Caring Nurse-Patient Interaction Short Scale
Caring Nurse-Patient Interaction Short Scale
Introduction Roch and colleagues (2014) conducted a two-phase mixed methods study (Creswell, 2014) to describe the elements of the organizational climate of hospitals that directly affect nursing practice. The first phase of the study was quantitative and involved surveying nurses (N = 292), who described their hospital organizational climate and their caring practices. The second phase was qualitative and involved a study of 15 direct-care registered nurses (RNs), nursing personnel, and managers. The researchers found the following: “Workload intensity and role ambiguity led RNs to leave many caring practices to practical nurses and assistive personnel. Systemic interventions are needed to improve organizational climate and to support RNs’ involvement in a full range of caring practices” (Roch et al., 2014, p. 229).
Relevant Study Results
The survey data were collected using the Psychological Climate Questionnaire (PCQ) and the Caring Nurse-Patient Interaction Short Scale (CNPISS). The PCQ included a five-point Likert-type scale that ranged from strongly disagree to strongly agree, with the high scores corresponding to positive perceptions of the organizational climate. The CNPISS included a five-point Likert scale ranging from almost never to almost always, with the higher scores indicating higher frequency of performing caring practices. The return rate for the surveys was 45%. The survey results indicated that “[n]urses generally assessed overall organizational climate as moderately positive (Table 2). The job dimension relating to autonomy, respondents’ perceptions of the importance of their work, and the feeling of being challenged at work was rated positively. Role perceptions (personal workload, role clarity, and role-related conflict), ratings of manager leadership, and work groups were significantly more negative, hovering around the midpoint of the scale, with organization ratings slightly below this midpoint of 2.5.
TABLE 2 NURSES’ RESPONSES TO ORGANIZATIONAL CLIMATE SCALE AND SELF-RATED FREQUENCY OF PERFORMANCE OF CARING PRACTICES (N = 292) Scale and Subscales (Possible Range) M SD Observed Range Organizational Climate Overall rating (1–5) 3.13 0.56 1.75–4.67 Job (1–5) 4.01 0.49 1.94–5.00 Role (1–5) 2.99 0.66 1.17–4.67 Leadership (1–5) 2.93 0.89 1.00–5.00 Work group (1–5) 3.36 0.88 1.08–5.00 Organization (1–5) 2.36 0.74 1.00–4.67 Caring Practices Overall rating (1–5) 3.62 0.66 1.95–5.00 Clinical care (1–5) 4.02 0.57 2.44–5.00 Relational care (1–5) 2.90 1.01 1.00–5.00 Comforting care (1–5) 4.08 0.72 1.67–5.00 Roch, G., Dubois, C., & Clarke, S. P. (2014). Research in Nursing & Health, 37(3), p. 234.
Caring practices were regularly performed; mean scores were either slightly above or well above the 2.5 midpoint of a 5-point scale. The subscale scores clearly indicated, however, that although relational care elements were often carried out, they were less frequent than clinical or comfort care” (Roch et al., 2014, p. 233).
Question
5. What were the dispersion results for the Relational Care subscale of the Caring Practices in Table 2? What do these results indicate?
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