Care necessities: the view of the patient and nursing team

To compare care necessities as perceived by the patient and nursing team and to investigate the sociodemographic factors associated with these perceptions.

Method:

A comparative study was conducted in units and hospitalized patients of a hospital institution in the state of São Paulo. The participants comprised 100 health professionals (50 nurses and 50 nursing technicians and auxiliaries) and 50 patients. A questionnaire was constructed and validated regarding care needs and was completed by the participants.

Results:

Considering cut-off value kappa ≥ 0.61, or that is, good and very good intervals, the greatest agreement between the perception of the patients and the nursing team was in the areas of: Care and Communication, both with 92.6% agreement; followed by Basic Care with 74.1%. The lowest value was found in the field of Care Planning and Organization, 64.3%.

Conclusion:

In a general manner, there was an agreement between the care needs from the view of the patients themselves and the nursing team.

Descriptors:
Determination of Healthcare Necessities; Nursing Care; Hospitalized Patients; Evaluation in Nursing; Quality of Healthcare

Necessities	Pat × Nurse		Pat × Tec/Aux		Nurse × Tec/Aux
Necessities	Kw(CI)	Prop	Kw(CI)	Prop	Kw(CI)	Prop
Participation in decision-making	0.52(0-0.51)	0.70	0.57(0.03-0.45)	0.64	0.32(0.07-0.46)	0.68
Participation of accompanying person in decision-making	0.76(0-0.32)	0.56	0.76(0-0.37)	0.54	0.67(0.18-0.60)	0.58
Maintenance of caregiver	0.65(0-0.36)	0.64	^* * Kw could not be calculated.	0.36	0.67(0-0.36)	0.46
Team's knowledge of care needs	0.48(0-0.18)	0.52	0.93(0-0.40)	0.50	0.48(0-0.26)	0.58
Satisfaction with care needs	^* * Kw could not be calculated.	0.42	^* * Kw could not be calculated.	0.34	0.63(0-0.41)	0.50
Resolution	^* * Kw could not be calculated.	0.36	0.84(0-0.42)	0.48	0.85(0-0.38)	0.42

Necessities	Pat × Nurse		Pat × Tec/Aux		Nurse × Tec/Aux
Necessities	Kw(CI)	Prop	Kw(CI)	Prop	Kw(CI)	Prop
Physical environment (noise)	0.88(0-0.46)	0.46	^* * Kw could not be calculated.	0.28	^* * Kw could not be calculated.	0.32
Physical environment (comfort)	0.76(0-0.24)	0.40	^* * Kw could not be calculated.	0.40	0.78(0.06-0.45)	0.54
Attention	0.84(0-0.37)	0.58	0.64(0-0.18)	0.46	^* * Kw could not be calculated.	0.34
Kindness and Education	0.77(0-0.33)	0.60	0.79(0-0.30)	0.50	^* * Kw could not be calculated.	0.34
Emotional Support	^* * Kw could not be calculated.	0.36	0.71(0-0.22)	0.42	^* * Kw could not be calculated.	0.40
Spiritual Support	0.86(0-0.33)	0.48	0.68(0-0.20)	0.46	^* * Kw could not be calculated.	0.30
Confidentiality/priv	0.81(0-034)	0.45	0.79(0-0.20)	0.40	^* * Kw could not be calculated.	0.30
Attending requests	0.73(0-0.34)	0.46	0.85(0-0.37)	0.42	0.82(0-0.48)	0.46
Safety	0.77(0-0.34)	0.46	0.72(0-0.40)	0.50	0.71(0-0.31)	0.44
Respect and ethics	0.78(0-026)	0.40	0.67(0.01-0.34)	0.38	0.92(0-0.39)	0.54
Respect of expressed values/necessities	0.82(0-0.28)	0.40	0.56(0-0.35)	0.44	0.58(0-0.32)	0.46
Professional competence	0.81(0.0-40)	0.36	0.73(0.07-0.49)	0.48	0.84(0-0.42)	0.50

