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González-López MM, Esquinas-López C, Romero-García M, Benito-Aracil L, Martínez-Momblan MA, Villanueva-Cendán M, Jaume-Literas M, Hospital-Vidal MT, Delgado-Hito P. Intensity of Interprofessional Collaboration and related factors in Intensive Care Units. A descriptive cross-sectional study with an analytical approach. ENFERMERIA INTENSIVA 2024; 35:188-200. [PMID: 38944574 DOI: 10.1016/j.enfie.2023.10.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Accepted: 10/02/2023] [Indexed: 07/01/2024]
Abstract
OBJECTIVE To determine the Intensity of Collaboration between the intensive care professionals of a third level hospital. METHOD Descriptive cross-sectional study with an analytical approach. SETTING 6 intensive care units of a third level hospital. SAMPLE nurses and doctors. Consecutive type non-probabilistic sampling. DATA COLLECTION sociodemographic, economic, motivation and professional satisfaction variables, and the intensity of collaboration using the "Scale of Intensity of Interprofessional Collaboration in Health." RESULTS A total of 102 health professionals (91 nurses and 11 doctors) were included. The mean overall Intensity of Collaboration (IoC) was moderate. Men showed higher scores in all factors (p<.05). The IoC global score was higher in the group of professionals with ≤10 years of experience (p=.043) and those who were highly satisfied with the profession (p=.037). Physicians presented higher scores in the global IdC (p=.037) and in the Collaboration mean (p=.020) independently in the multivariate models. A negative linear relationship (rho: -0,202, p=.042) was observed between age and the overall IoC score. Professionals aged ≤30years reported a higher perception of Shared Activities (p=.031). Negative linear relationships were observed between years of experience and total IoC score (rho: -0,202, p=.042) and patients' Perception score (rho: -0.241, p=0.015). The research activity also showed to be a variable related to a greater degree of Collaboration at a global level and in some of the factors (p<.05). The scale of IoC obtained a Cronbach's α of 0,9. CONCLUSIONS The intensity of interprofessional collaboration in ICUs is moderate. Professionals with experience of ≤10 years, a higher level of satisfaction and participation in research activities show a greater intensity of collaboration. Doctors perceive collaboration more intensely than nurses. All factors contribute equally to the internal consistency of the questionnaire.
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Affiliation(s)
- M M González-López
- Unidad de Cuidados Intensivos Quirúrgicos, Hospital Clínic de Barcelona, Barcelona, Spain; Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain
| | - C Esquinas-López
- Departamento de Enfermería de Salud pública, Salud Mental y Materno-Infantil, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain.
| | - M Romero-García
- Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera-Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI, Spain
| | - L Benito-Aracil
- Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera-Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), Barcelona, Spain
| | - M A Martínez-Momblan
- Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain
| | - M Villanueva-Cendán
- Unidad de Cuidados Intensivos Quirúrgicos, Hospital Clínic de Barcelona, Barcelona, Spain
| | - M Jaume-Literas
- Unidad de Cuidados Intensivos Quirúrgicos, Hospital Clínic de Barcelona, Barcelona, Spain
| | - M T Hospital-Vidal
- Unidad de Cuidados Intensivos Quirúrgicos, Hospital Clínic de Barcelona, Barcelona, Spain
| | - P Delgado-Hito
- Departamento de Enfermería Fundamental y Médico-quirúrgica, Escuela de Enfermería, Universidad de Barcelona, Barcelona, Spain; Grupo de Investigación Enfermera-Instituto de Investigación Biomédica de Bellvitge (GRIN-IDIBELL), Barcelona, Spain; International Research Project for the Humanization of Health Care, Proyecto HU-CI, Spain
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Ferede AJ, Gezie LD, Geda B, Erlandsson K, Wettergren L. Perceptions of caring behaviors: Experiences of nurses in Ethiopia. Nurs Health Sci 2024; 26:e13096. [PMID: 38369316 DOI: 10.1111/nhs.13096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 01/02/2024] [Accepted: 01/25/2024] [Indexed: 02/20/2024]
Abstract
Caring is a universal phenomenon that influences nurse-patient interactions and feelings, forming the foundation of the nursing profession. How nurses perceive and experience caring in low-income settings is not well understood. Therefore, the purpose of this study was to explore Ethiopian nurses' perceptions and experiences of caring using a qualitative descriptive design. Individual semi-structured interviews were conducted with 13 nurses aged 28-57. Interviews were analyzed inductively using reflexive thematic analysis guided by the recommendations of Braun and Clarke. The analysis resulted in three themes: caring is the heartbeat of patient care, constraints to the provision of care, and ways to overcome constraints. The results revealed that nurses were committed to fulfilling their professional obligations and meeting patients' needs despite experiencing multiple constraints. The findings provide a comprehensive perspective in understanding nurses' experiences of caring. Their narratives demonstrate that they face constraints in their clinical practice, which limit the quality of care, including rotation and lack of resources. Cooperation between health policymakers and nurse authorities is essential for shifting the clinical environment from the prevailing traditional task-oriented approach to patient-centered care.
