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Development and Psychometric Testing of the Humanistic Nurse-Patient Scale

Published online by Cambridge University Press:  16 February 2016

Veronique M. Boscart
Affiliation:
Conestoga College, School of Health & Life Sciences and Community Services and Schlegel-University of Waterloo Research Institute for Aging
Dorothy Pringle
Affiliation:
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
Elizabeth Peter
Affiliation:
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
Francine Wynn
Affiliation:
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
Katherine S. McGilton
Affiliation:
Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
Corresponding
E-mail address:

Abstract

Quality of life and well-being of older patients in chronic care facilities is often determined by their relationships with nurses. The authors developed and tested a scale to assess patients’ views of what matters most when relating to nurses. Based on the humanistic nursing theory by Paterson and Zderad (1988), 69 items were created and tested with a sample of 40 patients, resulting in refinement of a scale with 24 items. This scale was factor analysed on responses from 249 patients residing in five facilities in Ontario, Canada. The Humanistic Relationship Importance Scale demonstrated strong internal consistency, stability, and reliability with a five-factor solution (α = .87). Construct validity was supported through factual identification. This scale is a valid measure of patients’ perspectives of a nurse-patient relationship in chronic care and can be used to measure health professionals’ relationships with their older patients and evaluate interventions to enhance relational care.

Résumé

La qualité de vie et le bien-être des patients âgés dans les installations pour les soins chroniques dépendent souvent de leurs relations avec les infirmières. Les auteurs ont développé et testé une échelle pour évaluer les points de vue des patients sur ce qui compte le plus relative aux infirmières. Basé sur la théorie de soins infirmiers humanistes par Paterson et Zderad (1988), 69 articles ont été créés et testés avec un échantillon de 40 patients, résultant dans le raffinement d'une échelle avec 24 articles. Cette échelle a ensuite été soumise à une analyse factorielle sur les réponses de 249 patients résidant dans cinq installations en Ontario, Canada. L'Échelle de l'importance des relations humanistes a démontré une forte cohérence interne, la stabilité et la fiabilité avec une solution de cinq facteurs (α = 0,87). La validité de la construction a été soutenue par l'identification factuelle. Cette échelle est une mesure valide des points de vue des patients sur une relation infirmière-patient en soins chroniques, et peut être utilisée pour mesurer les relations des professionnels de la santé avec leur patients âgés et d'évaluer les interventions visant à améliorer la relation de soins.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2016 