Necessities	Pat × Nurse		Pat × Tec/Aux		Nurse × Tec/Aux
Necessities	Kw(CI)	Prop	Kw(CI)	Prop	Kw(CI)	Prop
Orientation - Hospitalization	0.64(0-0.30)	0.44	0.77(0-0.40)	0.44	^* * Kw could not be calculated.	0.24
Orientation - Health status	^* * Kw could not be calculated.	0.36	^* * Kw could not be calculated.	0.28	0.73(0-0.22)	0.40
Orientation - Care	0.60(0-0.22)	0.34	0.55(0-0.32)	0.32	0.83(0-0.35)	0.50
Orientation -Timing	0.80(0-0.30)	0.42	0.75(0-0.22)	0.42	0.95(0-0.35)	0.50
Introduction of team before care	0.65(0.08-0.47)	0.50	0.96(0-0.35)	0.42	0.69(0-0.32)	0.48
Communication - patient/team	0.84(0-0.32)	0.48	0.76(0-0.46)	0.46	0.76(0-0.30)	0.52
Communication -family/team	0.92(0-0.09)	0.40	0.86(0-0.41)	0.40	0.94(0-0.20)	0.40
Orientation - home care	0.72(0-0.21)	0.42	0.89(0.02-0.44)	0.46	0.64(0-0.37)	0.46
Orientation -Verbal clarity	^* * Kw could not be calculated.	0.28	0.89(0-0.27)	0.42	0.89(0-0.30)	0.46
Orientation - Written clarity	0.67(0-0.08)	0.34	0.82(0.01-0.44)	0.42	0.80(0-0.19)	0.40
Time dedicated to answering questions (patient/family)	^* * Kw could not be calculated.	0.30	0.71(0-0.42)	0.38	^* * Kw could not be calculated.	0.34

Necessities	Pat × Nurse		Pat × Tec/Aux		Nurse × Tec/Aux
Necessities	Kw(CI)	Prop	Kw(CI)	Prop	Kw(CI)	Prop
Personal hygiene/comfort	0.58(0-022)	0.38	0.51(0-0.30)	0.38	0.90(0-0.32)	0.48
Alimentation/hydration	^* * Kw could not be calculated.	0.28	0.58(0-0.37)	0.42	0.86(0-0.33)	0.52
Help using toilet/ bedpan/urine bottles	^* * Kw could not be calculated.	0.34	0.76(0-0.33)	0.46	^* * Kw could not be calculated.	0.34
Care with drains catheters and colostomy bags	^* * Kw could not be calculated.	0.28	0.80(0-0.41)	0.44	0.86(0-0.30)	0.44
Aid changing colostomy bags	0.70(0-0.33)	0.50	0.90(0-0.45)	0.48	^* * Kw could not be calculated.	0.37
Aid in deambulation	0.70(0-0.25)	0.48	0.86(0.12-0.53)	0.52	^* * Kw could not be calculated.	0.36
Aid with the ambulation equipment	0.80(0-0.18)	0.44	0.93(0.23-0.64)	0.64	^* * Kw could not be calculated.	0.36
Change of decubitus	^* * Kw could not be calculated.	0.38	0.84(0-0.26)	0.44	0.84(0-0.33)	0.48
Oxygenation	^* * Kw could not be calculated.	0.40	0.50(0-0.20)	0.46	0.86(0-0.22)	0.54
Daily change of dressings	0.81(0-0.15)	0.44	0.72(0-0.24)	0.48	^* * Kw could not be calculated.	0.46
Preserving skin integrity	^* * Kw could not be calculated.	0.46	^* * Kw could not be calculated.	0.46	^* * Kw could not be calculated.	0.42
Medications administered on time	^* * Kw could not be calculated.	0.44	0.88(0-0.25)	0.56	^* * Kw could not be calculated.	0.38
Orientation regarding medications	^* * Kw could not be calculated.	0.48	0.79(0-0.37)	0.66	^* * Kw could not be calculated.	0.46
Pain (resolution)	0.65(0-0.30)	0.56	0.80(0-0.44)	0.52	0.53(0-0.15)	0.50
Nausea and vomiting (resolution)	0.46(0-0.35)	0.70	^* * Kw could not be calculated.	0.78	0.36(0-0.10)	0.63

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR: Priscila Fernandes Martins. E-mail: fernandespri@hotmail.com