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Affiliation(s)
- Abebaw Jember Ferede
- Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Lemma Derseh Gezie
- Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Biftu Geda
- Department of Nursing, College of Health Science, Shashamene Campus, Madda Walabu University, Shashamene, Ethiopia
| | - Kerstin Erlandsson
- School of Health and Welfare, Dalarna University, Falun, Sweden
- Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
| | - Lena Wettergren
- Division of Reproductive Health, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
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3
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Nemati-Vakilabad R, Khoshbakht-Pishkhani M, Maroufizadeh S, Javadi-Pashaki N. Translation and validation of the Persian version of the perception to care in acute situations (PCAS-P) scale in novice nurses. BMC Nurs 2024; 23:108. [PMID: 38326865 PMCID: PMC10851513 DOI: 10.1186/s12912-024-01760-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Accepted: 01/23/2024] [Indexed: 02/09/2024] Open
Abstract
BACKGROUND Novice nurses providing care in acute conditions should have satisfactory performance. Accurate and appropriate evaluation of the performance of novice nurses in providing care in acute situations is essential for planning interventions to improve the quality of patient care. This study was conducted to translate and evaluate the psychometric properties of the Persian version of the Perception to Care in Acute Situations (PCAS-P) scale in novice nurses. METHODS In this methodological study, 236 novice nurses were selected by the convenience sampling method. 17-item scale PCAS-P was translated into Persian by the forward-backward process. Then, this version was used for psychometric evaluation. For this purpose, face validity, content validity, and construct validity were assessed using confirmatory factor analysis. Internal consistency and stability reliability were calculated. The data were analyzed using SPSS and AMOS software. RESULTS The PCAS-P scale maintained the meaning of the original English version and was clear, explicit, and understandable for novice nurses. Confirmatory factor analysis showed that this Persian version is consistent with the proposed model and confirmed the fit of the three-factor model. The values of Cronbach's alpha coefficient, McDonald's omega, Coefficient H, and average inter-item correlation were excellent for the overall scale and its dimensions, and the three latent factors had good convergent and discriminant validity. Additionally, the average measurement size was 0.944 ICC (95% CI 0.909 to 0.969). CONCLUSION The PCAS-P scale is valid and reliable for measuring novice nurses' perception of acute situations.
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Affiliation(s)
- Reza Nemati-Vakilabad
- Student Research Committee, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Maryam Khoshbakht-Pishkhani
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Saman Maroufizadeh
- Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran
| | - Nazila Javadi-Pashaki
- Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
- Social Determinants of Health Research Center (SDHRC), Guilan University of Medical Sciences, Rasht, Iran.
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Chen X, Yuan J, Zhao W, Qin W, Gao J, Zhang Y. Which aspects of patient experience are the 'moment of truth' in the healthcare context: a multicentre cross-sectional study in China. BMJ Open 2024; 14:e077363. [PMID: 38326249 PMCID: PMC10860089 DOI: 10.1136/bmjopen-2023-077363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 10/19/2023] [Indexed: 02/09/2024] Open
Abstract
OBJECTIVE This study aimed to examine the differential magnitude of associations between specific dimensions of patient experience and overall patient satisfaction. DESIGN A descriptive, cross-sectional design was used to collect patient experience and overall satisfaction data. SETTING Participants were recruited at one tertiary general hospital, one tertiary specialised hospital, and one secondary hospital in Shanghai, China. These three institutes represent the main kinds of hospitals in the Chinese healthcare system. PARTICIPANTS 1532 inpatients were recruited, and 1469 were included. The inclusion criteria were as follows: (1) having received inpatient service for at least 2 days; (2) able to understand the questions in the questionnaires; and (3) aged>18 years old. Patients who had impaired cognitive function and completed the questionnaires with missing information were excluded. PRIMARY AND SECONDARY OUTCOME MEASURE Patient experience was measured using the Inpatient Experience with Nursing Care Scale, which is widely used in the China. The overall patient satisfaction was measured with 10-point response option. RESULTS The LASSO (least absolute shrinkage and selection operator) regression results showed that as the penalty factor (λ) = 0.0162, age, marriage status, financial status, length of hospital stay and numbers of previous of hospitalisation and six dimensions of nursing care remained in the model. As λ increases to 0.1862, only four patient experience variables, potentially the most influential on patient satisfaction, remained in the model. Patient experience with emotional support was the most significant dimension explaining patient satisfaction (β=0.1564), the second most significant dimension was admission and discharge management (β=0.1562), and the third was monitoring and coping with the progress of diseases (β=0.0613). CONCLUSION Patient experience with emotional support, admission and discharge management, monitoring and coping with the progress of diseases, and information and education are the most significant dimensions explaining patient satisfaction.
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Affiliation(s)
- Xiao Chen
- Nursing Department, Zhongshan Hospital Fudan University, Shanghai, China
| | - Jie Yuan
- Nursing Department, Shanghai Fengxian District Hospital of Traditional Chinese Medicine, Shanghai, China
| | - Wenjuan Zhao
- Nursing Department, Fudan University Shanghai Cancer Center, Shanghai, China
| | - Wei Qin
- Nursing Department, Zhongshan Hospital Fudan University, Shanghai, China
| | - Jian Gao
- Biostatistics Department, Zhongshan Hospital Fudan University, Shanghai, China
| | - Yuxia Zhang
- Nursing Department, Zhongshan Hospital Fudan University, Shanghai, China
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Saadatmehr SR, Sanagoo A, Jafari Rad A, Bakhshian F, Jouybari L. The Living Experience of Patients with Burn Injuries from Art Nursing Care: An Unspoken Mystery. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2023; 28:616-623. [PMID: 37869696 PMCID: PMC10588922 DOI: 10.4103/ijnmr.ijnmr_2_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 07/21/2023] [Accepted: 07/23/2023] [Indexed: 10/24/2023]
Abstract
Background Although art and aesthetics are important aspects in nursing care, there is scarcity of literature regarding this area, particularly in relation to patient expectations of art nursing care. This study aims to explore the perceptions of patients with burn injuries regarding art nursing care. Materials and Methods The present phenomenological study was conducted on 14 patients with burn injuries based on convenience and purposive sampling. Data were collected through deep open-ended and semi-structured interview. Data analysis was performed based on van Manen's Hermeneutic Phenomenology. Results Patients' experience of art nursing care emerged in the form of three main themes, including "being a healer for patients' wounds", "skilled and specialized care", "praiseworthy care", and six subthemes. Conclusions The patients in the burn unit demonstrated an understanding and appreciation for the qualities of patience, hard work, compassion, and love that the nurses possess. They also noted the meticulous attention paid by the nurses to their needs, which exemplifies the purest human traits and professional characteristics in patient care and can be seen as an art form in nursing.
