Patients' and Nurses' Perceptions of Importance of Caring Nurse-Patient Interactions: Do They Differ?

Effects of motivational interviewing and an education programme based on Watson's theory of human caring on adults receiving haemodialysis: randomised controlled trial

Background

Effective haemodialysis management is crucial, and behavioural change interventions are essential for good haemodialysis self-management. However, no study explores the effects of Watson's theory such as the humanistic approach to behavioural change in haemodialysis.

Aims

To evaluate the effects of motivational interviewing and an education programme based on Watson's theory on adherence to treatment, satisfaction and health-related quality of life (HRQOL) on haemodialysis.

Methods

This study was conducted in Turkey. Intervention group received four sessions of motivational interviewing and an education programme based on Watson's theory, and the control group received routine care. The primary outcomes were adherence to fluid intake, diet and medication, attendance at haemodialysis sessions, satisfaction and HRQOL. The secondary outcomes were laboratory parameters.

Results

Participants were randomly assigned to the intervention (n = 32) or the control group (n = 28). There were statistically significant between-group differences in adherence to fluid intake, diet and medication, and the kidney disease burden sub-dimension of HRQOL, with medium to large effect sizes. There was no difference in laboratory parameters. Participants showed high levels of satisfaction with this programme.

Conclusions

This study provides evidence for nurses regarding Watson's theory-based programme in a haemodialysis population. Results will help nurses to develop and practice customised effective interventions for haemodialysis.

Caring skills in nursing students at a university

Caring skills are essential in the training of nursing professionals, because they allow them to learn and gain experience in the quality and compassionate care of future patients. The objective is to compare the Caring Skills (CS) in nursing students according to age range, experience and family environment. A descriptive comparative study was carried out. The sample consisted of 176 nursing students from a Peruvian university. The age range was 18 to 27 years. A patient care skills scale was applied. This scale has three indicators (knowledge, courage and patience) and 37 questions. There were no differences in the three indicators (knowledge, courage and patience) when compared by age range (P>0.05). There were significant differences when compared by age range between students living with family and living alone (P<0.05). There was no difference between students who had experience vs. those who had no experience in patient care (P>0.05). It was determined that age and living with family members are determinant in the CS of nursing students of a Peruvian university. There were no differences between experienced and inexperienced students.

Impact of Authentic Leadership on Nurses' Ethically Oriented Practices and Patient-Oriented Outcomes: A Multilevel Analysis

Objectives: Authentic leadership is considered to be a popular leadership style within the health sector. However, despite the team-oriented work context in hospitals, most research in the health sector is based on data collected from individuals and not teams. Utilizing a multilevel modeling approach, this study aimed to examine the impact of authentic leadership on nursing outcomes at both individual and team levels. It aims to explore the impact of team-level authentic leadership on nursing outcomes at both team and individual levels. Methods: A survey was conducted in hospitals operating in Cairo, Egypt to test the proposed model. Data were collected from 40 nurse supervisors and 200 nurse subordinates in a time-lagged design. Given the multilevel nature of the data (individuals nested within groups), the study's hypotheses were tested utilizing multilevel modeling that incorporates the nonindependence of observations obtained from lower levels nested within higher levels. Results: Results suggest that the hypothesized model was a good fit to the data (CMIN/DF = 1.362, CFI = 0.957, TLI = 0.955, IFI = 0.958, and RMSEA = 0.049). Empirical results suggest that team-level authentic leadership positively predicted nursing teams' performance in improving patient comfort (β = 2.17, p < 0.05) and their ethically oriented nursing practices (β = 0.664, p < 0.05). Nurses' ethically oriented practices positively predicted nurses' patient-oriented performance (β = 0.188, p < 0.05) and mediated the link between authentic leadership and patient-oriented performance (UCI-0.6744, LCI-0.0474). The relationship between authentic leadership and ethically oriented practices was moderated by nurses' compassion at work (β = 0.129, p < 0.05), such that it was stronger when nurses had higher levels of compassion. Conclusion: Nursing supervisors who practice authentic leadership can enhance nursing teams' performance regarding patient comfort. Authentic leadership can also foster ethical orientation in nurses. Furthermore, a nurse's compassion at work has a synergetic effect with authentic leadership to increase ethically oriented practices.

