The relationship between Iranian patients\u2019 perception of holistic care and satisfaction with nursing care

Sahar Rajabpour,Parvin Mangolian Shahrbabaki,Masoud Rayyani

doi:10.1186/s12912-019-0374-7

Sahar Rajabpour, Parvin Mangolian Shahrbabaki + Show 1 more

Open Access

https://doi.org/10.1186/s12912-019-0374-7

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Journal: BMC nursing	Publication Date: Oct 26, 2019
Citations: 24	License type: open-access

Affiliation: Ghaem Hospital, Kerman University of Medical Sciences

Abstract

BackgroundHolistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care.MethodsIt is a descriptive-correlational study done on patients admitted to the oncology wards of hospitals in southeastern Iran. The holistic caring inventory and patient satisfaction instrument were used to measure the patients’ perceptions of holistic care and their satisfaction, respectively. SPSS 19 was used to analyze the data.ResultsThe results showed that there is a significant positive correlation between patients’ perception of holistic care and overall satisfaction with nursing care (P < 0.01, r = 032), which means that the higher the patients’ perception of holistic care, the greater their overall satisfaction. Based on the regression model, type of hospital, Patient’s perception of holistic care, education, previous experience of hospitalization, age and marriage are respectively predictors of overall satisfaction with nursing care (P < 0.05).ConclusionThe present study showed that patients’ overall satisfaction with nursing care depends on holistic nursing care, meaning that nurses should pay attention to patients’ physical, mental, emotional aspects and increase the quality of care.

Highlights

Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process
The results showed that the mean score of patients’ perception of holistic care and overall satisfaction was 91 ± 3.1 and 89 ± 3.8, respectively
The results showed that education, employment status, marital status, previous experience and type of hospital was significantly correlated with overall satisfaction

Summary

Introduction

Holistic care is comprehensive care that emphasizes the interaction of human existential dimensions and has a significant role in accelerating the recovery process. Since nurses interact and communicate with patients more than other health care providers, the current study aimed to determine the Iranian patients’ perceptions of holistic care and overall satisfaction with nursing care. Holistic care is comprehensive care that addresses all physical, mental, emotional, spiritual, social and economic aspects of the patient [1]. Despite all the effects of holistic care, the studies indicate weakness in the use of holistic care and limited attention of nurses to mental, psychological and spiritual dimensions of patients [1, 7, 8]. In most studies in developed countries where the patient’s autonomy and rights are considered, nurses believe that the cares related to Rajabpour et al BMC Nursing (2019) 18:48 emotional or psychosocial needs of patients are more important [10], but in Iran, despite a small number of studies on caring behaviors of nurses, the results of studies indicate that nurses are more interested in physical aspects of care and often neglect the psychosocial dimensions of patients, leading to patients’ dissatisfaction [11]

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Conclusion