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Affiliation(s)
| | - Akram Sanagoo
- Department of Nursing, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
| | | | - Fereshteh Bakhshian
- Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran
| | - Leila Jouybari
- Department of Nursing, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
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Pepito JAT, Babate FJG, Dator WLT. The nurses' touch: An irreplaceable component of caring. Nurs Open 2023; 10:5838-5842. [PMID: 37255491 PMCID: PMC10416036 DOI: 10.1002/nop2.1860] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Revised: 10/24/2022] [Accepted: 05/10/2023] [Indexed: 06/01/2023] Open
Abstract
BACKGROUND Touch is an integral part of human interaction. Health care makes significant use of touch, and for most healthcare professionals, it is indispensable to their practice. An essential and inevitable facet of the nursing profession is the touching of patients during the provision of care. Unfortunately, touch is seldom considered in the nursing framework today. AIMS To emphasize the importance of touch in contemporary nursing practice in a highly technological environment. MATERIALS AND METHODS A search was conducted on February-May 2022. The initial search identified 84 articles and the final analysis included 38 articles that met the inclusion criteria (touch; touch in health care; touch and nursing; touch and technology; nursing and technology; nursing and caring; touch and caring). RESULTS The nurses' touch will always be an irreplaceable component of caring in nursing. DISCUSSION There can be no substitute to the expressive touch of a nurse. As the technological revolution in nursing is inevitable, it is imperative that nurses consider how much these technologies impact the nurse-patient relationships. CONCLUSION The study emphasized the importance of touch in contemporary nursing practice. The study found that the nurses' touch will always be an irreplaceable component of caring in nursing. The finding will have an impact on nurses and patients situated in highly technological healthcare environments.
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Affiliation(s)
| | | | - Wireen Leila T. Dator
- Department of Medical‐Surgical Nursing, College of NursingPrincess Nourah bint Abdulrahman UniversityRiyadhSaudi Arabia
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Ferede AJ, Wettergren L, Erlandsson K, Gezie LD, Lindgren H, Geda B. Patients' perceptions of caring behaviors at referral hospitals in Ethiopia: A cross-sectional survey. Int J Nurs Sci 2023; 10:391-397. [PMID: 37545766 PMCID: PMC10401340 DOI: 10.1016/j.ijnss.2023.06.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Revised: 06/21/2023] [Accepted: 06/22/2023] [Indexed: 08/08/2023] Open
Abstract
Objective The purpose of this study was to determine patients' perceptions of nurse caring behaviors and to identify factors associated with these perceptions. Methods A cross-sectional study was conducted at three referral hospitals in Ethiopia. A consecutive sample of male and female patients (n = 652, response rate 98.8%) was interviewed using the Amharic version of the Caring Behaviors Inventory-16 (CBI-16, including four subscales: Assurance, Knowledge and skill, Respectful, and Connectedness) and the Patient Satisfaction Instrument (PSI). Socio-demographic and clinical factors associated with perceptions of caring behaviors were identified using multiple linear regression analysis. Results Patients' perceptions of nurse caring behaviors were high (total Mean = 4.86, SD = 0.72). Behaviors related to the Assurance subscale were rated the highest. The multiple linear regression analysis result showed several socio-demographic and clinical factors statistically significantly associated with patients' perceptions of caring behaviors (total mean scores). Patients who were 40-49 years (B = -0.19, P = 0.012) and single (B = -0.13, P = 0.03) scored lower on total CBI-16 scores. Whereas, patients who had a higher educational level (B = 0.35, P = 0.001), cared for at surgery units (B = 0.11, P = 0.027), and reported having spent more time with a nurse in the past 8-h shift (B = 0.16, P < 0.001) were more likely to have higher perceptions of the care they received. The CBI-16 was positively correlated with satisfaction with received care, as measured with the Patient Satisfaction Instrument (r = 0.62, P < 0.001). Conclusion Hospitalized patients in Ethiopia have overall high perceptions of nurse caring behaviors, especially with regard to physical-based caring, while their expectations of emotional-focused care are lower. We identified patients who were in need of care, patients aged 40-49 years and single. The time spent with nurses plays a pivotal role in patients' perceptions of nurse caring behaviors.
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Affiliation(s)
- Abebaw Jember Ferede
- Department of Medical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Postal address: 196, Gondar, Ethiopia
| | - Lena Wettergren
- Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
| | - Kerstin Erlandsson
- Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden
- School of Education, Health and Welfare, Dalarna University, Falun, Sweden
| | - Lemma Derseh Gezie
- Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Helena Lindgren
- Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
| | - Biftu Geda
- Department of Nursing, College of Health Science, Shashamene Campus, Madda Walabu University, Shashamene, Ethiopia
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Tong LK, Zhu MX, Wang SC, Cheong PL, Van IK. Gender similarities and differences in the perception of caring among nurses during the COVID-19 pandemic: a mixed-methods study. BMC Nurs 2023; 22:115. [PMID: 37046318 PMCID: PMC10091316 DOI: 10.1186/s12912-023-01267-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 03/24/2023] [Indexed: 04/14/2023] Open
Abstract
BACKGROUND Caring is the essence and core of nursing. Current studies on the effect of gender on nurses' perception of caring have been inconsistent. Most of these studies were quantitative and conducted before the COVID-19 pandemic. The study aimed to explore the gender similarities and differences in nurses' perception of caring during the COVID-19 pandemic. METHODS In 2020, a cross-sectional mixed-method study was conducted in 11 cities in China using structured online questionnaire (n = 8030) and face-to-face individual interview (n = 42). Data collection tools included the Caring Dimensions Inventory and semi-structured interview. RESULTS In stepwise multivariable linear regression analysis, female nurses scored 1.93 points higher on caring than male nurses, after completely controlling for the other factors. The interview results showed that both male and female nurses agreed that caring was to deal with three kinds of relationships, namely nurses and people, nurses and themselves, nurses and society. There were gender differences in the connotation of caring between nurses and themselves, but not in the connotations of caring between other relationships. The ranking of the importance of caring connotations among these relationships showed no gender difference except between nurses and themselves. CONCLUSION The quantitative findings suggest that gender influences nurses' perception of caring. The qualitative findings demonstrate that nurses regard themselves as both recipients and implementers of caring. The qualitative results indicate nurses of different genders have similarities and differences in their perception of caring, and the biggest difference lies in the relationship between nurses and themselves.
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Affiliation(s)
| | | | | | | | - Iat Kio Van
- Kiang Wu Nursing College of Macau, Macao, China.
