Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Nurs. 2010 Jun 15;9:10. doi: 10.1186/1472-6955-9-10.
Caring is the essence of nursing. Caring to be meaningful needs to be based on mutual agreement between nurses and patients as to what constitutes nurse caring behaviors. As a result, healthcare professional can enhance patients' satisfaction of care by providing appropriate caring behavior. However, previous research that combined multiple types of patients, nurses and institutions demonstrated disagreement in prioritizing important behaviors. This paper reports a study that aimed at determining the caring behaviors which oncology patients and oncology nurses perceive to be the most important.
This study is a comparative descriptive design that was conducted in an Iranian oncology centre. Convenience sampling was used to recruit 200 patients and 40 nurses to take part in the study. Data were collected over a period of 4 months in 2009 using the Caring Assessment Questionnaire, developed by Larson. Caring behaviors (n = 57) were ranked on a 5-point Likert-type scale and ordered in six subscales: "Being accessible", "Explains and facilitates", "Comforts", "Anticipates", "Trusting relationship", "Monitors and follows through". The data were analyzed using SPSS software version 13.0. The overall mean was calculated for each subscale to determine the rank distribution of the subscales. The nonparametric Mann-Whitney U test analysis of variables was used to compare patients' and nurses' scores on subscales.
The results demonstrate that both groups considered the same order of importance of caring, the high ranking of "Monitors and Follows through and "Being Accessible" and the low ranking of "Comforts" and "Trusting Relationships". Also, Patients only ranked "Being accessible" (p = 0.04) and "Explains and facilitates" (p = 0.03) higher than nurses.
The oncology patients and nurses perceived highly physical aspects of caring and the results provide for nurses to be aware of the need, during their interactions with patients, to validate the effect their intended caring has upon patients. By so doing and with further refinement of the concept of caring for nursing in studies such as this, the practical aim of making patients feel cared for can be achieved.
关怀是护理的核心。要使关怀有意义，护士和患者需要就构成护理关怀行为的内容达成共识。因此，医护人员可以通过提供适当的关怀行为来提高患者对护理的满意度。然而，之前的研究表明，不同类型的患者、护士和机构对重要行为的优先顺序存在分歧。本文报告了一项旨在确定肿瘤患者和肿瘤护士认为最重要的关怀行为的研究。
这是一项在伊朗肿瘤中心进行的比较描述性设计研究。采用便利抽样法招募 200 名患者和 40 名护士参与研究。研究于 2009 年进行，共收集了 4 个月的数据，使用由 Larson 开发的关怀评估问卷。关怀行为（n=57）以 5 点 Likert 量表评分，并在 6 个分量表中进行排序：“可及性”、“解释和促进”、“安慰”、“预测”、“信任关系”、“监测和跟进”。使用 SPSS 软件版本 13.0 分析数据。计算每个分量表的总分，以确定分量表的排名分布。使用非参数 Mann-Whitney U 检验分析变量，比较患者和护士在分量表上的得分。
结果表明，两组都认为关怀的重要性顺序相同，“监测和跟进”和“可及性”的排名较高，“安慰”和“信任关系”的排名较低。此外，患者只将“可及性”（p=0.04）和“解释和促进”（p=0.03）的评分高于护士。
肿瘤患者和护士高度重视护理的身体方面，研究结果提醒护士在与患者互动时，需要验证他们有意护理对患者的影响。通过这样做，并在今后的研究中进一步完善护理关怀的概念，可以实现让患者感到被关怀的实际目标。
