A Cross-Sectional Study of the Perception of Individualized Nursing Care Among Nurses in Acute Medical and Perioperative Settings.

Background/Objectives: Individualized nursing care allows for systematic assessment and intervention; considers a patient's preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate n...

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Publicado en:Nursing Reports Vol. 14; no. 4; pp. 3191 - 3206
Autores principales: Ramos, Ana, Pires, Sara, Sá, Eunice, Gomes, Idalina, Alves, Elisabete, Fonseca, César, Coelho, Anabela
Formato: research tables/charts Journal Article
Publicado: MDPI Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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        atl: A Cross-Sectional Study of the Perception of Individualized Nursing Care Among Nurses in Acute Medical and Perioperative Settings.
      aug:
        au:
          Ramos, Ana
          Pires, Sara
          Sá, Eunice
          Gomes, Idalina
          Alves, Elisabete
          Fonseca, César
          Coelho, Anabela
        affil: Nursing Research Innovation and Development Centre of Lisbon (CIDNUR), Nursing School of Lisbon (ESEL), 1600-190 Lisboa, Portugal
      sug:
        subj:
          Nursing Care
          Individualized Medicine
          Nurse Attitudes Evaluation
          Perioperative Care
          Acute Care
          Sociodemographic Factors
          Patient Centered Care
          Quality Improvement
          Human
          Cross Sectional Studies
          Scales
          Registered Nurses
          Coefficient alpha
          Funding Source
          One-Way Analysis of Variance
          Adult
          Decision Making
          Hospitalization Psychosocial Factors
          Adult: 19-44 years
      ab: Background/Objectives: Individualized nursing care allows for systematic assessment and intervention; considers a patient's preferences, values, and context; and contributes to a positive care trajectory. However, its operationalization has proven to be challenging. This research aimed to evaluate nurses' perceptions of individualized care and analyze their relationship with sociodemographic variables. Methods: A cross-sectional study was conducted on 122 eligible and registered nurses at a Hospital Center, in the Ophthalmology (operating room and inpatient ward) service, the Cardiology service, the Internal Medicine service, and the Medical Emergency Unit, for adults/older adults in Portugal. The nursing version of the Individualized Care Scale (ICS-Nurse) was used for the assessment, including three sub-dimensions: clinical situation, personal life situation, and decisional control over care-related decisions. Cronbach's alpha and principal component analysis were used for the data analysis. The STROBE checklist was used to report this study. Results: No statistically significant differences were found based on the age, gender, level of education, or years of professional experience of the nurses within the sub-dimensions of individualization. The nurses overall had a good perception of the importance of individualized care (4.06 ± 0.46 ICS-A-NURSE) but faced difficulties in its implementation during the last shift they worked (3.97 ± 0.49 ICS-B-NURSE). Conclusions: The items considered to be of greatest importance were the response to the physical and emotional needs arising from illness and assistance in decision-making through educational instructions. Aspects related to the personal lives of patients, such as family inclusion in an individual's care plan, everyday habits, and previous experiences of hospitalization, received the lowest scores. Recognizing priority areas for improvement in the individualization of nursing care can contribute to developing training programs and policies that promote a holistic approach. Future studies should consider patient outcomes related to their needs for individualization.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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