A Cross-Sectional Study of the Perception of Individualized Nursing Care Among Nurses in Acute Medical and Perioperative Settings.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-25 DOI:10.3390/nursrep14040232

Ana Ramos, Sara Pires, Eunice Sá, Idalina Gomes, Elisabete Alves, César Fonseca, Anabela Coelho

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Abstract

Background/Objectives: Individualized nursing care allows for systematic assessment and intervention; considers a patient's preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate nurses' perceptions of individualized care and analyze their relationship with sociodemographic variables. Methods: A cross-sectional study was conducted on 122 eligible and registered nurses at a Hospital Center, in the Ophthalmology (operating room and inpatient ward) service, the Cardiology service, the Internal Medicine service, and the Medical Emergency Unit, for adults/older adults in Portugal. The nursing version of the Individualized Care Scale (ICS-Nurse) was used for the assessment, including three sub-dimensions: clinical situation, personal life situation, and decisional control over care-related decisions. Cronbach's alpha and principal component analysis were used for the data analysis. The STROBE checklist was used to report this study. Results: No statistically significant differences were found based on the age, gender, level of education, or years of professional experience of the nurses within the sub-dimensions of individualization. The nurses overall had a good perception of the importance of individualized care (4.06 ± 0.46 ICS-A-NURSE) but faced difficulties in its implementation during the last shift they worked (3.97 ± 0.49 ICS-B-NURSE). Conclusions: The items considered to be of greatest importance were the response to the physical and emotional needs arising from illness and assistance in decision-making through educational instructions. Aspects related to the personal lives of patients, such as family inclusion in an individual's care plan, everyday habits, and previous experiences of hospitalization, received the lowest scores. Recognizing priority areas for improvement in the individualization of nursing care can contribute to developing training programs and policies that promote a holistic approach. Future studies should consider patient outcomes related to their needs for individualization.

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关于急诊和围手术期护理人员对个性化护理认知的横断面研究。

背景/目标：个体化护理允许进行系统的评估和干预；考虑病人的偏好、价值观和背景；并有助于形成积极的护理轨迹。然而，实践证明其操作具有挑战性。本研究旨在评估护士对个体化护理的看法，并分析其与社会人口变量之间的关系。研究方法对葡萄牙一家医院中心的眼科（手术室和住院病房）、心脏科、内科和急诊科的 122 名合格注册护士进行了横断面研究。评估采用护理版个性化护理量表（ICS-Nurse），包括三个子维度：临床情况、个人生活情况和对护理相关决策的控制。数据分析采用了 Cronbach's alpha 和主成分分析法。本研究使用 STROBE 检查表进行报告。结果在个性化的子维度上，护士的年龄、性别、受教育程度或专业经验年限在统计学上没有明显差异。总体而言，护士对个体化护理的重要性有较好的认识（4.06 ± 0.46 ICS-A-NURSE），但在最后一班工作期间在实施过程中遇到了困难（3.97 ± 0.49 ICS-B-NURSE）。结论被认为最重要的项目是对疾病引起的身体和情感需求的回应，以及通过教育指导协助决策。与患者个人生活相关的方面，如家人参与个人护理计划、日常习惯和以前的住院经历等，得分最低。认识到护理个性化中需要优先改进的方面，有助于制定促进整体护理方法的培训计划和政策。未来的研究应考虑患者对个性化护理需求的相关结果。

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来源期刊

Nursing Reports NURSING-

CiteScore

2.50

自引率

4.20%

发文量

期刊介绍： Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.