PERCEIVED CARE PROVIDED BY STAFF NURSES AND CARE RECEIVED BY SELECTED CLIENTS IN THE MEDICAL AND ORTHOPEDIC UNITS IN TWO HOSPITALS IN CEBU CITY: PROPOSED MODEL OF SUSTAINED CARING ATTITUDE IN CONTEMPORARY NURSING SOCIETY
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This study determined the relationship between the care provided by staff nurses and the care received by selected patients in the medical and orthopedic units in two hospitals in Cebu City. Through purposive sampling, 70 staff nurses in the medical units and 30 staff nurses in the orthopedic units of Vicente Sotto Memorial Medical Center and Perpetual Succour Hospital with their respective patients participated in the study. Descriptive correlational design was employed to identify the participants and the association between the care provided by the nurse and the care received by their patients. To measure caring, Caring Factor Survey-Care Provider Version (CFS-CPV) was used for the staff nurses; Caring Factor Survey-Care Recipient Version (CFS-CRV) was used for the patients, but with some modifications. Both have one to seven Likert-type scales with higher scores, indicating a greater sense of caring from the nurses' and patients' perspectives. A 6.17 mean indicates that nurses perceived they are taking good care of their patients; a 5.83 mean suggests that patients perceived their nurses are treating them with love and kindness, despite issues such as lack of human resources and physical stress. The correlation analysis shows a stronger relationship between “Developing helping-trusting relationship with patients and families” and “Creating a healing environment that recognizes the connection between body, spirit, and mind”. In other words, when nurses establish a helping- trusting relationship with their patients, these patients, in return, will feel that they are provided with a healing environment that promotes overall well-being during their stay in the hospital. The care given by nurses and the care received by patients are highly rated, giving emphasis on building trusting relationships and fostering a healing environment to improve care delivery. Based on the results, the following are recommended: a) use both the model care and Caring Factor Survey regularly to address challenges faced by nursing service administrators in the medical and orthopedic units; b) do a similar study in other clinical areas of VSMMC and PSH; and 3) sustain nurses' caring attitude through in-service programs.
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1. Aala, M. R., Gabuten, R., Montoya, J., Murphy, I. R., Ortega, C., & Sumait, J. R. (2009). The caring behaviors of nurses as perceived by patients in selected hospitals in Metro Manila. The Lamp, 1(1). Retrieved October 1, 2019,fromhttps://ejournals.ph/article.php?id=800, 2. Abdullah, S., Kousar, R., Azhar, M., Waqas, A., & Gilani, S. A. (2017). Nurses’ and patients’ perception regarding nurse caring behaviors and patients’satisfaction in Sir Ganga Ram hospital, Lahore, Pakistan. International Annals of Medicine, 1(5), 1-9. doi: 10.24087/lAM.2017.1.5145 3. Ackerman, L. (2019). Caring science education: Measuring caring nurses’ behaviors. International Journal of Caring Sciences, 12 (1), 572-578. Retrieved November 05, 2019, from http://www.internationaljournalofcaringsciences.org/docs/64_ackerman_12_1. pdf 4. Adams, L. Y. (2016). The conundrum of caring in nursing. International Journal of Caring Science, 9 (1), 1-8. Retrieved November 11, 2019, from http://internationaljournalofcaringsciences.org/docs/1_1Adams_special_9_1.p df 5. Amarneh, B. H., Abu Al-Rub, R. F., & Abu Al-Rub, N. F. (2010). Co-workers’ support and job performance among nurses in Jordanian hospitals. Journal of Research in Nursing, 15 (5), 391-401. doi: 10.1177/1744987109347134 6. Anna, S. (2017). How the physical environment of a hospital affects patient’s health. Retrieved May 10, 2020, from https://today.mims.com.howthephysical- environment–of-the-hospital-affects-patient-health. 