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      Nurses’ perceptions of caring activities in nursing

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          Abstract

          Aim

          This study aimed to determine nurses’ perceptions of caring activities in nursing.

          Design

          A descriptive study design.

          Methods

          A Turkish translation of the 25‐item version of the Caring Dimensions Inventory was completed by 260 nurses working in one university hospital. Data were analysed using Mokken scaling.

          Results

          Technical aspects of nursing were highly endorsed items such as “observing the effects of a medication on a patient, measuring vital signs, being technically competent with a clinical procedure, consulting with the doctor” except for the item “providing privacy for a patient” which is a psychosocial item. The range of items included in the Mokken scale with “providing privacy for a patient” (mean = 4.31) as the most endorsed, and “exploring the patient's lifestyle” (mean = 2.60) being the least endorsed item. Listening to patients and involving them in their care are not considered as caring.

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          Most cited references65

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          The impact of occupational stress on nurses’ caring behaviors and their health related quality of life

          Background Nursing is perceived as a strenuous job. Although past research has documented that stress influences nurses’ health in association with quality of life, the relation between stress and caring behaviors remains relatively unexamined, especially in the Greek working environment, where it is the first time that this specific issue is being studied. The aim was to investigate and explore the correlation amidst occupational stress, caring behaviors and their quality of life in association to health. Methods A correlational study of nurses (N = 246) who worked at public and private units was conducted in 2013 in Greece. The variables were operationalized using three research instruments: (1) the Expanded Nursing Stress Scale (ENSS), (2) the Health Survey SF-12 and (3) the Caring Behaviors Inventory (CBI). Univariate and multivariate analyses were performed. Results Contact with death, patients and their families, conflicts with supervisors and uncertainty about the therapeutic effect caused significantly higher stress among participants. A significant negative correlation was observed amidst total stress and the four dimensions of CBI. Certain stress factors were significant and independent predictors of each CBI dimension. Conflicts with co-workers was revealed as an independent predicting factor for affirmation of human presence, professional knowledge and skills and patient respectfulness dimensions, conflicts with doctors for respect for patient, while conflicts with supervisors and uncertainty concerning treatment dimensions were an independent predictor for positive connectedness. Finally, discrimination stress factor was revealed as an independent predictor of quality of life related to physical health, while stress resulting from conflicts with supervisors was independently associated with mental health. Conclusion Occupational stress affects nurses’ health-related quality of life negatively, while it can also be considered as an influence on patient outcomes.
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            Stressors in ICU: patients’ evaluation

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              Nursing work environment and nurse caring: relationship among motivational factors.

              This paper is a report of a study of the relationships among compassion satisfaction, nurse job satisfaction, stress, burnout and compassion fatigue to nurse caring. Nurse caring is the most influential dimension of patient advocation and is predictive of patient satisfaction. Qualitative studies have indicated that nurse caring is a key motivational factor impacting recruitment and retention. A correlational study of nurses (N = 126) was conducted in 2008 at a single, academic medical center. The six variables of interest were operationalized using four valid and reliable research instruments: (1) the Mueller McCloskey Satisfaction Scale, (2) the Professional Quality of Life Scale, (3) the Stress in General Scale and (4) the Caring Behaviors Inventory. Pearson Product-moment correlations showed statistically significant relationships between nurse caring and compassion satisfaction (r = 0.51, P < 0.001), nurse job satisfaction subscales (r = 0.16-0.28, P < 0.05), stress (r = -0.21, P < 0.05), and burnout (r = -0.22, P < 0.01). A statistically significant relationship was found between the nurse caring subscale of knowledge and skill and compassion fatigue (r = -0.22, P < 0.01). Hierarchical multiple regression analysis demonstrated that compassion satisfaction (R(2) = 0.287, beta = 0.536, P = 0.000) and nurse satisfaction with social interaction opportunities related to work (beta = 0.223, P = 0.032) explained variability in nurse caring. Fostering compassion satisfaction and social interaction opportunities among nurses may improve nurse caring, potentially sustaining long-term improvements in patient.
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                Author and article information

                Contributors
                nakansel@uludag.edu.tr
                Journal
                Nurs Open
                10.1002/(ISSN)2054-1058
                NOP2
                Nursing Open
                John Wiley and Sons Inc. (Hoboken )
                2054-1058
                10 October 2020
                January 2021
                : 8
                : 1 ( doiID: 10.1002/nop2.v8.1 )
                : 506-516
                Affiliations
                [ 1 ] Department of Nursing Bursa Uludag University Faculty of Health Sciences Bursa Turkey
                [ 2 ] FAAN Professor of Nursing University of Hull Faculty of Health and Social Care Hull UK
                Author notes
                [*] [* ] Correspondence

                Neriman Akansel, Department of Nursing, Bursa Uludag University Faculty of Health Sciences, Bursa, Turkey.

                Email: nakansel@ 123456uludag.edu.tr

                Author information
                https://orcid.org/0000-0002-1451-4761
                https://orcid.org/0000-0001-8040-7625
                Article
                NOP2653
                10.1002/nop2.653
                7729643
                33318857
                4d53b184-d5d2-4ab2-9d36-95792efdc0b9
                © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 07 February 2020
                : 04 September 2020
                : 11 September 2020
                Page count
                Figures: 0, Tables: 4, Pages: 11, Words: 9200
                Categories
                Research Article
                Research Articles
                Custom metadata
                2.0
                January 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.5 mode:remove_FC converted:11.12.2020

                caring,item response theory,mokken scaling,nursing,turkey
                caring, item response theory, mokken scaling, nursing, turkey

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