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Published on: February 16, 2011
Qualitative study on the evaluation of humanistic care quality in geriatric nursing based on three-dimensional
Jinrong Yuan1, Ling Li1, Qin Zhan1
1Department of General Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Aims:
To understand the current situation of nursing humanistic care in geriatrics, to integrate the humanistic care quality evaluation viewpoints based on the Donabedian's three-dimensional quality structure theory, and to provide a reference direction for constructing a nursing humanistic care quality evaluation system in geriatrics specialties.
Methods:
4 geriatric nursing managers and 8 geriatric nurses of our hospital were selected for semi-structured interviews from October 2024 to December 2024, and based on the content analysis method, the data were analyzed and themes were refined using NVivo12 software.
Results:
A total of 12 sub themes were extracted. The structural level: rationalization of human resources, caring hospital environment, system and responsibilities; Process level: caring communication, identifying individual needs, patient medication safety, prevention of high-risk patients, medical and nursing cooperation, and humanistic literacy of nursing personnel; Outcome level: satisfaction, patient outcomes, and incidence of adverse outcomes.
Conclusion:
The quality of geriatric nursing humanistic care is still room for improvement. We further optimize the structure of human resources by allocating psychiatric nurses and constructing a stratified nursing response mechanism to satisfy personalized humanistic care, and encourage the participation of family members to ensure the continuity of patient care, and ultimately improve the information-based nursing system to realize the full coverage of humanistic care and the transformation of geriatric nursing from "disease-oriented" to "whole-person care."
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