Comparison the effects of primary nursing model and case method on the general and professional quality of patient care

مجله علمی دانشگاه علوم پزشکی کردستان

Mahnaz Bahrami¹  Mohammad Rajabpoor²  Hamid Chamanzari³  Simin Sharafi⁴ 

[1] Instructor,SchoolofNursingandMidwifery,BirjandUniversityofMedicalSciences,Birjand,Iran;Instructor, Department of Nursing, Ferdows Paramedical School, Birjand University of Medical Sciences, Birjand, Iran;Instructor, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;Ph.D. Candidate in Nursing, Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran;

关键词: primary nursing;    case method;    quality of care;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background and Aim:Qualityof care in the healthsystemis one ofthe most important issuesandoneofthemostimportantindicatorsinorganizationalaccreditation. Useof managerial principles, such as the division of labor among nurses, can affect the quality of care.Materials and Methods:This was a randomized double-blind clinical trial which included 44 nurses and 59 patients in 4 CCU wards. The intervention included 3 sessions of 2-hour workshops and then implementing the two above-mentioned care methods for the patients. After the intervention and at the time of discharge, the quality of care provided was assessed from the patients' point of view by means of quality care patient scale. Data were analyzed by Mann-Whitney test.Results:Theresultsshowedafter theintervention,themeanvalues forgeneral qualityof patient care in the primary group and case method group were (14.2 ± 1.9) and (11.2 ± 2.8) respectively.Alsothequalityofprofessionalcareintheprimarygroupandcasemethod group were (18.2 ±2.2) and(3.5 ±14.2) respectively. Mann-Whitney test in both aspects showedthatthequalityofgeneralandprofessionalcarewassignificantlyhigherinthe primary group than in the case-method group (p <0.05).Conclusion:The results of this study indicated that the primary method can be used in some wards,andwasmoreeffectivethanthecase-method.Therefore,payingmoreattentionto nursing care management planning is recommended.

【 授权许可】

Unknown