Important aspects of nursing care in surgical wards as expressed by nurses

Idvall, Ewa; Rooke, Liselotte

doi:10.1046/j.1365-2702.1998.00180.x

Cited by 33 publications

(54 citation statements)

References 20 publications

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“…Development of this instrument started with a qualitative approach using interviews (Idvall and Rooke, 1998) and a literature review (Idvall et al, 1999) that led to the items tested for content validity (Idvall et al, 2001). Content validity and psychometric properties gave initial support for the instrument with a Cronbach's alpha of 0.84 and inter-item correlation of 0.32 (Idvall et al, 2002a).…”

Section: Introductionmentioning

confidence: 99%

Patient assessment of postoperative pain management – Orthopaedic patients compared to other surgical patients

Idvall

Berg

2008

Journal of Orthopaedic Nursing

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Section: Introductionmentioning

confidence: 99%

Patient assessment of postoperative pain management – Orthopaedic patients compared to other surgical patients

Idvall

Berg

2008

Journal of Orthopaedic Nursing

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“…Approaches that respect the individuality of patients, such as appropriate communication, caring, informing, and respecting the patients and their autonomy, form the basis of an environment of mutual trust. 9,12,23 This study examined the opinions and practices of patients and their nurses regarding facilitating and maintaining patient privacy in the light of various hospital processes related to hospital stays involving surgery. Most of the nurses and half of the patients in this study wearing the surgical gowns stated that they found the gowns inappropriate; however, it was determined that neither side feel responsible for changing the arrangement in this regard.…”

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confidence: 99%

Surgical patients’ and nurses’ opinions and expectations about privacy in care

Akyüz

Erdemir

2013

Nurs Ethics

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The purpose of this study was to determine the opinions and expectations of patients and nurses about privacy during a hospital admission for surgery. The study explored what enables and maintains privacy from the perspective of Turkish surgical patients and nurses. The study included 102 adult patients having surgery and 47 nurses caring for them. Data were collected via semistructured questionnaire by face-to-face interviews. The results showed that patients were mostly satisfied by the respect shown to their privacy by the nurses but were less confident of the confidentiality of their personal data. It was found that patients have expectations regarding nursing approaches and attitudes about acknowledging and respecting patient autonomy and confidentiality. It is remarkable that while nurses focused on the physical dimension of privacy, patients focused on informational and psychosocial dimensions of privacy, as well as its physical dimension.

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“…An instrument to measure the quality of postoperative pain management, Strategic and Clinical Quality Indicators in Postoperative Pain Management, has recently been developed 8 from a qualitative approach using focus group interviews. 9 The items which emerged from the interviews were tested for content validity 10 11 using the method proposed by Fehring. 12 The items were assessed as being (a) essential for the quality of care in postoperative pain management, (b) realistic to carry out, and (c) possible for nurses to influence management.…”

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confidence: 99%

Patient and nurse assessment of quality of care in postoperative pain management

Idvall

Hamrin²,

Sjöström³

et al. 2002

Quality and Safety in Health Care

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Objective: To describe and compare patient and nurse assessments of the quality of care in postoperative pain management, to investigate differences between subgroups of patients, and to compare patient assessments in different departments. Design: Patient and nurse questionnaires. Setting: Five surgical wards in general surgery, orthopaedics, and gynaecology in a central county hospital in Sweden. Sample: Two hundred and nine inpatients and 64 registered nurses. The response rates were 96% for the patients and 99% for the nurses; there were 196 paired patient-nurse assessments. Method: The Strategic and Clinical Quality Indicators in Postoperative Pain Management patient questionnaire was used which comprises14 items in four subscales (communication, action, trust, and environment). The items were scored on a 5 point scale with higher values indicating a higher quality of care. Five complementary questions on levels of pain intensity and overall satisfaction with pain relief were scored on an 11 point scale. Twelve of the 14 items in the patient questionnaire and two of the complementary questions were adjusted for use in the nurse questionnaire. Results: The patients' mean (SD) score on the total scale (scale range 14-70) was 58.6 (8.9) and the nurses' mean (SD) score (scale range 12-60) was 48.1 (6.2). The percentage of patients who scored 1 or 2 for an individual item (disagreement) ranged from 0.5% to 52.0%, while for nurses the percentage ranged from 0.0% to 34.8%. Forty two patients (24%) reported more pain than they expected; these patients assessed the quality of care lower. There were differences between patient and nurse assessments concerning the environment subscale, the question on overall satisfaction, and patients' experience of worst possible pain intensity. Conclusion:The results provided valuable baseline data and identified important areas for quality improvement in postoperative pain management. R easons for measuring the quality of care include obtaining more detailed information about patient care, determining whether standards are being achieved, identifying potential areas for improvement, and informing purchasers and thereby securing resources for future services. Good quality of care is considered to be the right of all patients and the responsibility of all staff within the hospital. Important clinical aspects of care may vary from one department to another, based on the patient population and services provided. The aspects to be measured-the quality indicators-can be considered from four points of view: (1) high volume activities, (2) high risk activities, (3) problem prone activities, and (4) high cost activities.1 Postoperative pain management in a surgical department seems to meet these criteria.Several authors have reported that the treatment of postoperative pain is inadequate for many patients, some of whom still suffer moderate to severe pain. [2][3][4] Klopfenstein et al 5 considered the reasons for poor postoperative pain management as insufficient education and training fo...

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Important aspects of nursing care in surgical wards as expressed by nurses

Cited by 33 publications

References 20 publications

Patient assessment of postoperative pain management – Orthopaedic patients compared to other surgical patients

Patient assessment of postoperative pain management – Orthopaedic patients compared to other surgical patients

Surgical patients’ and nurses’ opinions and expectations about privacy in care

Patient and nurse assessment of quality of care in postoperative pain management

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