An international study of hospitalized cancer patients’ health status, nursing care quality, perceived individuality in care and trust in nurses: A path analysis

Path Analysis: Interrelationships Between Nurse Manager Competencies, Practice Environment Perceptions, and Frontline Nurses' Intent to Stay

OBJECTIVE

To examine the correlation between nurse manager (NM) competencies, work environment (Practice Environment Scale of the Nursing Work Index [PES-NWI]), and frontline nurses' intent to stay; the direct effect of NM competency on frontline nurses' intent to stay; and the indirect effect of NM competency on frontline nurses' intent to stay, mediated by PES-NWI.

BACKGROUND

PES-NWI and NMs' competency can impact frontline nurses' intent to stay.

METHODS

Cross-sectional study with secondary analysis of NM Competency and NDNQI® (National Database of Nursing Quality Indicators®) RN Survey data with path analysis for effects of the model's variables.

RESULTS

Positive, weak correlations between NM competencies and frontline nurses' practice environments were found; NM competencies and frontline nurses' intent to stay were not correlated. Paths were NM competency/PES-NWI (β = 0.20, P = 0.001) and PES-NWI/intent to stay (β = 0.55, P < 0.001); NM competency/intent to stay was not significant. Indirect effect of NM competency on frontline nurses' intent to stay was mediated through PES-NWI (β = 0.11, P = 0.002; 95% confidence interval, 0.05-0.17).

CONCLUSIONS

Investing in NMs' competency can help create supportive work environments and frontline nurses' intent to stay.

Tell Me More® As A Tool for Provider Connectedness With Hospitalized Patients: A Mixed-Methods Study

Rates of burnout and compassion fatigue in healthcare professionals have remained high since the beginning of the pandemic with adverse implications for patient care. Tell Me More® (TMM) is a tool licensed by the Gold Foundation, which was created with the purpose of helping patients, caregivers, and hospital staff to connect with each other on a humanistic level. Research has shown the benefits of the TMM with students and anecdotally with patients. This mixed-method study, which consisted of surveys and semistructured interviews with healthcare professionals (n = 72), sought out to understand the impact of implementation of TMM on a hospital floor. Surveys were distributed before and after the occurrence of TMM with interviews only occurring afterward. Three out of 8 survey items were found to be significant. Content analysis from interviews generated 4 themes from participants which included "Connectedness to Patient," "Separation of Person and Illness," "Communication with Patient's Support Network," and "Connectedness with Non-Verbal Patients." TMM is a useful tool for strengthening provider-patient relationships in hospital settings and may therefore lessen compassion fatigue and burnout.

Investigating the relationship between individualized care, patient satisfaction and trust in nurses through structural equation modelling

INTRODUCTIONS

The aim of this study was to demonstrate the impact of individualized nursing care on patient satisfaction and trust in nurses through structural equation modelling in patients receiving treatment in internal clinics.

METHODS

The study is a descriptive, exploratory and cross-sectional research conducted with patients receiving treatment in the internal admission services of an educational research hospital between January and April 2023. According to sample calculations, it was determined that a minimum of 238 patients needed to be included in the study, and 286 patients who met the inclusion criteria and agreed to participate in the research formed the study sample. Data were collected using the 'Patient Identification Form', 'Individualized Care Scale-Patient Version', 'Newcastle Nursing Care Satisfaction Scale' and the 'Trust in Nurses Scale'.

RESULTS

The level of awareness of nursing actions supporting individuality was found to be 2.71 ± 0.99, the level of perceiving individuality was 2.88 ± 0.99, the average level of nursing care satisfaction measured 77.17 ± 12.67 and the average level of trust in nurses was 21.92 ± 3.04. It was determined that as patients' awareness of nursing actions supporting individuality and their perception of individuality in care increased, they remained more satisfied with their care and had greater trust in nurses.

CONCLUSIONS

Patients who perceived receiving individualized care were found to have higher levels of patient satisfaction and trust in nurses. Additionally, it was observed that as participants' satisfaction with their care increased, their trust in nurses also increased.

