Predictors of caring ability and its dimensions among nurses in China: A cross‐sectional study

Abstract

Predictors of caring ability and its dimensions among nurses in China: A cross-sectional studyBackground: Caring is an essential component of professional nursing practice, which directly affects the quality of patient care. Nurses' caring ability may not meet patients' demands for high-quality care. There are challenges in designing and implementing interventions to improve nurses' caring ability, especially in China. Understanding Chinese nurses' caring ability and related influential factors serves as the basis for effective interventions to improve their ability to care for patients. Aim: To describe the caring ability of nurses and its potential predictors in China. Methods: From January to February 2018, a crosssectional survey was conducted among 2304 Registered Nurses working at different levels of hospitals across 29 provinces in China. The structured online survey included socio-demographic information, Caring Ability Inventory, Caring Efficacy Scale and Professional Quality of Life. Descriptive statistics, univariate analyses and multivariate analyses were conducted. Results: Overall caring ability and its three dimensions of the participants were all significantly lower than the Nkongho' norm, an international scoring standard of nurse's caring ability. Age, employment type, workplace, caring efficacy, compassion satisfaction, burnout and secondary traumatic stress were predictors of knowing, explaining 41.8% of the variance. Predictors of courage were educational level, bereavement experience, caring efficacy, compassion satisfaction and burnout (31.7% of the variance). Educational level, workplace, exposure to critically ill patients, caring efficacy, compassion satisfaction, burnout and secondary traumatic stress were influencing factors of patience, accounting for 19.5% of the variance. Conclusions: Chinese nurses' caring ability, with patience, knowing, and courage in descending order. Particular attention needs to be paid to the courage dimension of the nurses' caring ability. Further, the predictors of overall caring ability and each dimension were diverse. These results indicate that nurse educators and administrators need to identify training priorities and design targeted interventions based on the influencing factors.

Investigation on the Correlation Between Humanistic Care Ability and Emotional Intelligence of Hospital Staff

“…In this study, the average score of each dimension of CAI from high to low was knowing, patience and courage, which indicated that the staff of our hospital had a relatively good understanding of themselves, others and the surrounding environment. Also, their patience and resilience were similar to the research results of Wessel (36), and similar to the research results of Xu T (20) with regards to knowing and patience, and the score of courage was signi cantly higher than that of Xu T (20). The scores of understanding and patience, and the total score of this study were higher than those of He et al (37).…”

“…There are also surveys on the HCA of clinicians and nurses in the literature, but they mainly focus on the HCA of clinical nurses. For example, Simmons and Cavanaugh ( 18) conducted a survey on the HCA of female nursing graduates in the United States; Hables (19), Xu et al (20) conducted a CAI survey on nurses. In addition, there were also studies on the CAI evaluation of family caregivers of patients with chronic diseases abroad (21), but there are only a few studies on the HCA of doctors and none on the HCA of the whole hospital staff.…”

Influencing Factors of Humanistic Care Ability in Mental Health Workers: An Online Cross-Sectional Study

“…This is different from previous studies. In a previous study [14], there were statistical differences in the humanistic care ability and sub-dimension scores of medical staff of different ages, education levels, and hospital levels. Although we cannot provide evidence-based reasons for this nding, we speculate that it may be due to the impact of the epidemic, such as changes in the working environment and priorities, service restructuring, remote counseling, measures to control infection risk, anxiety, depression and other negative emotions, and high workload [31], which caused mental health workers to have no time to take care of humanities during this period.…”

“…Although the importance of humanistic care is emphasized both in theory and policy, and some education and training programs have been proposed in previous studies [12,13], medical staff have not been able to translate these results into daily clinical work, and their humanistic care ability are still at a relatively low level [14]. One of the reasons for this result is that various clinical challenges, such as time constraints, work-related and personal stress, organizational culture and burnout [15].…”

“…It can be seen that the humanistic care ability of medical staff is an indispensable component of their professional practice. Medical staffs need to integrate the value of the individual, care, warmth and compassion into the daily care work [10,11] to better develop humanistic care ability and maintain humanistic practices.Although the importance of humanistic care is emphasized both in theory and policy, and some education and training programs have been proposed in previous studies [12,13], medical staff have not been able to translate these results into daily clinical work, and their humanistic care ability are still at a relatively low level [14]. One of the reasons for this result is that various clinical challenges, such as time constraints, work-related and personal stress, organizational culture and burnout [15].…”