Universität zu Köln

Lubasch, Johanna Sophie ORCID: 0000-0002-4315-1816, Lee, Susan, Kowalski, Christoph ORCID: 0000-0002-7438-4321, Beckmann, Marina ORCID: 0000-0002-9826-3575, Pfaff, Holger ORCID: 0000-0001-9154-6575 and Ansmann, Lena (2021). Hospital Processes and the Nurse-Patient Interaction in Breast Cancer Care. Findings from a Cross-Sectional Study. Int. J. Environ. Res. Public Health, 18 (15). BASEL: MDPI. ISSN 1660-4601

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Abstract

(1) Background: Evidence suggests that organizational processes of hospitals have an impact on patient-professional interactions. Within the nurse-patient interaction, nurses play a key role providing social support. Factors influencing the nurse-patient interaction have seldomly been researched. We aimed to examine whether the process organization in hospitals is associated with breast cancer patients' perceived social support from nurses.; (2) Methods: Data analysis based on a cross-sectional patient survey (2979 breast cancer patients, 83 German hospitals) and information on hospital structures. Associations between process organization and perceived social support were analyzed with logistic hierarchical regression models adjusted for patient characteristics and hospital structures.; (3) Results: Most patients were 40-69 years old and classified with UICC stage II or III. Native language, age and hospital ownership status showed significant associations to the perception of social support. Patients treated in hospitals with better process organization at admission (OR 3.61; 95%-CI 1.67, 7.78) and during the hospital stay (OR 2.11; 95%-CI 1.04; 4.29) perceived significantly more social support from nurses.; (4) Conclusions: Designing a supportive nursing work environment and improving process organization in hospitals may create conditions conducive for a supportive patient-nurse interaction. More research is needed to better understand mechanisms behind the associations found.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lubasch, Johanna Sophie UNSPECIFIED orcid.org/0000-0002-4315-1816 UNSPECIFIED Lee, Susan UNSPECIFIED UNSPECIFIED UNSPECIFIED Kowalski, Christoph UNSPECIFIED orcid.org/0000-0002-7438-4321 UNSPECIFIED Beckmann, Marina UNSPECIFIED orcid.org/0000-0002-9826-3575 UNSPECIFIED Pfaff, Holger UNSPECIFIED orcid.org/0000-0001-9154-6575 UNSPECIFIED Ansmann, Lena UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-577608
DOI:	10.3390/ijerph18158224
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	18
Number:	15
Date:	2021
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WORK-ENVIRONMENT; SOCIAL SUPPORT; PHYSICIANS; IMPACT; COMMUNICATION; INDICATORS; ONCOLOGY Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/57760