Patients' perceptions of transgressive behaviour in care relationships with nurses: a qualitative study

Vandecasteele, Tina; Debyser, Bart; Hecke, Ann Van; Backer, Tine De; Beeckman, Dimitri; Verhaeghe, Sofie

doi:10.1111/jan.12764

Cited by 4 publications

(3 citation statements)

References 60 publications

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“…Arguably, patients adjust their behaviour based on what they experience in care relationships with nurses or the hospital care (Mosadeghrad, 2012; Vandecasteele et al , 2015). Further evidence from Ghana indicates that verbal abuse is more problematic in public than private healthcare facilities (Yakong et al , 2010; Mannava et al , 2015).…”

Section: Literature Reviewmentioning

confidence: 99%

Factors influencing a long-term relationship between healthcare providers and patients – perspectives of patients at a public regional hospital, Ghana

Adomah-Afari

Mantey

Awuah-Werekoh

2019

IJPHM

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Purpose The purpose of this paper is to determine the factors that influence patients’ long-term relationship with healthcare providers in healthcare delivery at hospitals. Design/methodology/approach Data were gathered using 170 patients in a cross-sectional survey with quantitative research methods at a public regional hospital. Results were obtained using descriptive analysis and regression analysis. Findings Generally, the study found that the health-related factors (the reception of staff, providers’ attitude, waiting time, competence and expertise and the hospital environment) that influence patients’ long-term relationship with the healthcare providers/hospital were statistically significant (p < 0.001). The findings showed that overall 90.0 per cent of the patients were very satisfied with the overall healthcare services at the hospital. Research limitations/implications Limited sample size, lack of examination of healthcare providers’ perspectives and non-application of qualitative methods make it difficult to give a true picture of how these can enhance patients’ intent to keep a long-term relationship with the healthcare providers/hospital. Practical implications The paper suggests that health policymakers and practitioners need to enhance measures that will make patients satisfied leading to their long-term commitment and cordial relationship with the healthcare providers/hospital. Social implications The study demonstrated how health-related factors will be associated with the patients’ agreement/intent to keep a long-term relationship with their service providers at hospitals. Thus, the overall hypothesis was true that there is a relationship between patients’ satisfaction with the healthcare experienced and their long-term relationship with healthcare providers/hospital. Originality/value This is one of the few studies conducted on the topic in the context of Ghana’s health sector. It recommends that there should be a good interpersonal relationship between healthcare providers and patients, as patients’ satisfaction is not based on only receiving treatment at the health facility.

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Section: Literature Reviewmentioning

confidence: 99%

Factors influencing a long-term relationship between healthcare providers and patients – perspectives of patients at a public regional hospital, Ghana

Adomah-Afari

Mantey

Awuah-Werekoh

2019

IJPHM

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“…Besides nurses wanting to maintain control over care, it also seems plausible that nurses find it difficult taking into consideration the patient's perspective. Qualitative research by Vandecasteele et al [35] focussing on transgressive behaviour in care relationships found that nurses generally perceive the relationship with the patient from their own point of view, and do not necessarily insert the individual patient perspective in their interaction with patients. Difficulties experienced by the nurses for incorporating an individualised approach during care were also observed in a multi-site ethnography study by van Belle et al [36] The study demonstrated that although some nurses achieve to do so, providing individualised care in hospitals remains difficult, as most nurses are not able to incorporate the physical, relational and physical elements of care [36].…”

Section: Comparing Patients' and Nurses' Perceptions Of Individualised Carementioning

confidence: 99%

“…A shared understanding towards the support and provision of individualised care and being sensitive towards the patient perspective could generate more effective nursing care that takes into account the individuality of the patient [37,38] T A B L E 5 Multilevel results for the Dutch and Flemish patients nurses think that the care is individualised per se or if they are a priori convinced that the care they provide already incorporates individual patient preferences, needs and values, changing existing interactions between patients and nurses will be challenging. Reflecting on one's own perceptions of individualised care, how these perceptions emerge or where they emanate from could be a starting point and essential in creating awareness among nurses to provide care that is more individualised and incorporates the patients' perspective [3,35]. Self-awareness will contribute to professional growth of nurses and will aid in becoming more understanding towards patients, establishing an effective nurse-patient relationship, and taking a more critical stance towards the care provided [39][40][41].…”

Section: Comparing Patients' and Nurses' Perceptions Of Individualised Carementioning

confidence: 99%

Individualised care in Flemish and Dutch hospitals: Comparing patients’ and nurses’ perceptions