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Khaletabad NA, Radfar M, Khademi M, Khalkhali H. Caring Behaviors Inventory-24: translation, cross-cultural adaptation, and psychometric testing for using in nurses and patients. BMC Nurs 2023; 22:82. [PMID: 36964581 PMCID: PMC10037886 DOI: 10.1186/s12912-023-01248-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2022] [Accepted: 03/14/2023] [Indexed: 03/26/2023] Open
Abstract
BACKGROUND To measure caring behaviors, it is necessary to have an instrument adapted based on the contextual culture. This study aimed to translate Caring Behaviors Inventory-24 (CBI-24) into Persian and determine its psychometric properties. METHODS This is a methodological study conducted to translate and then psychometrically test The CBI-24. The forward-backward translation was conducted using the World Health Organization (WHO) model and Wild et al. (2005) approach. The face, content, and construct validity of the inventory were assessed using cognitive interviews (10 nurses and 10 patients), expert panel deliberations (10 experts), and the exploratory and confirmatory factor analyses (300 nurses and 300 patients), respectively. The reliability was determined using the internal consistency (300 nurses and 300 patients) and test-retest method (30 nurses and 30 patients). RESULTS After translating the CBI-24 and combining its items, the forward translation was initially conducted and the final backward translation was then sent to the developer for confirmation. The final version of the inventory was prepared after the completion of cognitive interviews. The content validity index of all items was reported to be more than 0.8 and good. The Cohen's kappa coefficient of all items was also shown to be higher than 0.74 and excellent. The factor loading of all items except item 19 was above 0.3. Item 19 was removed since it caused the alpha value of the respectfulness dimension to be 0.32. The Cronbach's alpha and the correlation coefficient of the whole inventory were calculated to be 0.95 and 0.88, respectively. CONCLUSION The Persian version of CBI-24 can be a suitable tool for measuring caring behaviors among patients and nurses.
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Affiliation(s)
- Neda Azimi Khaletabad
- Department of Psychiatric Nursing, School of Nursing and Midwifery, Urmia University of Medical Sciences, Urmia, Iran
| | - Moloud Radfar
- Patient Safety Research Center, Clinical Rsearch Institue, School of Nursing and Midwifery, Urmia University of Medical Sciences, Pardis Nazlou. 11 Km of Nazlou Road, Urmia, Iran.
| | - Mojgan Khademi
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Hamidreza Khalkhali
- Department of Biostatistics and Epidemiology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
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Alikari V, Gerogianni G, Fradelos EC, Kelesi M, Kaba E, Zyga S. Perceptions of Caring Behaviors among Patients and Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:ijerph20010396. [PMID: 36612719 PMCID: PMC9819105 DOI: 10.3390/ijerph20010396] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 12/08/2022] [Accepted: 12/23/2022] [Indexed: 05/30/2023]
Abstract
The concept of caring is fundamental to nursing practice. The aim of this study was to investigate patients' and nurses' caring behaviors and the possible differences between the two groups. In this descriptive and comparative study, 310 patients and 329 nurses from six general hospitals from Greece completed the Caring Behaviors Inventory-16. The mean score of Caring Behaviors Inventory-16 for patients was 78.94 (±17.85) and for nurses 80.27 (±9.36). The items "Demonstrating professional knowledge and skills" (Mean: 5.45 ± 3.62) and "Treating my information confidentially" (Mean: 5.34 ± 1.06) were the most important caring behaviors while the items "Including me in planning care" (Mean: 4.36 ± 1.56), and "Treating me as an individual" (Mean: 4.55 ± 1.46) were the least important caring behaviors for patients. For nurses, the most important caring behavior was "Treating patients" information confidentially" (Mean: 5.43 ± 0.94) and the least important was "Returning to the patient voluntarily" (Mean: 4.57 ± 3.68). Significant differences were observed in items: "Attentively listening to me/the patient" (t = -2.05, p = 0.04), "Treating me/the patient as an individual" (t = -7.82, p = 0.00), "Being empathetic or identifying with me/the patient" (t = -2.80, p = 0.00), and "Responding quickly when I/the patient call (t = -2.01, p = 0.04). Respect, privacy, and dignity were the most important caring behaviors for nurses while for patients they were knowledge, skills, and safety.
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Affiliation(s)
- Victoria Alikari
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece
- Department of Nursing, University of West Attica, 12243 Athens, Greece
| | | | | | - Martha Kelesi
- Department of Nursing, University of West Attica, 12243 Athens, Greece
| | - Evridiki Kaba
- Department of Nursing, University of West Attica, 12243 Athens, Greece
| | - Sofia Zyga
- Department of Nursing, University of Peloponnese, 22100 Tripoli, Greece
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Effendy C, Kristanti MS. Open and structured assessment in addressing hospitalized cancer-related problems: The perception of patients and nurses in Indonesia. PROGRESS IN PALLIATIVE CARE 2022. [DOI: 10.1080/09699260.2022.2148196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- Christantie Effendy
- Department of Medical-Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
- Lotus Care, Wound and Palliative Homecare Center, Private Clinic, Yogyakarta, Indonesia
| | - Martina Sinta Kristanti
- Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Makhfudli M, Machin A, Nasir A, Wahyudi AS, Harianto S, Rindayati R, Muhalla HI, Sulpat E, Okviasanti F, Susanto J, Ilkafah I, Kartini Y. Understanding Patients with COVID in the Isolation Rooms from the Perspective of Care: A Qualitative Study. J Multidiscip Healthc 2022; 15:2539-2551. [PMID: 36388629 PMCID: PMC9642087 DOI: 10.2147/jmdh.s386066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 10/17/2022] [Indexed: 09/02/2023] Open
Abstract
INTRODUCTION Being treated in isolation rooms for people infected with COVID-19, creates various perceptions of uncertainty, especially when strict "health protocols" are applied. This study aims to determine the understanding patients with COVID in the intensive care unit from the perspective of care. MATERIALS AND METHODS The research design used phenomenological qualitative with in-depth interviews. Purposive sampling was used with interpretive phenomenological analysis. Participants were 25 patients who had been exposed to COVID-19, consisting of 10 men and 15 women. RESULTS This study resulted in the theme of the perception of COVID-19 sufferers while undergoing treatment in isolation rooms, with four themes, namely, 1) mental attacks, 2) feel like fighting alone, 3) expecting Concern, 4) positive attitude. CONCLUSION This analysis shows that various perceptions of uncertainty that are felt while being treated in the isolation room due to suffering from COVID-19 disease can be anticipated by increasing the awareness of nurses to be closer to patients through caring-based nursing practices by emphasizing meaningful interpersonal relationships.
