Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system

Res Nurs Health. 2009 Feb;32(1):4-17. doi: 10.1002/nur.20302.

Abstract

A non-experimental longitudinal prospective study was conducted to examine the relationships between patient-centered nursing interventions (PCNIs), system characteristics, patient characteristics, and desired health outcomes (DHOs) for 173 hematology-oncology patients. Forty-nine nurse participants provided system characteristics data. Confirmatory factor analyses yielded parsimonious scales to operationalize the variables. In the path model, one PCNI-individualization-was positively related to three subsequent DHOs: authentic self-representation, optimism, and sense of well-being. Two additional PCNIs-responsiveness and proficiency-were positively related to subsequent trust in nurses. PCNIs did not vary with patient race, ethnicity, age, gender, or educational level. Patient-centeredness of care for cancer patients may be enhanced by quality improvement activities that measure and monitor these PCNIs and resultant outcomes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Data Collection / methods
  • Factor Analysis, Statistical
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Models, Theoretical
  • Neoplasms / nursing*
  • New England
  • Nurse-Patient Relations
  • Nursing Evaluation Research / methods*
  • Nursing Evaluation Research / statistics & numerical data
  • Outcome and Process Assessment, Health Care / methods*
  • Outcome and Process Assessment, Health Care / statistics & numerical data
  • Patient Satisfaction
  • Patient-Centered Care*
  • Prospective Studies
  • Research Design*