Summary: | 碩士 === 臺北醫學大學 === 護理學系 === 92 === The aims of the study are (1) to investigate the views of the patients with heroin use disorder on the nurses’ caring behaviors and their caring needs, (2) to examine the nurses’ perspectives of caring behaviors, and (3) to compare the differences of the patients’ and the nurses’ perspectives of caring behaviors.
A purposive sampling frame was used in the study. Thirty-one patients and twenty nurses were recruited from two hospitals, Taipei City Psychiatric Center and Armed Force Bei-Tou Hospital. The Caring Assessment Report Evaluation Q-sort Questionnaire was used to collect quantitative data. Twenty-two patients and fifteen nurses participated in a semi-structured interview. The methods for data analysis included descriptive statistics, Kruskal-Wallis test, Kolmogorov-Smirnov test, Mann-Whitney U test, Spearman Correlation and content analysis.
The results revealed that the patients rated the most important caring behavior was “Monitors and follows through” (M=6.21, SD=0.94). The following were “Comforts”(M=6.08, SD=0.89),”Anticipates” (M=6.07, SD=0.89), “Accessible” (M=5.99, SD=0.80), and ”Trusting relationship” (M=5.85, SD=0.87). The “Explains and facilitates” (M=5.81, SD=1.03) was rated as a least important one. The results suggested that the patients emphasized technical skills to solve substance use problem in order to feel more comfortable rather than the education and explanations from nurses. The nurses rated the most important caring behavior was “Anticipates” (M=6.08, SD=0.73). The following were “Accessible” (M=6.01, SD=0.61), “Monitors and follows through” (M=6.01, SD=0.63), “Comforts” (M=5.96, SD=0.83), and ”Explains and facilitates” (M=5.86, SD=0.83). The “Trusting relationship” (M=5.84, SD=0.61) was rated as the least important one. The results suggested that the nurses emphasized providing explanations and education for the patients. The differences between the patients’ and the nurses’ views on caring behaviors were found.
The factors influence the nurses’ and the patients’ views on caring behaviors of nurses were discussed in this paper. The suggestions for improving nursing practice were also provided.
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