Nurse Caring Enhancements of The Caring Model® (TCM): Education Modules Improve Nurse Communication and Patient Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/602738
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Nurse Caring Enhancements of The Caring Model® (TCM): Education Modules Improve Nurse Communication and Patient Satisfaction
Author(s):
Dingman, Sharon Kay
Lead Author STTI Affiliation:
Nu Nu
Author Details:
Sharon Kay Dingman, RN, sharondingman@aol.com
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background Patient satisfaction is an established indicator of quality care measuring the perception and expectation of nurse caring in human-to-human interpersonal interactions.  Nursing theory and empirical research substantiates the value of caring behaviors in nursing practice.  Caring interactions between nurses, patients, and families are highly correlated with value-based performance incentive payments specific to nurse communication. The patient experience is associated with how well nurses provide information and attend to the needs of patient and families in every encounter, every day.  The education modules focus on the nurse’s role in value-based innovations to improve patient satisfaction. Intervention Four new education modules  provided  participants an opportunity to review aspects of caring from the patients’ perspective.   The modules included: (1) Concepts of Caring and   Application of Caring Theory; (2) Caring Behaviors and Models of Nursing Practice; (3) Caring Environments and Workforce Engagements; and, (4) Outcomes of Caring, Consumerism, and Satisfaction.   A Caring Dimensions Inventory (CDI) of 25 core statements has a Cronbach’s alpha reliability from 0.91 to 0.92 was used to measure the perceptions of caring by nurses in a pre and posttest for changes in perception.  Perceptions of caring increased (t (8) = 4.04, p = 0.004 overall.  Affective aspects of nursing increased (t (8) = 5.20, p = 0.001.  Perceptions of technical caring approached statistical significance (t (8) = 2.16, p =0.06. The difference in the mean score average of affective questions of 4.67 and technical questions of 2.98 appear to be in response to education.  On their first shift after the education experience, nurse participants completed a Personal Observation and Reflective Observation Summary of patient and nurse dialogue identifying ways of being (affective) and ways of doing (technical) care provided.   These observations were used to help determine their responsiveness to patients and families  care delivery experiences and application of the education modules.  Implementation The nursing theories of Watson (1996), Leininger (1994), Swanson (1991), Boykin & Schoenhofer (2001) and Roach (2002) were used to identify the potential affective nature of nurse caring behaviors.  Caring indicators for improving the perceptions of nurse caring were  identified by participants.  Enhanced education modules included examples of affective and technical nurse caring behaviors, as measured by the CDI, to support the interpersonal nurse- patient caring relationship in practice.  Rogers’ Innovation Decision Process model was used as a guiding framework for the education  intervention. Results The participants identified differences between their intended and demonstrated caring behaviors in affective and technical aspects of care.  Posttest perceptions of affective caring increased with statistical significance after the nurses received  the education instruction .  Technical aspects of caring also increased, to a smaller degree, at a rate that approached statistical significance.  Participants who had been in their position in health care greater than three years, there was a greater change in mean scores than those for less than  three years.   The trend in the mean scores suggests there is a pattern than requires further analysis.  Translating existing research into nursing practice promoting affective and technical aspects of caring makes good economic sense.  Conclusions Caring behaviors displayed through nurse interventions can influence the patients’ perceptions of satisfaction with nursing care.  These behaviors can be translated into practice with focused caring educational experiences and the adaptation of caring behaviors to accommodate the patient-family-nurse relationship in value-based patient-centered care in today’s health care environment. There is a predictive relationship between patient-family-nurse perceptions of caring and satisfaction with care delivered. The phenomenon of caring is influenced by multiple perspectives of nursing practice and patient experience expectations.  The economics of nurse caring and compassion in health care reform requires nurses to provide knowledge and insights into nursing practice efficiencies, costs and outcomes.