Factors Associated with College Students' Attitudes Toward Telehealth for Primary Care

Introduction: Establishing routine primary care visits helps to prevent serious health issues. College students are less likely than the general population to have a regular primary care provider and engage in routine health visits. Recent research provides evidence that telehealth is a convenient alternative to in-person primary care and that college students are comfortable using this technology, suggesting that telehealth has the potential to mitigate this disparity. As attitudes toward telehealth are one critical precursor to behavioral intention and actual utilization of telehealth, the goal of this study was to investigate which factors predict positive or negative attitudes toward telehealth. Methods: Data for this study were collected from a sample of 621 college students at a large southeastern university between September 19, 2022 and December 19, 2022. Results: The study found that college students who reported more trust in physicians, less medical mistrust, and less discrimination in health care settings reported more positive attitudes toward telehealth. Conclusions: These findings suggest that health care providers' skills in delivering patient-centered culturally informed care and building trust and rapport with patients might promote more positive attitudes toward telehealth and, potentially, greater overall utilization of health care services (including both telehealth and in-person services) among college students. This study lays the foundation for future research to examine psychological mechanisms underlying individuals' utilization of telehealth.

Nursing Students' Perception of Caring for Culturally Diverse Patients: A Hermeneutic Phenomenological Study

BACKGROUND

This study examined the phenomenon of prelicensure nursing students caring for culturally diverse patients.

METHOD

Individual interviews were conducted with undergraduate nursing students using a hermeneutic phenomenological approach. Qualitative research experts conducted the interviews, transcribed the data, and followed van Manen's methodology for analysis.

RESULTS

Eleven nursing students participated in the study. Data were collected from April to August 2022. The average length of the student interviews was 32 minutes. Four themes were identified: (1) communication issues; (2) access to care; (3) nurse background; and (4) trust and respect.

CONCLUSION

This study highlights the importance of caring for culturally diverse patients. Policymakers and health care leaders can use the findings to support legislative proposals for enhancing culturally diverse patient safety and health equity. Based on these findings, nurse educators and preceptors can adapt their clinical teaching approaches accordingly, and nurse managers can benefit from the results when hiring new graduate nurses. [J Nurs Educ. 2024;63(6):373-379.].

[The supportive environment in SRH: characteristics that promote self-determination]

Hospitalization is an important stage in the life of the elderly. All too often, this experience is accompanied by both physical and psychological decline. Based on self-determination theory, the aim was to qualitatively characterize support for self-determination in follow-up care and rehabilitation services (behaviours and attitudes of healthcare professionals, and patients' perception of them).

Empathic nurses with sufficient job resources are work-engaged professionals who deliver more individualized care

AIMS

This study examined whether nurse work engagement mediated the associations of job resources (collegial support and autonomy) and a personal resource (empathy) with individualized care delivery, in both hospital and long-term care settings. We also explored potential setting-specific differences in how strongly the resources were associated with work engagement and individualized care delivery among nurses.

DESIGN

We conducted a cross-sectional study in three hospitals and two long-term care facilities.

METHODS

In total, 454 nurses completed a web-based survey including validated measures on resources (collegial support, autonomy, empathy), work engagement and individualized care delivery. Data were analysed using mediation and moderated mediation analyses.

RESULTS

In both settings, all resources were indirectly associated with individualized care delivery via work engagement. Empathy was also directly associated with individualized care delivery, and a stronger association was found in the long-term care setting than in the hospital setting.

CONCLUSION

The present study showed work engagement to mediate the associations of job resources and empathy with individualized care delivery in both hospital and long-term care settings. Individualized care delivery was furthermore directly facilitated by high levels of empathy, especially among nurses working in long-term care settings.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Patients may benefit from better individualized care delivery by empathic nurses who are more work-engaged in the face of sufficient job resources in their practice environment.

IMPACT

Nurses are better able to deliver individualized care when provided with sufficient job resources (collegial support and autonomy) that support their being work-engaged professionals. Furthermore, empathic nurses also reported being able to better support patient individuality. These findings can be translated to policies of hospitals and long-term care facilities, to optimize job resources and enhance empathy and thus facilitate the support of patient individuality by nurses.

REPORTING METHOD

This study adhered to the STROBE guidelines.

PATIENT OR PUBLIC CONTRIBUTION

Nurses were involved in the design and data collection of the study.

