{"id":4906,"date":"2023-03-29T18:59:47","date_gmt":"2023-03-29T16:59:47","guid":{"rendered":"https:\/\/www.jphres.org\/?p=4906"},"modified":"2023-04-02T13:54:09","modified_gmt":"2023-04-02T11:54:09","slug":"the-concept-of-care-complexity-a-qualitative-study","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/588\/","title":{"rendered":"The concept of care complexity: a qualitative study"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2015.588\">https:\/\/doi.org\/10.4081\/jphr.2015.588<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><span class=\"name\"><strong>Milena Guarinoni<\/strong><br \/>\nDepartment of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Cristina Petrucci<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Loreto Lancia<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy.<\/span><\/li>\n<li><span class=\"name\"><strong>Paolo Carlo Motta<\/strong><br \/>\n<\/span><span class=\"affiliation\">Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Italy.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background<\/em>: Hospital organisations based on the level of care intensity have clearly revealed a concept, that of care complexity, which has been widely used for decades in the healthcare field. Despite its wide use, this concept is still poorly defined and it is often confused with and replaced by similar concepts such as\u00a0<em>care<\/em>\u00a0<em>intensity<\/em>\u00a0<em>or<\/em>\u00a0<em>workload<\/em>. This study aims to describe the meaning of care complexity as perceived by nurses in their day-to-day experience of hospital clinical care, rehabilitation, home care, and organisation.<br \/>\n<em>Design<\/em>\u00a0<em>and<\/em>\u00a0<em>methods<\/em>: Fifteen interviews were conducted with nurses belonging to clinical-care areas and to heterogeneous organisational areas. The interview was of an unstructured type. The participants were selected using a propositional methodology. Colaizzi\u2019s descriptive phenomenological method was chosen for the analysis of the interviews.<br \/>\n<em>Results<\/em>: The nurses who were interviewed predominantly perceive the definition of\u00a0<em>care<\/em>\u00a0<em>complexity<\/em>\u00a0as coinciding with that of\u00a0<em>workload<\/em>. Nevertheless, the managerial perspective does not appear to be exclusive, as from the in-depth interviews three fundamental themes emerge that are associated with the concept of care complexity: the patient, the nurse and the organisation.<br \/>\n<em>Conclusions<\/em>: The study highlights that care complexity consists of both quantitative and qualitative aspects that do not refer only to the organisational dimension. The use of the terminology employed today should be reconsidered: it appears to be inappropriate to talk of\u00a0<em>measurement<\/em>\u00a0<em>of<\/em>\u00a0<em>care<\/em>\u00a0<em>complexity<\/em>, as this concept also consists of qualitative \u2013 thus not entirely quantifiable \u2013 aspects referring to the person being cared for. In this sense, reference should instead be made to the evaluation of care complexity, which would also constitute a better and more complete basis for defining the nursing skills required in professional nursing practice.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2015.588 Milena Guarinoni Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Italy. Cristina Petrucci Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Loreto Lancia Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Paolo Carlo Motta Department of Medical and Surgical Specialties, Radiological Science &#8230; <a title=\"The concept of care complexity: a qualitative study\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/588\/\" aria-label=\"More on The concept of care complexity: a qualitative study\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-4906","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The concept of care complexity: a qualitative study - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/588\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The concept of care complexity: a qualitative study - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2015.588 Milena Guarinoni Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Italy. Cristina Petrucci Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Loreto Lancia Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Paolo Carlo Motta Department of Medical and Surgical Specialties, Radiological Science ... 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Cristina Petrucci Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Loreto Lancia Department of Health, Life and Environmental Sciences, University of L\u2019Aquila, Italy. Paolo Carlo Motta Department of Medical and Surgical Specialties, Radiological Science ... 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