Nurses' Caring Behaviour And Identification Of Influencing Factors: The Case Of A Public Hospital

Research Article

Authors

DOI:

https://doi.org/10.5281/zenodo.15036212

Keywords:

Nurse, Care, Care Behavior, Quality of Care

Abstract

Introduction: Caring behavior aims to provide care in accordance with the needs of patients by taking an approach to improve their health status and is a concept directly related to the performance of nurses. The fact that patients' health outcomes are related to nurses' caring behaviors shows that it is imperative to focus on care in nursing practice.                                            

Objective: The study was conducted to determine nurses' perceptions of quality of care and the factors affecting these perceptions.

Method: It is a descriptive study. It was conducted with nurses working in a public hospital between February 10 and February 20, 2025. There were 279 nurses in the sample of the study. Data were collected using the Socio-demographic Information Form and the Caring Behaviors Scale-24 form. Descriptive statistics, t-test, one-way variance test (ANOVA) and Kruskal Wallis analysis were applied to analyze the data.

Results: The mean total score and sub-dimension total scores of the “Caring Behaviors Scale-24” of the nurses participating in the study were as follows: Assurance sub-dimension mean score 5.30±0.68, Knowledge-Skill sub-dimension mean score 5.55±0.64, Respectfulness sub-dimension mean score 5.28±0.73, Commitment sub-dimension mean score 5.15±0.81, and scale total mean score 5.32±0.66, respectively. In the study, a statistically significant difference was found between the total score of the nursing behaviors scale and professional experience, liking the nursing profession, average weekly working hours, the time allocated to patient care in the 8-hour shift, finding the nursing care provided in the unit where they worked adequate and satisfaction with the nursing care provided (p<0.05).

Conclusion: It was found that nurses' perceptions of quality of care were higher, nurses with 11 years or more of professional experience, those who love the nursing profession, those with an average weekly working time of 40 hours, those who spent two hours or more on patient care in an eight-hour shift, those who found nursing care adequate in the unit where they worked, and those who were satisfied with the nursing care provided had higher total scores on the care behaviors scale. In line with these results, it is recommended to organize trainings that will strengthen nurses' bonding with the patient, empathy, and support for the patient and to create positive working environments in order to increase the quality of care.

References

Watson J, Brewer B. Caring science research: criteria, evidence, and measurement. JONA: The Journal of Nursing Administration. 2015;45(5):235-236. doi:10.1097/NNA.0000000000000190

Watson J. Unitary caring science: The philosophy and praxis of nursing. Louisville, CO: University Press of Colorado; 2018.

Kol E, Boz İ. Yoğun bakım hemşireliğinde bakım davranışları üzerine bir literatür derleme. Yoğun Bakım Hemşireliği Dergisi. 2020;24(1):32-38.

Birol L. Hemşirelik süreci (8th ed.). İzmir: Etki Matbaacılık Yayıncılık Ltd. Şti; 2007.

Wiechula R, Conroy T, Kitson AL, Marshall RJ, Whitaker N, Rasmussen P. Umbrella review of the evidence: What factors influence the caring relationship between a nurse and patient? Journal of Advanced Nursing. 2016;72(4):723-734. doi:10.1111/jan.12862.

Mutlu BF. Yoğun bakım hemşirelerinde iş yükü algısı ve bakım davranışları arasındaki ilişkinin incelenmesi [master's thesis]. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Enstitüsü; 2023.

Aupia A, Lee TT, Liu CY, Wu SFV, Mills ME. Caring behavior perceived by nurses, patients and nursing students in Indonesia. Journal of Professional Nursing. 2018;34(4):314-319. doi:10.1016/j.profnurs.2017.11.013.

Papastavrou E, Efstathiou G, Charalambous A. Nurses' and patients' perceptions of caring behaviours: Quantitative systematic review of comparative studies. Journal of Advanced Nursing. 2011;67(6):1191-1205. doi:10.1111/j.1365-2648.2010.05580.x.

Salimi S, Azimpour A. Determinants of Nurses' Caring Behaviors (DNCB): Preliminary validation of a scale. Journal of Caring Sciences. 2013;2(4):269-278. doi:10.5681/jcs.2013.032.

