Bahari Zahra, Vosoghi Nazila, Ramazanzadeh Nargess, Moshfeghi Shohreh, Aghamohammadi Masoumeh
Department of Emergency Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Pediatric Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.
BMC Nurs. 2024 Aug 26;23(1):595. doi: 10.1186/s12912-024-02241-z.
Patient trust in medical staff is an important ethical issue that can influence various patient behaviors and attitudes, such as seeking healthcare, sharing confidential information, accepting treatment, and adhering to recommendations. This study aimed to assess patient trust in nurses and its relationship to the quality of care and communication skills of nurses in emergency departments.
This descriptive correlational study was conducted in 2023 in the emergency departments of medical training centers of Ardabil University of Medical Sciences, Iran. A total of 378 patients was selected using a quota sampling method. Data were collected using three valid and reliable tools: the Quality Patient Care (QUALPAC) scale, the Health Communication Feedback Questionnaire (HCFQ), and the Trust in Nurses Scale (TNS).The data were analyzed using independent t-tests, one-way analysis of variance, and Pearson's correlation coefficient tests using SPSS version 24.
The majority of patients (99.2%) rated nurses' communication skills as moderate, with none rating them as poor. The average scores were 27.59 ± 2.76 for patient trust in nurses, 72.43 ± 3.30 for nurses' communication skills, and 198.30 ± 14.60 for the quality of nursing care. A significant correlation was found between patient trust in nurses and the overall quality of nursing care (r = 0.256, P < 0.001) as well as its dimensions. However, there was no significant relationship between patient trust in nurses and patient's perception of the nurses' communication skills (r = 0.046, P = 0.369).
The findings indicate that patient trust in nurses is positively and significantly associated with the perceived quality of nursing care. As the quality of care improves, patient trust in nurses also increases. Therefore, nurses should focus on providing high-quality care to enhance patient trust.
患者对医护人员的信任是一个重要的伦理问题，会影响患者的各种行为和态度，如寻求医疗保健、分享机密信息、接受治疗以及遵循建议。本研究旨在评估患者对护士的信任及其与急诊科护士护理质量和沟通技巧的关系。
这项描述性相关性研究于2023年在伊朗阿尔达比勒医科大学医学培训中心的急诊科进行。采用配额抽样法共选取了378名患者。使用三种有效且可靠的工具收集数据：优质患者护理（QUALPAC）量表、健康沟通反馈问卷（HCFQ）和护士信任量表（TNS）。使用SPSS 24版进行独立t检验、单因素方差分析和Pearson相关系数检验来分析数据。
大多数患者（99.2%）将护士的沟通技巧评为中等，无人评为差。患者对护士的信任平均得分为27.59±2.76，护士的沟通技巧平均得分为72.43±3.30，护理质量平均得分为198.30±14.60。发现患者对护士的信任与护理的整体质量（r = 0.256，P < 0.001）及其维度之间存在显著相关性。然而，患者对护士的信任与患者对护士沟通技巧的认知之间没有显著关系（r = 0.046，P = 0.369）。
研究结果表明，患者对护士的信任与感知到的护理质量呈正相关且具有显著关联。随着护理质量的提高，患者对护士的信任也会增加。因此，护士应专注于提供高质量护理以增强患者信任。