The relationship between the level of trust in nurses and nursing care quality perceptions of patients treated for Covid-19

BACKGROUND

During the pandemic process, nursing care has gained more importance. So, it is critical to evaluate the level of trust in nurses and the perception of care in terms of the patient, in order to improve the care service provided, to achieve the desired successful patient results, to ensure patient satisfaction in nursing care and to create a healthy society in the long term.

AIM

This study aimed to examine the relationship between the level of trust in nurses, care perceptions of patients receiving care with the diagnosis of Covid-19, and the level of trust in nurses and care quality perceptions of patients.

METHODS

This descriptive, cross-sectional, correlational study was conducted in the Covid-19 unit of a state hospital in the Western Black Sea Region of Turkey between May and October 2021. The sample size was calculated as 227 using the sample calculation formula whose population is unknown in the literature. 'Personal Information Form', 'Trust in Nurses Scale' and 'Patient Perception of Hospital Experience with Nursing (PPHEN)' was used to collect data. Ethical approval was obtained from the clinical research ethics committee, RESULTS: The total mean score of the patients' trust in nurses scale was 27.67 ± 3.29 (min: 15, max: 30); the mean score of the patients' Perception of Nursing Care scale was determined as 69.52 ± 12.51 (min:15, max:75). It has been determined that the level of trust in nurses and the perception of nursing care of patients receiving Covid-19 treatment are high. A positive, significant and weak relationship (r = 0.348, p < 0.01) was found between the patients' level of trust in nurses and their perceptions of nursing care.

CONCLUSION

During the pandemic process, trust in the patient-nurse relationship increases the patient's perception of nursing care and positively affects the quality of care.

Quality of Cancer Care in Tanzania as Experienced by Patients: A Qualitative Study

Introduction

Cancer is a disease of public importance in Tanzania. Considering a limited health care system with few cancer centers and low health literacy in general, people are diagnosed at late stage and face difficulties in accessing care for their cancer. All these challenges affect the caring situation for the nurses who meet the patients at the cancer care centers.

Objective

This study aimed to explore the journey of cancer care experienced by patients with cancer.Research questions:How do patients experience the quality of care at the cancer care centers?How do patients experience the family's and the community's role?

Methods

Semi-structured qualitative interviews were carried out with 15 patients treated for colorectal-, breast-, or prostate cancer in three cancer care centers in Tanzania. A purposive sampling was used. Qualitative content analysis according to Graneheim and Lundman was employed.

Results

Three main themes and six sub-themes emerged. The main themes were e xperiences of cancer care services, the role of the family, community challenges and cancer care. The sub-themes were communication, resource allocation at the cancer care centers, fmily's denial, family challenges, limitations of primary care and misconceptions, and accessibility of cancer service and the health care system. The findings show that patients experienced incapacitated health care facilities for cancer care, misconceptions in the community and challenges for the families.

Conclusions

The quality of cancer care in Tanzania needs to be improved, patients face challenges in all levels of health care facilities, including families, and the community at large. The distance to oncology care, economic hardship, and lack of knowledge in the community including families, lead to late diagnosis and suffering for the patients. There is a great need for education regarding cancer within healthcare, as well as in the community, to change the situation for patients with cancer.

"Individualized Care" From the Viewpoint of Turkish Patients and Oncology Nurses

BACKGROUND

Cancer is a chronic disease that leads to major life changes for individuals because it affects physical, psychological, social, and spiritual aspects. It is important that nursing care is able to respond to different individual needs regarding the challenges experienced by cancer patients.

OBJECTIVE

The aim of this study was to evaluate the concept of individualized care as perceived by oncology patients and nurses working in oncology clinics.

METHODS

This descriptive, cross-sectional study was conducted at a medical oncology clinic in Turkey. Participants were oncology nurses (n = 23) and cancer patients (n = 180) discharged after treatment. The data were collected using the Patient-Nurse Identification Form, Individualized Care Scale (ICS-A, ICS-B), and Individualized Care Scale-Nurse.

RESULTS

Nurses' perceptions of individualized care were more positive than those of patients. Patients' age, marital status, education level, income level, and disease characteristics did not have an effect on their awareness of interventions supporting their individuality or on their perceptions of individualized care. More years of employment in the nursing profession and in oncology had a positive effect on individualization of patient care.

CONCLUSION

Perceptual differences between patients and nurses exist; individualized care plans may be needed to minimize the differences.

