2.50
Hdl Handle:
http://hdl.handle.net/10755/211737
Type:
Research Study
Title:
VALIDATION OF A NURSING PRESENCE SCALE USING DATA TRIANGULATION
Abstract:
Background: Nursing presence is defined as the intentional use of self by the expert nurse who encounters patients from an existential view with a desire to understand and respond to the individual patient’s healthcare needs. While nursing presence is posited to be an essential element of nursing practice and a strong factor in promoting enhanced patient satisfaction, little documentation exists regarding the quantification of perceived nursing presence. Purpose: The purpose of this mixed methods study was to utilize data triangulation to validate  the Presence of Nursing Scale (PONS) developed by Kostovich (2001) administered to a group of 75 adult patients in an acute care setting. Methods:  Seventy-five adult patients (38 females, 37 males) in a medical-surgical unit in a large university medical center were recruited, with a mean age of 49.1 years. The majority of participants had a primary diagnosis of non life-threatening, orthopedic injuries (63.9%). A mixed methods design was used in which both quantitative and qualitative data were collected. Respondents were asked to rate their perception of nursing presence using PONS, a 25-item Likert-type survey designed to measure perception of nursing presence. In previous work, the construct validity of PONS was established using a biserial correlation comparing the construct of nursing presence (as measured using the PONS) to patient satisfaction with nursing care (dichotomous variable), resulting in correlation of 0.801. A Cronbach’s alpha reliability coefficient of 0.95 supported internal consistency of the tool. In the current study, all respondents completed PONS and then participated in an individual qualitative interview consisting of open-ended questions exploring the patient’s perceptions of the nurse-patient relationship and work manner of the nurse. Content analysis of themes from qualitative interviews was performed, followed by data triangulation using multiple triangulation methodology described by Mitchell (1986.) Results: Data triangulation of quantitative and qualitative results revealed that PONS appears to be a valid measure of nursing presence. Respondents who scored on the lower quartile of PONS scores reported qualitatively that they felt like “objects” of the nurses’ work, attended to only when they called for help. In participants scoring toward the middle of the PONS scale, qualitative themes included perceiving a “professional” relationship with their nurse and having confidence in the nurse’s skill and knowledge. In those participants who scored at the higher end of the PONS scale, recurrent themes included feeling “watched over,” experiencing reduced stress, and perceiving enhanced encouragement. Implications: The PONS appears to be a valid measure of nursing presence in the context of the daily work of the bedside nurse. In qualitative interviews, participants reported that specific nursing behaviors were associated with certain levels of nurse presence, suggesting it is possible to teach behaviors that promote an enhanced sense of nurse presence. Considering the posited relationship between the PONS scores and patient satisfaction with nursing care, future intervention studies in which nursing presence behaviors are taught in a structured manner are suggested as a means of ultimately enhancing patient satisfaction scores.
Keywords:
Nursing presense; Expert nurse; Patient satisfaction
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5094
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleVALIDATION OF A NURSING PRESENCE SCALE USING DATA TRIANGULATIONen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211737-
dc.description.abstractBackground: Nursing presence is defined as the intentional use of self by the expert nurse who encounters patients from an existential view with a desire to understand and respond to the individual patient’s healthcare needs. While nursing presence is posited to be an essential element of nursing practice and a strong factor in promoting enhanced patient satisfaction, little documentation exists regarding the quantification of perceived nursing presence. Purpose: The purpose of this mixed methods study was to utilize data triangulation to validate  the Presence of Nursing Scale (PONS) developed by Kostovich (2001) administered to a group of 75 adult patients in an acute care setting. Methods:  Seventy-five adult patients (38 females, 37 males) in a medical-surgical unit in a large university medical center were recruited, with a mean age of 49.1 years. The majority of participants had a primary diagnosis of non life-threatening, orthopedic injuries (63.9%). A mixed methods design was used in which both quantitative and qualitative data were collected. Respondents were asked to rate their perception of nursing presence using PONS, a 25-item Likert-type survey designed to measure perception of nursing presence. In previous work, the construct validity of PONS was established using a biserial correlation comparing the construct of nursing presence (as measured using the PONS) to patient satisfaction with nursing care (dichotomous variable), resulting in correlation of 0.801. A Cronbach’s alpha reliability coefficient of 0.95 supported internal consistency of the tool. In the current study, all respondents completed PONS and then participated in an individual qualitative interview consisting of open-ended questions exploring the patient’s perceptions of the nurse-patient relationship and work manner of the nurse. Content analysis of themes from qualitative interviews was performed, followed by data triangulation using multiple triangulation methodology described by Mitchell (1986.) Results: Data triangulation of quantitative and qualitative results revealed that PONS appears to be a valid measure of nursing presence. Respondents who scored on the lower quartile of PONS scores reported qualitatively that they felt like “objects” of the nurses’ work, attended to only when they called for help. In participants scoring toward the middle of the PONS scale, qualitative themes included perceiving a “professional” relationship with their nurse and having confidence in the nurse’s skill and knowledge. In those participants who scored at the higher end of the PONS scale, recurrent themes included feeling “watched over,” experiencing reduced stress, and perceiving enhanced encouragement. Implications: The PONS appears to be a valid measure of nursing presence in the context of the daily work of the bedside nurse. In qualitative interviews, participants reported that specific nursing behaviors were associated with certain levels of nurse presence, suggesting it is possible to teach behaviors that promote an enhanced sense of nurse presence. Considering the posited relationship between the PONS scores and patient satisfaction with nursing care, future intervention studies in which nursing presence behaviors are taught in a structured manner are suggested as a means of ultimately enhancing patient satisfaction scores.en_GB
dc.subjectNursing presenseen_GB
dc.subjectExpert nurseen_GB
dc.subjectPatient satisfactionen_GB
dc.date.available2012-02-20T12:11:21Z-
dc.date.issued2012-02-20T12:11:21Z-
dc.date.accessioned2012-02-20T12:11:21Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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