Care necessities: the view of the patient and nursing team

Rev Bras Enferm. 2017 Sep-Oct;70(5):1026-1032. doi: 10.1590/0034-7167-2016-0197.
[Article in English, Portuguese]

Abstract

Objectives:: To compare care necessities as perceived by the patient and nursing team and to investigate the sociodemographic factors associated with these perceptions.

Method:: A comparative study was conducted in units and hospitalized patients of a hospital institution in the state of São Paulo. The participants comprised 100 health professionals (50 nurses and 50 nursing technicians and auxiliaries) and 50 patients. A questionnaire was constructed and validated regarding care needs and was completed by the participants.

Results:: Considering cut-off value kappa ≥ 0.61, or that is, good and very good intervals, the greatest agreement between the perception of the patients and the nursing team was in the areas of: Care and Communication, both with 92.6% agreement; followed by Basic Care with 74.1%. The lowest value was found in the field of Care Planning and Organization, 64.3%.

Conclusion:: In a general manner, there was an agreement between the care needs from the view of the patients themselves and the nursing team.

Objetivos:: Comparar como as necessidades de cuidados são percebidas pelo paciente e equipe de enfermagem e investigar os fatores sociodemográficos associados a estas percepções.

Método:: Estudo comparativo realizado em unidades e internação de uma instituição hospitalar do interior do Estado de São Paulo. Os participantes foram 100 profissionais (50 enfermeiros e 50 técnicos e auxiliares de enfermagem) e 50 pacientes. Construiu-se e validou-se um questionário sobre necessidades de cuidados preenchido pelos participantes.

Resultados:: Considerando-se valor de corte kappa ≥ 0,61, ou seja, intervalos bom e muito bom, houve maior alinhamento entre a percepção dos pacientes e equipe de enfermagem nos domínios O Ambiente do Cuidado e Comunicação, ambos com 92,6% de concordância; seguido de Cuidados Básicos, com 74,1%. O menor valor foi encontrado no domínio Planejamento e Organização do Cuidado, 64,3%.

Conclusão:: De maneira geral, observou-se alinhamento no atendimento das necessidades de cuidados no olhar do próprio paciente e da equipe de enfermagem.

MeSH terms

  • Adult
  • Female
  • Humans
  • Inpatients / psychology*
  • Male
  • Middle Aged
  • Nurses / psychology*
  • Nursing Care / methods*
  • Nursing Care / standards*
  • Perception*
  • Quality of Health Care / standards
  • Socioeconomic Factors
  • Surveys and Questionnaires