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Bröstcancerpatienters tillfredsställelse med den utredande vårdens kvalitet
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Syftet med studien var att undersöka bröstcancerpatienters tillfredsställelse med vården under utredning av sin sjukdom samt att utforska vilka förbättringsbehov av vården patienterna uppgav. Metod: Samtliga patienter som rapporterades till Kvalitetsregistret för bröstcancer i Uppsala- Örebroregionen under 2007-2008 tillfrågades om deltagande i en enkätstudie. Undersökningsgruppen bestod av 165 kvinnor som i enkäten kommenterat den utredande vården. Enkätsvaren analyserades med kvalitativ innehållsanalys enligt Graneheim och Lundmans metod. Resultat: Bröstcancerpatienternas kommentarer gällde kategorierna organisation, kompetens, bemötande, information och generellt. Angående organisation uppgav patienterna behov av bättre samordning, högre personalkontinuitet, tillgång till en kontaktperson inom vården samt utökad psykosocial vård. Hög tillfredsställelse med vårdens kompetens rapporterades men även misstag samt upplevd bristande professionalitet hos vårdpersonalen. Vårdpersonalens bemötande uppgavs mestadels som tillfredsställande. Lägre tillfredsställelse rapporterades då vårdpersonalen förbisett patienten som individ. Tillfredsställelsen med information under utredning var hög då information getts personligen med tid för frågor och återkoppling. Då information varit svårtillgänglig, bristande eller ej anpassad efter patientens behov var tillfredsställelsen lägre. De generella kommentarerna indikerade hög tillfredsställelse. Slutsats: Bröstcancerpatienterna uppgav hög tillfredsställelse med kompetens och bemötande under utredningen. Lägre tillfredsställelse uppgavs med vårdens organisation och information. Förbättringsbehov som tydligast framgick var av ökad samordning av utredningens faser samt utökad psykosocial vård.

Abstract [en]

Purpose: The purpose was to examine breast cancer patients’ satisfaction with care during diagnostic process and to investigate their identified needs for improvement. Method: Patients reported to the Quality register for breast cancer in Uppsala- Örebro during 2007-2008 were asked to participate in a questionnaire study. The study population was 165 women who commented on the diagnostic process. Answers were analyzed using qualitative content analysis by Graneheim and Lundman. Result: Patients commented diagnostic services regarding organization, competence, interpersonal skills, information and general. Concerning organization they reported needs for better coordination, better personnel continuity, a contact person and more psychosocial care. High satisfaction with health care competence was reported but also mistakes and lack of professionalism. Personnel’s interpersonal skills appeared mostly satisfactory. Lower satisfaction was reported when personnel overlooked the patient as an individual. Satisfaction with information was high when information was given in person with time for questions and feedback, and lower when information was hard to access, lacking or not adjusted to the patients’ needs. General comments indicated high satisfaction. Conclusions: Patient satisfaction with competence and interpersonal skills was high while satisfaction with organization and information was lower. Diagnostic services can be improved by coordination and more psychosocial care.

Place, publisher, year, edition, pages
2012. , 38 p.
Keyword [en]
Breast Cancer, Diagnostic services, Patient Satisfaction, Quality Assurance
Keyword [sv]
Bröstcancer, Diagnostisk service, Patienttillfredsställelse, Kvalitetssäkring
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-166932OAI: oai:DiVA.org:uu-166932DiVA: diva2:478975
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-01-17 Created: 2012-01-17 Last updated: 2012-01-17Bibliographically approved

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