Does self-care agency change between hospital admission and discharge? An Orem-based investigation

M. Zrínyi, R. I. Zékányné

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

ZRÍNYI M. & ZÉKÁNYNÉ R.I. (2007) Does self-care agency change between hospital admission and discharge? An Orem-based investigation. International Nursing Review 54, 256-262 Aims: To assess whether nursing care improved patients' self-care agency between admission to hospital care and discharge. Methods: A pre-test-post-test comparative research design with random subject selection was used. One hundred and sixty patients and 52 nurses rated identical self-care agency assessment forms, based on Orem's framework, both at admission and discharge. Patient satisfaction with nursing care and nurse satisfaction with working conditions were also assessed. Repeated measures ancova as well as paired and independent t-tests were used to test differences at both time points. Level of significance was set at 0.05 in this study. Results: Patients in general reported high self-care agency pre- and post-test. Compared with a reference group of elderly residents, the study sample showed significantly lower levels of self-care agency. We found no difference between patient and nurse assessments of self-care agency on admission and discharge. Better patient-nurse relationships were associated with greater self-care agency reported by patients. Conclusions: Authors found no change in patient self-care agency between hospital admission and discharge. Outcomes may have been due to the inappropriate choice of the conceptual framework applied for acute care settings or to the insufficient length of the study. A longitudinal approach to observe long-term improvement of self-care capabilities is recommended.

Original languageEnglish
Pages (from-to)256-262
Number of pages7
JournalInternational Nursing Review
Volume54
Issue number3
DOIs
Publication statusPublished - Sep 2007

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Self Care
Nurses
Nursing Care
Patient Care
Nurse-Patient Relations
Patient Satisfaction
Patient Selection
Nursing
Research Design

Keywords

  • Discharge
  • Hospital Admission
  • Hungary
  • Nursing Care
  • Orem's Model
  • Self-care Agency

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Does self-care agency change between hospital admission and discharge? An Orem-based investigation. / Zrínyi, M.; Zékányné, R. I.

In: International Nursing Review, Vol. 54, No. 3, 09.2007, p. 256-262.

Research output: Contribution to journalArticle

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