| Summary: | 碩士 === 長庚大學 === 護理學研究所 === 89 === Abstract
The observation room in emergency department handles patient care between emergency treatments and hospital management. The number of observed patient in this setting was incremental due to the high incidence of hospitalization. Patient faced disease-related and environment induced stresses and anxieties, their needs were more urgent to be satisfied. The purpose of this cross-sectional comparison study was to explore the different point of view of patient need through the eyes of patients themselves, their caregivers and their primary nurse. Also, the related factors of these variations will be explored. Patients and their caregiver were selected by simple random sampling method while the primary nurses were selected by purposive sampling method. All subjects were selected from a medical center around the northern part of Taiwan. A total of 130-paired patients-caregivers and 32 nurses were interviewed. Self-designed questionnaires “Patient needs in observation room of emergency department” was identified as valid and reliable by expert validity and cronbach alph. Another instrument is Chinese version of Health locus of control. Descriptive analysis, t-test, Anova test, Anova repeated measure and Pearson’s Correlation coefficient were performed for data analysis.
The results showed：(1).Patients demand needs disease-related information. Caregivers indicated patients demand disease-related and care-related information. Nurse indicated patients demand all four dimensions of information. (2). All these three samples regarded care-related information were one acquired most and mental support was the least one in general. (3). Patients were satisfied with mental supports and environment-related needs. Caregivers and nurses both believed that patients’ satisfaction level of these needs is between “satisfaction” and “dissatisfaction”. (4). Comparison among these three groups indicated that there is no difference in disease-related information. However, nurses overestimated patients’ needs, acquirement and satisfaction in the other three dimensions of patients’ needs. (5). Caregivers overestimated patients’ needs, acquirement and the satisfaction in mental supports dimension of patients needs. (6). The significant related factors of patients’ needs included: age of patient, marital status, education, experiences of emergency admission in study hospital and other hospitals, transference from other hospital, type of department, and triage degree. Also, age of caregiver, marital status, education, health locus of control, duration of being a caregiver, lived with patient or not, and relationship with patient have impact on the variation of assessment. Age of nurse, marital status, seniority of nursing and emergency nursing, religion, and education are another set of factors that affect results of assessment. All these findings can facilitate nurses to be aware of patients’ needs in observation room in emergency department, which in turn, provide some directions of strategies to improve quality of care.
Keyword: need, satisfaction, observation room of emergency department
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