Exploring nurses' experiences of caring for older adults with cancer: a meta-synthesis of qualitative evidence

Nurses' important role in cancer treatment shows the need to explore their experiences caring for older adults with cancer, an area where previous research has identified a research gap.

This review aimed to synthesize the existing qualitative findings on nurses' experiences of caring for older adults with cancer.

Meta-synthesis.

A systematic search of four electronic databases was conducted using relevant keywords, from January 2000 to April 2024, with an update in July 2024.

A meta-synthesis using thematic analysis was employed to integrate the primary qualitative findings. The reporting of this review adhered to the ENTREQ guidelines.

Four analytical themes emerged: (1) unpacking the emotional and psychological toll, (2) facilitating effective connections with patients, (3) addressing practical and logistical challenges, and (4) navigating role dynamics in cancer care.

This meta-synthesis identified the need of prioritizing nurses' emotional, psychological, and practical well-being in cancer care, particularly when caring for older adults. By acknowledging and addressing the emotional and psychological strain, fostering meaningful patient connections, managing practical challenges, and navigating role dynamics, healthcare systems can enhance the quality of care for older cancer patients and support the well-being of nurses in this critical role.

Feasibility of motivational interviewing on emotional authenticity, academic motivation and dispositional optimism among Saudi Nursing Students: A randomized controlled trial

AIM

Determine the effect of motivational interviewing on emotional authenticity, academic motivation and dispositional optimism among Saudi nursing students.

BACKGROUND

Nursing students in Saudi Arabia face various challenges that can impact their emotional authenticity, optimism and academic motivation. As the nursing field grows in Saudi Arabia, maintaining a sustainable nursing workforce and defining the scope of practice present challenges. Therefore, investigating feasible interventions to promote the well-being and success of Saudi nursing students is crucial.

DESIGN

A randomized controlled trial research design was followed. Each study participant was randomly assigned 1:1 to either the intervention group or the control group.

METHOD

The study involved 70 nursing students, who were randomly divided into an intervention group (n = 35) and a control group (waiting list) (n = 35). Pre-tests and post-tests were administered to evaluate the impact of motivational interviewing program implemented between April 2024 and mid-August 2024.

RESULTS

Following the intervention, the study group demonstrated substantial enhancements in Authenticity Inventory scores, Academic Motivation Scale scores and dispositional optimism, with p-values consistently below 0.001 and large effect sizes ranging from 0.650 to 0.937. Comparing to the control group, the study group showed marked increases in positive optimism and decreases in negative optimism, alongside a reduction in amotivation.

CONCLUSION

The study demonstrates that the motivational interviewing intervention led to significant improvements in various aspects of emotional authenticity, including self-awareness, unbiased emotional processing and authentic behaviors and relational orientations. Additionally, the study group exhibited substantial increases in intrinsic and extrinsic academic motivation and a reduction in amotivation.

The research hotspots and theme trends of artificial intelligence in nurse education: A bibliometric analysis from 1994 to 2023

OBJECTIVES

To explore research hotspots and theme trends in artificial intelligence in nurse education using bibliometric analysis.

DESIGN

Bibliometric analysis.

DATA SOURCES

Literature from the Web of Science Core Collection from the time of construction to October 31, 2023 was searched.

REVIEW METHODS

Analyses of countries, authors, institutions, journals, and keywords were conducted using Bibliometrix (based on R language), CiteSpace, the online analysis platform (bibliometric), Vosviewer, and Pajek.

RESULTS

A total of 135 articles with a straight upward trend over the last three years were retrieved. By fitting the curve R2 = 0.6022 (R2 > 0.4), we predicted that the number of annual articles is projected to grow in the coming years. The United States (n = 38), the National University of Singapore (n = 16), Professor Jun Ota (n = 8), and Nurse Education Today (n = 14) are the countries, institutions, authors, and journals that contributed to the most publications, respectively. Collaborative network analysis revealed that 32 institutional and 64 author collaborative teams were established. We identified ten high-frequency keywords and nine clusters. We categorized the research hotspots of artificial intelligence in nurse education into three areas: (1) Artificial intelligence-enhanced simulation robots, (2) machine learning and data mining, and (3) large language models based on natural language processing and deep learning. By analyzing the temporal and spatial evolution of keywords and burst detection, we found that future research trends may include (1) expanding and deepening the application of AI technology, (2) assessment of behavioral intent and educational outcomes, and (3) moral and ethical considerations.

