Assessment of selected quality fields of nursing care in neurosurgical wards: a prospective study of 530 people – multicenter studies

Figures & data

Table 1 Sociodemographic characteristics of the researched groups (patients, nurses)

Ward (n)	Sex		Age, years			Residence		Education
	M	F	≤30	31–40	≥41	City	Village	Primary	Vocational	Secondary	Higher
Patients (n=455)
I (60)	24	36	3	9	48	48	12	2	19	21	18
II (62)	34	28	6	11	45	44	18	5	19	32	6
III (78)	28	50	7	12	59	56	22	2	24	38	14
IV (35)	21	14	6	13	16	18	17	1	9	21	4
V (220)	137	83	23	29	168	152	68	47	82	72	19
Nurses (n=75)
I (17)	4	13	0	12	5	–	–	–	–	12	5
II (18)	1	17	6	12	0	–	–	–	–	12	6
III (20)	0	20	3	7	10	–	–	–	–	12	8
IV (9)	0	9	2	4	3	–	–	–	–	7	2
V (11)	0	11	4	4	3	–	–	–	–	10	1

Table 2 Questionnaire – Patient Satisfaction

Question	Answer
	1	2	3	4	5
I. Stay at casualty department
1. How long did you wait to be seen in the casualty department?	>2 hours	Up to 2 hours	Up to 1 hour	Up to 30 minutes	Up to 10 minutes
2. What is your opinion about the work of casualty department staff?
II. Admission to ward
3. How long did you wait for a bed in a ward?	>2 hours	Up to 2 hours	Up to 1 hour	Up to 30 minutes	Up to 10 minutes
4. Were you informed about the topography of the ward (ward introduction)?
III. Therapeutic teams’ work
5. Did the nurses’ team:
Give information about performed surgeries and activities?*
Take care of respecting your personal dignity and ensured you discretion during the operations?*
React to your requests (quickly)?*
Have free time at a moment when you needed help?*
Give information about further self care at home?*
Were the staff kind, courteous, gentle, etc?*
6. How do you assess nursing staff’s work during the:
Day (7 am–7 pm)?
Night (7 pm–7 am)?
7. If you were surgically treated, how do you assess:
Preparation for the surgery (physical, psychical, spiritual, etc)?
Surgical suite teamwork (informing, decreasing patient’s fear)?
8. Did the doctors’ team:
Give information about the disease and further treatment?
Devote you enough time?
Inform you about further procedures (treatment) after discharge from hospital?
Were the doctors trustworthy?
Were the doctors kind, courteous, gentle, etc?
9. How much time, daily, did the rehabilitation staff member devote you (if needed)?	0 minute	5 minutes	10 minutes	30 minutes	≥60 minutes
10. How do you assess the waiting time for diagnostic examination (CT, MRI, etc)?
11. How do you assess the agility of operation/performance of diagnostic examination?
IV. Feeding
12. How do you assess the quality and aesthetics of the meals (hot, tasty, sophisticated, sufficient helpings, etc)?
13. What extend are served meals adjusted to the recommended diet?
V. General organization and ward assessment
14. What is your opinion about:
– The chance to meet your family?
– The time of family visits?
– The relation of nursing staff to the visitors?
15. To what extent did the condition (table, bed, lavatory, bathroom, etc) of the ward fulfill your expectations?
16. What is your opinion about cleanliness on the ward?
17. Was the bedding clean and changed if needed?
18. To what extent, in your opinion, did your stay in the ward help you to recover (removal of disease cause, improvements, painkilling, etc)?
19. How do you assess the service of the ward?
Attention: please circle an appropriate number from 1 to 5; for questions 1, 3, and 9, please circle the appropriate answer. Answers: 1 – very bad/bad, 2 – bad, 3 – satisfactory/average, 4 – good, 5 – very good/good.

Note:

* indicates the analyzed/assessed question.

Abbreviations: CT, computed tomography; MRI, magnetic resonance imaging.

Table 3 The opinions of patients and nurses about selected aspects of the therapeutic teams’ work

Ward	Patients (n=455)			H	P	Nurses (n=75)			H	P
	n	Average	SD			n	Average	SD
Giving information about performer operations and activitiesa
I	60	4.85	0.3601			17	4.65	0.4926
II	62	4.40	0.9136			18	4.33	0.6860
III	78	4.50	0.9363	35.645	0.000	20	4.85	0.3663	8.281	0.040
IV	35	4.49	1.3144			9	4.78	0.4410
V	220	4.19	1.0292			11	4.45	0.4612
Respecting personal dignity and ensuring discretion during operationsb
I	60	4.72	0.8654			17	4.71	0.4697
II	62	4.63	0.7067			18	4.28	0.7519
III	78	4.79	0.6519	25.135	0.000	20	5.00	0.0000	15.677	0.001
IV	35	4.20	1.6592			9	4.78	0.4410
V	220	4.37	0.9584			11	4.42	0.4518
Reaction to patient requests (time/pace)c
I	60	4.68	0.5365			17	4.94	0.2425
II	62	4.32	1.0366			18	4.17	0.6183
III	78	4.67	0.7327	27.890	0.000	20	4.80	0.4104	20.257	0.000
IV	35	4.46	1.2448			9	4.56	0.5270
V	220	4.11	1.1173			11	4.15	0.6782
Time availability of nurses for the patientsd
I	60	4.65	0.5150			17	4.65	0.4926
II	62	4.37	0.9449			18	3.78	0.4278
III	78	4.64	0.7381	32.032	0.000	20	4.35	0.8751	19.503	0.000
IV	35	4.40	1.2649			9	4.67	0.5000
V	220	4.10	1.0226			11	3.90	0.4702
Giving information about further self-care at home (self-care education)e
I	60	3.90	1.7044			17	4.18	0.7276
II	62	3.42	1.8247			18	3.61	0.9164
III	78	3.58	1.8483	10.523	0.032	20	4.50	0.9459	11.65952	0.008
IV	35	4.20	1.6592			9	4.33	0.7071
V	220	3.96	1.2398			11	3.40	0.6882

Notes:

a Mann–Whitney U=−1.448, P=0.147, not significant (for patient and nurse groups)

b Mann–Whitney U=−0.812, P=0.416, not significant (for patient and nurse groups)

c Mann–Whitney U=−1.492, P=0.135, not significant (for patient and nurse groups)

d Mann–Whitney U=−1.128, P=0.259, not significant (for patient and nurse groups)

e Mann–Whitney U=−0.231, P=0.816, not significant (for patient and nurse groups).

Abbreviation: SD, standard deviation.

Table 4 Relation (kindness, courtesy, gentleness, care) of nurses to patients (patients’ opinions)

Ward	n (455)	Average	SD	H	P
I	60	4.77	0.6475
II	62	4.68	0.5944
III	78	4.67	0.8004	23.348	0.000
IV	35	4.51	1.2689
V	220	4.34	1.0139

Notes: Mann–Whitney U=3.991, P=0.000 (for patient groups ward I–III and ward IV–V).

Abbreviation: SD, standard deviation.