Taylor R, Thomas-Gregory A, Hofmeyer A. Teaching empathy and resilience to undergraduate nursing students: A call to action in the context of Covid-19. Nurse Educ Today. 2020;94:104524.

Mårtensson S, Knutsson S, Hodges EA, Sherwood G, Broström A, Björk M. Development of caring behaviour in undergraduate nursing students participating in a caring behaviour course. Scandinavian Journal of Caring Sciences. 2024;38(1):47-56.

Erol F, Turk G. Assessing the caring behaviours and occupational professional attitudes of nurses. The Journal of the Pakistan Medical Association. 2019;69(6):783-787.

Oluma A, Abadiga M. Caring behavior and associated factors among nurses working in Jimma University specialized hospital, Oromia, Southwest Ethiopia, 2019. BMC Nurs. 2020;19:19. doi:10.1186/s12912-020-0407-2.

Taylan S, Özkan O, Şahin G. Caring behaviors, moral sensitivity, and emotional intelligence in intensive care nurses: A descriptive study. Perspect Psychiatr Care. 2021;57:734-746. doi:10.1111/ppc.12608.

Kibret H, Tadesse B, Debella A, Degefa M, Regassa LD. Level and predictors of nurse caring behaviors among nurses serving in inpatient departments in public hospitals in Harari region, eastern Ethiopia. BMC Nurs. 2022;21:76. doi:10.1186/s12912-022-00856-8.

Çolak Okumuş D, Uğur E. Hemşirelerin duygusal zeka düzeylerinin bakım davranışlarına etkisi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2017;8(2):104-109.

Kurşun Ş, Kanan N. Bakım Davranışları Ölçeği-24’ün Türkçe formunun geçerlik ve güvenirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2012;15(4):229-235.

Hajinezhad ME, Haghani H, Rafii F. Nurse caring in Iran and its relationship with patient satisfaction. Aust J Adv Nurs. 2008;26:75-84. doi:10.37464/2009.262.1781.

Wolf ZR, Giardino ER, Osborne PA, Ambrose MS. Dimensions of nurse caring. Image J Nurs Sch. 1994;26(2):107-111.

Wu Y, Larrabee JH, Putman HP. Caring behaviors inventory: A reduction of the 42-item instrument. Nursing Research. 2006;55(1):18-25.

Yürün Y, Yıldırım A. Hastanede çalışan hemşirelerin hasta bakım davranışlarının belirlenmesi. [master's thesis]. KKTC Yakın Doğu Üniversitesi Sağlık Bilimleri Enstitüsü; 2015.

Erenoğlu R, Can R, Tambağ H. Hemşirelik bakım davranışları ve bakım davranışları ile ilgili faktörler: Doğumevi örneği. Sağlık ve Toplum. 2019;29(1):79-88.

Gürkan A, Dikmen Aydın Y, Aldemir K. Surgical patients' perceptions of nursing care quality and their satisfactions with nursing care. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2020;12(3):329-336.

Mert Boğa S, Aydin Sayilan A, Kersu Ö, Baydem C. Perception of care quality and ethical sensitivity in surgical nurses. Nursing Ethics. 2020;27(3):673-685. doi:10.1177/0969733020901830.

Bulut S, Kızılırmak H. COVID-19 yoğun bakım ünitesinde çalışan hemşirelerin profesyonel değerleri ve bakım davranışları arasındaki ilişkinin incelenmesi. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2022;10(1):241-254.

Dığın F, Özkan ZK, Şahin AD. Cerrahi hemşirelerinin merhamet yorgunluğu ile bakım davranışları arasındaki ilişkinin belirlenmesi. Online Turkish Journal of Health Sciences. 2022;7(2):272-277.

Efıl S, Turen S, Ayvaz MY, Bulbul E, Yeni T. Burnout levels and care behaviours in intensive care nurses: A cross-sectional, multicentre study. Intensive and Critical Care Nursing. 2022;71:103246.