7. Application of Watson’s caring theory today. (n.d.). Retrieved September 16, 2019, from https://jeanwatsoncaringtheory.weebly.com/application-of- watsons-caring-theory-today.html 8. Arkansas State University. (2018). The nurse’s role in patient education. Retrieved September 20, 2020, from https://degree.astate.edu/articles/nursing/nurses-role-patient-education.aspx 9. Aupia, A., Lee, T. T., Liu, C. Y., Wu, S. F. V., & Mills, M. E. (2018). Caring behavior perceived by nurses, patients and nursing students in Indonesia. Journal of Professional Nursing, 34 (4), 314-319. doi.org/10.1016/j.profnurs.2017.11.013 10. Azizi-Fini, I., Mousavi, M., Mazroui-Sabdani, A., & Adib-Hajbaghery, M. (2012). Correlation between nurses’ caring behaviors and patients’ satisfaction. Nursing and Midwife Studies, 1 (1), 36-40. doi: 10.5812/nms.7901 11. Baldursdottir, G., & Jonsdottir, H. (2002). The importance of nurse caring behaviors as perceived by patients receiving care at the emergency department. Heart and Lung: The Journal of Acute and Critical Care, 31(1), 67- 75. doi: 10.1067/mhl2002.119835 12. Bean, M. (2019). Nurses’ work environments affect patient outcomes, study finds. Retrieved September 15, 2020, from https://www.beckershospitalreview.com/quality/nurses-work-environments- affect-patient-outcomes-study-finds.html 13. Benner, P., Hughes, R. G., & Sutphen, M. (2008). Clinical reasoning, decision making, and action: Thinking critically and clinically. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses. Retrieved November 09, 2019, from https://www.ncbi.nlm.nih.gov/books/NBK2643/ 14. Benner, P., & Wrubel, J. (1989). The primacy of caring. Retrieved September 10, 2020, from https://nursology.net/nurse-theorists-and-their-work/the- primacy-of-caring/ 15. Benner, P., & Wrubel, J. (1989). The primacy of caring. Retrieved September 10, 2020, from https://nursology.net/nurse-theorists-and-their-work/the- primacy-of-caring/ 16. Blacker, L. (2017). Hope for a miracle: Treatment requests at the end of life. Journal of Hospice & Palliative Nursing, 19(2), 115-119. doi: 10.1097/NJH.0000000000000322 17. Blasdell, N. D. (2017). The meaning of caring in nursing practice. International Journal of Nursing & Clinical Practices, 4(238), 1-5. doi.org/10.15344/2394- 4978/2017/238 18. Borghans, I., Kleefstra, S. M., Kool, R. B., & Westert, G. P. (2012). Is the length of stay in hospital correlated with patient satisfaction? International Journal for Quality in Health Care, 24(5), 443-451. doi: 10.1093/intqhc/mzs037 19. Boykin, A., & Schoenhofer, S. O. (2019). The theory of nursing as caring. Retrieved September 10, 2020, from https://nursology.net/nurse-theorists-and- their-work/the-theory-of-nursing-as-caring/ 20. Bucco, T. (2015). The relationships between patients’ perception of nurse caring behaviors, nurses’ perceptions of nurse caring behaviors and patient satisfaction in the emergency department. Seton Hall University Dissertation and Theses. Retrieved September 29, 2019, from https://scholarship.shu.edu/dissertations/2048 21. Buchanan, J., Dawkins, P., & Lindo, J. L. (2015). Satisfaction with nursing care in the emergency department of an urban hospital in the developing.world: A pilot study. International emergency nursing, 23 (3), 218-224. 