INVESTIGATION OF ATTITUDES AND BEHAVIORS OF NURSES TOWARDS CARING NURSE-PATIENT INTERACTION IN TURKEY

The interaction with patient is very important in nursing. In Watson's theory of human care, holistic approach and care-oriented interaction come to the fore. This study was implemented in order to examine nurses' attitudes and behaviors towards caring nurse-patient interaction. 183 out of 300 nurses working in inpatient units of a general hospital where the study was conducted participated in the study voluntarily. Data collection with 12-question questionnaire and "Caring Nurse-Patient Interaction Scale"(CNPI-S) developed by Cossette et al. were used. As a result; most of the nurses are women, in the middle age group and 48.6% of them are educated at least at undergraduate level. According to the CNPI-S total scores, the importance dimension is X=292.83±34.04, the efficiency dimension is X=282.93±51.19 and the practicality dimension is X=270.11±56.75 points. When the mean scores of the subscales were examined, it was found that the highest scores belong to the subscales of "necessities”, “helping relationship” and “environment”, and the lowest scores belong to the subscales of "teaching”, “sensitivity” and "problem solving”. Significant differences were found in CNPI-S subscale scores regarding age, education level and nurses' competence in communication (p

Keywords:

Nursing Care, Nurse patient interaction Care politicies, Watson's Human Care Model,

