Testing the individualized care model.

BACKGROUND: Although there has been some research to identify the dimensions on which individualized care should be measured, the indicators that constitute individualized care remain unclear. OBJECTIVES: To describe briefly the maintenance of individualized care and to test a hypothetical model of...

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Publicado en:Scandinavian Journal of Caring Sciences Vol. 18; no. 1; pp. 27 - 37
Autores principales: Suhonen R, Välimäki M, Leino-Kilpi H, Katajisto J
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2004
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2004
      vid: 18
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        2004071278
        10.1111/j.1471-6712.2004.00255.x
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        atl: Testing the individualized care model.
      aug:
        au:
          Suhonen R
          Välimäki M
          Leino-Kilpi H
          Katajisto J
        affil: Forssa Hospital, Health Care District of Forssa, Forssa, Finland
      sug:
        subj:
          Nursing Care
          Nursing Models, Theoretical
          Patient Centered Care
          Correlational Studies
          Data Analysis Software
          Decision Making, Patient
          Descriptive Statistics
          Finland
          Goodness of Fit Chi Square Test
          LISREL
          Nurses
          Questionnaires
          Scales
          Structural Equation Modeling
          Surgical Patients
          Funding Source
          Human
      ab: BACKGROUND: Although there has been some research to identify the dimensions on which individualized care should be measured, the indicators that constitute individualized care remain unclear. OBJECTIVES: To describe briefly the maintenance of individualized care and to test a hypothetical model of individualized care in a sample of surgical patients. DESIGN AND METHODS: A correlational survey design was used. Data were collected with questionnaires from adult patients (n = 454) discharged from surgical wards in one Finnish hospital district (response rate 91%). Structural equation modelling LISREL SIMPLIS using maximum likelihood estimation was used to estimate and test the parameters of the hypothesized model derived deductively from the previous literature. RESULTS: The goodness-of-fit statistics supported the basic solution of the Individualized Care Model, although two additional paths indicating error covariances between the sub-concepts were identified in the revised model. In this model individualized care is defined in terms of patients' views of nursing activities aimed at supporting individuality in care and in terms of perceptions of individuality in their own care. CONCLUSIONS: The model has been found to capture attributes that characterize individualized care. It can be used as a basis for evaluation in clinical nursing practice from patients' point of view. The study highlights the importance of patients' clinical situation, personal life situation and decisional control as predictors of individualized care. The results also confirm the construct validity of the previously developed Individualized Care Scale.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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