22. CalongCalong, K. and Soriano, G. (2018). Caring behavior and patient satisfaction: merging for satisfaction. International Journal for Caring Sciences, 11(2), 697. Retrieved September 28, 2019, from https://www.research.net 23. Cara, C. (2003). A pragmatic view of Jean Watsons’s theory. Semantic Scholar, doi:10.20467/1091.5710.7.3.51 24. Chan, H., Chu, H., Yen, H. and Chou L. (2015). Effects of care workshop on caring behaviors as measured by patients and patients’ satisfaction. Open Journal of Nursing, doi.org./10.4236/ojn.2015.52010 25. Chang, E., Hancock, K., Chenoweth, L. and Jeon, Y. (2003). The influence of demographi variable and ward type on elderly patients’ perceptions of needs and satisfaction during acute hospitalization. International Journal of nursing Practice. doi.org/10.1046/j.1440-172x.2003.00420.x 26. Coutney, H. (2012). Improving medication adherence. Nursing Incredibly Easy, doi:10.1097/01.NME.0000421575.09324.47 27. Da Silva, E., de Lima, C., Zacarra A., Evangelista, A. & de Lourdes, E. (2017). The scientific production about the human caring theory: a bibliometric study. International Medical Society, 10 (79), doi:10.3823/2349. 28. Derasin, L. M. (2019). Living on theory for chronic illness survival. International Journal of Humanities and Social Science Research. 5(4), 110-121 29. DiNapoli, P., Nelson, J., Turkel, M. and Watson, J. (2010). Measuring the caritas processes: caring factor survey. International Journal for Human Caring, 14 (3), 15-20 Retrieved September 20, 2019, from https://www.watsoncaringscience.org. 30. Doroteo, H., Enriquez, M., Esteban, J., Estipona, E. and Evangelista, M. (2012). The carative factors of public hospital nurses in different duty shifts. Research Gate. Doi:10.13140/RG.2.1.1925.4484 31. Elrick, L. (2017). Technology in nursing: how electronics are changing the field of nursing. Rasmussen College, Retreived November 06, 2019 fromhttps://www.rasmussin.edu/degrees/nursing/blog/technology-in-nursing. 32. Ferguson, L. M., & Day, R. A. (2007). Challenges for new nurses in evidence‐ based practice. Journal of nursing management, 15 (1), 107-113. 33. Fernandez,R., Johnson, M., Tran, D. and Miranda, M. (2012). Models of care in nursing. International Journal of Evidenced–Based Healthcare, 10, 324-337. Doi:10.1111/j.1744-1609.2012.00287. 34. Fortuno, A., Oco, D. and Clores, M. (2017). Influential components of caring nurse-patient interaction (CNPI) in a tertiary hospital in the Philippines: towards improving health outcomes of patients. International Journal of Nursing Science, 7 (4), doi:10.5923/j.nursing.20170704.02 35. Foss, C., & Hofoss, D. (2004). Patients' voices on satisfaction: unheeded women and maltreated men?. Scandinavian Journal of Caring Sciences, 18 (3), 273-280. 36. Franciscan Missionaries of Our Lady University. (2018). Technological advances that have changed nursing (Online RN-BSN). Retrieved November 03, 2019 from https://online.franu.edu>news>2018/05/01>technological- advancements 37. Gonzalo, A. (2016). Jean Watson: theory of human caring. Nurseslabs, Retrieved September 15, 2019 from https://nurseslabs.com>jeanwatsons- philosophy-theory-transpersonal-caring/ 38. Griffiths, J. M., Bryar, R. M., Closs, S. J., Cooke, J., Hostick, T., Kelly, S., & Marshall, K. (2001). Barriers to research implementation by community nurses. British Journal of Community Nursing, 6(10), 501-510. 39. Jones, N., & James M. M. (2016). Assessment of the level of satisfaction with nursing care given by female and male staff nurses among the patients admitted in a selected hospital of New Delhi. Indian Journal of Nursing and Midwifery Research, 3(2–3), 26–31. 