Patients' expectations of and experiences with psychosocial care needs in perioperative nursing: a descriptive study.

FoC Healthcare personnel Inpatients Missed Care Patients Perceived reality Perioperative care Person-centered Psychosocial Care Subjective importance

Journal

BMC nursing
ISSN: 1472-6955
Titre abrégé: BMC Nurs
Pays: England
ID NLM: 101088683

Informations de publication

Date de publication:
05 Sep 2023
Historique:
received: 19 01 2023
accepted: 16 08 2023
medline: 6 9 2023
pubmed: 6 9 2023
entrez: 5 9 2023
Statut: epublish

Résumé

Meeting inpatients' psychosocial care needs is essential for their wellbeing, recovery, and positive experiences. This study aimed to describe and compare surgical inpatients' subjective perceptions of the importance of fundamental psychosocial and overall care received. A descriptive study with a convenient sample was conducted from September 2019 to April 2020. A total of 194 surgical inpatients from Norway and Denmark answered a perioperative user participation questionnaire on the day of discharge. The questionnaire was previously face- and content validated. The questionnaire assessed patients' sociodemographic characteristics and four dimensions of fundamental care domains: Psychosocial, Relational, Physical, and System level. This study reports the results from the psychosocial domain. Descriptive statistics including frequencies, percentages, means, and standard deviations were used to analyze background information variables. The congruency between participants' expectations of and experiences with psychosocial care is presented. The inpatients expected (and experienced) the healthcare personnel to treat them with respect and dignity, and to be involved and informed throughout their perioperative care. The average ratings regarding these aspects of psychosocial care needs were 72.1-93.8%. There was congruency between patients' perceptions of the subjective importance (SI) of psychosocial fundamental care and their perceived reality (PR) of care. Congruency between high SI and high PR ranged from 59.1 to 92.2%, and congruency between low SI and low PR ranged from 0 to 6.6%. Incongruency between SI and PR varied between 5.9 and 39.6% and was mainly related to higher PR than SI. We found no association between education level, sex, length of stay, age, and patient expectations of or experiences with psychosocial care needs. Surgical inpatients in Norway and Denmark experience respectful and dignified treatment, and they feel involved and informed in their perioperative care. It is important to include patient perspectives in further research to avoid missed care and disconnection between what patients prefer and what healthcare personnel plan to do. Understanding patient preferences might also lead to less stress and workload for healthcare personnel.

Sections du résumé

BACKGROUND BACKGROUND
Meeting inpatients' psychosocial care needs is essential for their wellbeing, recovery, and positive experiences. This study aimed to describe and compare surgical inpatients' subjective perceptions of the importance of fundamental psychosocial and overall care received.
METHODS METHODS
A descriptive study with a convenient sample was conducted from September 2019 to April 2020. A total of 194 surgical inpatients from Norway and Denmark answered a perioperative user participation questionnaire on the day of discharge. The questionnaire was previously face- and content validated. The questionnaire assessed patients' sociodemographic characteristics and four dimensions of fundamental care domains: Psychosocial, Relational, Physical, and System level. This study reports the results from the psychosocial domain. Descriptive statistics including frequencies, percentages, means, and standard deviations were used to analyze background information variables. The congruency between participants' expectations of and experiences with psychosocial care is presented.
RESULTS RESULTS
The inpatients expected (and experienced) the healthcare personnel to treat them with respect and dignity, and to be involved and informed throughout their perioperative care. The average ratings regarding these aspects of psychosocial care needs were 72.1-93.8%. There was congruency between patients' perceptions of the subjective importance (SI) of psychosocial fundamental care and their perceived reality (PR) of care. Congruency between high SI and high PR ranged from 59.1 to 92.2%, and congruency between low SI and low PR ranged from 0 to 6.6%. Incongruency between SI and PR varied between 5.9 and 39.6% and was mainly related to higher PR than SI. We found no association between education level, sex, length of stay, age, and patient expectations of or experiences with psychosocial care needs.
CONCLUSIONS CONCLUSIONS
Surgical inpatients in Norway and Denmark experience respectful and dignified treatment, and they feel involved and informed in their perioperative care. It is important to include patient perspectives in further research to avoid missed care and disconnection between what patients prefer and what healthcare personnel plan to do. Understanding patient preferences might also lead to less stress and workload for healthcare personnel.

Identifiants

pubmed: 37670261
doi: 10.1186/s12912-023-01451-1
pii: 10.1186/s12912-023-01451-1
pmc: PMC10478291
doi:

Types de publication

Journal Article

Langues

eng

Pagination

304

Informations de copyright

© 2023. BioMed Central Ltd., part of Springer Nature.

