Nursing Department, Faculty of Health, European University of Lefke, Northern Cyprus, Mersin, Turkey.
Department of Nursing, Islamic Azad University of Urmia, Urmia, Iran.
Nurs Crit Care. 2021 Nov;26(6):523-530. doi: 10.1111/nicc.12590. Epub 2021 Jan 25.
There is an increasing number of studies addressing nurses' perception of caring behaviours; however, on the issue of quality of care, it is important to understand why nurses focus more on certain elements of caring than others, and this needs to investigate influencing factors on, priorities, and predictors of caring behaviours.
The main goal of this study was to determine the predictors and priorities of nurses' caring behaviours in intensive care units to improve the quality of care and patient outcomes.
This is a cross-sectional survey of nurses working in adult and pediatric ICUs in Iran. The participants were 470 ICU nurses from eight hospitals in Iran. Data were collected over 6 months in 2018 using the Persian version of "Caring Assessment Report Evaluation Q-Care"; "Determinants of Nurse Caring Behaviors"; and a demographic data form.
By broad descriptive and analytical analysis, thirteen items were recognized as predictors of caring behaviours. The most important individual predictors reported as "interest in the nursing profession," "moral obligation," and "job experience," respectively. The most important perceived nursing behaviours were, respectively, subscales of "accessible," "monitors/follow-through" and "explains/facilitates."
The results provide insight into new and context-specific predictors of nurses' caring behaviours. These findings suggest that nursing managers, besides selecting skilful staff for ICUs, may consider employing those of higher "interest in the nursing profession"; "moral obligation"; and "job experience." They, also, need to be aware that organizational culture, climate, and values have a great impact on the caring behaviours of nurses. This could help them to handle the complex issue of improving the quality of care more efficiently.
越来越多的研究关注护士对护理行为的感知；然而，在护理质量问题上，了解护士为什么更关注护理的某些方面而不是其他方面很重要，这需要调查影响护理行为的因素、优先事项和预测因素。
本研究的主要目的是确定重症监护病房护士护理行为的预测因素和优先事项，以提高护理质量和患者结局。
这是一项针对伊朗成人和儿科重症监护病房护士的横断面调查。参与者为来自伊朗 8 家医院的 470 名重症监护病房护士。2018 年，使用“关怀评估报告评价 Q-Care”的波斯语版本、“护士关怀行为决定因素”和一份人口统计学数据表格，在 6 个月内收集了数据。
通过广泛的描述性和分析性分析，确定了 13 项可预测护理行为的因素。报告的最重要的个体预测因素分别为“对护理职业的兴趣”、“道德义务”和“工作经验”。被认为最重要的感知护理行为分别是“可及性”、“监测/跟进”和“解释/促进”这三个子量表。
研究结果提供了对护士护理行为新的和特定于情境的预测因素的深入了解。这些发现表明，护理管理人员除了为重症监护病房挑选熟练的员工外，还可以考虑雇用那些对护理职业“更感兴趣”、“有道德义务”和“有工作经验”的人。他们还需要意识到组织文化、氛围和价值观对护士的关怀行为有很大的影响。这可以帮助他们更有效地处理提高护理质量这一复杂问题。