CONCLUSIONS

Future research should be conducted on technology applications, behavioral intent, ethical policy, international cooperation, interdisciplinary cooperation, and sustainability to promote the continued development and innovation of AI in nurse education.

Impact of nurse-patient interaction levels on nurses' humanistic practice: A cross-sectional, descriptive, and correlational study

OBJECTIVE

The aim of this study is to analyze the levels of nurses-patients interaction, as well as the humanistic practices in the field of nurse´s care.

METHOD

This cross-sectional and correlational study was conducted with 291 nurses in Istanbul between May-August 2022. The los datos were collected using the Personal Information Form, Caring Nurse-Patient Interaction-Short Form (CNPI), and Humanistic Practice Ability of Nursing (HPAN).

RESULTS

Nurses' mean scores from the importance, competence, and feasibility variables of the CNPI were 104.33 ± 12.56, 99.66 ± 13.99, and 96.90 ± 15.26, respectively. The mean score from the HPAN was 133.75 ± 11.75.

CONCLUSION

Based on the correlation, the importance, competence, and feasibility variables of CNPI were significantly associated with humanistic practice ability.

Effects of Doula Care on Mother and Infant Health Outcomes in Al-Ahsa Region, Saudi Arabia: A Retrospective Cohort Study

Introduction Continued supportive care during childbirth may be the key to preventing unfavorable outcomes for both mother and child. It is important to assess and comprehend the sources of assistance available during pregnancy in order to enhance the birthing process and promote favorable outcomes. Objectives The current study aimed to assess the impact of ongoing doula support on mother and infant health outcomes compared to standard care. Methods A retrospective cohort study using both medical records and direct interviews based on information in the data collection form was carried out in the Eastern Province of Saudi Arabia, Al-Ahsa Region. The data that were collected included demographic information, obstetric history, delivery data, and postpartum outcome. Results A total of 50 pregnant women receiving doula care and 100 pregnant women receiving standard care were included. Regarding the mode of delivery, 43 (86%) of the doula group had vaginal deliveries compared to 73 (73%) of the standard care group, while CSs were needed for seven (14%) and 27 (27%), respectively (P = 0.78). Only seven (14%) neonates in the doula group required neonatal intensive care unit admission, versus 22 (22%) in the standard care group (P = 0.246). Additionally, initial breastfeeding within the golden hour occurred in 27 (54%) of the doula group compared to 16 (16%) of the standard care group, while exclusive breastfeeding was reported in 32 (64%) of the doula group compared to 26 (26%) of the standard care group (P < 0.001). Conclusion The current study showed more advantageous delivery and postpartum outcomes among doula care women and their infants compared to standard care, mainly for increasing the rate of initiated breastfeeding within the golden hour, exclusive breastfeeding, and reducing postpartum depression.

Intensity of Interprofessional Collaboration and related factors in Intensive Care Units. A descriptive cross-sectional study with an analytical approach

OBJECTIVE

To determine the Intensity of Collaboration between the intensive care professionals of a third level hospital.

METHOD

Descriptive cross-sectional study with an analytical approach.

SETTING

6 intensive care units of a third level hospital.

SAMPLE

nurses and doctors. Consecutive type non-probabilistic sampling.

DATA COLLECTION

sociodemographic, economic, motivation and professional satisfaction variables, and the intensity of collaboration using the "Scale of Intensity of Interprofessional Collaboration in Health."

RESULTS

A total of 102 health professionals (91 nurses and 11 doctors) were included. The mean overall Intensity of Collaboration (IoC) was moderate. Men showed higher scores in all factors (p<.05). The IoC global score was higher in the group of professionals with ≤10 years of experience (p=.043) and those who were highly satisfied with the profession (p=.037). Physicians presented higher scores in the global IdC (p=.037) and in the Collaboration mean (p=.020) independently in the multivariate models. A negative linear relationship (rho: -0,202, p=.042) was observed between age and the overall IoC score. Professionals aged ≤30years reported a higher perception of Shared Activities (p=.031). Negative linear relationships were observed between years of experience and total IoC score (rho: -0,202, p=.042) and patients' Perception score (rho: -0.241, p=0.015). The research activity also showed to be a variable related to a greater degree of Collaboration at a global level and in some of the factors (p<.05). The scale of IoC obtained a Cronbach's α of 0,9.

