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Individualised care in Flemish and Dutch hospitals : comparing patients’ and nurses’ perceptions

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Abstract
Background: Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses' and patients' perceptions of the support and provision of patient-centred care is limited and focuses solely on nurses and patients working and staying on surgical wards. Aims and objectives: Comparing patients' and nurses' perceptions of patient-centred care on different types of hospital wards, and exploring if patient empowerment, health literacy, and certain sociodemographic and context-related variables are associated with these perceptions. Design: Cross-sectional design. Methods: Data were collected in ten Flemish (February-June 2016) and two Dutch (December 2014-May 2015) hospitals using the Individualised Care Scale (ICS). A linear mixed model was fitted. Data from 845 patients and 569 nurses were analysed. As the ICS was used to measure the concept of patient-centred care, it is described using the term 'individualised care.' Results: Nurses perceived that they supported and provided individualised care more compared with patients as they scored significantly higher on the ICS compared with patients. Patients with higher empowerment scores, higher health literacy, a degree lower than bachelor, a longer hospital stay, and patients who were employed and who were admitted to Dutch hospitals scored significantly higher on some of the ICS subscales/subsections. Nurses who were older and more experienced and those working in Dutch hospitals, regional hospitals and maternity wards scored significantly higher on some of the ICS subscales/subsections. Conclusion: Nurses perceived that they supported and provided individualised care more compared with patients. Relevance to clinical practice: Creating a shared understanding towards the support and provision of individualised care should be a priority as this could generate more effective nursing care that takes into account the individuality of the patient.
Keywords
Public Health, Environmental and Occupational Health, cross-sectional, hospitals, individualised care, nurses, nursing, patient-centred care, patients, perception, TRAUMA PATIENTS PERCEPTIONS, NURSING-CARE, HEALTH-CARE, CENTERED CARE, PARTICIPATION, SATISFACTION, ASSESSMENTS, OUTCOMES, IMPACT

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MLA
Theys, Sofie, et al. “Individualised Care in Flemish and Dutch Hospitals : Comparing Patients’ and Nurses’ Perceptions.” SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2021, doi:10.1111/scs.13016.
APA
Theys, S., van Belle, E., Heinen, M., Malfait, S., Eeckloo, K., Beeckman, D., … Van Hecke, A. (2021). Individualised care in Flemish and Dutch hospitals : comparing patients’ and nurses’ perceptions. SCANDINAVIAN JOURNAL OF CARING SCIENCES. https://doi.org/10.1111/scs.13016
Chicago author-date
Theys, Sofie, Elise van Belle, Maud Heinen, Simon Malfait, Kristof Eeckloo, Dimitri Beeckman, Sofie Verhaeghe, and Ann Van Hecke. 2021. “Individualised Care in Flemish and Dutch Hospitals : Comparing Patients’ and Nurses’ Perceptions.” SCANDINAVIAN JOURNAL OF CARING SCIENCES. https://doi.org/10.1111/scs.13016.
Chicago author-date (all authors)
Theys, Sofie, Elise van Belle, Maud Heinen, Simon Malfait, Kristof Eeckloo, Dimitri Beeckman, Sofie Verhaeghe, and Ann Van Hecke. 2021. “Individualised Care in Flemish and Dutch Hospitals : Comparing Patients’ and Nurses’ Perceptions.” SCANDINAVIAN JOURNAL OF CARING SCIENCES. doi:10.1111/scs.13016.
Vancouver
1.
Theys S, van Belle E, Heinen M, Malfait S, Eeckloo K, Beeckman D, et al. Individualised care in Flemish and Dutch hospitals : comparing patients’ and nurses’ perceptions. SCANDINAVIAN JOURNAL OF CARING SCIENCES. 2021;
IEEE
[1]
S. Theys et al., “Individualised care in Flemish and Dutch hospitals : comparing patients’ and nurses’ perceptions,” SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2021.
@article{8715596,
  abstract     = {{Background: Patient-centred care has been recognised as vital for today's healthcare quality. This type of care puts patients at the centre, contributing to positive patient outcomes such as patient autonomy. Empirical research comparing nurses' and patients' perceptions of the support and provision of patient-centred care is limited and focuses solely on nurses and patients working and staying on surgical wards.
Aims and objectives: Comparing patients' and nurses' perceptions of patient-centred care on different types of hospital wards, and exploring if patient empowerment, health literacy, and certain sociodemographic and context-related variables are associated with these perceptions.
Design: Cross-sectional design.
Methods: Data were collected in ten Flemish (February-June 2016) and two Dutch (December 2014-May 2015) hospitals using the Individualised Care Scale (ICS). A linear mixed model was fitted. Data from 845 patients and 569 nurses were analysed. As the ICS was used to measure the concept of patient-centred care, it is described using the term 'individualised care.'
Results: Nurses perceived that they supported and provided individualised care more compared with patients as they scored significantly higher on the ICS compared with patients. Patients with higher empowerment scores, higher health literacy, a degree lower than bachelor, a longer hospital stay, and patients who were employed and who were admitted to Dutch hospitals scored significantly higher on some of the ICS subscales/subsections. Nurses who were older and more experienced and those working in Dutch hospitals, regional hospitals and maternity wards scored significantly higher on some of the ICS subscales/subsections.
Conclusion: Nurses perceived that they supported and provided individualised care more compared with patients.
Relevance to clinical practice: Creating a shared understanding towards the support and provision of individualised care should be a priority as this could generate more effective nursing care that takes into account the individuality of the patient.}},
  author       = {{Theys, Sofie and van Belle, Elise and Heinen, Maud and Malfait, Simon and Eeckloo, Kristof and Beeckman, Dimitri and Verhaeghe, Sofie and Van Hecke, Ann}},
  issn         = {{0283-9318}},
  journal      = {{SCANDINAVIAN JOURNAL OF CARING SCIENCES}},
  keywords     = {{Public Health,Environmental and Occupational Health,cross-sectional,hospitals,individualised care,nurses,nursing,patient-centred care,patients,perception,TRAUMA PATIENTS PERCEPTIONS,NURSING-CARE,HEALTH-CARE,CENTERED CARE,PARTICIPATION,SATISFACTION,ASSESSMENTS,OUTCOMES,IMPACT}},
  language     = {{eng}},
  pages        = {{15}},
  title        = {{Individualised care in Flemish and Dutch hospitals : comparing patients’ and nurses’ perceptions}},
  url          = {{http://dx.doi.org/10.1111/scs.13016}},
  year         = {{2021}},
}

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