Department of Nursing Science, University of Turku, Turku, Finland.
Department of Nursing Science, Turku University Hospital, University of Turku, Turku, Finland.
J Clin Nurs. 2019 Nov;28(21-22):3848-3857. doi: 10.1111/jocn.15013. Epub 2019 Aug 9.
To investigate older hospital patients' perceptions of respect in a patient-nurse relationship and its associated factors.
To be cared for with respect is fundamental to ethical nursing care. However, respect has seldom been a main topic of nursing research, and few of these studies have assessed older patients' perceptions of being respected by nurses alongside associated factors.
A cross-sectional, descriptive and correlational survey design.
Hospitalised older patients (n = 200) were interviewed using the ReSpect Scale, measuring respect within the nurse-patient relationship, the EuroQol 5D-5L, measuring perceived health status, and the Patient Satisfaction Scale, measuring satisfaction with nursing care. Sociodemographic characteristics were also collected. Data were analysed using descriptive statistics, Pearson's correlation coefficient, the t test and analysis of variance. The STROBE Statement was used for reporting this research.
Older patients reported moderate levels of perceived respect in their patient-nurse relationships. A statistically significant, strong positive correlation between patient satisfaction and their perceptions of respect was found. Poor perceived health status was also statistically significantly associated with older patients' perceptions of respect. No statistically significant associations between patients' other sociodemographic characteristics and their perceptions of respect were found.
The identification of factors and their associations with respect is a basic step towards theory generation. Further empirical research is needed to test the preliminary associations found in this study to further develop the current understanding of respect and its associated factors.
The older patients' perceptions of respect highlighted in this study show the need for the further consideration, reflection and development of this important aspect of the relationship between patients and nurses. The identification and measurement of respect and its associated factors may help to improve respect in nursing care making it more visible in the care of older people.
调查老年住院患者对护患关系中尊重的感知及其相关因素。
得到尊重是护理伦理的基本要求。然而，尊重在护理研究中很少成为主要话题，这些研究中很少有评估老年患者对护士尊重的看法以及相关因素。
横断面、描述性和相关性调查设计。
采用尊重量表（Respect Scale）对 200 名住院老年患者进行访谈，该量表测量护患关系中的尊重程度，同时使用欧洲五维健康量表-5 维度简表（EuroQol 5D-5L）测量患者感知的健康状况，以及患者满意度量表（Patient Satisfaction Scale）测量对护理的满意度。还收集了患者的社会人口学特征。使用描述性统计、Pearson 相关系数、t 检验和方差分析对数据进行分析。本研究报告符合 STROBE 声明。
老年患者报告在护患关系中感受到中等程度的尊重。患者满意度与其对尊重的感知之间存在统计学上显著的强正相关。较差的感知健康状况也与老年患者对尊重的感知存在统计学上显著的相关性。患者的其他社会人口学特征与他们对尊重的感知之间没有统计学上显著的相关性。
确定尊重的因素及其相关性是产生理论的基本步骤。需要进一步的实证研究来检验本研究中发现的初步关联，以进一步发展对尊重及其相关因素的现有理解。
本研究中强调的老年患者对尊重的感知表明，需要进一步考虑、反思和发展患者与护士关系中这一重要方面。识别和测量尊重及其相关因素可能有助于提高护理中的尊重程度，使老年人的护理更加可见。
