Most common nursing care problems: a national survey Renate Kieft, PhD student Tilburg University...
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Most common nursing care problems: a national survey
Renate Kieft, PhD student Tilburg University and advisor Dutch Nurses’ Association
3 mei 2023 Dutch Nurses’ Association
Problem definition
Nursing benefits regarding quality of care (health status, functioning or well-being) is not clear
3 mei 2023 Dutch Nurses’ Association
Aim
• Identify the most frequently occurring patient problems within nursing practice
• Gain insight into the level of influence in preventing or minimising these patient problems
Influence means the way nursing care affect health status, functioning or well-being
3 mei 2023 Dutch Nurses’ Association
Method• An online questionnaire
among nurses (N = 838)• Questionnaire based on the
International Classification of Functioning, Disability and Health (ICF)
• Domains: seventeen categories
• Each category operationalises patient problems (total of 84)
• Dutch version of the ICF• Face validity and content
validity
3 mei 2023 Dutch Nurses’ Association
3 mei 2023 Dutch Nurses’ Association
Categories with patient problems
Patient problems
• The frequencies per problem were computed• Sorted in descending order (from greatest to least frequency)• Cut-off point: median • 2 quadrants: frequently and less frequently occurring patient
problems
Dutch Nurses’ Association
3 mei 2023 Dutch Nurses’ Association
The influence of nurses
• Mean experienced influence was calculated• Sorted in descending order (from greatest to least mean experienced
influence)• Cut-off point: median • Overview of high level and low level of experienced influence
Patient problems and the influence of nurses
3 mei 2023 Dutch Nurses’ Association
Result
3 mei 2023 Dutch Nurses’ Association
Demographics n = 440Gender, male/female 63 (14%) / 377 (86%)Age, mean (range) 49 (24-64)Education level Nurses with an associate degree 156 (35%)
Nurses with a bachelor degree 233 (53%)
Nurses with a master degree 10 (2%)
Unknown 41 (9%)
Health care organisation Hospital care 155 (35%)
Psychiatric health care 73 (17%)
General medical practice 72 (16%)
Primary care 65 (15%)
Mentally disabled health care 48 (11%)
Nursing home care 27 (6%)
Work experience in years, mean (range) 24 (1-46)Working hours per week, mean (range) 28 (5-40)
3 mei 2023 Dutch Nurses’ Association
Categories with patient problems
Patient problems and level of influence
Conclusion
With this knowledge:• Create more coherence between nursing care and
guidelines• A national standardised set of patient problems (for
research and accountability goals)
Dutch Nurses’ Association