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Conceptualizing the Humanized Hospital: A Multidimensional Textual Data Analysis from Undergraduate Nursing Students'
Marika Lo Monaco1,2,3,4,5, Gloria Littlemouse6, Giuliano Anastasi2,4,7
1Department of Health Promotion Sciences, Maternal and Infant Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, 90127 Palermo, Italy.
Nursing students view a humanized hospital as a system where relationships, organization, and professional skills are interconnected. This holistic approach emphasizes patient-centered care enabled by supportive structures and competent staff.
Area of Science:
- Healthcare Quality
- Nursing Education
- Patient-Centered Care
Background:
- Humanization of care is vital for healthcare quality but context-dependent.
- Nursing students' perceptions are key to understanding humanized care values in education.
- Representations of the humanized hospital reveal how values are formed during training.
Purpose of the Study:
- To explore undergraduate nursing students' conceptualizations of a humanized hospital.
- Investigate how future healthcare professionals define essential elements of humanized care.
Main Methods:
- Qualitative exploratory study with 742 undergraduate nursing students in Italy.
- Data collected via a single open-ended written question on imagining a humanized hospital.
- Automatic Analysis of Textual Data (ATD) within Exploratory Multidimensional Data Analysis (EMDA) framework used for large-scale textual analysis.
Main Results:
- Students described the humanized hospital as an integrated, system-oriented environment.
- Humanization linked to empathy, respect, organizational functioning, teamwork, resources, and competence.
- Two dimensions identified: organizational systems enabling person-centered care and professional competence supporting holistic patient understanding.
Conclusions:
- Nursing students hold a multidimensional view of hospital humanization, seeing it as an emergent property of the environment.
- Effective humanization requires simultaneous focus on relational, educational, and organizational levels.
- Nursing education and institutions must foster conditions supporting sustained humanized care.
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Critical attributes of NCIS include:
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