Theys

Belle

Heinen³

et al. 2021

Scandinavian Caring Sciences

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Background: Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses' and patients' perceptions of the support and provision of patient-centred care is limited and focuses solely on nurses and patients working and staying on surgical wards. Aims and objectives: Comparing patients' and nurses' perceptions of patient-centred care on different types of hospital wards, and exploring if patient empowerment, health literacy, and certain sociodemographic and context-related variables are associated with these perceptions. Design: Cross-sectional design.Methods: Data were collected in ten Flemish (February-June 2016) and two Dutch (December 2014-May 2015) hospitals using the Individualised Care Scale (ICS). A linear mixed model was fitted. Data from 845 patients and 569 nurses were analysed. As the ICS was used to measure the concept of patient-centred care, it is described using the term 'individualised care.' Results: Nurses perceived that they supported and provided individualised care more compared with patients as they scored significantly higher on the ICS compared with patients. Patients with higher empowerment scores, higher health literacy, a degree lower than bachelor, a longer hospital stay, and patients who were employed and who were admitted to Dutch hospitals scored significantly higher on some of the ICS subscales/ subsections. Nurses who were older and more experienced and those working in Dutch hospitals, regional hospitals and maternity wards scored significantly higher on some of the ICS subscales/subsections. Conclusion: Nurses perceived that they supported and provided individualised care more compared with patients. Relevance to clinical practice: Creating a shared understanding towards the support and provision of individualised care should be a priority as this could generate more effective nursing care that takes into account the individuality of the patient.

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Was Patient_innen an Pflegequalität noch wichtig ist

Kirchner-Heklau

Meyer

Fleischer

2022

Pflege

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Zusammenfassung. Einleitung: In einer Querschnittstudie mit Versicherten einer Krankenkasse wurde der Zusammenhang zwischen der Pflegequalität und der Pflegepersonalausstattung in Akutkrankenhäusern untersucht. Die Beurteilung der Patient_innen von Pflegehandlungen, verhalten und -outcomes wurde anhand eines systematisch entwickelten Instruments erfasst, welches eine offene Frage enthielt, um gegebenenfalls weitere wichtige Aspekte zu ergänzen. Fragestellung: Welche Aspekte der erlebten Pflege waren den Versicherten besonders wichtig und aus ihrer Sicht noch nicht im Fragebogen berücksichtigt? Sind zusätzliche Indikatoren von Pflegequalität ableitbar? Methode: Online-Befragung nach Entlassung aus dem Krankenhaus. Inhaltsanalyse der Freitextangaben zur offenen Frage. Ergebnisse: Insgesamt wurden 212554 Versicherte angeschrieben; 30209 nahmen an der Befragung teil (14,2%), davon beantworteten 12507 (41,4%) die offene Frage. Eine Zufallsauswahl von n=2000 Freitextantworten wurde kodiert und analysiert. Insgesamt 45,1% aller Kodierungen deckten die im Fragebogen erfassten Aspekte der Pflegequalität ab. Von den verbleibenden Kodierungen beinhalteten 35,1% Aussagen zu nicht pflegerischen Qualitätsaspekten des Krankenhausaufenthaltes und 19,8% Aussagen zu den Arbeitsbedingungen in der Pflege. Es konnten keine neuen Indikatoren der Pflegequalität identifiziert werden. Schlussfolgerung/Ausblick: Die Aussagen zu den Arbeitsbedingungen in der Pflege gilt es in einer weitergehenden Analyse zu explorieren. Die Erwartungen von Patient_innen an Pflege sollten in zukünftigen Studien untersucht werden.

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Patients' perceptions of transgressive behaviour in care relationships with nurses: a qualitative study

Abstract: Patients adjust their behaviour based on what they experience in care relationships with nurses or the hospital care. It is crucial that patients feel free to discuss their assumptions or untoward needs and nurses learn to understand and reflect on those experiences.

Cited by 4 publications

References 60 publications

Factors influencing a long-term relationship between healthcare providers and patients – perspectives of patients at a public regional hospital, Ghana

Factors influencing a long-term relationship between healthcare providers and patients – perspectives of patients at a public regional hospital, Ghana

Individualised care in Flemish and Dutch hospitals: Comparing patients’ and nurses’ perceptions

Was Patient_innen an Pflegequalität noch wichtig ist

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