TABLE
OF CONTENTS
Title Page . . . . . . . . .
i
Approval . . . . . . . . . ii
Certification . . . . . . . . . iii
Dedication . . . . . . . . . iv
Acknowledgement
. . . . . . .
. v
Table of Contents . . . . . . . . vi
List of Figures . . . . . . . viii
List of Tables . . . . . . . . . ix
Abstract . . . . . . . . . xi
CHAPTER ONE:
INTRODUCTION
Background of the Study . . . . . . . 1
Statement of Problem . . . . . . . . 3
Purpose of the Study . . . . . . . . 5
Research Questions . . . . . . . 6
Research Hypothesis . . . . . – . . 6
Significance of the Study . . . . . . . 6
Scope of the Study . . . . . . . . 7
Operational
Definitions . . . . . . . 8
CHAPTER TWO:
LITERATURE REVIEW
Conceptual Review . . . . . . 10
Review of Theories Underlying the Study . . . 31
Empirical Review . . . . . . 44
Summary of Reviewed Literature . . . . . 61
CHAPTER
THREE: RESEARCH METHOD
Research Design
. . . . . . . 62
Area of Study . . . . . . . . 62
Population of the Study . . . . . . 65
Sample . . . . . . . . 65
Sampling Procedure . . . . . . . 67
Instrument for Data Collection . . . . . 72
Validity of Instrument . . . . . 75
Reliability of Instrument . . . . . . 76
Ethical Consideration . . . . . . . 77
Procedure for Data Collection . . . . . 78
Method of Data
Analysis . . . . . . 81
CHAPTER FOUR:
PRESENTATION OF RESULTS
CHAPTER
FIVE:senter o Each Questionnaire surgical wardsusesople
with halDISCUSSION OF FINDINGS
Implications of Findings . . . . . . 129
Peculiarity and Limitations of the Study . . 129
Summary . . . . . . . . 129
Conclusion . . . . . . . . 131
Suggestion for Further Research . . . . . 132
Recommendation . . . . . . . 132
References . . . . . . . . 134
Appendices . . . . . . . . 140
LIST
OF FIGURES
Figure Title Page
1: The interrelationship of five perspectives of caring . 14
2: Conceptual model for the study based
on Watson’s 10
carative factors
and the five perspectives of care . . . 60
LIST OF TABLES
Table Title Page
1: Demographic characteristics of respondents . . 83
2: Adjusted mean
scores and standard deviations of patients’
perceptions
of nurse caring behaviours . . . . 85
3: Patients’
mean scores, standard deviations and one sample item t-test
values for the 37 items of the CBAQ . . 153
4: The 10
highest scored nurse caring behaviour statements by patients
with
their ranking . . . . . . . 87
5: The 10 lowest
scored nurse caring behaviour statements by patients
with their ranking . . . . . . . 88
6: Adjusted mean scores and standard deviations for nurses’ perceptions of nurse caring behaviour . . 90
7: Nurses Mean
Scores, Standard Deviations and t-values for the 37
Items
of the CBAQ . . . . . . . 156
8: The 10
highest scored nurse caring behaviour statements by nurses
with
their ranking . . . . . . . 92
9: The 10 lowest
scored nurse caring behaviour statements by nurses
with
their ranking . . . . . . . 93
10: Mean values
and standard Deviation of patients and Nurses on
CBAQ
subscales in rank order and their comparison . . . 95
11: Patients’
ranking of the I0 most important Nurse caring behaviour
and
their comparison to Nurses (n=167) . . . . 97
12: Nurses
Rankings of the 10 most important caring behaviours
and
their comparisons to patients (n = 165) . . . . 98
13: Patients rankings of the 10 least important caring behaviors and their comparison to nurses (n-167) . . . . 99
14: Nurses rankings of the 10 least important caring behaviour and their
comparison to patients (n = 165) . . 100
15: Mean scores
and standard deviation of patients and nurses on the
CBAQ caring behaviour items . . 102
16: Summary of
one-way analysis of variance on patients and nurses
perceptions
of CBAQ caring behavior as indicators of care . 102
ABSTRACT
The
purpose of this study was to comparatively assess patients’ and nurses’
perceptions of nurse caring behaviours in Jos University Teaching hospital
(JUTH) and Plateau State Specialist Hospital (PSSH) Jos. A cross-sectional
descriptive survey design was employed to study 332 patients and nurses. No sampling was done as all the subjects who
met the inclusion criteria were included in the study. Data were collected
using a modified Caring Behavior Assessment questionnaire (CBA-Q) (37 items), a
5-point likert-type scale and arranged in 7-subscales. Data were analyzed using
descriptive and inferential statistics. The result indicated that all the
caring behaviours statements except item 17 (“Visiting patient if patient moves to another
hospital units” with item mean of 2.63; SD = 1.33 and t-value of 1.24 which is
below the mean criterion value of 2.50) were accepted as indicators of care by
patients. The findings that “using soft gentle voice with patients”, “being
kind and considerate to patients”, “answering patients’ questions clearly”, and
“giving patients’ treatments and medications on time” were the four highest
(most important) scored items by patients. The findings that “visiting patient
if patient moves to another hospital unit” “preparing patient for death when it
is inevitable”, “Praying with and or for patient” and “checks his or her
perception of the patient with the patient before initiating any action” were
the four lowest (least important) scored items by patients. The result is
indicative that all the caring behaviour statements except item 17 (“visiting
patient if patient moves to another hospital unit”, with item mean of 2.62, SD
= 0.90, and t-observed value of 1.69 which is below the mean criterion of 2.50)
were accepted as indicators of care by nurses.