40. Hapal, Don Kevin. (2017). Why nurses are leaving? Move-PH, Retrieved April 09, 2020 from www.rappler.com>move-ph. 180918 why-nurses-nurses-are- leaving-Philippines. 41. Highland Hospital. (2019). Nursing model of care. University of Rochester Medical Center, Retrived November 16, 2019 from https://www.urmc.edu>highland>nursing>Philosophy. 42. Homework Help Global. (n.d.) Jean Watson’s theory of care & its application in nursing practice. Homework Help USA, Retreived November 09, 2019 from https://www.homeworkhelpglobal.com.us/blogjean-watson-theory 43. Hubert, P. (2018). Application of jean Watson’s theory of transpersonal caring in nurses practicing in a pain center. Seton hall University DNP Final Projects, Retrieved September 21, 2019, from https://scholarship.shu.edu/finalprojects 44. Jennings, B. (n.d.) Patients’ safety and quality: An evidenced-based handbook for nurses. NCBI Resources, Retrieved November 17, 2019 from https//www.ncbi.nlm.nih. 45. Karaka, A., Durna, Z. (2019). Patient satisfaction with the quality of nursing care. PMC, 6 (2), 535-545, doi:10.1002//nop2.237 46. Kartika, Imelda and Nelwati, Tutik Sri. (2020). Nurses-patients interaction model and outpatients’ satisfaction on nursing care.Nursing & Care Open Access Journal 5 (2), :68-74.DOI 47. Koberich, S., Feuchtinger, J. and Farin, E. (2016). Factors influencing hospitalized patients’ perception of individualized nursing care: a cross sectional study. BMC, 15, (14) Retreived December 08, 2019 from https//bmcnurs.biomedcentral.com/article/10.1186/s12912-016-0137-7 48. Laplante, N., Laplante, P. and Voas, J. (2017). Caring: an undiscovered “super llity” of smart healthcare. PMC, doi:10.1109/MS.2016.136 49. Lambour, V. (2013). Reflections on Jean Watson’ theory of human caring. Semantic Scholar, Retrieved September 17, 2019, from https://llpdfs.semanticscholar.org>dac3 50. Leach, David.(2016). Why is nursing a predominantly female occupation? Challenge Magazine, Retrieved April 9, 2020 from https//www.challengemagazine.com 51. Malaska, R. (2015). Patient satisfaction: the journey of an observation patient from waiting room to home again. Journal of Anesthesia & Critical Care: Open Access 2 (5),02.00073 doi:10.15406/jaccoa.2015, 52. McDonough, D. (2019) Caring: The core of nursing. Hurst Review Services Inc., Retrieved September 15, 2019, from https://www.hurtsreview.com/blog/caring-the –core-of-nursing-practice 53. McMillan, M. (2017). The effects of Watson’s theory of human caring on the nurse perception and utilization of caring attributes and the impact on nurse communication. Nursing Theses and Capstone Projects, Retrieved September 15, 2019, from https://digitalcommons.gardner-webb.edu/nursing_etd. 54. McPhail, D. and Hemsey, J. (2015). The importance of caring: my journey into professional nursing. Journal of Nursing and Care, Retrieved September 29, 2015, from https://www.omicsonline.org 55. Medenilla, S.(2019). DOLE plans to limit deployment of nurses overseas amid shortage. Business Mirror, Retrieved November10, 2019 from https://businessmirror.com.ph 56. Meehan, M. (2015). Called to caring: a tool to assess awareness and attributes in baccalaureate nursing students at point loma nazarene university. Semantic Scholar, Retrieved September22, 2019, from https://www.semanticscholar.org 57. Meterko, M., Wright, S., Lin, H., Lowy, E., & Cleary, P. D. (2010). Mortality among patients with acute myocardial infarction: the influences of patient‐ centered care and evidence‐based medicine. Health services research, 45 (5p1), 1188-1204. 58. Motaghed, Zahra, Ardakan, PaymanMahboobi and Amiri, Mohammad Meskarpour. (2016). Comparative study of patients’ satisfaction with nursing service in major units of selected training hospitals in Tehran. Hospital Practices and Research. 