IMPLICATIONS FOR PRACTICE

These study outcomes can guide individualized care for cancer patients.

Pacientes com Câncer e suas Representações Sociais sobre a Doença: Impactos e Enfrentamentos do Diagnóstico

Introdução: O diagnóstico de câncer atinge diversos aspectos, como emocionais, de relacionamento, espirituais e financeiros, tornando-o um importante problema de saúde pública mundialmente. Objetivo: Analisar a estrutura das representações sociais do câncer para pacientes oncológicos hospitalizados adultos e apontar sua relação com aspectos do cotidiano de enfrentamento do diagnóstico e do adoecimento por essa patologia. Método: De natureza qualitativa, descritiva e exploratória, embasado na Teoria das Representações Sociais. O cenário foi um hospital federal de câncer, no município do Rio de Janeiro, com 111 participantes vivendo o adoecimento oncológico. Foram coletadas as evocações livres ao termo indutor “câncer” e aplicado o questionário para caracterização dos pacientes. A análise se deu por intermédio do software EVOC 2005. Resultados: Participantes, majoritariamente homens (69,3%), com ensino fundamental (57,6%). Apresentaram-se como provável núcleo central: doença, tristeza e morte. O conhecimento reificado do câncer ocorreu por meio da palavra “doençaˮ. Reconhece-se o predomínio de elementos negativos, ainda que hajam alguns positivos como tratamento, cura e Deus na representação do grupo. A doença em voga carreia estigma, tornando o enfrentamento um processo doloroso e triste. Conclusão: É possível observar o pesar de estar com câncer na visão dos pacientes, ao passo que a esperança existe e os move em direção à cura. Identifica-se a necessidade de o profissional enfermeiro dar enfoque no que diz respeito à dimensão espiritual e religiosa em seu cuidado, entendendo o indivíduo como um ser único e complexo que demanda cuidados individuais.

Patient distrust toward doctors in online health communities: integrating distrust construct model and social-technical systems theory

Purpose

This article aims to explore the factors influencing patients' distrust toward doctors in online health community.

Design/methodology/approach

This study leveraged the distrust construct model and socio-technical systems theory to establish a research model. The authors used the survey method to validate the research model by developing and distributing questionnaires to online health community users. 518 valid responses were collected.

Findings

The data analysis results showed that patients' distrusting beliefs were significantly related to their distrust toward doctors in online health communities. Meanwhile, social factors included perceived egoism and lack of expertise; whereas technical factors included no structural assurance, and lack of third-party recognition.

Originality/value

This study not only provides a solid and comprehensive theoretical understanding of patient distrust toward doctors in online health communities but also could serve as the basis to relieve the distrust between patients and doctors in online health communities, or even in the offline environment.

Quality of Oncology Nursing Care as Perceived by Patients With Cancer: Results From Three Arab Countries

BACKGROUND

Patient satisfaction was defined as expectation and perception of the patients about real nursing care they receive.

OBJECTIVE

The aim of this study was to evaluate the quality of oncology nursing care as perceived by patients with cancer in 3 Arabic countries (Jordan, Oman, and Egypt).

METHODS

A cross-sectional design with convenience sampling approach was used. A total of 517 patients with cancer (Jordan, 200, 38.7%; Sultanate of Oman, 137, 26.5%; and Egypt, 180, 34.8%) participated and completed the study's questionnaires including sociodemographic data and the Quality of Oncology Nursing Care Scale (QONCS).

RESULTS

Moderate quality of oncology nursing care was reported by the participants. The overall mean for the quality of oncology care as measured by the QONCS-Ar (QONCS Arabic version) was highest in Oman (153.40; SD, 4.10), followed by Jordan (150.93; SD, 2.10) and then Egypt (148.0; SD, 3.80). The results were significantly different in the total score of the QONCS-Ar (F = 45.20, P < .001) among the 3 countries. The results also differed in all domains of oncology nursing care according to days of treatment and marital status.

CONCLUSION

Findings are considered a baseline for future research and highlight the importance of evaluating quality of oncology nursing care as perceived by the patients with cancer.

IMPLICATIONS FOR PRACTICE

The results from the current study can be used to develop an interventional program focusing on the needs of patients and their perceptions of care.

