Dissatisfaction with medical information is a common problem among patients. There is also evidence that patients lack information that physicians believe they have given to the patient. The aims of this study were to 1) survey patients' subjective need for, and satisfaction with, the information that they received during their hospital stay 2) develop and evaluate systematic routines for giving information to the patients and also communication and collaboration between the medical and nursing staff concerning the satisfaction of the patients' need for information. The study was an intervention project and the research perspective was organizational psychology. Survey study. The patients experienced a considerable need for medical information, especially about the examination results and prognosis. The patients' need for information regarding prognosis was the least satisfied. Intervention 1. A general improvement of the information to the patients occurred when the systematic routines were established. The patients' subjective need for information was unchanged throughout two years. Their satisfaction with information, after an initial improvement, did not increase throughout these two years. There was low correlation between the patients' and their physicians' estimations concerning the patients' need for information on diagnosis, prognosis and examination results. Likewise, concerning the adequacy of that information. Intervention 2. Communication and collaboration between the medical and nursing staff included a system for assessment and solution of the patients' information problems. Problem-solving took place at a multidisciplinary team conference (MTC). Medical problems were better elucidated than the patients' psychological problems. After training of registered nurses (RN) as conference chairpersons, the patients need for information was better understood. The staff reported 42 information problems after training compared to two before. For half of the information problems decisions were discussed on steps to be taken in order to satisfy the patients' need for information. A year after the system for assessment and solution of information problems was established, the patients were more satisfied with information about examinations and their results and on information about medication (p&lt; 0.05). Further, new norms for the patients' need for information were established and a change was initiated. The results are discussed with regard to how and why patients' shall have information, by whom and to whom information shall be given, when and where information shall be given and which content it shall have. / <p>S. 1-56: sammanfattning, s. 57-137: 4 uppsatser</p> / digitalisering@umu

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Michigan, 1989.

Thesis (M.S.)--University of Michigan, 1989.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Wisconsin, Schoold of Nursing. / eContent provider-neutral record in process. Description based on print version record.

Thesis (Ph. D.)--University of Washington, 2005. / Vita. Includes bibliographical references (leaves 110-120).

Background: Advance care planning (ACP) is a method used for patients to express in advance their preferences, beliefs and values for life-sustaining treatments at the end-of-life. With growing ethnocultural diversity in Canada, health care providers are managing an increasing number of diverse beliefs/values that are commonly associated with preferences for mechanical ventilation (MV) at the end-of-life. The aim of this project is to explore methods used by health care providers to set care plans for MV with ethnocultural populations. Methods: Qualitative analysis of semi-structured interviews with open-ended questions and two clinical vignette components was conducted with eight (8) health care providers who engage in ACP. Participants were recruited using a snowball-sampling approach from five acute-care hospitals within the Ottawa region. Results: Three major themes emerged from collected dataset: 1) Goals of care across illness trajectories, 2) Respecting beliefs, values, and wishes for care, and 3) Cross-cultural support in ACP. Using a value-based approach in ACP was described as an effective method for managing and interpreting diverse beliefs/values that impact decisions for MV. However, organizational, systemic, and personnel barriers that exist continue to hinder the provision of cross-cultural ACP across health settings. Contexte: La planification préalable des soins (PPS) est une méthode utilisée par les patients et les familles pour exprimer à l'avance leurs préférences liées aux traitements de prolongation de vie. En raison de la diversité ethnoculturelle croissante au Canada, les professionnels de la santé sont confrontés à des croyances et valeurs différentes, souvent associées à une préférence pour l’initiation et le maintien de la ventilation mécanique (VM) en fin de vie. L'objectif de ce projet consiste à explorer les stratégies utilisées par les professionnels de la santé lors des discussions associées à la VM auprès d'une clientèle multiculturelle. Méthodes: Huit (8) participants (médecins et infirmières) impliqués dans la PPS ont accepté de participer à une entrevue semi-structurée avec des questions ouvertes et deux scénarios cliniques. Les participants ont été recrutés à l'aide de la méthode d’échantillonnage par réseau (« boule de neige ») de cinq hôpitaux de la région d'Ottawa. Résultats: Trois grands thèmes ont émergé des entrevues: 1) les objectifs de soins à travers les trajectoires de la maladie, 2) le respect des croyances, valeurs et souhaits pour les soins, et 3) le soutien dans la PPS en contexte interculturel. Lors de la PPS, utiliser une approche basée sur les valeurs a été décrite comme une méthode efficace pour interpréter et prendre en compte les diverses croyances et valeurs qui ont une influence sur les décisions liées à la VM. Cependant, les barrières systémiques, organisationnelles et personnelles continuent d'entraver les services associés à la PPS en contexte interculturel dans les établissements de santé.

This study involves an investigation of the relationship between dependency and work resumption of patients with myocardial infarction. In the process of studying this problem, information concerning the different levels of dependency during the convalescence through employment continuum v/as gathered. The purposes of the study are to add to the body of knowledge concerning the concept of dependency and to make nurses and other members of the health team aware of the implications of dependency behaviour in the process of resuming normal function of patients with myocardial infarction. Its long range purpose is to increase the sense of well-being and achieving of the patient with myocardial infarction by helping him resume his productive role, both through the help of members of the health team and members of his family. The study was planned to test the following hypotheses: 1. The employed patients with myocardial infarction will show lower dependency ratings than the unemployed patients in the Navran Dy Scale. 2. The employed patients with myocardial infarction will show progressive decrease in the D-I Scale dependency ratings along the convalescence to employment period continuum, while the unemployed patients with myocardial infarction will maintain a constant level of dependency ratings in the D-I Scale along the convalescence to employment period continuum. 3. Low trait dependents with myocardial infarction will show progressive decrease in the D-I Scale dependency ratings along the convalescence to employment period continuum, while high trait dependent patients with myocardial infarction will continue to show steady dependency ratings in the D-I Scale along the convalescence to employment period continuum. Two structured questionnaires were constructed following a review of the literature to obtain information regarding the research problem. The Navran Dy and the dependency portion of the D-I Scale were also administered. The study population consisted of 21 men. The study population was restricted to men who were confined in the hospital for their first myocardial infarction, who were 64 years of age or younger, who could read and write English, and who had been employed for the 6 months immediately prior to the confinement. Analysis of the data included Frequency tables, T test and the Two-Factor Analysis of Variance. The findings of the study showed that patients with myocardial infarction showed different degrees of dependency, both trait and state. The findings failed to support the three hypotheses even though during the data analysis of the individual hypothesis, the group means showed leaning towards the direction of the hypothesis. The study suggests that steps should be taken to make nurses and family more aware of the varying degrees of dependency in patients. / Applied Science, Faculty of / Nursing, School of / Graduate

No description available.