The effect of the training of presence in care (TPinCare) on the care-oriented patient-nurse interaction and the caring behaviors of nurses working with oncology patients: A randomized controlled trial |
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| Affiliation: | 1. Akdeniz University Hospital, Pediatric Bone Marrow Transplant Unit, Antalya, Turkey;2. Akdeniz University Faculty of Nursing, Psychiatric Nursing Department, Antalya, Turkey;1. School of Nursing, Hangzhou Medical College, 481 Binwen, Rd, 310053 Hangzhou, China;2. Department of Nursing, Hangzhou Women''s Hospital, 369 Kunpeng, Rd, 310008 Hangzhou, China;3. Obstetrics Department, Hangzhou Medical College Affiliated Lin An People''s Hospital, 548 Yijin, St, 311300 Hangzhou, China;4. Department and Consultant Obstetrician/Gynaecologist, Saint Francis Private Hospital, N91 FE40 Ballinderry, Ireland;1. Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO, USA;2. Doisy College of Health Sciences, Saint Louis University, St. Louis, MO, USA;3. Department of Athletic Training, Rangos School of Health Sciences, Pittsburgh, PA, USA;4. School of Medicine, Center for Interprofessional Education & Research, Saint Louis University, St. Louis, MO, USA;1. Atatürk University Faculty of Nursing, Department of Fundamentals of Nursing, Erzurum, Turkey;2. Atatürk University Faculty of Education, Departman of Curriculum & Instruction, Department of Education Programs and Instruction, Erzurum, Turkey;3. Gümüşhane Vocational School of Health Services, Gümüşhane, Turkey;1. Out-patient Department, Klinik Kesihatan Lahad Datu, Pejabat Kesihatan Kawasan Lahad Datu, 91120 Lahad Datu, Sabah, Malaysia;2. Department of Basic Sciences, Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;3. Integrated Nutrition Science and Therapy Research Group (INSPiRE), Faculty of Health Sciences, Universiti Teknologi MARA Selangor, Puncak Alam Campus, 42300 Bandar Puncak Alam, Selangor, Malaysia;1. College of Nursing, Taibah University, Saudi Arabia;2. Trudy Busch Valentine School of Nursing, Saint Louis University, St. Louis, MO, USA;3. School of Nursing, Mae Fah Luang University, Thailand |
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| Abstract: | AimThe aim of this study is to investigate the effects of “The Training of Presence in Care-TPinCare” of nurses working with oncology patients on care-oriented patient-nurse interaction and caring behaviors.BackgroundHelping the individual to realize, protect and maintain his/her existence can be considered as the basis of "good nursing care". Presence is a way of care for the nurse and patient that fosters human-to-human bonding and deep contact experience and healing.DesignThis is a randomized controlled study.MethodData were collected between January 2019 and May 2019. The sample selection consisted of 52 nurses working with oncology patients, 26 interventions and 26 controls in accordance with the criteria of inclusion, exclusion and exemption by randominization and blinding. The data were collected by using the "Nurses Introductory Features Form", "Caring Behaviors Scale − 24 " and "Caring Nurse-Patient Interaction Scale". The training was applied to nurses in the intervention group. In data analysis used SAS 9,4 program; statistically Mean score, t test, Repeated Measures ANOVA. In the context of these effect sizes, the power of the study was calculated to be 0.99 for each scale. This study was conducted in line with the principles of the Declaration of Helsinki.ResultsAccording to the control group of nurses in the intervention group, there were no statistically significant differences in the mean scores of caring behaviors at different measurement times. A statistically significant difference was found in favor of the intervention group for caring nursing patient interaction general, sub-dimensions of "importance”, “competence” and “practicality", in nursing interventions (p < 0.05). Although the pretest mean scores of the nurses in the intervention group were lower compared with the control group, it was found that the posttest mean scores increased and the level of follow-up was maintained by a little increasing or decreasing. It was determined that there was no significant change in the posttest and follow-up scores of the nurses in the control group according to the pre-test mean scores.ConclusionsThis study showed that TPinCare has a positive effect on nurses working with oncology patients with respect to care quality perception and viewing “importance”, “competence” and “practicality", of attitude and behaviours related to care-focused patient nurse interactions. In this context, it can be suggested to continue the trainings which will contribute to caring behaviors and patient-nurse interactions of nurses and to support them with institutional contribution. |
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| Keywords: | Caring behaviours Patient- nurse interaction Oncology nursing Presence |
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