CONCLUSIONS

The intensity of interprofessional collaboration in ICUs is moderate. Professionals with experience of ≤10 years, a higher level of satisfaction and participation in research activities show a greater intensity of collaboration. Doctors perceive collaboration more intensely than nurses. All factors contribute equally to the internal consistency of the questionnaire.

From incivility to outcomes: tracing the effects of nursing incivility on nurse well-being, patient engagement, and health outcomes

BACKGROUND

Nursing incivility, defined as disrespectful behaviour toward nurses, is increasingly recognized as a pressing issue that affects nurses' well-being and quality of care. However, research on the pathways linking incivility to outcomes is limited, especially in Saudi hospitals.

METHODS

This cross-sectional study examined relationships between perceived nursing incivility, nurse stress, patient engagement, and health outcomes in four Saudi hospitals. Using validated scales, 289 nurses and 512 patients completed surveys on exposure to incivility, stress levels, activation, and medication adherence. The outcomes included readmissions at 30 days and satisfaction.

RESULTS

More than two-thirds of nurses reported experiencing moderate to severe workplace incivility. Correlation and regression analyzes revealed that nursing incivility was positively associated with nursing stress. An inverse relationship was found between stress and patient participation. Serial mediation analysis illuminated a detrimental cascade, incivility contributing to increased nurse stress, subsequently diminishing patient engagement, ultimately worsening care quality. Conclusions The findings present robust evidence that nursing incivility has adverse ripple effects, directly impacting nurse well-being while indirectly affecting patient outcomes through reduced care involvement. Practical implications advocate for systemic interventions focused on constructive nursing cultures and patient empowerment to improve both healthcare provider conditions and quality of care. This study provides compelling information to inform policies and strategies to mitigate workplace mistreatment and encourage participation among nurses and patients to improve health outcomes.

Effectiveness of educational interventions for nurses caring for patients with chronic kidney disease in improving nurse outcomes: A systematic review

AIM

The aim of the study was to evaluate the effectiveness of educational interventions for nurses caring for patients with chronic kidney disease in improving knowledge, nurse-patient interaction, performance, skills competence and clinical decision-making.

DESIGN

Systematic review.

METHODS

Search of literature for randomised controlled trials, quasi-experimental studies and pre-experimental studies on chronic kidney disease-related educational interventions for nurses was conducted across 10 databases. Two reviewers independently screened articles, appraised studies and extracted data.

DATA SOURCES

PubMed, Cochrane, Embase, CINAHL Complete, ERIC, Social Science Database, ASSIA, Scopus, Web of Science and ProQuest Thesis and Dissertations Global databases were searched from date of inception to 21 December 2022.

RESULTS

Three randomised controlled trials and eight pre-experimental studies were included in this review. Synthesis without meta-analysis was conducted due to high heterogeneity among studies. Interventions with teaching sessions, learning activities, self-study modules, discussion and a web-based training system were effective in improving nurses' knowledge, nurse-patient interaction, performance, skills competence and clinical decision-making. Patients experienced an improvement in nurse-patient interaction and no significant decrease in overall quality of life.

CONCLUSION

This review has shown the effectiveness of educational interventions for nurses caring for people with chronic kidney disease in improving outcomes for both nurses and patients, with sustained improvements up to a period of 1 year.

IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE

Study findings can guide the scope of future training for nurses caring for patients with chronic kidney disease.

IMPACT

Nurses often lack in-service training on how to improve care for patients with chronic kidney disease. This study found that training nurses on how to care for such patients can improve outcomes for nurses, which can translate to higher quality of patient care.

REPORTING METHOD

This paper adhered to the synthesis without meta-analysis (SWiM) reporting guideline.

Outcomes of the Nurse-Led Interdisciplinary-Heart Failure Team Program (NLI-HFTP): A Pilot Study

Information is lacking in long-term care regarding heart failure (HF) management, including in nursing homes. The current pilot project examined the Nurse-Led Interdisciplinary-Heart Failure Team Program (NLI-HFTP) intervention for nursing home residents with HF. This study used a pre-posttest one-group design with 46 nursing home residents who were primarily female, African American, of non-Hispanic ethnicity, and with an average age of 76 years. Post-intervention Nurse-Patient Interaction Scale scores were significantly higher than pre-intervention scores (mean pretest = 124.83, mean posttest score = 103.04; t [45] = 27.78, p < 0.001). Comparison of participants' medical records found a substantial decrease in the number of HF-exacerbated hospitalizations during the 3-month post-implementation period compared with rates during the 3-month pre-implementation period (16 vs. 7). The NLI-HFTP was feasible to implement in a nursing home, reduced referral rates to acute care hospitals, and could thus provide a better resident experience through increasing nurse-patient interactions. [Journal of Gerontological Nursing, 49(12), 18-23.].

