Level and predictors of caring behaviours of critical care nurses

Abstract

Background Advanced technologies in intensive care units, including artificial intelligence and digitization, has implications for psycho-emotional aspects of caring in terms of communication, involvement, and holistic provision in a safe, effective, and efficient manner. Critical care nurses must maintain a balance between their technological and humanistic caring behaviours during the provision of individualized holistic patient care. Therefore, this study was conducted to examine level and predictors of caring behaviours among critical care nurses in two Arab countries. Methods A cross-sectional design was used to achieve the objective of this study, whereby a quantitative online questionnaire survey was administered to 210 adult intensive care unit nurses at two government hospitals in Sharjah (United Arab Emirates), and two university hospitals in Amman (Jordan). Based on G* Power analysis, 200 participants were adequate to run the analysis. Results On average, 49% of the whole sample had ‘good’ caring behaviours. Among nurses who were working in Emirati intensive care units, 48.5% had good caring behaviours, compared to 47.4% of Jordanian intensive care unit nurses. Additionally, the results showed that predictors of caring behaviours among nurses include female gender, holding a master’s degree, interest in nursing profession, and a 1:1 nurse-to-patient ratio. Conclusions About half of the ICU nurses in this study had low levels of caring behaviours. The present study highlights the requirement for integrating the concept of holistic and patient-centred care as the essence of the nursing profession in nursing curricula to improve the level of care provided by all nurses working in intensive care units. Continuing education programs and specific interventional programs should be directed toward predictors of caring behaviours among each specific group of nurses. Future research is needed using qualitative methods to understand what the perception of intensive care unit nurses is about caring.

Predictive Value of Moral Sensitivity for Quality of Care Among Iranian Nurses

“…In this regard, Farman et al (35) and Dargahpour et al (36) observed a direct association between job satisfaction and the quality of care delivered by nurses. Contrary to the findings of the present study, Ahmed et al (23), in a study in the United Arab Emirates, could not find a statistically significant relationship between the economic status of nurses working in critical care units and their caring behaviors. This disparity can be related to differences in work conditions in special care units vs. general wards, as well as different incomes of Iranian nurses vs. those working in the United Arab Emirates.…”

“…The results of the present study showed that female nurses reported higher quality of care compared with male nurses. This was consistent with the results of similar domestic (20,21) and overseas (11,23) studies. Male nurses in Iran face cultural-religious and organizational challenges when providing care to female patients, which can affect the quality of nursing care.…”

“…For instance, Jamsahar et al (20) and Vatandost et al (21) reported that gender was related to the quality of nursing care; however, Afrasiabifar et al (13) could not find such an association. Furthermore, Darawad et al (22) claimed that economic status was correlated with the quality of nursing care, which was contradicted by another study (23).…”

Investigation of the Relationship Between Intensive Care Nurses’ Attitudes Towards Obese Patients and Caring Behaviors

“…Bu çalışmada hemşirelerin bakım algıları her ne kadar yüksek bulunmuş olsa da yoğun bakım hemşirelerinin bakım davranışları birçok faktörden etkilenebilmektedir. Bu faktörler arasında hemşirenin yaşı, önyargıları, inançları, deneyimi, mesleğini severek yapması ve yetkinliği ile ilgili olduğu kadar hastanın tanısı, bakım verilen hasta sayısı ve kurumun özellikleri de yer almaktadır(25)(26)(27). Bu çalışmada yoğun bakım hemşirelerinin bakım davranışlarının Ahmed ve ark.…”

“…Bu çalışmada yoğun bakım hemşirelerinin bakım davranışlarının Ahmed ve ark. çalışmasına benzer şekilde hemşirelerin yaşı ile ilişkili olduğu bulunurken bakım davranışları ile obezite önyargı düzeyleri arasında istatistiksel olarak anlamlı bir ilişki bulunmadı(27). Bu durum örneklemimizin çoğunluğunu oluşturan mesleğini severek yapan yoğun bakım hemşirelerinin, bakım sürecinde önyargılarından bağımsız olarak nitelikli bir hizmet sürdürme anlayışına sahip olduğunu ve fiziksel anlamda daha zorlayıcı olan obez hastaların bakımını mesleki değerleri göz önünde bulundurarak sürdürebildiğini düşündürmektedir.Çalışmamızın bulguları yorumlanırken bu çalışmanın tek merkezli olduğu ve genellenebilirliğinin sınırlı olduğu göz önünde bulundurulmalıdır.…”