Perceived quality of primary healthcare services and its association with institutional trust among caregivers of persons diagnosed with a severe mental illness in China

WHAT IS KNOWN ON THE SUBJECT

Low utilization of the family-oriented community rehabilitation services is a threatening challenge facing low- and middle- income countries. Family caregiver's trust in community healthcare providers is the precondition of service utilization and is shaped by their perceived quality of primary healthcare services from previous experience. Most of the studies concerning the relationship between perceived quality and institutional trust were conducted in western countries, resulting in limited attention paid to conditions in non-western countries. Which aspect of quality predicts institutional trust in China has not been studied yet.

WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE

In China's context, institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Significant rural-urban disparity was observed: among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief; institutional trust was only associated with worry relief in urban respondents.

WHAT ARE THE IMPLICATIONS FOR PRACTICE

Mental health nurses training or working with community healthcare workers may improve their technical and communicative competence. Priorities may differ between rural and urban areas. Mental health nurses or community healthcare workers may provide more family-oriented psycho-education to rural families, and more emotional support to urban families. Wider public anti-stigma initiatives are needed to reduce the affiliated stigma of families of persons diagnosed with a severe mental illness.

ABSTRACT

Introduction Prior studies suggested that caregiver's trust in community healthcare providers is the precondition of the utilization of community-based rehabilitation services and is shaped by their perceived quality of primary healthcare services. Nevertheless, the research conducted in non-western countries is scarce, and which aspect of quality is associated with institutional trust in China has not been studied. Aim To explore the association between perceived quality of primary healthcare services and institutional trust in China's context. Methods This cross-sectional study was conducted with 796 family caregivers from Eastern, Central and Western China between August 2018 and October 2019. Perceived quality of primary healthcare services was measured by technical competence, communication, worry relief and risk of privacy leak. Results Institutional trust was generally associated with communication, worry relief and risk of privacy leak, but not with technical competence. Among rural respondents, institutional trust was associated with technical competence, communication and risk of privacy leak, but not with worry relief. Contrary finding was observed in urban respondents. Discussion and implications for practice With rural-urban disparity considered, strategies such as improving the technical and communicative competence of community healthcare workers, providing family-oriented psycho-education and emotional support, and promoting public anti-stigma initiatives may be worth consideration.

From Vulnerability to Disclosure: A Normative Approach to Understanding Trust in Obstetric and Intrapartum Nurse-Patient Communication

This study qualitatively examined how nurses, nurse practitioners, and nurse midwives construct the meaning of patient trust in their work caring for pregnant and laboring women. Twenty-two interviews were conducted with nurse participants employed at clinics, hospitals, and birth centers across Southeastern United States. Using a normative theoretical approach within the multiple goals framework, we identified five emergent themes that characterize trust as it shapes nurses' communicative goals: trust as the woman's acceptance of vulnerability and risk, the woman relinquishing control, the woman conceding to the nurse's expertise, the woman feeling heard, and the woman's disclosure of information. The results support previous studies, which conceptualized trust as vulnerability, risk, and disclosure whereas the remaining themes are original to this study. The results are interpreted both in light of existing links between trust and communication and the shifting and conflicting goals of nurses as they attempt to achieve their primary goal of optimal health outcomes. Passive constructions of trust that conflate it with women's acquiescent behaviors could have implications for the quality of communication between nurses and patients. In addition, trust, as understood by these participants, becomes situated as an instrumental means to achieving patient cooperation and desired health outcomes rather than a relational goal that supports women's agency throughout obstetric and intrapartum processes. This may be at odds with the modern movement toward patient-centered care and shared decision-making in U.S. maternity care.

Hospital service quality based on HEALTHQUAL model and trusting nurses at Iranian university and non-university hospitals: a comparative study

Background

Establishment and improvement of patients’ trust in healthcare organizations like hospitals necessitate delivery of high-quality services by nurses, as the largest group of healthcare providers. The present study aimed to compare hospital service quality based on the HEALTHQUAL model and trusting nurses at university and non-university hospitals in Iran.

Methods

This comparative cross-sectional study was conducted on 990 patients admitted to university and non-university hospitals located in Bushehr Province, southern Iran, who were selected using the stratified random sampling method. The data were collected through the HEALTHQUAL questionnaire and the Trust in Nurses Scale, and then analyzed via the SPSS Statistics software (version 22) as well as the General Linear Model (GLM) univariate procedure and the Chi-square test with a significance level of 0.05.

