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Open Access Nursing Care Quality: Process and Outcome Relationships Qualité des soins infirmiers : le rapport entre processus et résultats

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Abstract:

The relationships between variables in a proposed model for the quality of nursing care provided in the home were examined using a cross-sectional correlational design. Sixty patients discharged from a home-care agency were interviewed in their homes using instruments to measure the model's 7 variables. It was proposed that nursing care provided is related to 3 aspects of the interpersonal process — affective support, health information adequacy, and decisional control — and that these 3 variables are related to 3 outcomes — adherence, symptoms, and well-being. The findings support relationships between technical and interpersonal process components. Significant relationships were found between health information adequacy and adherence and between decisional control and well-being. The authors conclude that further refinement of the model will help to build a stronger foundation for the study and provision of quality nursing care.

French
L'étude propose un examen, à la lumière d'une analyse transversale et corrélationnelle, des rapports entre les variables d'un modèle conçu dans le but d'évaluer la qualité des soins infirmiers dispensés à domicile. À l'aide d'instruments mis au point pour tester les sept variables du modèle, on a interrogé chez eux 60 patients ayant reçu leur congé d'une agence de soins à domicile. Selon l'hypothèse avancée ici, la prestation des soins infirmiers touche trois aspects du processus interpersonnel, soit le soutien affectif, la justesse de l'information sur la santé et le pouvoir de décision, auxquels se rattachent trois résultats : l'adhérence, les symptômes et le bien-être. Les résultats confirment l'existence de liens entre les dimensions techniques et interpersonnelles. Ils révèlent notamment un rapport significatif entre la justesse de l'information sur la santé et l'adhérence, ainsi qu'entre le pouvoir de décision et le bien-être. En perfectionnant le modèle, concluent les auteurs, on contribuera à l'établissement d'une assise solide pour l'étude et la prestation de soins infirmiers de qualité.

Keywords: NURSE-SENSITIVE OUTCOMES; NURSING CARE QUALITY; PROCESS AND OUTCOMES

Document Type: Research Article

Publication date: December 1, 2006

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