F. Giacchino et al., Patient's needs in substitutive dialysis treatment - Some psyche-social and organizational considerations, PANMIN MED, 42(3), 2000, pp. 207-210
Background. The observations here presented come from an action-research pr
oject carried out at the Dialysis Centre of Ivrea, The work is focused on t
he articulation between subjective (the felt experience) and objective vari
ables (the structure and intervention typology) with the aim of understandi
ng patient's needs from an organizational point of view
Methods. A questionnaire to evaluate the needs of dialytic patients and the
burden that these have on the health service and staff, was formulated by
the nurses.
Results. The results showed how the patient's clinical history indicate, si
gnificantly, not only personal and subjective aspects (e.g, interpersonal r
elationships), but also how they construct their relationships with the hos
pital and its services (including the hospital staff).
Conclusions. Data open up certain reflections on what role communication an
d information play within the hospital structure. Efficient communication c
ontributes both to reduce the anxiety level and to improve the organization
al climate therefore Influencing service quality.