Results

The study findings revealed that the mean values of real quality (perceptions) and ideal quality (expectations) were 3.89 ± 0.69 and 4.55 ± 0.47, respectively. The gap between the real and ideal quality (− 0.64) was also larger at non-university hospitals from the patients’ viewpoints. Comparing various dimensions of service quality, the largest gap at university and non-university hospitals was associated with “environment” (− 0.13) and “empathy” (− 0.18), respectively. Additionally, the mean scores of the patient trust in nurses at university and non-university hospitals were 10.34 ± 5.81 and 8.71 ± 4.05, respectively, being a statistically significant difference (p <  0.001).

Conclusion

The study results demonstrated that hospital service quality and trusting in nurses were at higher levels at the university hospital than the non-university one; however, hospital service quality was at a lower level than what the patients had expected. Accordingly, hospital managers and policy-makers were suggested to focus on patients to reduce gaps in service quality, to promote service quality, and to provide better healthcare services to patients.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12912-020-00513-y.

Generating Oncology Patient Trust in the Nurse: An Integrative Review

An integrative review was conducted to evaluate the extent and quality of literature regarding adult oncology patients' trust in nurses. Nineteen studies met the inclusion criteria. Three themes were identified, which are as follows: nurse trust facilitating behaviors, nurse attributes, and the influence of patient-nurse trust on health and psychosocial well-being. Findings indicate that the extent of literature is limited in specific examples of nurse interventions that facilitate interpersonal patient-nurse trust. Future research should include more detailed nurse actions and attributes that build patient-nurse trust to fully understand the benefits of trust in oncology patients.

Health care provider preferences for, and barriers to, cannabis use in cancer care

Background

Limited research has been conducted about the perspectives of oncology health care providers (hcps) concerning the use of cannabis in cancer care and their potential role in advising patients. We sought to determine the barriers encountered by hcps with respect to medical cannabis and their preferred practices in this area.

Methods

An anonymous survey about cannabis was distributed to oncology hcps at the Tom Baker Cancer Centre in Calgary, Alberta. The 45-question survey measured the opinions of hcps about cannabis use and authorization in oncology.

Results

Of 103 oncology hcps who participated in the study, 75% were women. By hcp type, the most commonly reported professional groups were oncology nurse (40%), radiation therapist (9%), and pharmacist (6%). Of respondents, 75% reported providing direct care to cancer patients. More than half (69%) had spoken to a patient about cannabis in the preceding month, and 84% believed that they lacked sufficient knowledge about cannabis to make recommendations. Barriers such as monitoring the patient's use of cannabis (54%), prescribing an accurate dose (61%) or strain (53%), and having insufficient research (50%) were most commonly reported. More than half of hcps (53%) would be interested in receiving more information or training about the use of cannabis in oncology.

Conclusions

The survey indicated that this group of oncology hcps believed that they lacked sufficient knowledge about cannabis to make recommendations to patients. In addition to that lack of knowledge, a number of notable barriers were reported, and more than half the hcps indicated interest in learning more about cannabis in the future.

A scale to measure nurses' and providers' patient centered care in primary care settings

OBJECTIVES

1) Refine pilot scale measuring patients' experiences of outpatient nurses' and providers' care; 2) Determine variance explained by (a) pilot scale items and (b) "Survey of Health Experiences of Patients" (SHEP)/"Consumer Assessment of Health Care Providers and Systems" (CAHPS) scale items.

METHODS

Randomly selected Veteran patients with recent visits with primary care outpatient nurses and providers (n = 1192) completed scales: pilot "PCC in Primary Care: Nurses and Providers Scale" and SHEP/CAHPS scale items. Factor analyses conducted using structural equation modeling (SEM), variance measurement using regression strategies.

RESULTS

SEM generated scale comprised 17 items in 3 factors; 2 operationalized nurses' care; 1 providers' care. Fit statistics were acceptable. Variance explained for total PCC: nurses = 42%, providers = 56%. Combined pilot and SHEP/CAHPS item analyses yielded similarly structured scale. 70% of provider care variance explained by single item.

CONCLUSION

Appraisal of team, value-based care requires accrediting care to the appropriate clinician. The "PCC in Primary Care: Nurses and Providers Scale (PC²:NaPS)" provides a psychometrically sound measure for this purpose.

