Incongruence in Perceptions

Thomas, Sarah; Quirk, Lindsay; Blevins, Cheri; Quatrara, Beth; Letzkus, Lisa

doi:10.1097/dcc.0000000000000267

Cited by 9 publications

(6 citation statements)

References 7 publications

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“…. The scant evidence that compares patient and nurse perceptions of nurse caring suggests that patients’ perceptions of care are not always congruent with nurses’ perceptions (27,28). In this study, the areas in which nurses and patients disagreed on the delivery of caring behaviors are shown in Table 3.…”

Section: Discussionmentioning

confidence: 99%

Perception of Caring Among Patients and Nurses

Thomas

Newcomb

Fusco

2018

Journal of Patient Experience

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Background: Empirical evidence supports the contention that implementing caring nurse behaviors results in improved patient experience; however, previous studies find differences between patient and nurse perceptions of caring. Significance: Good patient experience is positively related to desired clinical and financial outcomes. Nurse caring is a critical component in the patient experience. Objective: The purposes of this project were to evaluate the congruency between nurse and patient perceptions of nurse caring in a long-term acute care hospital and to determine how much patient perception of nurse caring changes over time. Method: The study employed mixed methods using a triangulation strategy in which quantitative data from patients and qualitative data from nurses were collected simultaneously and compared for interpretation. Results: Time affected patient perception of caring significantly. Patients and nurses disagreed about the extent to which nurses ask patients what they know about their illnesses, help them deal with bad feelings, and make them feel comfortable. Conclusion: Patients and nurses do not always agree about the quality of caring behaviors, but exposure to nurses over time positively affects patient perception of nurse caring.

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Section: Discussionmentioning

confidence: 99%

Perception of Caring Among Patients and Nurses

Thomas

Newcomb

Fusco

2018

Journal of Patient Experience

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“…From the methodological point of view, several questionnaires have been developed in the past years to measure patients' expectations regarding healthcare services, treatment choices, or outcomes [10][11][12][13][14][15][16]. However, these are mainly disease-specific or focus on specific needs and hence cannot be used in studies of the general population.…”

Section: Introductionmentioning

confidence: 99%

Subjective expectations regarding ageing: a cross-sectional online population survey in Hungary

et al. 2019

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Background We aimed to investigate individuals' subjective expectations regarding health and happiness alongside their provisions on life circumstances for older ages. Methods A cross-sectional online survey was performed involving a representative sample (N = 1000; mean age 50.9, SD = 15.4; female 54.5%) in Hungary. Subjective expectations on health status (EQ-5D-3L/-5L, GALI, WHO-5), happiness (0-10 VAS), employment status, care time, and forms of care for ages 60, 70, 80, and 90 were surveyed. Results Current mean EQ-5D-5L was 0.869 (SD = 0.164) and happiness was 6.7 (SD = 2.4). Subjective life expectancy was 80.9 (SD = 11.1), and median expected retirement age was 65. Mean expected EQ-5D-5L for ages 60/70/80/90 was 0.761/0.684/0.554/0.402, and no activity limitations (GALI) were expected by 64%/40%/18%/14%, respectively. Expected happiness score was 6.8/6.7/6.2/5.7, and a decrease in mental well-being (WHO-5) was provisioned. A substantial increase in drug expenses and care time was anticipated, but only 52% thought to have extra income besides pension. The great majority expected to be helped by the family (77%/72%/53%/40%) if needed. Educational level, GALI, and longevity expectations were significant predictors of EQ-5D-5L expectations using a standard 5% significance level of decision. Current happiness was major determinant of expected future happiness. Conclusions Individuals expect a significant deterioration of health with age but only a moderate decrease in happiness. Overestimation of future activity limitations suggests a gap between statistical and subjective healthy life expectancy. The majority expects to rely on informal care in the elderly. Raise in retirement age is underestimated. Our results can be used as inputs for economic modelling of labor force participation and ageing.

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“…This must be done with a clear understanding and articulation of these phenomena and common language to describe them, otherwise ambiguity and confusion result, thus impeding the development of theoretical constructs in nursing. 47(p1241) Multiple studies have described how nursing delivery of care can drive the patient experience metric to above benchmark percentages 48 and while a multidisciplinary process is key to improving these outcomes, 49 there is no dispute that nurses are the clinicians who spend the most time at the bedside and therefore have an advantage of truly driving the evolution of patient-centric care toward more personcentric care. 50 When patients have positive hospital experiences that include positive interactions with their clinical providers, they leave the hospital receptive to clinical guidance, which leads to better quality health outcomes and decreased mortality.…”

Section: Implications For Practicementioning

confidence: 99%

The Patient Care Experience as Perceived by Hispanic Patients With Chronic Illness Undergoing Transplant

Cuizon

Fry-Bowers²

2022

Advances in Nursing Science

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Hispanics are one of the largest-growing minorities, yet little is understood of the patient experience from their perspective. Patient experience is the current federally mandated hospital quality indicator that is measured via the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Minority representation in the HCAHPS survey development however was not robust. This study used a constructivist grounded theory method to explore how English- and Spanish-speaking Hispanic patients seeking kidney and liver transplant care at a safety-net hospital perceive and interpret the care experience. A grounded theory process model emerged finding comfort, communication, connection, and care to be interdependent factors crucial for a positive hospital admission. Furthermore, “cultural context” was found to influence perception of each of these concepts. This research provides key insights into how Hispanics may perceive their needs when seeking care. A Supplemental Digital Content video abstract is available at http://links.lww.com/ANS/A50.

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Incongruence in Perceptions

Cited by 9 publications

References 7 publications

Perception of Caring Among Patients and Nurses

Perception of Caring Among Patients and Nurses

Subjective expectations regarding ageing: a cross-sectional online population survey in Hungary

The Patient Care Experience as Perceived by Hispanic Patients With Chronic Illness Undergoing Transplant

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