Thursday, July 10, 2003

This presentation is part of : Innovations in Research

Nurse-Patient Relationship in an Economic Context

Patricia R. Messmer, PhD, RN, BC, FAAN, Nurse Researcher, Nurse Researcher, Miami Children's Hospital, Miami, FL, USA, Marian Turkel, PhD, RN, Assistant Professor, Florida Atlantic University, Boca Raton, FL, USA, Stacey Yuskas, RN, BSN, Graduate Student, FL, USA, Meiqiong Yan, RN, MSN, N/A, Shanghai Medical University, Zhong Shan Hospital, Shanghai, China, and Cheryl Frederick, RN, MSN, Nurse Educator, Jackson Memorial Hospital, Miami, FL, USA.
Learning Objective #1: Identify an instrument for measuring nurse-patient relationships (NPR)
Learning Objective #2: Discuss the NPR instrument in an economic context

A challenge for nursing in current economy is nurse-patient relationships (NPR); there is a dearth of NPR nursing research studies related to outcomes of care. Review of Literature Patients in Magnet Hospitals are more likely to have a single nurse accountable for care, favorable nurse staffing & experienced competent teams to improve NPR (Aiken; 2002; Hinshaw; 2002; Havens; 2002). Purpose: To determine factors affecting NPR in economic context. Research Questions: What factors affect NPR? and How does economic environment affect NPR? King's Communication Concept provides theoretical basis. Methodology Design-Descriptive Study. Instrument Turkel's (2000) 45-item Nurse-Patient Relationship Resource Questionnaire (NPRRQ) Nurse & Patient Forms with response ranging 1 (Strongly Disagree) to 5 (Strongly Agree). Sample 45 nurses & 51 patients in 1200+ bed medical center. Nurses Ages ranged 21- 65 yrs. Ed level 50% nurses-ADN; 4%-BS/BA; 39%-BSN; 7%-MSN/MS/MA. Cultural background 25% Caucasian, 11% Hispanic, 32% Afro-American, 9% Asian & 20% other. Patient. Ages ranged 21-65+. Ed level-HS; 50% AS; 3% BS/BA 7% -MA/MS degree. Cultural background 25% Caucasian, 8% Hispanic, 34% Afro-American, 9% Asian and 24 % other. Means ranged low 2.28 for Q33 "Put a Dollar" to high 4.58 for Q16 "Nurse Listening to Me." SD .56 for Q6 "Knowing My Nurse" to 1.39 for Q29, "Less Nurses Make Difference." Principal components analysis: 45 items (Scree Plot) four factors Factor 1 "Family;" Factor 2 "Finance;" Factor 3 "Communication;" Factor 4 "Information." Nurses & Patients statistically significant "Family" & "Information" scales; greater Nurse than patient concern "Family"; greater Patient than Nurse concern "Information." ANOVA: Patients more in agreement "Information" than Nurses. Post hoc LSD test - Hispanics more in agreement "Information" than African, Haitian, or Caucasians (p = .008, p = .002, p = .042). Conclusion- King's concept communication that addresses transmission & constancy of information from nursesŪ patients is paramount.

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