환자의 눈을 통한 간호의 질(QUOTE) 평가의 통합적 고찰
An Integrative Review of the ‘QUality Of care Through patient’s Eyes’
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목적 간호의 질을 평가함에 있어 환자의 측면에서 평가하는 것의 중요성이 점점 증가되고 있다. 본 연구의 목적은 환자의 눈을 통해 간호의 질을 평가하는 QUOTE 평가의 속성을 발견하고 제시하는 것이다. 방법 본 연구에서는 1997년부터 2013년까지 이루어진 QUOTE 평가 관련국외 연구논문을 통합적 고찰 방법으로 분석하였고 Whittemore와Kanfl (2005)이 제시한 4단계에 따라 연구를 진행하였다. 결과 본 연구에서 분석한 QUOTE 관련 연구는 총 32편이었으며, 분석을통해 QUOTE 평가는 환자와 가족의 개별성을 인정함, 간호사의 다양한 역량을 평가함, 간호환경의 질을 평가함, 모든 평가과정에 대상자가참여함의 4가지 주요한 속성을 가지는 것으로 밝혀졌다. 결론 본 연구는 임상현장에서 환자와 가족중심 간호를 제공하고 그 간호의 질을 평가할 때 유용하게 사용할 수 있는 평가 개념을 소개하고 그핵심 속성에 대한 이해를 돕기 위해 시도되었다. QUOTE 평가에 대한통합적 고찰이 국내 간호 현장에 맞는 다양한 도구개발로 이어진다면, 아동 간호현장에서 대상자와 가족에게 제공되는 간호에 대한 적합한질 평가와 지속적 질 향상에 기여할 수 있을 것이다.
Abstract
Purpose: The patient’s perspective in the assessment of quality of care has become increasingly important. The purpose of this paper was tointroduce the concept of ‘QUality Of care Through patient’s Eyes (QUOTE)’, to analyze the papers using QUOTE through an integrative reviewmethod, and to present the attributes of the QUOTE evaluation. Methods: Data were collected from electronic databases. Inclusion criteriawere publication in English from 1997 to 2013, as a peer-reviewed research article, with an empirical study focused on QUOTE. Thirty twopapers met the criteria and were analyzed. Results: QUOTE had been applied to various groups of patients such as those with various diseasessince 1997 in the Netherlands. Four themes were retrieved from synthetic analysis of the thirty-two papers using QUOTE; 1) acceptance ofindividuation of the patient and family, 2) evaluation of diverse nurses’ competencies, 3) evaluation of quality of nursing environments, and 4)participation of patient in the whole process of evaluation. Conclusion: The strengths of QUOTE are that it attempts to overcome the conceptualand methodological problems associated with evaluation of quality of care. Our results imply that QUOTE evaluation could be an effectivestrategy to improve care of patients in clinical setting.
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