PDF

___

Cossette, S., Cara, C., Ricard, N., Pepin, J. “Assessing nurse-patient interactions from a caring perspective: Report of the development and preliminary psychometric testing of the Caring Nurse-Patient Interactions Scale”, International Journal of Nursing Studies, 42, 6, 673-686, 2005. Doi: 10.1016/j.ijnurstu.2004.10.004
Lukose, A. “Developing apractice model for Watson’s theory of caring”, Nursing Science Quarterly, 24, 1, 27–30, 2011. Doi:10.1177/0894318410389073
Pajnkihar, M., McKenna, H.P., Stiglic, G., Vrbnjak, D. “Fit for practice: Analysis and evaluation of Watson’s theory of human caring”, Nursing Science Quarterly, 30, 3, 243-252, 2017. Doi:10.1177/0894318417708409
Brewer, B.B, Watson, J. “Evaluation of authentic human caring professional practices”, The Journal of Nursing Administration, 45, 12, 622-627, 2015. Doi:10.1097/NNA.0000000000000275
Fleischer, S., Berg, A., Zimmermann, M., Wuste, K., Behrens, J. “Nurse-patient interaction and communication: A systematic literature review”, Journal of Public Health, 17, 339-353, 2009. Doi:10.1007/s10389-008-0238-1
Yalçın, N.A., Aştı, T.A. “Validity and reliability of Turkish version of the Caring Nurse-Patient Interaction Scale”, Florence Nightingale Journal of Nursing, 20, 2, 129-139, 2012. https://dergipark.org.tr/tr/download/article-file/95107
Alshammari, M., Duff, J., Guilhermino, M. “Barriers to nurse–patient communication in Saudi Arabia: An integrative review”, Biomed Center Nursing, 18, 61, 1-10, 2019. https://doi.org/10.1186/s12912-019-0385-4
Yılmaz, D, Çınar, H.G. “Examination of attitudes of nursing department senior students towards caring nurse-patient interaction”, Journal of Human Sciences, 14, 4, 3300-3309, 2017. Doi:10.14687/jhs.v14i4.4911
Bayraktar, D., Eşer, I. “Attitudes and behaviors of nurses towards caring nurse-patient interaction”, Journal of Anatolia Nursing and Health, 20, 3, 188-194, 2017. [Original Work Published in Turkish] https://trdizin.gov.tr/publication/paper/detail/TWpVM09EVTNOdz09
Clark, C.S. “Watson’s Human Caring Theory: Pertinent transpersonal and humanities concepts for educators”, Humanities, 5, 21, 2-12, 2016. Doi:10.3390/h5020021
Özkan, I.A, Okumuş, H. “A model where caring and healing meets: Watson’s theory of human caring”. Hemşirelikte Araştırma Geliştirme Dergisi, 14, 2, 61-72, 2016. http://eds.a.ebscohost.com/eds/pdfviewer/pdfviewer?vid=1&sid=42e9355c-beea-4b1f-b728-c5bd68f67a5b%40sessionmgr4007
Wei, H., Watson, J. “Healthcare inter professional team members' perspectives on human caring: A directed on tent analysis study”, International Journal of Nursing Sciences, 6, 17-23, 2019. https://doi.org/10.1016/j.ijnss.2018.12.001
Tektaş, P., Çam, O. “The effects of nursing care based on Watson's theory of human caring on the mental health of pregnant women after a pregnancy loss”, Archives of Psychiatric Nursing, 31, 440–446, 2017. http://dx.doi.org/10.1016/j.apnu.2017.07.002
Felsmann, M., Andruszkiewicz, A., Kosobucka, A. “The adaptation of the Caring Nurse-Patient Interaction Scale (CNPI-70) to Polish conditions on the basis of nursing students self-assessment of their caring competencies”, Medical and Biological Sciences, 29, 2, 47-55, 2015. Doi: 10.12775/MBS.2015.018
Shitzman, K., Muller, D.H. “Usefulness of Watson’s caring science for online educational practices in disciplines outside of nursing”, Advances in Nursing Science, 41, 4, 53–63, 2018. Doi: 10.1097/ANS.0000000000000223
Haugan, G., Moksnes, U.K. “Intrapersonal self-transcendence, meaning-in-life and nurse–patient interaction: powerful assets for quality of life in cognitively intact nursing home patients”, Scandinavian Journal of Caring Sciences, 30, 790–801, 2016. Doi:10.1111/scs.12307
Haugan, G. “The relationship between nurse–patient interaction and meaning-in-life in cognitively intact nursing home patients”, Journal of Advanced Nursing, 70, 1, 107–120, 2017. Doi: 10.1111/jan.12173
McGilton, K.S., Sorin-Peters, R., Sidani, S., Boscart, V., Fox, M., Rochon, E. “Patient-centred communication intervention study to evaluate nurse-patient interactions in complex continuing care”, Biomed Center Geriatrics, 12, 1, 61-61, 2012. Doi: 10.1186/1471-2318-12-61.
Kaçmaz, E.D., Çam, M.O. “Review of caring nurse-patient interaction for nurses caring for psychiatric patients”. Journal of Psychiatric Nursing, 10 (1), 65-74, 2019. Doi:10.14744/phd.2018.83702
Amoah, V.M.K., et al. “A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients”, Biomed Center Nursing, 18, 4, 1-8, 2019. Doi:10.1186/s12912-019-0328-0
Bridges, J., Griffiths, P., Oliver, E. “Pickering RM. Hospital nurse staffing and staff-patient interactions: an observational study”, BMJ Quality and Safety, 0, 1–8, 2019. Doi:10.1136/bmjqs-2018-008948
Zaybak, A., Ismailoğlu, E.G., Efteli, E. “Nursing students attitudes and behaviors towards caring nurse-patient interaction”, Uluslararası Hakemli Hemşirelik Araştırmaları Dergisi, 1, 2, 24-37, 2014. Doi: 10.17371/UHD.2014210144
Erzincanlı, S., Yüksel, A. “Analysis of attitudes and behaviors of nursing students towards care-focused nurse-patient ınteraction in terms of some variables”, Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21, 1, 10-17, 2018. https://trdizin.gov.tr/publication/paper/detail/TWpnNE56UTVPUT09
Kalender, N., Tosun, N, Çınar, F.I., Bagçivan, G., Yaşar, Z.” Assessing the attitudes and behaviors of nursing students according to Caring Nurse-Patient Interaction scale”, Gulhane Medical Journal, 58, 277-281, 2016. Doi:10.5455/Gülhane.181127
Jiang, L.L., Ruan, H., Xiang, X.J, Jia, Q.”Investigation and analysis of the caring attitude and behaviour of nurses in Shanghai, China”, International Journal of Nursing Practice, 21, 426–432, 2015. Doi: 10.1111/ijn.12287
Chan, Z.C.Y, Lai, C.K.Y. “The nurse-patient communication: voices from nursing students”, International Journal of Adolescent Medicine and Health, 29, 6, 1-9, 2017. Doi: 10.1515/ijamh-2016-0023.
Lechleitner, R.A. “Study to assess home health nurses from a carative perspective”, Hospital Topics, 97, 1, 11-14, 2019. Doi: 10.1080/00185868.2018.1551735 Kapat