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Affiliation(s)
| | - Abdulloh Machin
- Faculty of Medicine, Airlangga University, Surabaya, Indonesia
| | - Abd Nasir
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | | | - Susilo Harianto
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Rindayati Rindayati
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Hafna Ilmy Muhalla
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Emuliana Sulpat
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Fanni Okviasanti
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Joko Susanto
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Ilkafah Ilkafah
- Faculty of Vocational, Airlangga University, Surabaya, Indonesia
| | - Yanis Kartini
- Department of Nursing, and Midwifery Faculty, Universitas Nahdlatul Ulama Surabaya, East Java, Indonesia
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Allari RS, Hamdan K, Zahran Z, Alabdullah A, Salem SG, Saifan AR, Abu‐El‐Noor NI, Abu‐El‐Noor MK, Al Omari O. Perception of nursing students from the Middle East about caring: A descriptive, comparative, cross-sectional study. Nurs Open 2022; 10:1083-1091. [PMID: 36137179 PMCID: PMC9834553 DOI: 10.1002/nop2.1375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Revised: 08/03/2022] [Accepted: 09/04/2022] [Indexed: 01/19/2023] Open
Abstract
AIM To investigate the perception of undergraduate nursing students in different countries in the Middle East about caring. DESIGN A cross-sectional, descriptive, comparative design. METHODS A total of 1,582 nursing students from six different countries in the Middle East completed the Caring Dimensions Inventory. RESULTS The total mean score of caring was 138.8 (± 15.8), indicating a high level of caring. The highest mean score was for nursing students from Egypt (M = 145.37 ± 15.97), whereas the lowest was for nursing students from Palestine (M = 135.36 ± 13.48). The caring perception was more significant for female students than male students, and no significant correlation was found between students' ages and caring scores. CONCLUSIONS The high level of caring among nursing students reflects the involvement of caring behaviour in the nursing curricula, which motivates nursing schools to continue stressing the importance of caring and to enhance this behaviour among their graduates. PATIENT OR PUBLIC CONTRIBUTION Improving the students' caring competencies as recommended by the study will influence the caregiving quality in the future that will be reflected in nurse-patient caring relationships and raise the patients' and public satisfaction with nursing care.
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Affiliation(s)
| | | | - Zainab Zahran
- Department of Adult Nursing, Florence Nightingale Faculty of NursingMidwifery and Palliative CareLondonUK
| | - Amany Alabdullah
- Maternity and Child Health Nursing, Faculty of NursingPrincess Nourah Bint Abdulrahman UniversityRiyadhSaudi Arabia
| | - Safaa G. Salem
- Maternity and Child Health Nursing, Faculty of NursingPrincess Nourah Bint Abdulrahman UniversityRiyadhSaudi Arabia
| | | | | | | | - Omar Al Omari
- College of NursingSultan Qaboos UniversityMuscatOman
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Altintas E, Boudoukha AH, Karaca Y, Lizio A, Luyat M, Gallouj K, El Haj M. Fear of COVID-19, emotional exhaustion, and care quality experience in nursing home staff during the COVID-19 pandemic. Arch Gerontol Geriatr 2022; 102:104745. [PMID: 35714475 PMCID: PMC9169422 DOI: 10.1016/j.archger.2022.104745] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 05/25/2022] [Accepted: 06/04/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Nursing home staff have been adversely impacted throughout the COVID-19 pandemic, facing difficulties in providing patient care. The aim of this study was to explore health workers' perception regarding their own care quality experience in nursing homes during the COVID-19 pandemic. Amidst the second wave of the pandemic, we investigated the relationships between fear of COVID-19 and care quality experiences in nursing homes with emotional exhaustion (EE) as a mediating role. We hypothesized that EE is associated with fear of COVID-19 and care quality experience among nursing home staff. Furthermore, we predicted that EE would mediate the relationships between fear of COVID-19 and care quality experience. METHODS During the second wave of COVID-19 (October to December 2020), we administered surveys to a large sample of 129 French nursing home staff with a mean age of 38.47 ± 10.31 who were directly and repeatedly exposed to COVID-19. We assessed their emotional exhaustion (EE) and care quality experience in the workplace via subjective indicators using self-reported scales. RESULTS In the context of COVID-19, low to severe emotional exhaustion levels were found among nursing home staff, and these levels were associated with care quality experience as well as fear of COVID-19. The groups with low and severe levels of EE reported the highest levels of fear of COVID-19. The groups with moderate and severe levels of EE reported the lowest levels of care quality experience. Lastly, the relationships between fear of COVID-19 and care quality experience were mediated by EE. CONCLUSIONS The findings made by the present study focused on the role of emotional coping responses to COVID-19. EE was associated positively with fear of COVID-19 and negatively with care quality experience. Furthermore, EE was found to mediate the relationship between fear of COVID-19 and care quality experience. We discuss these findings as they relate to palliative care issues in nursing homes and the manner in which emotional exhaustion ought to be addressed among nursing home staff.
