Impact of the Dimensions of Diversity on the Quality of Nursing Care: The Case of Slovenia

Jasmina Starc, Karmen Erjavec

Abstract


BACKGROUND: The key to diversity in nursing is that nurses can provide competent nursing care to patients, within the scope of their responsibilities, regardless of the patients’ personalities or primary and secondary factors.

AIM: To research which dimensions of diversity influence the attitude of nurses towards patients and the quality of nursing care.

MATERIALS AND METHODS: This research study is based on the descriptive and causal non-experimental method of empirical research. The independent samples t-test was used, and the within subjects ANOVA with the Bonferroni posthoc test.

RESULTS: There are statistically significant differences among the dimensions of diversity in the arithmetic means of the ratings of the impact on the quality of nursing (F (1.407, 579.658) = 103.307, p < 0.001). Based on the Bonferroni test, the impact of the “personality” dimension was rated statistically significantly higher than the impact of the dimensions of “primary factors” (p < 0.001) and “secondary factors” (p < 0.001).

CONCLUSION: The diversity factors should be taken into account when developing knowledge of nurses for managing patients' diversity. In modern nursing care, the safe clinical environment needs to enable the patient to feel safe and dignified.

Keywords


patient; patient diversity management; nurse; nursing care; diversity dimensions

Full Text:

PDF OnlineFirst

References


Casse P. Voditeljstvo z raznolikostjo v mislih: imamo izbiro?. 2016:2 (4):6-7.

Washington D. The Concept of Diversity. Durham: Washington & Company, 2008.

Johnson B. Kulturna inteligentnost za raznolika delovna okolja. HRM, 2016:4:65-67.

Rozman A. Kako izkoristiti potencial raznolikih timov. HRM. 2016:2(4):16-19.

Gardenswartz L and Rowe A. Diverse Teams at Work: Capitalizing on the Power of Diversity. Alexandria, Virginia: Socitey for human resource management, 2003.

Košak A. Enakost in pravičnost v izobraževanju otrok v osnovni šoli. In: Peček P. Izzivi vodenja za raznolikost, Zbornik 14. strokovnega posveta Vodenje v vzgoji in izobraževanju, Kranj: Šola za ravnatelje, 2010:11-19. PMCid:PMC2925527

Treven S. Mednarodno organizacijsko vedenje. Ljubljana: GV Založba, 2001.

Harzing AW, Pinnington AH. International Human Resource management. Los Angeles, London, New Delhi, Singapore, Washington DC: Sage, 2011.

West-Burnham J. Vodenje za raznolikost: zagotavljanje enakosti, vključenosti in socialne pravičnosti, Vodenje v vzgoji in izobraževanju. 2010:8(1):7-16.

Gjerdrum Pedersen ER, Sánchez Gardey G, Tywuschik S. Diversity Management at Business Schools and Universities: How Do We Change Tomorow's Managers'? In: Gröschl, S. Diversity in the Workplace: Multi-disciplinary and International Perspectives, Gower Publishing Limited, Farnham, Surrey, Burlington, 2011:63-78.

Zerwekh J, Zerwekh Garneau A. Nursing today: transition and trends. St. Louis (Missouri): Elsevier/Saunders, 2015.

Keil M. Priročnik za usposabljanje za upravljanje raznolikosti. Evropska komisija, 2007.

Jelenc A, Keršič-Svetel M, Lipovec Čebron U. Kultura. In: Lipovec Čebron U. Kulturne kompetence in zdravstvena oskrba: priročnik za razvijanje kulturnih kompetenc zdravstvenih delavcev. Ljubljana: Nacionalni inštitut za javno zdravje, 2016:31-48.

Lupton D. Medicine as Culture: Illnes, Disease and the Body. London: Sage, 2012.

Hajdinjak G, Meglič R. Sodobna zdravstvena nega. Ljubljana: Zdravstvena fakulteta, 2012.

Babnik K, Šavle M. Kulturna raznolikost: komunikacija s pacienti iz različnih etničnih, kulturnih in jezikovnih okolij. In: Štemberger Kolnik T, Babnik K, Ravnik D, Bulič M, Barlič-Maganja D et al. Zdravstvena nega v javnem zdravju: druga znanstvena konferenca z mednarodno udeležbo. Koper: Založba Univerze na Primorskem, 2014:153-159. PMid:25435854 PMCid:PMC4230561

Loredan I, Prosen M. Kulturne kompetence medicinskih sester in babic. Obzornik zdravstvene nege. 2013:47(1):83-89.

Betancourt JR, Green AR, Carrillo JE. Cultural competence in health care: emerging frameworks and practical approaches. http://www.commonwealthfund.org/publications/fund-reports/2002/oct/cultural-competence-in-health-care--emerging-frameworks-and-practical-approaches Accessed March 31, 2017.

Hvalič Touzery S. Kulturne kompetence medicinskih sester kot dejavnik kakovosti oskrbe pacientov. In: Pivač S, Skela-Savič B, Hvalič Touzery S, Kalender Smajlović S. 8. šola za klinične mentorje: Klinično usposabljanje skozi EU direktivo in mednarodne standarde ter izkušnje v Sloveniji: količina in kakovost kliničnega usposabljanja: zbornik predavanj. Jesenice: Fakulteta za zdravstvo. 2014a:46-55.

