Nursing Leadership: Centering on Congruence between Patients and Nurses Perceptions of Caring

Saturday, 16 November 2013: 3:55 PM

Ann E. Sossong, PhD, RN
Patricia A. Poirier, PhD, RN
School of Nursing, University of Maine, Orono, ME

Learning Objective 1: The learner will be able to identify differences between nurses’ and patients’ perceptions of caring.

Learning Objective 2: The learner will be able to discuss significance of transformational “care” changes in health facilities that focus on patient-centered care.

Focus on patient-centered care requires adaptation to patients’ perceptions according to the Institute of Medicine (IOM, 2001) report, Crossing the Quality Chasm. True patient-centered care necessitates congruence in patients and nurses perceptions of caring. Significant transformational “care” changes are occurring in health care facilities that focus on patient centered care. Nurses are expected to take a leading role in health care facilities in providing patient-centered care. Congruence in patients’ and nurses’ perceptions of caring is essential for providing high quality, cost effective, patient-centered care. To provide nurses in health care facilities with information on similarities and differences in patients and nurses perceptions of caring, a study was conducted in one tertiary care hospital in a rural state. Wolf’s Caring Behaviors Inventory (CBI-E) was administered to 226 patients and 216 nurses to determine differences in patients and nurses’ perceptions of caring. There was a statistically significant difference between patients and nurses on several behaviors which provide direction for nurses at all levels to make nursing practice changes that focus on true patient-centered care. This study provided insight into the perceptions of caring by both patients and nurses that are present in today’s complex health care environment.