College of Nursing, University of the Philippines, Manila, Philippines.
J Adv Nurs. 2012 May;68(5):994-1002. doi: 10.1111/j.1365-2648.2011.05795.x. Epub 2011 Jul 27.
This article is a report on a Synergy Model-guided correlational study of the direct and indirect relations of nurse-characteristics and patient characteristics to patient satisfaction, as mediated by nurse-patient dyad bonding.
Findings from previous studies have revealed that interventions alone do not fully account for patient outcomes, and that the effect of interventions on outcomes is mediated by factors such as interpersonal communication. The characteristics of the nurse and the patient synergize during their interaction, forming nurse-patient dyad bonding that affects patient satisfaction. Patient satisfaction is regarded as a critical part of the quality outcomes in healthcare.
A total of 210 nurse-patient dyadic interactions were observed using the Nurse-Patient Bonding Instrument. Nurse characteristics and patient characteristics were gathered through observation, interview and chart review. Data were collected in 2008 from four hospitals in the Philippines.
Path analysis revealed that the patient characteristic of predictability had both direct effect and indirect effects on patient satisfaction, and that the nurse characteristic of facilitation of learning had an indirect effect on patient satisfaction. Nurse-patient dyad bonding mediated the relations between patient predictability and patient satisfaction, and nurse facilitation of learning and patient satisfaction.
The nurse and the patient both have a role to play in forming a therapeutic dyadic relationship that brings about the desired outcome. Further research on the formation and development of nurse-patient dyads in other settings and with other patient outcomes is recommended.
本文是一篇协同模型指导的相关研究报告，旨在探讨护士特征和患者特征与患者满意度之间的直接和间接关系，以及护士-患者配对关系在其中的中介作用。
先前的研究结果表明，干预措施本身并不能完全解释患者的结局，干预措施对结局的影响是由人际沟通等因素介导的。护士和患者在互动过程中相互作用，形成影响患者满意度的护士-患者配对关系。患者满意度被视为医疗保健质量结果的关键部分。
使用护士-患者配对关系量表观察了 210 对护士-患者配对关系。通过观察、访谈和病历回顾收集护士特征和患者特征的数据。数据于 2008 年在菲律宾的 4 家医院收集。
路径分析显示，患者的可预测性特征对患者满意度具有直接和间接影响，而护士的促进学习特征对患者满意度具有间接影响。护士-患者配对关系中介了患者可预测性与患者满意度、护士促进学习与患者满意度之间的关系。
护士和患者在形成治疗性配对关系以达到预期结果方面都发挥着作用。建议在其他环境和其他患者结局下进一步研究护士-患者配对关系的形成和发展。