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References

Berg, L., Skott, C., & Danielson, E. (2007). Caring relationship in a context: Fieldwork in a medical ward. International Journal of Nursing Practice, 13(2), 100106.CrossRefGoogle Scholar
Billeter-Koponen, S., & Fredén, L. (2005). Long-term stress, burnout and patient-nurse relations: Qualitative interview study about nurses’ experiences. Scandinavian Journal of Caring Sciences, 19(1), 2027.CrossRefGoogle ScholarPubMed
Boscart, V. M. (2010). The development of nurse-patient relationship scales in chronic care. Unpublished PhD dissertation, Graduate Department of Nursing Science, University of Toronto.
Canadian Institute for Health Information (CIHI). (2009) Continuing care reporting system reports. Complex continuing care in Ontario: Resident demographics and system characteristics, 2009.
Cattell, R. B. (1966). Evaluating therapy as total personality change: Theory and available instruments. American Journal of Psychotherapy, 20(1), 6988.Google ScholarPubMed
College of Nurses of Ontario (CNO). (2006). Practice standard for therapeutic nurse-client relationships. Revised 2006. Toronto, ON: College of Nurses of Ontario. Retrieved from http://www.cno.org/docs/prac/41033_Therapeutic.pdf
Fisher, R. J., & Katz, J. E. (2000). Social-desirability bias and the validity of self-reported values. Psychology and Marketing, 17(2), 105120.3.0.CO;2-9>CrossRefGoogle Scholar
Fogarty, S. (2012). Nursing, caring, and complexity science—For human-environment well-being. Nursing Philosophy, 13(4), 302305.CrossRefGoogle Scholar
Forchuk, C., & Reynolds, W. (2001). Clients’ reflections on relationships with nurses: Comparisons from Canada and Scotland. Journal of Psychiatric and Mental Health Nursing, 8(1), 4551.CrossRefGoogle ScholarPubMed
Fornaciari, C. J., Sherlock, J. J., Ritchie, W. J., & Dean, K. L. (2005). Scale development practices in the measurement of spirituality. International Journal of Organizational Analysis, 13(1), 2849.CrossRefGoogle Scholar
Hartrick, G. (1997). Relational capacity: The foundation for interpersonal nursing practice. Journal of Advanced Nursing, 26(3), 523528.CrossRefGoogle ScholarPubMed
Huss, M. J., Buckwalter, K. C., & Stolley, J. (1988). Nursing’s impact on life-satisfaction. Journal of Gerontological Nursing, 14(5), 3136.CrossRefGoogle ScholarPubMed
Jonas-Simpson, C., Mitchell, G. J., Fisher, A., Jones, G., & Linscott, J. (2006). The experience of being listened to: A qualitative study of older adults in long-term care settings. Journal of Gerontological Nursing, 32(1), 4653.CrossRefGoogle ScholarPubMed
Kane, R. A., Caplan, A. L., Urv-Wong, E. K., Freeman, I. C., Aroskar, M. A., & Finch, M. (1997). Everyday matters in the lives of nursing home residents: Wish for and perception of choice and control. Journal of the American Geriatric Society, 45(9), 10861093.CrossRefGoogle ScholarPubMed
Kane, R. A. (2001). Long-term care and a good quality of life: Bringing them closer together. The Gerontologist, 41(3), 293304.CrossRefGoogle Scholar
King, M. F., & Bruner, G. C. (2000). Social desirability bias: A neglected aspect of validity testing. Psychology and Marketing, 17(2), 79103.3.0.CO;2-0>CrossRefGoogle Scholar
Kleinman, S. (2009). Josephine Paterson and Loretta Zderad’s humanistic nursing theory. In Parker, M. & Smith, M. (Eds.), Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F.A. Davis.Google Scholar
Lang, T. A., Hodge, M., Olson, V., Romano, P. S., & Kravitz, R. (2004). Nurse–patient ratios: A systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. Journal of Nursing Administration, 34(7–8), 326337.CrossRefGoogle ScholarPubMed
Lankshear, A. J., Sheldon, T. A., & Maynard, A. (2005). Nurse staffing and healthcare outcomes: A systematic review of the international research evidence. Advances in Nursing Science, 28(2), 163174.CrossRefGoogle ScholarPubMed
Liaschenko, J. (1998). Autonomy and the cognitively impaired elderly. Home Care Provider, 3(1), 1216.CrossRefGoogle Scholar
Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382385.CrossRefGoogle ScholarPubMed
May, C. R., & Purkis, M. E. (1995). The configuration of nurse-patient relationship: A critical view. Scholarly Inquiry for Nursing Practice, 9(4), 283295.Google ScholarPubMed
McGilton, K. S., O'Brien-Pallas, L. L., Darlington, G., Evans, M., Wynn, F., & Pringle, D. (2003). Effects of a relations-enhancing program of care on outcomes. Journal of Nursing Scholarship, 35(2), 151156.CrossRefGoogle ScholarPubMed
