Biomedical subjects

Kristen M Swanson

Publications and source records attributed to Kristen M Swanson.

4 recordsLinked to original sources

PubMed2005

What really matters to healthcare consumers.

Consumer satisfaction with healthcare is an important quality and outcome indicator. Satisfaction may be at the crux of survival for healthcare delivery systems because it creates the competitive edge in healthcare. To better understand patient satisfaction by examining consumer healthcare experiences and expectations, a study was conducted. An important concept identified in the data, MY CARE, refers to a constellation of quality healthcare features that were wished for by all participants and realized by only some of them. The features of MY CARE offer lessons for all healthcare leaders to use when making improvements in care delivery systems-improvements that could create a more patient-centered healthcare system and boost patient satisfaction.

Adult↗

PubMed2005

Soldiers' experiences with military health care.

Patient satisfaction can be enhanced by narrowing gaps between what health care consumers experience and what they expect. A study was therefore conducted to better understand health care experiences and expectations among Army beneficiaries. Data collected using focus groups were analyzed by using qualitative research methods. A concept was identified and labeled "Soldier Care." It involves first-line care delivered at the unit level as well as the interface between first-line care and military treatment facilities. There are four features of Soldier Care, i.e., provider competence, the sick call cycle, getting appointments, and unit leadership. Together, these features affect soldiers' time from injury to recovery. Insights about Soldier Care can provide decision-makers with direction for initiating changes that may contribute to improved soldier satisfaction with health care.

Adult↗

PubMed2004

Optimal healing environments in nursing.

The purpose of this paper is to explore nursing's historical legacy as a caring-healing profession, and the meaning, significance, and consequences of optimal healing environments for modern nursing practice, education and research. Described are the core foci of nursing as a discipline: what it means to be a person and experience personhood; the meaning of health at the individual, family, and societal levels; how environments create or diminish the potential for the promotion, maintenance, or restoration of well-being; and the caring-healing therapeutics of nursing. Each of these domains are described and discussed in the context of caring, healing environments. It is argued that caring and healing are phenomena difficult to confer or enact in isolation from one another. For nursing, embracing a caring-healing framework incorporates attending to the wholeness of humans in their everyday creation and sustenance of a meaningful life.

Attitude to Health↗

PubMedDate not supplied

Miscarriage effects on couples' interpersonal and sexual relationships during the first year after loss: women's perceptions.

OBJECTIVES: To describe inductively women's perceptions of the effects of miscarriage on their interpersonal and sexual couple relationships (IR and SR); and, guided by the Lazarus Emotions and Adaptation Model, to compare IR and SR patterns 1 year after loss for differences in backgrounds, contexts, appraisals, reappraisals, and emotions. METHODS: This was a secondary analysis of data gathered at 1, 6, 16, and 52 weeks postmiscarriage from 185 women. Text data were content-analyzed. Relationship differences were examined using MANCOVA with Bonferroni adjusted pairwise comparisons. RESULTS: There were three relationship patterns: closer, as it was, and more distant. At 1 year, women whose IR (44%) was as it was (vs. closer [23%] or more distant [32%]) or whose SR (55%) was as it was (vs. more distant [39%]) coped less passively and appraised less miscarriage impact. Women whose IR or SR was as it was (vs. closer) were more likely to have children and (vs. more distant), miscarried at an earlier gestation, conceived again, and experienced fewer negative events. Those whose IR was closer or as it was and whose SR was as it was (vs. IR or SR more distant) had less disturbed emotions, more emotional strength, and partners who performed more caring acts. Women whose IR was closer and whose SR was as it was (vs. more distant) had partners who engaged in more mutual sharing. CONCLUSIONS: Women differed in perceptions of how miscarriage affected their IR and SR. The Lazarus Model helped explain those differences.

Abortion, Spontaneous↗