Références

J Med Ethics. 2012 Dec;38(12):723-8
pubmed: 22933326
J Clin Nurs. 2018 Jun;27(11-12):2311-2321
pubmed: 28960702
Nurs Ethics. 2003 Jan;10(1):39-47
pubmed: 12572759
JAMA Netw Open. 2021 Oct 1;4(10):e2128667
pubmed: 34648011
J Nurs Adm. 2017 Dec;47(12):616-622
pubmed: 29135852
Scand J Caring Sci. 2019 Jun;33(2):359-370
pubmed: 30507038
J Nurs Adm. 2015 Nov;45(11):563-8
pubmed: 26492148
Nurs Res. 2018 Mar/Apr;67(2):99-107
pubmed: 29489631
J Clin Nurs. 2020 Feb;29(3-4):347-369
pubmed: 31715037
Health Qual Life Outcomes. 2003 Apr 17;1:8
pubmed: 12756059
Int J Nurs Pract. 2012 Apr;18(2):140-6
pubmed: 22435977
J Clin Nurs. 2017 Dec;26(23-24):5052-5064
pubmed: 28793387
J Pain. 2018 Nov;19(11):1231-1252
pubmed: 29803669
Eur J Transl Myol. 2020 Apr 01;30(1):8456
pubmed: 32499876
BMC Nurs. 2017 Nov 21;16:69
pubmed: 29200965
Health Serv Insights. 2013 Aug 04;6:61-8
pubmed: 25114561
Scand J Caring Sci. 2023 Mar;37(1):141-152
pubmed: 36050922
J Clin Nurs. 2020 Jun;29(11-12):1933-1944
pubmed: 31408557
Patient Prefer Adherence. 2020 May 27;14:891-902
pubmed: 32546983
Patient Prefer Adherence. 2020 Feb 25;14:383-400
pubmed: 32161449
Front Psychol. 2020 Jan 31;11:84
pubmed: 32082226
Am J Med Qual. 2014 Sep-Oct;29(5):415-22
pubmed: 24006031
J Clin Nurs. 2018 Aug;27(15-16):3197-3204
pubmed: 29633404
Int J Qual Stud Health Well-being. 2014 Jul 17;9:24849
pubmed: 25038001
Psychooncology. 2004 Dec;13(12):837-49; discussion 850-6
pubmed: 15578622
BMJ Qual Saf. 2014 Feb;23(2):126-35
pubmed: 24214796
Nurs Open. 2019 Aug 15;6(4):1510-1518
pubmed: 31660179
J Clin Nurs. 2002 Sep;11(5):681-7
pubmed: 12201896
Int J Health Plann Manage. 2019 Oct;34(4):e1820-e1832
pubmed: 31448478
Nurs Stand. 2017 Apr 5;31(32):52-62
pubmed: 28378679
Nurs Ethics. 2020 Jun;27(4):1044-1055
pubmed: 32216570
Int J Nurs Stud. 2017 Oct;75:112-122
pubmed: 28783488
Int J Nurs Pract. 2010 Aug;16(4):423-34
pubmed: 20649678
J Palliat Med. 2018 Jun;21(6):802-808
pubmed: 29649393
Nurs Open. 2018 Apr 27;5(3):414-421
pubmed: 30062035
J Adv Nurs. 2018 Apr;74(4):864-875
pubmed: 29117451
BMC Nurs. 2022 Aug 5;21(1):218
pubmed: 35931988
J Clin Nurs. 2019 Jun;28(11-12):2214-2224
pubmed: 30786078

Auteurs

Kari Ingstad (K)

Faculty of Nursing and Health Science, Nord University, Pb. 93, Levanger, 7601, Norway. kari.ingstad@nord.no.

Mona K Pedersen (MK)

Centre for Clinical Research, North Denmark Regional Hospital, Hjoerring, Denmark.
Department for Clinical Medicine, Aalborg University, Aalborg, Denmark.

Lisbeth Uhrenfeldt (L)

Nord University Faculty of Nursing and Health Science, Nord University, Bodø, Norway.
Institute of Regional Health Research, Southern Danish University, Ortopedic dep., Lillebaelt University Hospital, Kolding, Denmark.

Preben U Pedersen (PU)

Centre of Clinical Guidelines, Department of Clinical Medicine, University of Aalborg, Aalborg, Denmark.

Classifications MeSH