Anderson LM, Scrimshaw, SC, Fullilove MT, Fielding JE, Normand J. Culturally Competent Healthcare Systems: A Systematic Review. American Journal of Preventive Medicine. 2003:24(3):68-79. https://doi.org/10.1016/S0749-3797(02)00657-8

Hvalič Touzery S. Multikulturne kompetence kliničnih mentorjev – Rezultati projekta Soulbus. In: Pivač S, Skela-Savič B, Hvalič Touzery S, Kalender Smajlović S. 8. šola za klinične mentorje: Klinično usposabljanje skozi EU direktivo in mednarodne standarde ter izkušnje v Sloveniji: količina in kakovost kliničnega usposabljanja: zbornik predavanj. Jesenice: Fakulteta za zdravstvo. 2014b:56-64.

Bofulin M, Farkaš Lainščak J, Gosenca K, Jelenc A, Keršič Svetel M et al. Komuniciranje. In: Lipovec Čebron U. Kulturne kompetence in zdravstvena oskrba: priročnik za razvijanje kulturnih kompetenc zdravstvenih delavcev. Ljubljana: Nacionalni inštitut za javno zdravje, 2016:197-246.

Rungapadiachy DM. Medosebna komunikacija v zdravstvu. Ljubljana: Educy, 2003.

Greif T. Upravljanje raznolikosti v zaposlovanju: Smernice za delodajalce in sindikate. Ljubljana: Društvo ŠKUC, 2009.

Mlinšek A. Etičnost razmišljanja in diskriminacija v zdravstveni negi. Revija za univerzalno odličnost, 2012:1(1):20-29.

Kodeks etike v zdravstveni negi in oskrbi Slovenije. Ljubljana: Zbornica zdravstvene in babiške nege Slovenije - Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije. http://www.zbornica-zveza.si/sites/default/files/doc_attachments/kodeks_etike_v_zdravstveni_negi_in_oskrbi_slovenije_marec_2014_sklep_uo_11_6_2014_podlaga.pdf Accessed February 15, 2017.

Jones CM. (2010). The Moral Problem of Health Disparities. American Journal of Public Health. 2010:100(1):S47–S51. https://doi.org/10.2105/AJPH.2009.171181 PMid:20147677 PMCid:PMC2837423

Haugan G. Self-transcendence, nurse-patient interaction and the outcome of multidimensional well-being in cognitively intact nursing home patients. Scandinavian Journal of Caring Sciencec. 2013:27(4):882-893. https://doi.org/10.1111/scs.12000 PMid:23113667

Prebil A, Mohar P, Drobne J. Komunikacija v zdravstvu. Celje: Celjska Mohorjeva družba: Društvo Mohorjeva družba, 2009.

Miller CA. Nursing for wellness in older adults. Philadelphia [etc.]: Wolters Kluwer/Lippincott Williams & Wilkins, 2012.

Gurcharan SR and Blackman I. Medical ethics and the elderly. Oxford, New York: Radcliffe Publishing, 2009.

Skela Savič B. Staranje in zdravje – izzivi za zdravstveno nego. In: Hvalič Touzery S. Priložnosti za izboljševanje klinične prakse na področju zdravstvene nege starostnika: zbornik prispevkov z recenzijo. Jesenice: Visoka šola za zdravstveno nego, 2010:17-26.

Taylor J. 'I accept it [staff assistance]; no choice': an ethnographic study of residents' attitudes towards mobility within nursing homes.International Journal of Older People Nursing. 2012:9(4):258-268. https://doi.org/10.1111/opn.12029 PMid:23617552

Gordon C. The use of conversational analysis: nurse-patient interaction in communication disability after stroke. Journal of Advanced Nursing. 2009:65(3):544-553. https://doi.org/10.1111/j.1365-2648.2008.04917.x PMid:19222652

Ažman M. Odgovornost v zdravstveni in babiški negi. http://www.planetgv.si/clanki/odgovornost-v-zdravstvu-zdravstvena-in-babiska-nega Accessed February 3, 2017.

Skela Savič B. Odgovornosti za razvoj zdravstvene nege: jih poznamo?, Obzornik zdravstvene nege. 2014:48(1):5–11.

Kadivec S, Bregar B, Buček Hajdarević I, Černivec J, Horvat M. Strategija razvoja zdravstvene nege in oskrbe v sistemu zdravstvenega varstva v Republiki Sloveniji za obdobje od 2011 do 2020. http://www.fzv.um.si/sites/default/files/razno/Strategija_razvoja_zn_2011-2020_okt_2011.pdf Accessed January 11, 2017.

Zhang L. The personality profile of excellent nurses in China: The 16PF, Contemporary Nurse: A Journal for the Australian Nursing Profession. 2013:43(2):219-224. https://doi.org/10.5172/conu.2013.43.2.219 PMid:23485225

Watkinson, D. The influence of Masters education on the professional lives of British and German nurses and the further professionalization of nursing. Journal of Advanced Nursing. 2011:67(12):2605-2614. https://doi.org/10.1111/j.1365-2648.2011.05698.x PMid:21615461

Sotler R. Merjenje kulturnih kompetenc v zdravstvu - uporabnost in zanesljivost. In: Kregar Velikonja N. Celostna obravnava pacienta: zbornik povzetkov: mednarodna znanstvena konferenca. Novo mesto: Fakulteta za zdravstvene vede, 2016:74.

Lubi T. Kakovost v zdravstveni negi. http://www.zbornica-zveza.si/sites/default/files/kongres_zbn_7/pdf/132B.pdf Accessed February 15, 2017.




DOI: http://dx.doi.org/10.3889/oamjms.2017.086

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Jasmina Starc, Karmen Erjavec

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

 



Published by: Id Design 2012/DOOEL Skopje, Republic of Macedonia