Relationship between patient-perceived quality of nurse caring attitudes and behaviours and quality of life of haemodialysis patients in Switzerland

Abstract

Background: Chronic kidney disease (CKD) is a fast-growing cause of morbidity and mortality worldwide. Patients suffering from CKD almost always develop end-stage renal disease (ESRD) that is often treated with haemodialysis (HD). In this context, the quality of the nurse-patient relationship (NPR) plays a major role in supporting the quality of life (QoL) of HD patients. This study examined the relationship between quality of nurse behaviours and attitudes as perceived by HD patients and QoL of these patients.Methods: The study used a cross-sectional correlational design. The sample consisted of 140 patients recruited in 10 HD units in French-speaking Switzerland. The Caring Nurse-Patient Interaction Scale (CNPI-70) was used to assess the NPR, and the French version of the WHOQOL-Bref was used to evaluate different dimensions of QoL. Random-intercept linear regressions adjusted for sociodemographic characteristics were used to study the relationship between patient-perceived quality of nurse caring attitudes and behaviours and patient QoL.Results: Patients reported a high frequency of caring attitudes and behaviours from their attending nurses, except relative to the dimension of spirituality. All the dimensions of patient QoL were positively influenced by the caring factor composing the CNPI-70. In particular, nurse attention to patient dignity when providing support for basic human needs seemed to be a major factor in patient QoL.Conclusions: Quality of NPR is essential to improving patient QoL. Interventions need to be developed to support quality of NPR.

Relationship among symptoms, quality of life, and complementary and alternative medicines use among patients undergoing hemodialysis in French-speaking Switzerland

“…Our results are in line with previous data on this population [ 12 , 56 , 57 ]: men represent the majority of respondent (65.9%). The average age is quite high reaching 69 years (SD = 13.1), consequently the majority of respondents (68.2%) are already retired.…”

Exploration of the spiritual expectations of patients in a Swiss hemodialysis center

“…The di culty that arises is that spirituality is seen as "largely a private matter". Similar results were seen in a previous study on the quality of life (including private matters such as emotional wellbeing and sexual life) in Swiss dialysis patients and the perception of nurses [12]. Hence, there may be a tension between getting the patient to speak about their intimacy while respecting it.…”

“…Several studies have shown that dialysis patients are subject to many stressors. Their quality of life is also lower than that of patients with other types of chronic diseases [12]. Nevertheless, as stated by Finkelstein et al, "few studies have looked at speci c treatment strategies to improve the symptoms of these patients" [13, p. 2432].…”

Transformation of Clinical Nursing Practice Following a Caring-based Educational Intervention: A Qualitative Perspective

“…The results demonstrated a clear intervention effect on strengthening of nurse caring attitudes and behaviors over time. They also showed that nurse quality of working life improved ( Delmas et al, 2020 ).…”

“…According to Watson's Theory of Human Caring, the quality of the nurse-patient relationship (NPR) constitutes a core dimension of nursing care (Watson, 1985(Watson, , 1988(Watson, , 1999(Watson, , 2008(Watson, , 2012. Empirical studies (Delmas et al, 2016(Delmas et al, , 2018(Delmas et al, , 2020Lee et al, 2008;O'Reilly, 2007;Swanson, 2013) have shown that the quality of the relationship is key to promoting positive outcomes for both patients and nurses.…”