Patient Needs and Satisfaction With Nursing Care After Day Surgery Based on a Patient-Centered Care Framework

This cross-sectional study explored the level of patient needs and satisfaction in women with day surgery. A consecutive sample of 233 women was recruited from a women’s health care center in South Korea. Demographic and disease-specific characteristics, patient needs, and satisfaction were measured. Patient needs were evaluated based on patient-centered care framework; the average mean was 4.21 (.7) out of a possible 5. The mean score for overall patient satisfaction was 3.70 (.5) out of a possible 5. Among the five subdomains of patient needs, involvement of family and friends presented the highest mean score. The focus of day surgery care should respond to the care shift from hospital to home care, so that it should prepare family and friends to provide appropriate home care. This study reports high levels of patient needs and adds to the body of knowledge on perioperative nursing care interventions for women undergoing outpatient day surgery.

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Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

Health Services Insights ◽

10.1177/11786329211022441 ◽

2021 ◽

Vol 14 ◽

pp. 117863292110224

Author(s):

Lisanne I van Lier ◽

Henriëtte G van der Roest ◽

Vjenka Garms-Homolová ◽

Graziano Onder ◽

Pálmi V Jónsson ◽

...

Keyword(s):

Home Care ◽

Patient Centered Care ◽

Mean Difference ◽

Care Model ◽

Patient Centered ◽

Societal Costs ◽

Centered Care ◽

Care Models ◽

Prospective Longitudinal ◽

Care Performance

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

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New Day Surgery Unit: Patient Centered Care

Journal of PeriAnesthesia Nursing ◽

10.1016/j.jopan.2017.06.063 ◽

2017 ◽

Vol 32 (4) ◽

pp. e13-e14

Author(s):

Rose D. Ziffra ◽

Noella Acosta-Brewer ◽

Eliza Feniza

Keyword(s):

Patient Centered Care ◽

Day Surgery ◽

Patient Centered ◽

Centered Care

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French Health professionals’ attitudes about patient empowerment in the cancer care pathway

Clinical Nursing Studies ◽

10.5430/cns.v7n4p41 ◽

2019 ◽

Vol 7 (4) ◽

pp. 41

Author(s):

Elise Verot ◽

Véronique Régnier-Denois ◽

Dominique Feld ◽

Romain Rivoirard ◽

Franck Chauvin

Keyword(s):

Nursing Care ◽

Health Professionals ◽

Cancer Care ◽

Care Pathway ◽

Patient Empowerment ◽

Patient Centered Care ◽

Care Providers ◽

Patient Centered ◽

Centered Care ◽

New Form

Objective: France is experiencing a shift in health policy. The purpose of this article is to describe how cancer care health professionals define patient empowerment, describe modalities of care of the cancer patient treated by intravenous means and identify avenues for reflection on the specific challenges facing patient-centered care, from the perspective of changes in practices in the cancer care pathway.Methods: 19 individual, semi-structured interviews with health professionals working in cancer care facilities were analyzed in a qualitative study, using the Theoretical Domain Framework linked to the COM-B model.Results: The organization of care is governed by three factors. First of all, the cancer care system focuses on the strictly curative aspect of this disease. All devices lead to management centered on the pathology, and not on the patient as a whole. Secondly, the fact that the patient suffers from cancer modifies the attitudes and representations of caregivers towards the patient. Cancer introduces a relational bias in each of the stakeholders. Thirdly, the current organization of nursing care maintains paternalistic and prescriptive care in the cancer care pathway. Only new nursing jobs (coordinating nurses or pivot nurses) suggest the possibility of switching to patient-centered care. The analysis from TDF linked to the COM-B model shows that the strategy of implementing a new tool to measure the level of patient engagement, in routine nursing care, must focus on the reflective opportunity and motivation of the stakeholders.Conclusions: Caregivers should be acculturated to patient empowerment. TDF linked to the COM-B model can make it possible to think about how to prepare and adapt this change in practice at several sites of cancer treatment. Training adapted to the context to familiarize current caregivers with this new form of care is currently being implemented. To succeed, acculturating current health care providers to this new form of care, while offering them a tool to objectively assess the level of patient empowerment would undoubtedly foster their involvement in supporting patient empowerment, while allowing them to evaluate the time required to integrate this type of care.

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The Effects Of Clinical Supervision Of Academic Model To Improve The Ability Of Nurses In Applying Patient-Centered Care (PCC) At Hospital

Nurscope Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan ◽

10.30659/nurscope.4.1.41-54 ◽

2018 ◽

Vol 4 (1) ◽

pp. 41

Author(s):

Arifin Dwi Atmaja ◽

MC Inge Hartini ◽

Luky Dwi Antoro

Keyword(s):

Clinical Supervision ◽

Nursing Care ◽

Discharge Planning ◽

Life Quality ◽

Patient Centered Care ◽

Cost Of Care ◽

Control Group ◽

Patient Centered ◽

Centered Care

Introduction: Quality patient centered care will improve the quality of nursing care and the patients independence, life quality, and self-efficacy. It also reduces the rate of disease recurrence, the length of stay (LOS), and the cost of care. Clinical supervision of academic model is a method to increase professionalism in the delivery of nursing care. The purpose of this study was to determine the effects of clinical supervision academic model of head nurses on the quality of discharge planning. The study represented a pre-post test quasi-experimental design with a control group. The population was all nurses in Mitra Siaga hospital. The samples were 51 nurses selected by non-probability sampling. The statistical analysis used was one-way ANOVA. The results showed that the clinical supervision of academic model of the head nurses had a significant effect on improving the ability of nurse in applying patient centered care. Clinical supervision of academic model is a competence that nursing managers should have; therefore, it is suggested that head nurses provide guidance and supervision continuosly to maintain and improve the quality of patient centered care.

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