McGilton, K. S., & Boscart, V. M. (2007). Close care provider–resident relationships in long-term care. Journal of Clinical Nursing, 16(11), 21492157.CrossRefGoogle ScholarPubMed
McNaughton, D.B. (2005). A naturalistic test of Peplau’s theory in home visiting. Public Health Nursing, 22(5), 429438.CrossRefGoogle ScholarPubMed
Morse, J. M. (1992). Negotiating commitment and involvement in the nurse-patient relationship. In Morse, J. M. (Ed.), Qualitative health research. Thousand Oaks, CA: Sage Publications.Google ScholarPubMed
Morse, J. M., de Luca Havens, G. A., & Wilson, S. (1997). The comforting interaction: Developing a model of nurse-patient relationship. Scholarly Inquiry for Nursing Practice, 11(4), 321343.Google ScholarPubMed
Moyle, W. (2003). Nurse-patient relationship: A dichotomy of expectations. International Journal of Mental Health Nursing, 12(2), 103109.CrossRefGoogle ScholarPubMed
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). New York, NY: McGraw-Hill.Google Scholar
Ontario Hospital Association (ONA). (2006). Optimizing the role of complex continuing care and rehabilitation in the transformation of the health care delivery system. A Discussion Paper Developed by the Complex Continuing Care and Rehabilitation Provincial Leadership Council of the Ontario Hospital Association.
Paterson, J.G., & Zderad, L.T. (1976). Humanistic nursing. New York, NY: John Wiley & Sons.Google ScholarPubMed
Paterson, J. G., & Zderad, L. T. (1988). Humanistic nursing (2nd ed.) (NLN Publ. No. 41–2218). New York, NY: National League for Nursing.Google ScholarPubMed
Peplau, H. E. (1952). Interpersonal relations in nursing. New York, NY: G.P. Putnam.Google Scholar
Pringle, D. (2003). Making moments matter. Canadian Journal of Nursing Research, 35(4), 713.Google ScholarPubMed
Ramos, M. C. (1992). The nurse-patient relationship: Theme and variations. Journal of Advanced Nursing, 17(4), 496506.CrossRefGoogle ScholarPubMed
Ranheim, A., Kärner, A., & Berterö, C. (2012). Caring theory and practice-entering a simultaneous concept analysis. Nursing Forum, 47(2), 7890.CrossRefGoogle ScholarPubMed
Registered Nurses Association of Ontario (RNAO). (2006). Best practice guidelines on the nurse-client relationship. Toronto, ON: Author. Retrieved from http://www.rnao.org/Storage/15/943_BPG_TR_Supplement.pdf
Reinhard, S. C., Young, H. M., Kane, R. A., & Quinn, W. V. (2006). Nurse delegation of medication administration for older adults in assisted living. Nursing Outlook, 54(2), 7480.CrossRefGoogle ScholarPubMed
Rieck, S. (2002). The spiritual dimension inventory: Development and testing. Communicating Nursing Research, 35(10), 251.Google Scholar
Roberts, D. (2013). Psychosocial nursing care: A guide to nursing the whole person. New York, NY: McGraw-Hill.Google Scholar
Robinson, J. H., Callister, L. C. Berry, J. A., & Dearing, K. A. (2008). Patient-centered care and adherence: Definitions and applications to improve outcomes. Journal of the American Association of Nurse Practitioners, 20(12), 600607.CrossRefGoogle ScholarPubMed
Shattell, M. (2004). Nurse-patient interaction: A review of the literature. Journal of Clinical Nursing, 13(6), 714722.CrossRefGoogle ScholarPubMed
Streiner, D. L., & Norman, G. R. (2004). Health measurement scales. A practical guide to their development and use (3rd ed.). New York, NY: Oxford University Press.Google Scholar
Travelbee, J. (1966). Interpersonal aspects of nursing. Philadelphia, PA: Davis.Google Scholar
Veenhoven, R. (2013). The four qualities of life ordering concepts and measures of good life. In Delle Fave, A. (Ed.), The exploration of happiness. Happiness studies book series. New York, NY: Springer.Google Scholar
Wadenstein, B., & Carlsson, M. (2003). Theory-driven guidelines for practical care of older people, based on the theory of gero-transcendence. Journal of Advanced Nursing, 41(5), 462470.CrossRefGoogle Scholar
Watson, J., & Smith, M. C. (2002). Caring science and the science of unitary human beings: A trans-theoretical discourse for nursing knowledge development. Journal of Advanced Nursing, 37(5), 452461.CrossRefGoogle ScholarPubMed
Watson, J. (2012). The philosophy and science of caring (revised edition). In Smith, M. C., Turkel, M. C., & Wolf’s, Z. R., Caring in nursing classics: An essential resource. New York, NY: Springer.Google Scholar
Wood, J. M., Tataryn, D. J., & Gorsuch, R. L. (1996). Effects of under- and overextraction on principal axis factor analysis with varimax rotation. Psychological Methods, 1(4), 354365.CrossRefGoogle Scholar

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