Khademian Zahra, Vizeshfar Fatemeh
Nursing Department, Fatemeh (PBUH) School of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
J Adv Nurs. 2008 Feb;61(4):456-62. doi: 10.1111/j.1365-2648.2007.04509.x.
This paper is a report of a study to determine the nursing students' perceptions of the importance of caring behaviours.
Caring has been considered as the essence of nursing. It is believed that caring enhances patients' health and well-being and facilitates health promotion. Nursing education has an important role in educating the nurses with adequate caring abilities.
Ninety nursing students (response rate 75%) responded to a questionnaire consisting of 55 caring behaviours adapted from items on Caring Assessment Questionnaire (Care-Q). Behaviours were ranked on a 5-point Likert-type scale. The caring behaviours were categorized in seven subscales: 'accessibles', 'monitors and follows through', 'explains and facilitates', 'comforts', 'anticipates', 'trusting relationship' and 'spiritual care'. Data were collected in Iran in 2003.
The students perceived 'monitors and follows through' (mean = 4.33, SD = 0.60) as the most and 'trusting relationship' (mean = 3.70, SD = 0.62) as the least important subscales. 'To give patient's treatments and medications on time' and 'to do voluntarily little things...' were the most and least important caring behaviours, respectively. 'Explains and facilitates' statistically and significantly correlated with age (r = 0.31, P = 0.003) and programme year (r = 0.28, P = 0.025). Gender had no statistically significant influence on students' perceptions of caring behaviours.
Further research is needed, using longitudinal designs, to explore nursing students' perceptions of caring behaviours in different cultures, as well as evaluation studies of innovations in curriculum and teaching methods to improve learning in relation to cultural competence and caring concepts.
本文是一项关于确定护理专业学生对关怀行为重要性认知的研究报告。
关怀被视为护理的精髓。人们认为关怀能增进患者的健康和幸福,并促进健康。护理教育在培养具备足够关怀能力的护士方面发挥着重要作用。
90名护理专业学生(回复率75%)回答了一份问卷,问卷包含从关怀评估问卷(Care-Q)项目改编而来的55种关怀行为。这些行为按5点李克特量表进行排序。关怀行为分为七个子量表:“可及性”、“监测与跟进”、“解释与协助”、“安慰”、“预见”、“信任关系”和“精神关怀”。数据于2003年在伊朗收集。
学生们认为“监测与跟进”(均值 = 4.33,标准差 = 0.60)是最重要的子量表,而“信任关系”(均值 = 3.70,标准差 = 0.62)是最不重要的子量表。“按时给予患者治疗和药物”和“自愿做些小事……”分别是最重要和最不重要的关怀行为。“解释与协助”在统计学上与年龄(r = 0.31,P = 0.003)和课程年份(r = 0.28,P = 0.025)显著相关。性别对学生对关怀行为的认知没有统计学上的显著影响。
需要采用纵向设计进行进一步研究,以探索不同文化背景下护理专业学生对关怀行为的认知,以及对课程和教学方法创新的评估研究,以提高与文化能力和关怀概念相关的学习效果。