[Translation and transcultural adaptation of the Person-Centred Practice Inventory Staff (PCPI-S) for health professionals in Spain]

BACKGROUND

Person-centred practices - following national and international developments in health-care policies - have become a key approach in healthcare. The Person-Centred Practice Inventory - Staff is an instrument based on the theoretical framework Person-Centred Practice that focuses on the staff's perspective and how they experience person-centred practices. Here, the aim of this study is to obtain the first Spanish version of the PCPI-S translated and adapted into the Spanish context.

METHODS

The translation and adaptation of the instrument followed the Translation and Cultural Adaptation of Patient Reported Outcomes Measures - Principles of Good Practice, which included a consulting session with experts. Content validation measures on clarity and relevance were assessed for every item (I-CVI) and the survey as a whole (S-CVI/Ave).

RESULTS

No major difficulties were registered to reach an agreement on the 12 items that needed to be clarified. Regarding clarity and relevance. The validity index per item (I-CVI) obtained excellent scores for clarity in 53 items and for relevance in 59; the S-CVI/Ave showed excellent results (=90).

CONCLUSIONS

This first version of the Person-Centred Practice Inventory - Staff instrument adapted to the Spanish context is conceptually and semantically equivalent to the original one. This valuable tool will be of great help to identify the perception of healthcare professionals on person-centred practices.

Perceptions of Caring Behaviors among Patients and Nurses

The concept of caring is fundamental to nursing practice. The aim of this study was to investigate patients' and nurses' caring behaviors and the possible differences between the two groups. In this descriptive and comparative study, 310 patients and 329 nurses from six general hospitals from Greece completed the Caring Behaviors Inventory-16. The mean score of Caring Behaviors Inventory-16 for patients was 78.94 (±17.85) and for nurses 80.27 (±9.36). The items "Demonstrating professional knowledge and skills" (Mean: 5.45 ± 3.62) and "Treating my information confidentially" (Mean: 5.34 ± 1.06) were the most important caring behaviors while the items "Including me in planning care" (Mean: 4.36 ± 1.56), and "Treating me as an individual" (Mean: 4.55 ± 1.46) were the least important caring behaviors for patients. For nurses, the most important caring behavior was "Treating patients" information confidentially" (Mean: 5.43 ± 0.94) and the least important was "Returning to the patient voluntarily" (Mean: 4.57 ± 3.68). Significant differences were observed in items: "Attentively listening to me/the patient" (t = -2.05, p = 0.04), "Treating me/the patient as an individual" (t = -7.82, p = 0.00), "Being empathetic or identifying with me/the patient" (t = -2.80, p = 0.00), and "Responding quickly when I/the patient call (t = -2.01, p = 0.04). Respect, privacy, and dignity were the most important caring behaviors for nurses while for patients they were knowledge, skills, and safety.

Measurement of Midwifery Clinical Leadership Among Nursing Students: Exploratory Factor Analysis

PURPOSE

The aim of this study was to report the development measurement of midwifery clinical leadership instruments among nursing students.

METHODS

Specifically, the five-component concepts defined by Katz and Standards Midwifery Practice were used to build items for midwifery clinical leadership instruments. This study also used Netemeyer's "Guidelines in Scale Development" to develop an instrument for midwifery clinical leadership among nursing students. The sample used for the research was 9 experts and 330 nursing students in the fourth year of being selected by multi-stage sampling. The instruments used in the study were an interview guide and a questionnaire. The data were analyzed by content analysis and factor analysis (exploratory factor analysis: EFA).

RESULTS

Three separate data collections were used for the development of these instruments. The outcome of the content validity assessment was a 60-items questionnaire, Item-Objective Congruence (IOC) 0.94. The results of EFA yielded an instrument with 58 items in four-component. The final value of the Kaiser-Meyer-Olkin (KMO) and Bartlett's Test was 0.956.

CONCLUSION

The instruments present a good interpretation of the data and were consistent with the personality attributes. The questionnaire was designed to measure with strong loading of measurement.