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Affiliation(s)
- Emin Altintas
- Univ. Lille, ULR 4072 - PSITEC - Psychologie : Interactions, Temps, Emotions, Cognition, F-59000 Lille, France; Centre Hospitalier de Tourcoing, Unité de Gériatrie, Tourcoing, France.
| | - Abdel-Halim Boudoukha
- Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université de Nantes, Nantes, France
| | - Yasemin Karaca
- Centre Hospitalier de Roubaix, Service de Pédiatrie, Roubaix, France
| | - Andréa Lizio
- Centre Hospitalier de Tourcoing, Unité de Gériatrie, Tourcoing, France
| | - Marion Luyat
- Univ. Lille, ULR 4072 - PSITEC - Psychologie : Interactions, Temps, Emotions, Cognition, F-59000 Lille, France
| | - Karim Gallouj
- Univ. Lille, ULR 4072 - PSITEC - Psychologie : Interactions, Temps, Emotions, Cognition, F-59000 Lille, France; Centre Hospitalier de Tourcoing, Unité de Gériatrie, Tourcoing, France
| | - Mohamad El Haj
- Centre Hospitalier de Tourcoing, Unité de Gériatrie, Tourcoing, France; Laboratoire de Psychologie des Pays de la Loire (EA 4638), Université de Nantes, Nantes, France; Institut Universitaire de France, Paris, France
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15
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Patients' and Nurses' Perceptions of Importance of Caring Nurse-Patient Interactions: Do They Differ? Healthcare (Basel) 2022; 10:healthcare10030554. [PMID: 35327032 PMCID: PMC8956000 DOI: 10.3390/healthcare10030554] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/09/2022] [Accepted: 03/15/2022] [Indexed: 12/03/2022] Open
Abstract
Nurse−patient interaction is a professional and therapeutic relationship created to enable nurses to assess, plan, and deliver health care aimed at meeting patients’ basic human needs. The main aim of this study was to identify distinctive characteristics and differences in perceptions between patients and nurses related to the importance of caring interactions and to examine the contribution of independent variables in explaining their perceptions. A total of 446 respondents were included in the research (291 patients and 155 registered nurses). Data were collected using the translated and standardized 70-item version of the Caring Nurse−Patient Interactions Scale (CNPI-70) version for patients and version for nurses. According to the overall CNPI-70 scale, there was a significant difference in patients’ and nurses’ perception (p < 0.001). Patients assessed caring nurse−patient interactions significantly higher (4.39) than nurses (4.16). Additionally, nurses assessed all subscales significantly lower than patients who assessed them high (p < 0.05), except for the subscales for “environment” (p = 0.123) and “spirituality” (p = 0.132). Independent variables did not contribute to an explanation of respondents’ perceptions. Providing quality physical assistance in meeting human needs through effective communication and teaching is crucial for promoting a holistic patient approach, improving psychosocial support and nurse−patient interaction, and attaining greater satisfaction with health care provided without additional financial investments.
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Shaqura II, Jaafaripooyan E, Hosseini M, Shagora AERS, Sari AA. Nurses' Perspectives on Inpatient Care Responsiveness at the Gazan Public Hospitals. Ethiop J Health Sci 2021; 31:847-856. [PMID: 34703185 PMCID: PMC8512949 DOI: 10.4314/ejhs.v31i4.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2020] [Accepted: 01/10/2021] [Indexed: 11/17/2022] Open
Abstract
Background Responsiveness is one of the intrinsic goals of health systems. This study aimed at assessing the responsiveness of inpatient care in accordance to nurses' perspectives, particularly in internal medicine ‘medical’ and surgical departments, at the Gazan public general hospitals in 2020. Methods This cross-sectional descriptive study was conducted at 5 public general hospitals in Gaza. Data were collected from 277 nurses using an interview-based questionnaire composed mainly of 36 items to measure responsiveness on a 4-point Likert scale. Descriptive statistics, independent t-test and analysis of variance (ANOVA) using SPSS 22.0. Results The overall responsiveness was about 77.5%. Access to social support was the highest-performing domain but it was the less important. Dignity was the second-highest in performance but the most important domain. Choice of provider and quality of basic amenities were almost the lowest in both performance and importance. Hospital, marital status, educational level, position at work, income, department, and the experience in the current ward have led to significant differences in the level of responsiveness. Conclusion Supply-side should be considered to delineate the status quo of responsiveness accurately. There is a room for further improvement in the interpersonal domains of responsiveness without extravagant expenditures. Policymakers need to emphasize on better allocation of budget for client-orientation domains of responsiveness as well. Hospital characteristics had a pivotal role in creating significant differences among respondents. Likewise, socioeconomic status and cultural diversity of nurses led to significant variations in their responses, hence, this calls for robust and well-designed researches, including non-public hospitals, to determine the most influential factors.
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Affiliation(s)
- Iyad Ibrahim Shaqura
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ebrahim Jaafaripooyan
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mostafa Hosseini
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Ali Akbari Sari
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
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17
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Nurit GY, Ksenya S, Juliana S, Matanes B, Efrat S, Anna Z. Perceptions of staff and family responsibility to provide hospitalized older adults with basic activities care and emotional support. Geriatr Nurs 2021; 42:1247-1252. [PMID: 34555566 DOI: 10.1016/j.gerinurse.2021.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2021] [Revised: 05/07/2021] [Accepted: 05/11/2021] [Indexed: 01/26/2023]
Abstract
Many older adults need help with Activities of Daily Living (ADL) and emotional support during hospitalization. Hospital staff is officially responsible for care, but most older adults are accompanied by family members who provide at least some of the support. In this study, we asked physicians, nurses, nursing assistants, and relatives about hospital staff versus family responsibility for providing ADL care and emotional support, and about actual levels of help provision by the hospital staff in Israel. Staff members (except physicians) tended to see staff as more responsible for ADL care than family, while emotional support was a shared responsibility. Nursing assistants were the most likely to report that staff provided high levels of support, and all participants reported that staff provided more ADL care than emotional support. It is important for family members and hospital staff to have open discussions of their expectations and responsibilities when older adults are hospitalized.
