An evaluation of instruments measuring behavioural aspects of the nurse–patient relationship

Abstract

The importance of the nurse-patient relationship, also referred to as the helping relationship, trusting relationship, caring relationship or therapeutic alliance (Moreno-Poyato et al., 2017;Strandås & Bondas, 2018), is well established in nursing and healthcare literature. This relationship forms the hallmark of many seminal nursing theories that seek to define nursing as a profession and establish the essential elements of its practice. These include the Theory of Human Caring (Watson, 1997), Theory of Interpersonal Relations (Peplau, 1997) and Human-to-Human Relationship Model (Travelbee, 1971), which continue to be incorporated into nursing curricula globally.The nurse-patient relationship is also emphasised in nursing policies and standards internationally, including in the UK (Nursing &

Conceptualising relational care from an Indigenous Māori perspective: A scoping review

“…The use of Indigenous knowledge is poorly represented in Western models of care and is usually expressed from a deficit discourse in health research (Stansfield & Browne, 2013). An Indigenous cultural perspective of healthcare delivery offers a discourse on an inherently important topic in nursing that is poorly understood (Feo et al, 2021). Writing in the context of Aotearoa New Zealand (NZ), Barnes and McCreanor (2019) advocate for embedding Indigenous knowledge in models of care because the holistic underpinnings are determinants of health and well-being and are symbiotic across cultures.…”

“…Hartrick (1997) identified several constraints inherent in behavioural depictions of caring; the reduction of caring to measurable variables, a lack of connectedness and relational awareness, the focus on skills that impede the spontaneity of the inherent elements of being human, and the reduction of health to a medical problem to be fixed. The abundance of literature about care provision and consumer experience is a proof of its importance; however, published studies highlight deficits in the efficacy of behavioural‐based theories (Feo et al, 2021; Pentecost et al, 2020). The assumption that caring relationships can develop through prescriptive behaviours is a dominant feature of Western worldviews.…”

Reflections on the implementation and evaluation of a system‐wide improvement programme based on the fundamentals of care: Lessons learned

“…Despite over a decade of research by the International Learning Collaborative (ILC) challenges exist in measuring the fundamentals of care in practice and demonstrating the effectiveness of interventions (Kitson, 2020). Tools have been identified which evaluate the nurse–patient relationship and measure psychosocial aspects of fundamental care (Bagnasco et al, 2020; Feo et al, 2020; Feo et al, 2021). Feo et al (2020) found 35 tools measuring the nurse–patient relationship, however, none of these were related to the FOC framework (Feo et al, 2021).…”

“…Tools have been identified which evaluate the nurse–patient relationship and measure psychosocial aspects of fundamental care (Bagnasco et al, 2020; Feo et al, 2020; Feo et al, 2021). Feo et al (2020) found 35 tools measuring the nurse–patient relationship, however, none of these were related to the FOC framework (Feo et al, 2021).…”

Braided identities in acute care nurses' practices of work: professional, clinician, employee

“…As with other approaches that take-for-granted the clinical component of nurses' work (e.g. Allen, 2015b;Feo et al, 2022), this umbrella encompasses both the range of clinical knowledge required to nurse effectively and the expectation that nurses will be professional in their comportment, i.e. how they go about carrying out nursing.…”