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Evaluation of negative emotional care experiences in burn care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
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2008 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 14, 1923-1929 p.Article in journal (Refereed) Published
Abstract [en]

AIM AND OBJECTIVE:

To assess recollection of negative emotional experiences during burn care.

BACKGROUND:

Patients in intensive care frequently report negative emotional experiences. Patients with severe burns who are treated in intensive care units undergo painful care procedures, but there have been no recent evaluations of their care experiences.

DESIGN:

Former burn patients (n = 42) were randomly assigned to three groups: postal questionnaire, telephone interview and face-to-face interview.

METHODS:

Assessments included negative care experiences (feelings of uncertainty, powerlessness, being afraid, insecure, being a nuisance, or neglected), severity of injury, patient satisfaction, personality traits and psychological symptoms.

RESULTS:

Overall, the degree of recalled negative experiences was low and associated with greater severity of injury, more symptoms of post-traumatic stress disorder and lower satisfaction with care. The feeling of powerlessness was the most common, as 67% of participants had such feelings to some extent.

CONCLUSIONS:

Overall, negative care experiences were uncommon and most prevalent among the severely injured. Such experiences were also associated with psychological symptoms and lower patient satisfaction.

RELEVANCE TO CLINICAL PRACTICE:

Although relatively uncommon, negative emotional care experiences should be monitored more closely during care.

Place, publisher, year, edition, pages
2008. Vol. 17, no 14, 1923-1929 p.
Keyword [en]
burn, ethics, intensive care, interview, nursing, questionnaire
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-97495DOI: 10.1111/j.1365-2702.2008.02302.xISI: 000256635700013PubMedID: 18578765OAI: oai:DiVA.org:uu-97495DiVA: diva2:172468
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
Open this publication in new window or tab >>Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns
2008 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R2 was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R2 was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

Place, publisher, year, edition, pages
Uppsala: Universitetsbiblioteket, 2008. 50 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 373
Keyword
Burns, health status, care utilisation, rehabilitation, personality traits, care experiences, patient satisfaction
National Category
Surgery
Identifiers
urn:nbn:se:uu:diva-9262 (URN)978-91-554-7271-9 (ISBN)
Public defence
2008-10-03, Enghoffsalen, ing. 50, Akademiska sjukhuset, Uppsala, 09:15
Opponent
Supervisors
Available from: 2008-09-11 Created: 2008-09-11 Last updated: 2012-03-01Bibliographically approved

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Wikehult, BjörnWillebrand, Mimmie

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