PRACTICE IMPLICATIONS

PC²:NaPS use would improve primary care leaders' and clinicians' analyses of patient centered care and associated outcomes in their settings, and thus enhance success of quality improvement and organizational projects.

Percepción de comportamiento de cuidado de enfermería en adultos con terapia renal de diálisis peritoneal y hemodiálisis

Objetivo: Describir y comparar la percepción del comportamiento del cuidado de enfermería que tienen los pacientes en hemodiálisis y diálisis peritoneal en una unidad renal de Bogotá. Material y Método: Estudio descriptivo comparativo realizado con 92 pacientes en terapia renal distribuidos en dos grupos: hemodiálisis (50) diálisis peritoneal (42). Se utilizó el instrumento comportamiento profesional de cuidado de Horner. Para el análisis se acudió a estadística descriptiva, medidas de tendencia central y de dispersión; e inferencial mediante pruebas no paramétricas para comparación de grupos. Resultados: Se obtuvo alto puntaje en los comportamientos de cuidado brindados por enfermería en los dos grupos de pacientes. Los dos grupos perciben en su orden atributos de interacción familia –paciente, cortesía, relación y compromiso, en el cuidado brindado por enfermería. Es ligeramente mayor la percepción dada por los que se encuentran en diálisis peritoneal, sin ser estadísticamente significativa la diferencia frente a los de hemodiálisis Conclusiones: Los pacientes en terapia renal de hemodiálisis y diálisis peritoneal reconocen altos comportamientos de cuidado de enfermería. Se requiere mantener el componente técnico y el conocimiento teórico propios del quehacer en las unidades renales, y fortalecer las relaciones de confianza, respeto y empatía que la enfermera(o) puede brindar de acuerdo a sus condiciones y las ofrecidas por la institución.

Utilizing the Advances in Digital Health Solutions to Manage Care in Cancer Patients

In recent years, the clinical context for cancer has changed, and it is now characterized by extended survival rates and more diverse and complex cancer trajectories and symptomatology. The changes in the landscape of cancer care also include a shift towards the home setting or the outpatient setting with an increased amount of care being delivered at home or transferred to the patients themselves and their family caregivers. These changes have also impacted the type and amount of information required by the patients and their caregivers as well as the type of care needs that are to be addressed by health-care professionals. Finally, the transitions within the health-care setting might also create a caring gap that the patient is left to deal with independently or with minimal support. These changes have led to the emergence of innovative digital/technological solutions for supporting patients during their cancer care continuum.

Improved patient satisfaction 2 years after introducing person-centred handover in an oncological inpatient care setting

AIMS AND OBJECTIVES

To investigate patients' satisfaction with care, 2 years after the introduction of person-centred handover (PCH) in an oncological inpatient setting, and to describe patients' perceptions of individualised care.

BACKGROUND

To obtain higher levels of patient satisfaction, bedside nursing handovers have been evaluated with positive results. One such model is PCH, which blends aspects of person-centred care with the bedside report and provides the opportunity for nursing staff and patients to perform the handover together.

DESIGN

A survey-based design was used with one data collection period. Patient satisfaction scores were compared with baseline data from a previous study that has been conducted in the same wards.

METHOD

Patient satisfaction was measured with the EORTC IN-PATSAT32 questionnaire, and individualised care was assessed with the Individualized Care Scale. A total of 120 adult patients with cancer were invited to participate from August 2017-March 2018. Of these, 90 chose to participate. The STROBE checklist for cross-sectional studies was used when preparing the paper.

RESULTS

Compared to the previous study, statistically significant improvements in patient satisfaction were observed in the subscales "Exchange of information between caregivers" and "Nurses' information provision" postimplementation of PCH. Regarding patients' perceptions of individualised care, the highest scores were in the ICS-A subscale "Clinical situation" and ICS-B "Decisional control," while "Personal life situation" scored the lowest overall.

CONCLUSIONS

Person-centred handover seems to have sustainable positive effects on important outcomes regarding patient satisfaction. A novel finding is the positive impact on nurses' information provision, indicating that PCH can facilitate effective information exchange between patients and nurses.

