concept development and focuses on the fieldwork phase of the process. Findings will be integrated with a literature review to develop the concept of quality nursing care for this population. Background: Providing quality care to all patients is nurses' professional responsibility and quality improvement is an urgent issue in the current healthcare system. However, a clear definition of quality nursing care grounded in the patient's perspective is lacking. Most quality indicators in hospital nursing are selected by healthcare providers; studies exploring quality of nursing care from patients? perspectives are limited. Furthermore, these studies fail to differentiate quality of care across different patient groups, overlooking the possibility that different groups may have different expectations and beliefs regarding quality nursing care. No study has addressed conceptualizing quality nursing care for hospitalized patients with life-threatening illness from the patient's perspective. Absence of a clear conceptualization of the defining attributes of the concept is an obstacle to improve &nbsp;quality of nursing care for these patients. Method: The Hybrid Model of Concept Development was used to guide the process of concept development. Following a literature-based concept analysis of quality nursing care, semi-structured fieldwork interviews were conducted with hospitalized adult patients with advanced life threatening illness. Audio-recordings of the interviews were transcribed verbatim and analyzed using qualitative content analysis. Results: Fifteen hospitalized patients (8 men and 7 women, aged 24 to 85) with advanced illness participated in the interviews. Each participant had multiple hospital admission experiences with advanced life threatening illness. From their perspective, quality nursing care contains three attributes: competence, caring, and professional attitudes. When nurses provided quality nursing care by demonstrating these attributes, patients felt good, comfortable, and safe. Implication: Results from this study will be integrated with literature-based concept analysis to define the concept of quality nursing care for this patient group. The newly defined concept will provide direction for quality improvement efforts. In addition, the attributes in the concept will provide a framework for developing a standardized measure of quality of nursing care for seriously ill patients.</td></tr></table>en_GB
dc.date.available2011-10-26T20:10:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:10:42Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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