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Affiliation(s)
- Gur-Yaish Nurit
- Oranim Academic College of Education, Kiryat Tiv'on, Israel; Center for research and study of aging, University of Haifa, Israel.
| | - Shulyaev Ksenya
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | - Smichenko Juliana
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | | | - Shadmi Efrat
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
| | - Zisberg Anna
- The Cheryl Spencer Department of Nursing, University of Haifa, Israel
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18
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Alikari V, Fradelos EC, Papastavrou E, Alikakou S, Zyga S. Psychometric Properties of the Greek Version of the Caring Behaviors Inventory-16. Cureus 2021; 13:e15186. [PMID: 34178507 PMCID: PMC8221654 DOI: 10.7759/cureus.15186] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Caring is a key component of nursing. Exploring patients' perceptions of caring behaviors is essential to providing high-quality health care. This study aimed to investigate the validity, reliability, and internal consistency of the Greek version of the Caring Behaviors Inventory-16. This descriptive cross-sectional study involved hospitalized patients from six major hospitals in Greece who completed the Caring Behaviors Inventory-16 scale. This is a self-completing questionnaire whose answers range from one to six on a Likert-type scale. The overall score ranges from 16 to 96. To study the reliability of the scale, 50 patients completed the scale twice within two weeks, and then the repeatability was tested using the Pearson's r correlation coefficient and the intraclass correlation coefficient. Construct validity and internal consistency were tested among 180 patients. Construct validity was tested through the principal component analysis. The internal consistency was tested through Cronbach's alpha index. The statistical analysis was performed through the IBM Statistical Package for the Social Sciences (SPSS) Statistics Version 21.0 (Armonk, NY: IBM Corp.). The level of statistical significance was set at 5%. The study was conducted in the period October-December 2019. According to the results, the average age of patients was 58 years old and 50.6% were men. The mean value of the scale was 79.31 (standard deviation ± 15.75). The principal component analysis showed that the scale is unidimensional highlighting one factor that explains 68.24% of the total variance. Questions loadings ranged from 0.575 to 0.912 on the same factor. This means that all questions measure the same structure and are strongly concentrated in the same construction. Regarding the repeatability test, no statistically significant differences were observed between the two measurements. Pearson's r coefficient was 0.82 while the intraclass correlation coefficient was 0.91 (p<0.001) and indicate the very good reliability of the scale. Cronbach's alpha was 0.967 and indicates the excellent internal consistency of the scale. Data analysis showed that the Caring Behaviors Inventory-16 is a valid, reliable, simple, and short tool for assessing patients' perceptions of caring behaviors. Further tests are suggested to confirm the construct validity, reliability among patients, nurses, or nursing students.
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Affiliation(s)
- Victoria Alikari
- Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Tripolis, GRC
| | | | - Evridiki Papastavrou
- Department of Nursing, Faculty of Health Sciences, Cyprus University of Technology, Limassol, CYP
| | - Stavroula Alikakou
- Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Tripolis, GRC
| | - Sofia Zyga
- Department of Nursing, Faculty of Human Movement and Quality of Life Sciences, University of Peloponnese, Tripolis, GRC
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Cohen MAO, McQuaid J, Remington R. Need to Intervene: An Exploratory Study of Nurses' Experiences With Patienthood. J Patient Exp 2021; 8:2374373521998846. [PMID: 34179406 PMCID: PMC8205407 DOI: 10.1177/2374373521998846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Much has been written about the patient experience, but there is little information about experiences of providers as patients. Since lay patients and providers have differing perspectives and expectations, it is important to identify those elements shared by those in each group and those that diverge. This study identified experiences of nurses as being a patient or a family caregiver of a patient as well as identified assessments of the healthcare system by nurses. An exploratory study using a self-administered electronic questionnaire with a group of registered nurses was conducted. Assessments of the system by responders were positive when addressing quality of care, interactions among healthcare personnel, and interactions with patients. However, when discussing their experiences as patient, nurses reported they encountered problems with coordination of care, responses of medical personnel, attention to details of care, and responses to their attempts to become more involved. Results confirm issues raised by patients who are not medical experts in patient satisfaction studies. Adding a professional perspective highlights where problems with the healthcare system lie.
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Affiliation(s)
| | - Jim McQuaid
- Framingham State University, Framingham, MA, USA
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20
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Boz İ, Teskereci G. Experiences of gynecologic oncology nurses regarding caring behaviors: a hermeneutic phenomenological study. J Psychosom Obstet Gynaecol 2021; 42:29-39. [PMID: 32054381 DOI: 10.1080/0167482x.2020.1726316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
PURPOSE This study aims to explore the caring behaviors experiences of gynecologic oncology nurses. METHODS This study was conducted with phenomenological hermeneutical approach. This study was carried out 14 nurses working on women with gynecologic cancer. Data were collected through individual interview method by using semi-structured interview guide. Data were analyzed using a phenomenological hermeneutical method. RESULTS Caring behaviors experiences of gynecologic oncology nurses were explained by the themes "missed caring behaviors", "transition from work-centered to care-centered approach", and "transition to caring-healing approach". The first theme, "missed caring behaviors" included two subthemes: "focusing on routines" and "superficial relationships". The second theme, "transition from routine to care-centered" included three subthemes: "barrier perception", "off the record" and "controlled attachment". The last theme, "transition to caring-healing" consisted of the subthemes "ideal care conscience", "presenting presence", "looking through her window", "healing with caring behaviors". The main theme was reached as "caring behaviors: the focus of nursing". CONCLUSION This study suggests that gynecologic oncology nurses need to adequately and efficiently improve on caring behaviors in an intense caring environment.
