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Theoretical framework construction on care complexity in Chinese hospitals: A grounded theory study
Bishan Huang1, Hong Li2,3, Meirong Chen2
1Department of Nursing, Fujian Health College, Fujian, China.
International Journal of Nursing Sciences
|August 14, 2019
Summary
Hospital nurses perceive care complexity influenced by patient, nursing staff, and organizational factors. This framework aids nursing education and improves clinical practice quality and efficiency.
Area of Science:
- Nursing Science
- Healthcare Management
- Qualitative Research
Background:
- Understanding care complexity is crucial for effective nursing practice.
- Existing frameworks may not fully capture the multifaceted nature of nursing care complexity.
- Hospital nurses' perspectives are vital for developing comprehensive analyses.
Purpose of the Study:
- To construct a theoretical framework for analyzing risk factors in care complexity.
- To explore hospital nurses' perspectives on the determinants of care complexity.
- To define care complexity based on identified influencing factors.
Main Methods:
- Grounded theory methodology was employed.
- Semi-structured in-depth interviews were conducted with 31 nurses and 9 doctors.
- Data were coded and analyzed according to grounded theory principles.
Main Results:
- Care complexity is influenced by three key factor categories: patient-related (condition, age, self-care, compliance, psychosocial aspects, expectations), nursing staff-related (experience, education, skills, communication), and organizational/equipment-related (workforce, workload, multidisciplinary support, service conditions).
Conclusions:
- Care complexity is defined as the difficulty in implementing nursing tasks, influenced by patient, nurse, and systemic factors.
- The developed theoretical framework provides a comprehensive understanding of care complexity.
- This framework can enhance nursing education and improve the quality and efficiency of clinical nursing practice.
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