{"title":"A major-risk environment can impact nurses' expectations moderated by medical institutional trust and communication.","authors":"Pei Wang, Yawen Du, Ziyao Liu, Ailifeire Aili","doi":"10.1186/s12912-024-02505-8","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurses' positive expectations of patients in medical interactions constitute an important component of nurse-patient trust and can foster good nurse-patient relationships; therefore, it is critical to investigate factors that influence nurses' expectations. This study aims to examine the relationship between nurses' institutional trust, nurse-patient communication, and nurses' expectations of patients before and after the outbreak of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Self-reported questionnaires were administered to 1752 nurses (M<sub>age</sub> = 32.14 years, SD = 7.62) before the COVID-19 outbreak and 768 nurses (M<sub>age</sub> = 29.48 years, SD = 5.51) after the COVID-19 outbreak to assess their medical institutional trust, communication skills, and expectations of patients. Mediational models were constructed to examine the relationship between these variables.</p><p><strong>Results: </strong>Before the outbreak of the COVID-19 pandemic, there was a significant positive correlation between nurses' medical institutional trust and their expectations of patients, with nurse-patient communication serving as a mediator. During the COVID-19 pandemic, the association between nurses' medical institutional trust and expectations of patients was nonsignificant; however, a significant mediating effect of nurse-patient communication remained between nurses' medical institutional trust and expectations of patients.</p><p><strong>Conclusions: </strong>Improving nurses' trust in medical institutions may enhance their positive expectations of patients. Healthcare managers should make efforts to foster nurses' trust in healthcare institutions. Furthermore, nurse-patient communication plays a critical mediating role between nurses' medical institutional trust and their expectations of patients, highlighting the importance of interventions and training programs that improve nurses' communication skills, especially when encountering high-risk circumstances.</p>","PeriodicalId":48580,"journal":{"name":"BMC Nursing","volume":"23 1","pages":"888"},"PeriodicalIF":3.1000,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619092/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12912-024-02505-8","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nurses' positive expectations of patients in medical interactions constitute an important component of nurse-patient trust and can foster good nurse-patient relationships; therefore, it is critical to investigate factors that influence nurses' expectations. This study aims to examine the relationship between nurses' institutional trust, nurse-patient communication, and nurses' expectations of patients before and after the outbreak of the COVID-19 pandemic.
Methods: Self-reported questionnaires were administered to 1752 nurses (Mage = 32.14 years, SD = 7.62) before the COVID-19 outbreak and 768 nurses (Mage = 29.48 years, SD = 5.51) after the COVID-19 outbreak to assess their medical institutional trust, communication skills, and expectations of patients. Mediational models were constructed to examine the relationship between these variables.
Results: Before the outbreak of the COVID-19 pandemic, there was a significant positive correlation between nurses' medical institutional trust and their expectations of patients, with nurse-patient communication serving as a mediator. During the COVID-19 pandemic, the association between nurses' medical institutional trust and expectations of patients was nonsignificant; however, a significant mediating effect of nurse-patient communication remained between nurses' medical institutional trust and expectations of patients.
Conclusions: Improving nurses' trust in medical institutions may enhance their positive expectations of patients. Healthcare managers should make efforts to foster nurses' trust in healthcare institutions. Furthermore, nurse-patient communication plays a critical mediating role between nurses' medical institutional trust and their expectations of patients, highlighting the importance of interventions and training programs that improve nurses' communication skills, especially when encountering high-risk circumstances.
期刊介绍:
BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.