Christopher K A, Hegedus K
College of Nursing, University of Massachusetts, Dartmouth, Old Westport Road, North Dartmouth, MA 02747, USA.
Eur J Oncol Nurs. 2000 Dec;4(4):196-204; discussion 205-6. doi: 10.1054/ejon.2000.0108.
Previous research on patients' and nurses' perceptions of nurse caring behaviours has documented significant differences in the ranking of important behaviours. However, these samples have included a variety of medical-surgical patients and nurses and different types of institutional settings, all of which may have affected the results. The present study sought to determine if patients and nurses from one subspecialty area and one institution would have more concordant perceptions of caring. Forty-four oncology patients and 49 oncology nurses completed the Respondents Perceptions of Caring Behaviour Scale (RPCBS). Results showed that overall mean patient rankings were highly correlated with mean nurse rankings (Spearman's correlations coefficient 0.94, P<0.0001). The Wilcoxon two-sample rank sum test was used to test the difference in rank of the 20 items between the patients and nurses. There was a significant difference in rank in only six of the 20 items. These data suggest that oncology patients and nurses have more concordant perceptions of caring than previously investigated groups. Implications for practice and further research are discussed.
先前关于患者和护士对护士关怀行为认知的研究记录了重要行为排名上的显著差异。然而，这些样本包括了各类内科-外科患者和护士以及不同类型的机构环境，所有这些都可能影响了研究结果。本研究旨在确定来自一个亚专业领域和一个机构的患者和护士对关怀是否会有更一致的认知。44名肿瘤患者和49名肿瘤护士完成了关怀行为量表（RPCBS）。结果显示，患者总体平均排名与护士平均排名高度相关（斯皮尔曼相关系数0.94，P<0.0001）。采用威尔科克森两样本秩和检验来检验患者和护士对20个项目的排名差异。20个项目中只有6个项目的排名存在显著差异。这些数据表明，与之前调查的群体相比，肿瘤患者和护士对关怀有更一致的认知。文中讨论了对实践和进一步研究的启示。