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Affiliation(s)
- İlkay Boz
- Faculty of Nursing, Akdeniz University, Antalya, Turkey
| | - Gamze Teskereci
- Kumluca Health Science Faculty, Akdeniz University, Antalya, Turkey
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Klarare A, Söderlund M, Wikman A, McGreevy J, Mattsson E, Rosenblad A. Caring Behaviors Inventory-24: translation, cross-cultural adaptation and psychometric testing for use in a Swedish context. HUMAN RESOURCES FOR HEALTH 2021; 19:11. [PMID: 33472634 PMCID: PMC7816459 DOI: 10.1186/s12960-020-00540-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2020] [Accepted: 11/23/2020] [Indexed: 06/12/2023]
Abstract
BACKGROUND Patients' health and wellbeing are promoted when nurses successfully conceptualize caring in clinical practice. Measuring caring behaviors can advance knowledge about caring and has potential to improve caring practices and the outcomes of care. The Caring Behaviors Inventory-24 (CBI-24) is an empirical instrument for measuring caring, developed to determine perceptions of caring among patients and nurses. Since the instrument was not available in Swedish, the aim of this study was therefore to translate into Swedish and cross-culturally adapt CBI-24 for a Swedish healthcare context, and to psychometrically analyze the Swedish version of CBI-24. METHODS The study used a traditional forward and back translation process in six stages: (1) two simultaneous translations by bilingual experts; (2) expert review committee synthesis; (3) blind back translation; (4) expert review committee deliberations; (5) pre-testing with cognitive interviews, and (6) psychometric evaluations. RESULTS The translation process was systematically conducted and entailed discussions regarding semantic, idiomatic, experiential and conceptual equivalence. The cognitive interviews generated thoughts and reflections, which resulted in adjusting three items of the CBI-24 SWE. For psychometric analyses, 234 persons answered the questionnaire. Results indicated acceptable overall model fit in the χ2-value for the confirmatory factor analysis, while for the heuristic goodness-of-fit indices, the comparative fit index (CFI) and the standardized mean square residual (SMSR) indicated good model fits, and the root mean square error approximation (RMSEA) indicated an acceptable fit. CONCLUSIONS CBI-24 SWE has been shown to be a psychometrically acceptable instrument for use in Swedish research contexts. Further studies regarding the clinical usefulness of the instrument may be in order. In particular, CBI-24 SWE should be evaluated among nurses in rural areas.
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Affiliation(s)
- Anna Klarare
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden.
- Department of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden.
| | - Mona Söderlund
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden
| | - Anna Wikman
- Department of Women's and Children's Health, Reproductive Health, Uppsala University, Uppsala, Sweden
| | - Jenny McGreevy
- Department of Dietetics, Region Sörmland, Nyköping, Sweden
- Centre for Clinical Research Sörmland, Eskilstuna, Sweden
| | - Elisabet Mattsson
- Department of Health Care Sciences, Ersta Sköndal Bräcke University College, Box 11189, 100 61, Stockholm, Sweden
- Department of Women's and Children's Health, Clinical Psychology in Healthcare, Uppsala University, Uppsala, Sweden
| | - Andreas Rosenblad
- Department of Medical Sciences, Clinical Diabetology and Metabolism, Uppsala University, Uppsala, Sweden
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22
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Peršolja M. The quality of nursing care as perceived by nursing personnel: Critical incident technique. J Nurs Manag 2020; 29:432-441. [PMID: 33051916 DOI: 10.1111/jonm.13180] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2020] [Revised: 09/26/2020] [Accepted: 10/04/2020] [Indexed: 11/28/2022]
Abstract
AIMS To identify the determinants of the quality of nursing care from the perceptions of nursing personnel. BACKGROUND The quality of nursing care is often measured with standards, expectations, satisfaction and outcomes, but in developing countries, it relies mostly on negative indicators. METHODS A descriptive qualitative study was used. Semi-structured interviews based on the critical incident technique were conducted with a convenience sample of 136 nursing personnel who told 225 stories. RESULTS Seven quality determinants of nursing care were identified as follows: standard of care, triage and assessment, emergency care, communication with the patient or family, communication with colleagues, multidisciplinary teamwork and helping colleagues. The most important one was the standard of care. CONCLUSION Quality nursing care is based on the degree of excellence nursing personnel show with regard to their competences in technical care, communication and teamwork. A key attribute of quality nursing care is defined by the related standards, and the focus is mostly on the nursing care process. IMPLICATIONS FOR NURSING MANAGEMENT These findings can increase awareness of the determinants of nursing quality and the qualities of the nursing personnel involved and can help managers to evaluate nursing practice, select new employees and organise teams.
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Affiliation(s)
- Melita Peršolja
- Faculty of Health Sciences, University of Primorska, Nova Gorica, Slovenia
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Comparcini D, Simonetti V, Tomietto M, Radwin LE, Cicolini G. Trust in Nurses Scale: validation of the core elements. Scand J Caring Sci 2020; 35:636-641. [PMID: 32666521 DOI: 10.1111/scs.12885] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 05/13/2020] [Accepted: 06/05/2020] [Indexed: 11/30/2022]
Abstract
BACKGROUND The Trust in Nurses Scale (TNS) was developed and psychometrically assessed so that patients' trust could be accurately and reliably measured. The TNS has been translated, assessed and administered to patients in Europe, Asia and North America. AIM This descriptive, cross-sectional, correlational study aimed to assess the psychometric characteristics of the Italian version of the Trust in Nurses Scale. METHODS An Italian version of the TNS was developed. We used a forward-backward translation methodology to establish semantic and conceptual equivalence within the Italian context. The scale was then administered to a convenience sample of 200 hospitalised patients in medical, surgical or oncology units. Internal consistency and construct validity were assessed performing Cronbach's alpha and confirmatory factor analysis (CFA). Both a 4-item and a 5-item TNS were assessed. RESULTS The 4-item TNS demonstrated better construct validity than the 5-item version. Similarly, the internal consistency reliability was better with 4 items than 5 (0.83 and 0.79, respectively). CONCLUSION The Italian version of the scale has acceptable reliability and validity and may be used to assess this aspect of the nurse-patient relationship. Being tested in different settings, it may be used with all patients admitted to hospital. Trust in nurses is critically important to patient outcomes; however, it is rarely measured quantitatively on a wide scale. The use of the Italian validated scale could be useful to increase evidences on this important topic, as it represents a core component of nursing care.
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Affiliation(s)
- Dania Comparcini
- Azienda Ospedaliero Universitaria "Ospedali Riuniti" di Ancona, Ancona, Italy
| | - Valentina Simonetti
- "Politecnica delle Marche" University, Ancona, Italy.,ASUR Marche, Ascoli Piceno, Italy
| | - Marco Tomietto
- Direzione Centrale Salute, Politiche Sociali e Disabilità; Regione Friuli Venezia Giulia., Italy
| | - Laurel E Radwin
- Center for Health Care Organizational and Implementation Research (CHOIR), VA Bonston Healthcare System Boston, West Roxbury, MA, USA
| | - Giancarlo Cicolini
- Department of Biomedical Science and Human Oncology, University of Bari "Aldo Moro", Bari, Italy
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