The Relationship Between the Perception of Nurse Caring, and the Phase II Cardiac Rehabilitation Patients' Depression, Anxiety, and Adherence

The purpose of this study was to determine if there was a relationship between perception of nurse caring and Phase II cardiac rehabilitation (CR) participant's depression, anxiety, and adherence. Duffy and Hoskins (2003) Quality-caring model © was used as a theoretical framework to guide the descriptive correlational study. A convenience sample of 109 outpatients lived in the mid-Atlantic portion of the United States. The four data collection instruments included the Center for Epidemiological Studies-Depression Scale (CES-D), State-Trait Anxiety Inventory-Y-1 (STAI-Y-1), Caring Assessment Tool-IV (CAT-IV), and a Phase II CR Patient's Program Data Sheet. Pearson's product-moment correlational analysis was used to determine the relationship between participants' perceptions of nurse caring, depression, anxiety, and adherence. Findings: a) the perception of nurse caring had an inverse relationship with depression (r = - 0.22, p = 0.05 one-tailed); b) the perception of nurse caring had an inverse relationship with anxiety (r = - 0.18, p = 0.05 one-tailed); c) the perception of nurse caring did not have a direct relationship with adherence (r = 0.09, p = 0.05 one-tailed); d) there was a strong correlation between depression and anxiety (r = 0.75, p = 0.05 one-tailed); e) there was a small inverse relationship between depression and adherence (r = - 0.26, p = 0.05 one-tailed). Pearson product-moment correlational analysis was also completed to determine the relationship between participants' perception of nurse caring based on eight nurse caring factors (Duffy, Hoskins, & Seifert, 2007). Data suggested that seven nurse caring factors were identified by participants: a) Mutual Problem solving, b) Attentive Reassurance, c) Human Respect, d) Encouraging Manner, e) Healing Environment, f) Affiliation Needs, and g) Basic Human Needs.