Keywords:
Satisfaction; Patients; Caring
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15CL2.20
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleNurse Caring Enhancements of The Caring Model® (TCM): Education Modules Improve Nurse Communication and Patient Satisfactionen
dc.contributor.authorDingman, Sharon Kayen
dc.contributor.departmentNu Nuen
dc.author.detailsSharon Kay Dingman, RN, sharondingman@aol.comen
dc.identifier.urihttp://hdl.handle.net/10755/602738en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background Patient satisfaction is an established indicator of quality care measuring the perception and expectation of nurse caring in human-to-human interpersonal interactions.  Nursing theory and empirical research substantiates the value of caring behaviors in nursing practice.  Caring interactions between nurses, patients, and families are highly correlated with value-based performance incentive payments specific to nurse communication. The patient experience is associated with how well nurses provide information and attend to the needs of patient and families in every encounter, every day.  The education modules focus on the nurse’s role in value-based innovations to improve patient satisfaction. Intervention Four new education modules  provided  participants an opportunity to review aspects of caring from the patients’ perspective.   The modules included: (1) Concepts of Caring and   Application of Caring Theory; (2) Caring Behaviors and Models of Nursing Practice; (3) Caring Environments and Workforce Engagements; and, (4) Outcomes of Caring, Consumerism, and Satisfaction.   A Caring Dimensions Inventory (CDI) of 25 core statements has a Cronbach’s alpha reliability from 0.91 to 0.92 was used to measure the perceptions of caring by nurses in a pre and posttest for changes in perception.  Perceptions of caring increased (t (8) = 4.04, p = 0.004 overall.  Affective aspects of nursing increased (t (8) = 5.20, p = 0.001.  Perceptions of technical caring approached statistical significance (t (8) = 2.16, p =0.06. The difference in the mean score average of affective questions of 4.67 and technical questions of 2.98 appear to be in response to education.  On their first shift after the education experience, nurse participants completed a Personal Observation and Reflective Observation Summary of patient and nurse dialogue identifying ways of being (affective) and ways of doing (technical) care provided.   These observations were used to help determine their responsiveness to patients and families  care delivery experiences and application of the education modules.  Implementation The nursing theories of Watson (1996), Leininger (1994), Swanson (1991), Boykin & Schoenhofer (2001) and Roach (2002) were used to identify the potential affective nature of nurse caring behaviors.  Caring indicators for improving the perceptions of nurse caring were  identified by participants.  Enhanced education modules included examples of affective and technical nurse caring behaviors, as measured by the CDI, to support the interpersonal nurse- patient caring relationship in practice.  Rogers’ Innovation Decision Process model was used as a guiding framework for the education  intervention. Results The participants identified differences between their intended and demonstrated caring behaviors in affective and technical aspects of care.  Posttest perceptions of affective caring increased with statistical significance after the nurses received  the education instruction .  Technical aspects of caring also increased, to a smaller degree, at a rate that approached statistical significance.  Participants who had been in their position in health care greater than three years, there was a greater change in mean scores than those for less than  three years.   The trend in the mean scores suggests there is a pattern than requires further analysis.  Translating existing research into nursing practice promoting affective and technical aspects of caring makes good economic sense.  Conclusions Caring behaviors displayed through nurse interventions can influence the patients’ perceptions of satisfaction with nursing care.  These behaviors can be translated into practice with focused caring educational experiences and the adaptation of caring behaviors to accommodate the patient-family-nurse relationship in value-based patient-centered care in today’s health care environment. There is a predictive relationship between patient-family-nurse perceptions of caring and satisfaction with care delivered. The phenomenon of caring is influenced by multiple perspectives of nursing practice and patient experience expectations.  The economics of nurse caring and compassion in health care reform requires nurses to provide knowledge and insights into nursing practice efficiencies, costs and outcomes.en
dc.subjectSatisfactionen
dc.subjectPatientsen
dc.subjectCaringen
dc.date.available2016-03-21T16:35:42Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:35:42Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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