Gülfidan H. Cerrahi hemşirelerinin ahlaki sıkıntı düzeylerinin hemşirelik bakımı davranışları üzerine etkisi ve ilişkili faktörler. [master's thesis]. Aydın Adnan Menderes Üniversitesi Sağlık Bilimleri Enstitüsü; 2022.

Demirağ H, Coşar DA. Dâhiliye hemşirelerinin ahlaki yaralanma semptomları ile hemşirelik bakım davranışları arasındaki ilişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12(3):1182-1192.

Kurtgöz A, Edis EK. Hemşirelerin kişilik özellikleri ile bakım davranışları ve manevi bakım yeterlilikleri arasındaki ilişki. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2024;13(3):1286-1294.

Sert H, Gulbahar Eren M, Ucgul K. Occupational fatigue, compassion competence and caring behaviours of intensive care nurses: A structural equation modelling approach. Nursing in Critical Care. 2024.

Wang TT, Yang B, Li YR, Zhang LL, Zhi XX, Wu B, et al. The mediating role of professional identity between work environment and caring behavior: A cross-sectional survey among hospice nurses in China. BMC Nursing. 2024;23(1):1-10.

Wang X, Xue J, Zhang A, Luo Y, Chen O, Liu C, et al. Job satisfaction and psychological factors influence the caring behavior in nurses in Sierra Leone: A cross-sectional study. Frontiers in Psychology. 2024;15:1418260.

Ahmed FR, Saifan AR, Dias JM, Subu MA, Masadeh R, AbuRuz ME. Level and predictors of caring behaviours of critical care nurses. BMC Nursing. 2022;21(1):341.

Lee H, Seo K. Mediating effect of compassion competence on the relationship between caring behaviors and quality of nursing services in South Korea. In: Healthcare. 2022 May;10(5):964. MDPI.

Qiu P, Yan L, Zhang Q, Guo S, Liu C, Liu H, Chen X. Organizational display rules in nursing: Impacts on caring behaviors and emotional exhaustion through emotional labor. International Nursing Review. 2024;71(3):571-579.

Yu M, Wang H, Wu Y, et al. The influence of emotional intelligence on psychiatric nurses' care behavior, and the chain mediating role of compassion fatigue and perception of management. J Psychosoc Nurs Ment Health Serv. 2024;1-9.

De Los Santos JAA, Labrague LJ. Job engagement and satisfaction are associated with nurse caring behaviours: A cross-sectional study. Journal of Nursing Management. 2021;29(7):2234-2242.

Fikre A, Egata G, Abdisa L, Yadeta E, Eyeberu A, Dheresa M. Perception of caring behaviors and associated factors among nurses working in Harar hospitals, Eastern Ethiopia. SAGE Open Nursing. 2022;8:2095797093. doi:10.1177/23779608221143909.

Kılıç M. Cerrahi girişim geçiren hastalar ile aynı hastalara bakım veren hemşirelerin hemşirelik bakımı algılarının karşılaştırılması. [master's thesis]. Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü; 2014. Adana.

Göğüş F. Cerrahi hastaların ve cerrahi hemşirelerinin bakım davranışı değerlendirmelerinin karşılaştırılması. [master's thesis]. Ankara Üniversitesi Sağlık Bilimleri Enstitüsü; 2016. Ankara.

Tor E. Üniversite hastanesinde çalışan hemşirelerin hemşirelik bakım davranışlarına yönelik algılarının belirlenmesi. [master's thesis]. Trabzon: Avrasya Üniversitesi Sağlık Bilimleri Enstitüsü; 2021.

Parvan K, Zamanzadeh V, Hosseini FA. Assessment of professional values among Iranian nursing students graduating in universities with different norms of educational services. Thrita J Med Sci. 2012;2:37-43.

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Published

2025-03-20

How to Cite

Sakallı, D., Havlioğlu, S., & Özen, A. (2025). Nurses’ Caring Behaviour And Identification Of Influencing Factors: The Case Of A Public Hospital: Research Article. Acta Medica Ruha, 3(1), 34–42. https://doi.org/10.5281/zenodo.15036212

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Research Articles