1 (1), 33-36, doi:1020286/hpr- 010133. Retrieved September 29, 2019 from researchgate.net 59. Moustafa, E. and Constatinidis, T.(n.d.). Sources and effects of work-related stress in Nursing. Health Science Journal, Retrieved November 10, 2019 from www.hsj.gr>medicine>sources-and-effects-of-workrelated-stress-in-nursing 60. Ndambuki, J. (2013). The level of patients’ satisfaction and perception on quality of nursing services in the renal unit, Kenyatta national hospital Nairobi, Kenya.Open Journal of Nursing,(3), doi:/10.4236/ojn.2013.32025. 61. Nelson, Thiel, Hozak and Thomas. (2016). Item reduction of the caring factor survey-care provider version, an instrument specified to measure Watson’s 10 processes of caring. International Journal of Human Caring, 20, (3), 123-127. 62. Nelson, John. (2005). Development of the caring factor survey (CFS), an instrument to measure patients’ perception of caring. Healthcare Environment Inc. 63. Nevada State College. (2018). Importance of care nursing. RN to BSN Online. Retrieved November 17, 2019 from https://online.nsc.edu/articles/rnbsn/importance-of-care-in-nursing 64. Nichols, B., Davis, C. and Richrdson, D. (2011). The future of nursing: leading change, advancing health. The national academic Press, Retrieved April 10, 2020 from www.nap.edu>read>international-models-of-nursing 65. Nikfarid, L., Hekmat, N., Vedad, A., &Rajabi, A. (2018). The main nursing metaparadigm concepts in human caring theory and Persian mysticism: a comparative study. Journal of Medical Ethics and History of Medicine, 11 (6), Retrieved September 28, 2019 from https://www.ncbi.nlm.gov 66. Noor, S. and Agianto, I. (2016). The relationship between caring, comfort and patients’ satisfaction in the emergency room, RatuZalecha Hospital, South Kalimatan, Indonesia. Belitung Nursing Journal 2 (6), 156-163.Retrieved October 14, 2019, from https://semanticscholar.org 67. Nursing Theories. (n.d.). Jean Watson’s philosophy of caring. Retrieved November 09, 2019 from currentnursing.com>nursing_theory>watson 68. Nwosu, Inyama and Emeka. (2017). Effect of nurse-patient relationship on patients’ recovery at NKST hospital Mkar, Gboko, Benue State. International Scholars Journals, 5 (2), pp.695-703.Retrieved October 20, 2019, from www.internationalscholars.org. 69. Ozan, Y., Okumus, H. and Lash, A. (2015). Implementation of watson’s theory of human caring. International Journal of Caring Services, 8 (1) 25 Retrieved October 13, 2019, https://www.coursehero.com>file 70. Pajnkihar, M., Stiglic, G., Vrbnjak, D. (2017). The concept of Watson’s carative factors in nursing and their (dis)harmony with patient satisfaction. PMC, 5, doi:10.7717/peerj.2924. Retrieved September15, 2019, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5299993/ 71. Papastavrou, E., Efstathiou, G. and Charalambous, A. (2011). Nurses’ and patients’ perceptions of caring behaviors: quantitative systematic review of comparative studies. J Adv Nurs, doi:10.1111/j.1365-2648 72. Perrin, Hagopian, Sales and Huang. (2007). Nurse migration and its implication in Philippine hospitals. International Nursing Review, doi:101111/j.1466. 