Expectations of patients from surgery wards in aspects of psychosocial needs and care

: The model of holistic care is focused on psychosocial needs which are very important for self-esteem and the healing process. These needs are an important part of medical care, where the patient is treated as a biopsychosocial and spiritual whole. The aim of the study was to evaluate and compare the level of expected and provided nursing care; in meeting the psychosocial needs of patients from two surgery wards. The study was conducted among 468 patients, 320 from the surgery clinic of teaching hospital and 148 from the surgery ward of a local hospital. We used standarised questionnaire which evaluated the level of expected care and provided nursing care--in patients' opinions. Patients from the surgery clinic had higher expectations in aspect of care. The difference of mean score for "no need" was 7.4 (statistically significant U = -10,029, p < 0.0001). Mean scores for "no need" were 7.28 in the surgery clinic and 14.68 in the surgery ward. The highest demands were observed in the area of adaptation to hospital environment, possibility of psychosocial activities and correct relationships with the personel. In patients' opinions the worst level of meeting the needs was observed in aspect of cooperation with care and treatment process (ward) and psychosocial activity during hospital stay.