专业护理价值观和跨文化敏感性对高年级护生以患者为中心的护理能力的影响：一项使用结构方程模型的横断面研究。

The effects of professional nursing values and intercultural sensitivities on patient-centred care competencies among senior student nurses: a cross-sectional study using structural equation modeling.

作者信息

Guven Ozdemir Nur, Demirel Merve, Bakay Selahattincan, Kaya Berke

机构信息

Health Science Faculty, Fundamentals of Nursing Department, Zonguldak Bülent Ecevit University, Zonguldak, Türkiye.

Thoracic Surgery Department, Republic of Türkiye Ministry of Health, Kocaeli City Hospital, Kocaeli, Türkiye.

出版信息

BMC Nurs. 2025 Aug 4;24(1):1008. doi: 10.1186/s12912-025-03653-1.

DOI:10.1186/s12912-025-03653-1

PMID:40759945

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12323026/

Abstract

BACKGROUND

Professional nursing values and intercultural sensitivity are significant forces in providing patient-centred care. However, there is a need for a study that demonstrates the relationships between these variables through hypothetical models. In this regard, this research examines the effect of professional nursing values on patient-centred care competencies through the mediating role of intercultural sensitivities among senior student nurses.

METHODS

A cross-sectional study was conducted using structural equation modeling. 799 senior student nurses who volunteered to participate in the research were included from six universities in six regions of Türkiye. Data were collected online between May 15 and July 15, 2023. Data were collected using a structured information form, the Turkish versions of The Nurses' Professional Values Scale-Revised, Intercultural Sensitivity Scale, and Patient-Centred Care Competency Scale. A hypothesized model was tested using path analysis.

RESULTS

Professional nursing values had a direct positive impact on intercultural sensitivity (β = 0.379, p < 0.001), and intercultural sensitivity had a direct positive impact on patient-centred care competency (β = 0.213, p < 0.001). Furthermore, professional nursing values directly impacted patient-centred care competency (β = 0.398, p < 0.001). On the other hand, intercultural sensitivity partially mediated the relationship between professional nursing values and patient-centred care competency (β = 0.081, 95% CI of 0.051-0.113).

CONCLUSIONS

Patient-centred care competency is positively affected by professional nursing values. Intercultural sensitivity partially mediates this effect among senior student nurses. The findings of this study can inform the development of educational strategies and interventions for developing patient-centred care competencies of senior student nurses.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

专业护理价值观和跨文化敏感性是提供以患者为中心的护理的重要力量。然而，需要一项研究通过假设模型来证明这些变量之间的关系。在这方面，本研究通过跨文化敏感性在高年级护生中的中介作用，考察专业护理价值观对以患者为中心的护理能力的影响。

方法

采用结构方程模型进行横断面研究。从土耳其六个地区的六所大学中纳入了799名自愿参与研究的高年级护生。2023年5月15日至7月15日通过在线方式收集数据。使用结构化信息表、土耳其语版的《护士专业价值观量表修订版》、《跨文化敏感度量表》和《以患者为中心的护理能力量表》收集数据。使用路径分析对假设模型进行检验。

结果

专业护理价值观对跨文化敏感性有直接的正向影响（β = 0.379，p < 0.001），跨文化敏感性对以患者为中心的护理能力有直接的正向影响（β = 0.213，p < 0.001）。此外，专业护理价值观对以患者为中心的护理能力有直接影响（β = 0.398，p < 0.001）。另一方面，跨文化敏感性部分中介了专业护理价值观与以患者为中心的护理能力之间的关系（β = 0.081，95%可信区间为0.051 - 0.113）。