The Effect of Case Method and Primary Nursing Method on the Social Dimension in Quality of Patient Care

Abstract

The quality of care in patient's view lacks the optimal and desired level in hospital wards with respect to psychosocial dimension. Moreover, there is a direct relationship between the methods of the division labor of nurses and the quality of patient care.Objective: This study aimed to compare the primary nursing method and case method on the psychosocial dimension of the quality of patient care in Coronary Care Units (CCU). Materials and Methods:This is a experimental study conducted on 60 patients in two groups at 4 CCUs of Educational Centers in Mashhad City, Iran in 2014. After performing these two methods, the quality of patient care with respect to psychosocial dimensions were assessed by the interview method using the quality of patient care questionnaire. Finally, the results were analyzed using the Independent t test, Mann-Whitney and Chisquare tests. Results:The mean age of patients was 56.4±13.7 years and the mean age of nurses was 37.4±4.4 years. The mean score of individual psychosocial dimension was 41.7±7.1 for the primary nursing method group and 27.6±8.9 for the case method group. Also the mean score of group psychosocial dimension for the quality of care in primary nursing method 17.3±5.7 and case method 12.3±7.6 groups using Independent t test showed a significant difference between the two groups, i.e. the quality of both individual and group psychosocial dimensions in the primary group were significantly higher (P=0.0001). Conclusion:It seems that the implementation of primary nursing method can partly improve the quality of care in individual and group psychosocial dimensions.

Effectiveness of Pediatric Palliative Care Education Program in Strengthening Nursing Students’ Palliative Care Practices and Attitudes Toward Care of the Dying

“…Besides, case discussions and nursing care plan sharing are emphasized to help students use the knowledge to real-life (clinical practice, case-studies etc.) and enable them to grasp how to transfer theoretical knowledge into practice (16). In the literature, web-based PPC education was found effective in increasing PCKLQ and PCSPS (3).…”

“…The palliative care self-reported practices scale (PCSPS) is a self-reporting scale that evaluates the status of nurses' implementation of palliative care practice in the clinical setting (9). The scale consists of 18 items and 6 subdimensions, including dying-phase care (items 1-3), patient and family centered care (items 4-6), pain (items 7-9), delirium (items 10-12), dyspnea (items 13-15), and communication (items [16][17][18]. PCSPS is a scale evaluated over total points.…”

Promoting professional and interprofessional relationship among nurses in Iran: a participatory action research

“…Factors affecting the type and quality of the nurse-patient professional communication include the nurse care method, the communication of the nurse with the patient and family, workplace atmosphere, and moral values [ 13 ], which have a great effect on caring behaviors and is the basis for providing high-quality care, promoting patients’ health, and providing their satisfaction [ 14 , 15 ]. Research shows that the most common reason for patients’ dissatisfaction and confusion is the lack of effective communication and inconsistency between physicians and nurses in their behavior and speech [ 5 ].…”