Abebaw Jember Ferede , Lena Wettergren , Kerstin Erlandsson , Lemma Derseh Gezie , Helena Lindgren , Biftu Geda
{"title":"埃塞俄比亚转诊医院患者对护理行为的认知：一项横断面调查","authors":"Abebaw Jember Ferede , Lena Wettergren , Kerstin Erlandsson , Lemma Derseh Gezie , Helena Lindgren , Biftu Geda","doi":"10.1016/j.ijnss.2023.06.015","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this study was to determine patients’ perceptions of nurse caring behaviors and to identify factors associated with these perceptions.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted at three referral hospitals in Ethiopia. A consecutive sample of male and female patients (<em>n</em> = 652, response rate 98.8%) was interviewed using the Amharic version of the Caring Behaviors Inventory-16 (CBI-16, including four subscales: Assurance, Knowledge and skill, Respectful, and Connectedness) and the Patient Satisfaction Instrument (PSI). Socio-demographic and clinical factors associated with perceptions of caring behaviors were identified using multiple linear regression analysis.</p></div><div><h3>Results</h3><p>Patients’ perceptions of nurse caring behaviors were high (total <em>Mean</em> = 4.86, <em>SD</em> = 0.72). Behaviors related to the Assurance subscale were rated the highest. The multiple linear regression analysis result showed several socio-demographic and clinical factors statistically significantly associated with patients’ perceptions of caring behaviors (total mean scores). Patients who were 40–49 years (<em>B</em> = −0.19, <em>P</em> = 0.012) and single (<em>B</em> = −0.13, <em>P</em> = 0.03) scored lower on total CBI-16 scores. Whereas, patients who had a higher educational level (<em>B</em> = 0.35, <em>P</em> = 0.001), cared for at surgery units (<em>B</em> = 0.11, <em>P</em> = 0.027), and reported having spent more time with a nurse in the past 8-h shift (<em>B</em> = 0.16, <em>P</em> < 0.001) were more likely to have higher perceptions of the care they received. The CBI-16 was positively correlated with satisfaction with received care, as measured with the Patient Satisfaction Instrument (<em>r</em> = 0.62, <em>P</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>Hospitalized patients in Ethiopia have overall high perceptions of nurse caring behaviors, especially with regard to physical-based caring, while their expectations of emotional-focused care are lower. We identified patients who were in need of care, patients aged 40–49 years and single. The time spent with nurses plays a pivotal role in patients’ perceptions of nurse caring behaviors.</p></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":null,"pages":null},"PeriodicalIF":2.9000,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401340/pdf/","citationCount":"0","resultStr":"{\"title\":\"Patients’ perceptions of caring behaviors at referral hospitals in Ethiopia: A cross-sectional survey\",\"authors\":\"Abebaw Jember Ferede , Lena Wettergren , Kerstin Erlandsson , Lemma Derseh Gezie , Helena Lindgren , Biftu Geda\",\"doi\":\"10.1016/j.ijnss.2023.06.015\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>The purpose of this study was to determine patients’ perceptions of nurse caring behaviors and to identify factors associated with these perceptions.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted at three referral hospitals in Ethiopia. A consecutive sample of male and female patients (<em>n</em> = 652, response rate 98.8%) was interviewed using the Amharic version of the Caring Behaviors Inventory-16 (CBI-16, including four subscales: Assurance, Knowledge and skill, Respectful, and Connectedness) and the Patient Satisfaction Instrument (PSI). Socio-demographic and clinical factors associated with perceptions of caring behaviors were identified using multiple linear regression analysis.</p></div><div><h3>Results</h3><p>Patients’ perceptions of nurse caring behaviors were high (total <em>Mean</em> = 4.86, <em>SD</em> = 0.72). Behaviors related to the Assurance subscale were rated the highest. The multiple linear regression analysis result showed several socio-demographic and clinical factors statistically significantly associated with patients’ perceptions of caring behaviors (total mean scores). Patients who were 40–49 years (<em>B</em> = −0.19, <em>P</em> = 0.012) and single (<em>B</em> = −0.13, <em>P</em> = 0.03) scored lower on total CBI-16 scores. Whereas, patients who had a higher educational level (<em>B</em> = 0.35, <em>P</em> = 0.001), cared for at surgery units (<em>B</em> = 0.11, <em>P</em> = 0.027), and reported having spent more time with a nurse in the past 8-h shift (<em>B</em> = 0.16, <em>P</em> < 0.001) were more likely to have higher perceptions of the care they received. The CBI-16 was positively correlated with satisfaction with received care, as measured with the Patient Satisfaction Instrument (<em>r</em> = 0.62, <em>P</em> < 0.001).</p></div><div><h3>Conclusion</h3><p>Hospitalized patients in Ethiopia have overall high perceptions of nurse caring behaviors, especially with regard to physical-based caring, while their expectations of emotional-focused care are lower. We identified patients who were in need of care, patients aged 40–49 years and single. The time spent with nurses plays a pivotal role in patients’ perceptions of nurse caring behaviors.</p></div>\",\"PeriodicalId\":37848,\"journal\":{\"name\":\"International Journal of Nursing Sciences\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.9000,\"publicationDate\":\"2023-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401340/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Sciences\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2352013223000716\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352013223000716","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
Patients’ perceptions of caring behaviors at referral hospitals in Ethiopia: A cross-sectional survey
Objective
The purpose of this study was to determine patients’ perceptions of nurse caring behaviors and to identify factors associated with these perceptions.
Methods
A cross-sectional study was conducted at three referral hospitals in Ethiopia. A consecutive sample of male and female patients (n = 652, response rate 98.8%) was interviewed using the Amharic version of the Caring Behaviors Inventory-16 (CBI-16, including four subscales: Assurance, Knowledge and skill, Respectful, and Connectedness) and the Patient Satisfaction Instrument (PSI). Socio-demographic and clinical factors associated with perceptions of caring behaviors were identified using multiple linear regression analysis.
Results
Patients’ perceptions of nurse caring behaviors were high (total Mean = 4.86, SD = 0.72). Behaviors related to the Assurance subscale were rated the highest. The multiple linear regression analysis result showed several socio-demographic and clinical factors statistically significantly associated with patients’ perceptions of caring behaviors (total mean scores). Patients who were 40–49 years (B = −0.19, P = 0.012) and single (B = −0.13, P = 0.03) scored lower on total CBI-16 scores. Whereas, patients who had a higher educational level (B = 0.35, P = 0.001), cared for at surgery units (B = 0.11, P = 0.027), and reported having spent more time with a nurse in the past 8-h shift (B = 0.16, P < 0.001) were more likely to have higher perceptions of the care they received. The CBI-16 was positively correlated with satisfaction with received care, as measured with the Patient Satisfaction Instrument (r = 0.62, P < 0.001).
Conclusion
Hospitalized patients in Ethiopia have overall high perceptions of nurse caring behaviors, especially with regard to physical-based caring, while their expectations of emotional-focused care are lower. We identified patients who were in need of care, patients aged 40–49 years and single. The time spent with nurses plays a pivotal role in patients’ perceptions of nurse caring behaviors.
期刊介绍：
This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.
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