RELEVANCE TO CLINICAL PRACTICE

Person-centred handover seems to improve patients' satisfaction with nurses' provision and exchange of information. Nurses and managers should carefully consider the implementation process of PCH and evaluate its long-term effects. PCH can be recommended in the oncology inpatient setting.

Adaption, benefit and quality of care associated with primary nursing in an acute inpatient setting: A cross-sectional descriptive study

AIMS

The aim of this study was to investigate the adoption of primary nursing and to determine the quality of primary nurse-led care in an acute inpatient setting.

DESIGN

Descriptive cross-sectional study.

METHODS

Participants included inpatients (N = 369) and nurses (N = 381). To assess adoption of primary nursing, patient records were analysed and an online survey of nurses was conducted from May-June 2017. To measure quality of nursing care, a structured questionnaire was administered to inpatients.

RESULTS

Patients reported high quality of individualized, responsive and proficient care, but lower levels of coordinated care. Most nurses agreed that primary nursing is beneficial for person-centred caring. However, only two-thirds found that it was practiced on their unit and only half of care planning activities were attributable to primary nurses.

CONCLUSION

While perceived as beneficial, adoption of primary nursing in clinical practice remains partial. Hence, primary nursing may not be enough to ensure continuity and coordination of acute care.

Organizational and Managerial Resources and Quality of Care in French Pediatric Oncology Nursing

The purpose of this study was to examine the relationships between nurses' organizational and managerial resources (ie, perceived organizational support and transformational leadership) and their quality of patient care, and second, the mediating role of job satisfaction in these relationships. Participants were 510 nurses from 25 out of 29 French pediatric oncology units. Structural equation modeling results revealed that perceived organizational support and transformational leadership were related to nurses' perceived quality of care and that job satisfaction acted as a mediator between these 2 antecedents (ie, organizational and managerial determinants) and this outcome (ie, quality of care). Based on these findings, practical suggestions and directions for future research are discussed.

Validation of Chinese version of the 4-item Trust in Nurses Scale in patients with cancer

OBJECTIVE

This study was designed to examine the internal consistency, test-retest reliability, construct, and concurrent validity of the Trust in Nurses Scale (TNS) in hospitalized patients with cancer in China.

METHODS

Between October and December 2016, the Chinese version of TNS and Nurse-Patient Trust Scale were applied to assess 190 patients with cancer in a general hospital. A subsample of 70 patients completed the TNS again 1 week later.

RESULTS

The Chinese version of the TNS had good internal consistency (α=0.817), fair test-retest reliability (r=0.866), and confirmatory factor analysis demonstrated good fit for a four-item version of the TNS.

CONCLUSION

The Chinese TNS exhibited sufficient validity and reliability in hospitalized patients with cancer.

Percepción de comportamientos de cuidado de pacientes y de enfermería oncológica: estudio comparativo

Objetivo. Describir y comparar la percepción del comportamiento del cuidado de los pacientes y el personal de enfermería en servicios de hospitalización, hematología y urgencias en una institución de oncología de referencia de Bogotá. Metodología. Estudio descriptivo comparativo realizado con 131 pacientes y 78 integrantes del personal de enfermería en tres servicios oncológicos. La percepción de cuidado se valoró con el Instrumento comportamiento profesional de cuidado de Horner. La comparación se realizó con pruebas no paramétricas. Resultados. Los pacientes de 54 años en promedio, mayoría femenina, independientes, con baja escolaridad presentaron una percepción de comportamientos de cuidado de enfermería de 77,3% en promedio siendo mejor en hematología (81,3%), seguida de medicina interna (77,3%) y más baja en urgencias (73,3%). Ellos perciben en su orden atributos de cortesía, relación, compromiso e interacción. El personal de enfermería con el 19% profesional, 81% auxiliar, de mayoría femenina con más de 6 años de experiencia, presentó una percepción de comportamientos de cuidado de 85,9% siendo similar en los tres servicios. Conclusión: Las características de los pacientes y del personal de enfermería en los diferentes servicios son similares. Para los pacientes la percepción de comportamientos de cuidado de enfermería por servicios total y en las dimensiones interacción y compromiso es positiva y diferente (p < 0,05). Para el personal de enfermería la percepción de comportamientos de cuidado es similar entre servicios y superior a la de los pacientes en su totalidad y en las dimensiones cortesía e interacción.