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Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care

BACKGROUND: There is no comprehensive measure of dimensions describing the nursing relationship that is suitable for use with survey samples and that is focused on nursing particular types of patients. The objective of this study was to develop a measure to investigate significant dimensions of the...

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Autores principales: Ku, Tan Kan, Minas, Harry
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2889861/
https://www.ncbi.nlm.nih.gov/pubmed/20509874
http://dx.doi.org/10.1186/1752-4458-4-12
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author Ku, Tan Kan
Minas, Harry
author_facet Ku, Tan Kan
Minas, Harry
author_sort Ku, Tan Kan
collection PubMed
description BACKGROUND: There is no comprehensive measure of dimensions describing the nursing relationship that is suitable for use with survey samples and that is focused on nursing particular types of patients. The objective of this study was to develop a measure to investigate significant dimensions of the nurse-patient relationship, the Nursing Relationship Scale (NRS). METHODS: Hypothetical cases (diabetes or mental illness) in vignette format were presented to 132 psychiatric and 76 general nurses. Thirty-four questions about the nurse-patient interaction were asked. Principal component analyses (with oblique rotation) were used to identify underlying dimensionality in the correlations of items, combining ratings from the two case vignettes. Scales were constructed from the final solution and Cronbach's alpha coefficients calculated. Subscale score variations were analysed across nurse type and patient type to examine the discriminant validity of the subscales. RESULTS: Principal components analysis revealed five dimensions accounting for 52 percent of the variation within items. Four 'conceptual' factors were derived. These were labeled Caring/Supportive Approach, Nursing Satisfaction, Authoritarian Stance, and Negativity. Developed as subscales, reliability analysis indicated high internal consistency with respective alpha coefficients for the diabetes case 0.91, 0.75, 0.65, and 0.78 and for the mental illness case of 0.91, 0.75, 0.73, and 0.85. There was significant variation in scale scores according to nurse type (psychiatric versus general) and patient type (diabetes versus mental illness). Nurses endorsed more highly items from the subscales Caring/Supportive Approach and Nursing Satisfaction than items from Authoritarian Stance (with intermediate endorsement) and Negativity (lowest endorsement) subscales. CONCLUSIONS: Psychometric evaluation of the NRS suggests it is a reliable instrument for measuring four key dimensions of the nurse-patient relationship and enables the study of this relationship in large samples.
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spelling pubmed-28898612010-06-23 Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care Ku, Tan Kan Minas, Harry Int J Ment Health Syst Research BACKGROUND: There is no comprehensive measure of dimensions describing the nursing relationship that is suitable for use with survey samples and that is focused on nursing particular types of patients. The objective of this study was to develop a measure to investigate significant dimensions of the nurse-patient relationship, the Nursing Relationship Scale (NRS). METHODS: Hypothetical cases (diabetes or mental illness) in vignette format were presented to 132 psychiatric and 76 general nurses. Thirty-four questions about the nurse-patient interaction were asked. Principal component analyses (with oblique rotation) were used to identify underlying dimensionality in the correlations of items, combining ratings from the two case vignettes. Scales were constructed from the final solution and Cronbach's alpha coefficients calculated. Subscale score variations were analysed across nurse type and patient type to examine the discriminant validity of the subscales. RESULTS: Principal components analysis revealed five dimensions accounting for 52 percent of the variation within items. Four 'conceptual' factors were derived. These were labeled Caring/Supportive Approach, Nursing Satisfaction, Authoritarian Stance, and Negativity. Developed as subscales, reliability analysis indicated high internal consistency with respective alpha coefficients for the diabetes case 0.91, 0.75, 0.65, and 0.78 and for the mental illness case of 0.91, 0.75, 0.73, and 0.85. There was significant variation in scale scores according to nurse type (psychiatric versus general) and patient type (diabetes versus mental illness). Nurses endorsed more highly items from the subscales Caring/Supportive Approach and Nursing Satisfaction than items from Authoritarian Stance (with intermediate endorsement) and Negativity (lowest endorsement) subscales. CONCLUSIONS: Psychometric evaluation of the NRS suggests it is a reliable instrument for measuring four key dimensions of the nurse-patient relationship and enables the study of this relationship in large samples. BioMed Central 2010-05-28 /pmc/articles/PMC2889861/ /pubmed/20509874 http://dx.doi.org/10.1186/1752-4458-4-12 Text en Copyright ©2010 Ku and Minas; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Ku, Tan Kan
Minas, Harry
Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title_full Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title_fullStr Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title_full_unstemmed Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title_short Development of the Nursing Relationships Scale: a measure of interpersonal approaches in nursing care
title_sort development of the nursing relationships scale: a measure of interpersonal approaches in nursing care
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2889861/
https://www.ncbi.nlm.nih.gov/pubmed/20509874
http://dx.doi.org/10.1186/1752-4458-4-12
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