The findings that “giving patients
treatments and medications on time”, “treating patients information
confidentially”, “using soft gentle voice with patient” and “showing patient
love”, were the four highest (most important) scored items by nurses. The
findings that “visiting patient if patient moves to another hospital unit, “is
calm” and “preparing patient for death
when it is inevitable” were the three
lowest (least important) scored items by nurses. Comparison of mean scores and standard
deviation of patients and nurses on CBAQ subscale showed that patients and
nurses perceived humanism/faith hope sensitivity”, “helping/trusting” and
“human needs assistant as the most important and “existential phenomenological/spiritual
forces” as the least important subscale. The mean scores showed that nurses
gave higher mean values than did patients to all the seven subscales. A
comparison of the top 10 CBAQ items between patients’ and nurses’ perception
revealed similarities as well as differences. Patients and nurses agreed on 6
out of the 10 most important items and do not agree on the remaining 4 top 10
caring behaviour statements. The result also indicated that nurses more than
patients value the subscale “humanism faith hope sensitivity” while patients
valued the subscale; “human needs assistant” more than nurses. In total, nurses
scored higher in 31(83.7%) items than patients who scored higher than nurses in
only 5 (13.5%) items. A comparison of the 10 least important CBAQ items showed that patients and nurses agree on 5 out of 10
of the 10 least important items. Items 17 and 23 on the CBAQ (visiting patients
when patient moves to another hospital unit”, and “check his or her perception
of the patient with the patient before initiating any action” were ranked same
by both patients and nurses. There is a significant difference in the
perceptions of CBAQ statements as indicators of care between patients and
nurses (F=7.456, P < 0.05) P = 007. It was recommended that the
result of the study be communicated to nursing staff of the two hospitals. In
order to help nurses meet caring expectations of clients and enhance patients’
positive health outcomes. The result from this study therefore provide
improvement implications for the care of patients, like concrete information on
what behaviours the patient would like to experience.
CHAPTER
ONE
INTRODUCTION
Background of
the Study
Caring is when a
loving and kind gesture is demonstrated by a person as he or she functions to
promote wellness, well being, maintain health, alleviate sufferings,
rehabilitate the disabled individuals, family, group, community, or population.
“Nurse caring” is the process by which the nurse becomes responsive to another person
as a unique individual, perceives the other’s feelings, and sets that person
apart from the ordinary” (Watson 1998 in Batsdusdottir and Jonsdettir, 2002).
Nurse caring behaviour on the other hand, refers to “those things that a nurse
says or does that communicate caring to the patients (Batsdusdottir and
Jorsdottir, 2002). Caring is the service the nurse renders while caring behaviours
are those attitude, competencies and skills the nurse exhibits while rendering
the services (Ehiemere, 2011).
Caring which has
been identified as the essence of nursing, the dominant, distinctive and
underlying feature of nursing practice (Leininger, 1979in Erb and Kozier, 2008),
has traditionally been at the core of nursing (Larrabee, Putman and Wu, 2006).
Nursing as a profession places the greatest demands specific to the development
and refinement of the caring component of nursing (Azimzadeh, Rahmani,
Valizadeh and Zamanzadeh, 2010). Thus, the study of human caring as an
essential characteristic of nursing practice has gradually expanded from early
definitional, philosophical and cultural writings on the meaning of caring to
evidence-based care (Boykin and Schoenhofer, 2000). To be meaningful,
Azimzadeh, Rahmani, Valinzaadeh and Zamanzadeh (2010), maintained that nurse
caring must be based upon mutual agreement between nurses and patients as to
what constitutes nurse caring behaviours. Nurses cannot be certain that their
behaviour is consistent with patients’ perception and expectations of their
care. Nurses cannot therefore assume
that patients perceive their caring efforts as they are intended. To avoid this
problem, it is imperative that nurses validate with the patients that their
care needs are being met (Azimzadeh, Rahmani, Valizadeh and Zamanzadeh, 2010).
There is
currently considerable emphasis on the provision of patient-centred care in all
aspects of health care (Greenhalgh, 1998 in Azimzadeh, Rahmani, Valizadeh and Zamazadeh,
2010). What is most important here is to make clear or ascertain factors that influence
patients’ satisfaction to enable nurses improve quality of nursing care. Kimble (2003) observed that the degree of
congruence between patients’ expectations of nurse caring behaviour and their
perception of the care they really get forms their satisfaction with nursing
care. Hence, Azimzadeh, Rahmani, Valizadeh and Zamanzadeh, (2010) concluded
that there could be a relationship between nurses’ caring behaviours and
patients’ satisfaction.
Previous studies
on caring (David, Ozawa, Puangrat and Takeo, 2002; Watson, 2002) focused on
nurses’ perceptions of what constitutes caring for the patient, patients’
perception of what is important in making them feel cared for, and comparisms
of patients’ and nurses’ perceptions of