2007.00567 73. Rafael, A. (2000). Watson’s philosophy, science and theory of human caring as a conceptual framework for guiding community health nursing. Semantic Scholar, (3), 36-37Retrieved September 26, 2019 from https://pdfs.semantic scholar.org 74. Redlands Community Hospital. (n.d.). Jean Watson’s theory of human caring.Nursing Excellence. retrieved November 06, 2019 from https://www.redlandshospital.org/nursing-excellence/jean-watsons-theory-of- human-caring/ 75. Reach, Aaron. (2019). Why are men prone to illness than women? The Jerusalem Post, Retrieved April 15, 2020, www.jpost.com/health-cience/why- are-men-prone-to-illness-than-women-604309 76. Sacred Heart University. (2019). How nurse care affects patient recovery (Online programs). Resource Center, Retrieved October 20, 2019, from https://onlineprograms.sacredheart.edu 77. Salimi, S. and Azimpour, A. (2013). Determinants of nurses’ caring behaviors:preliminary validation of a scale. Journal of Caring Services, doi:10.5681/jcs.2013.032 78. Sarafis, Rousaki, Tsounis, Malliaraou, Lahana, Bamidis, Niakas, and Papastavrou. (2016). The impact of occupational stress on nurse’s caring behaviors and their health related quality of life. BMC Nursing, Retreived November 06, 2019 from https://bmcnurs.biomedcentral.com/articles/10.1186/s12912- 016-01 79. Semachew, A. (2018). Implementation of nursing process in clinical settings: the case of three governmental hospitals in Ethiopia, 2017. BMC research Notes, doi:101186/s13104-018-3275-z 80. Shalaby, S., Janbi, N, Mohammed, K. and Al-harthi, K. (2018). Assessing the caring behaviors of critical care nurses. Journal of Nursing Education and Practice, 8 (10), https:doi.org/10.5430/jnep.v8n10p77 81. Schmalenberg C. & Kramer M. (2008) Essentials of a productive nurse work environment. Nursing Research 57(1), 2-13. 82. Schoenfelder, T., Klewer, J., & Kugler, J. (2011). Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. International journal for quality in health care, 23 (5), 503-509. 83. Soliman, H., Kassam, A. and Ibrahim A. (2015). Correlation between patients’ satisfaction and nurses’ caring behaviors. International Knowledge Sharing Platform, 5 (2), Retrieved September 30, 2019, from https://www.iiste.org>article>view 84. Soriano, G., Aranas, F. and Tejada, R. (2019). Caring behaviors, Spiritual and cultural competencies: a holistic approach to nursing. Bedan Research Journal, Retrieved April 17, 2020 from www.researchgate.net/publication/332727022_Caring_Behaviors_Spiritual_a nd Cultural_Competenc_A_ Holistic_approach_to Nursing_Care. 85. Suhonen, R., ValimakI, M., Katajisto, J., & Leino‐Kilpi, H. E. L. E. N. A. (2007). Hospitals’ organizational variables and patients’ perceptions of individualized nursing care in Finland. Journal of nursing management, 15 (2), 197-206 86. Tiedman, M. and Lookinland, S. (2004). Traditional models of healthcare delivery: what have we learned. The Journal of Nursing Administration, 34 (6), 291-297 Retreived November 16, 2019 from https://journalslww.com.jonajournal/abstract/2004/06000/Traditiona-Models- of-Health-Delivery- What Have We Learned 87. Thomas, D., Newcomb, P. and Fusco, P. (2018). Perception of caring among nurses and patients. Journal of Patient Experience, https:// doi.org/10.1177/2374373518795 88. Vance, T. (n.d.) Caring and the professional practice of nursing. RN Journal of Nursing. Retreived November 10, 2019 from https://m-journal.com>caring 89. Wälivaara, B. M., Sävenstedt, S., & Axelsson, K. (2013). Caring relationships in home-based nursing care—Registered nurses’ experiences. The Open Nursing Journal, 7, 89-95. 90. Walden University. (2017). How the nurse-patient relationship impacts recovery (Online Programs). Retrieved October 20, 2019, from https://www.waldenu.edu 91. Younus, A. (2017). Offering hope in healthcare: an important nursing reality. Journal of Pioneering Medical Science, Retrieved November 09, 2019 from https://blogs.jpmsonline.com 92. Younas, A., & Sundus, A. (2018). Experiences and satisfaction with care provided by male nurses: A convergent mixed-method study of patients in medical-surgical units. Journal of Advanced Nursing. doi:10.1111/jan.1
