Study On Influence Factors And Mechanism Of Patients’ Perception On Nurse Role

Background: In recent years, doctor-patient and nurse-patient relationship aregrowing more and more tension, even aroused violent clashes, which endangered personalinterest of doctors, nurses and patients. The main reason of the problems was regarded asroles cognitive bias and communication breakdown among them. Study group found inpreliminary research found that the public and patients had stereotypes on the role ofdoctors and nurses. And inconformity existed between expected role cognition and realrole cognition (That is bias). As for subsequent research, this study mainly exploredmechanism of patients on the nurse role.Objectives: To explore theoretical framework of influence factors on patients’perception to the nurse role. To analyze influence factors on patients’ perception to thenurse role from multi-elements, such as external factors, nurse-patient interactive processand patient self-factors. To structure formation mechanism of patients’ perception to thenurse role for providing theory evidence on subsequent related development of patients’perception on nurses.Methods:①On the basic of analyzing the literature,12patients and10medicalworkers had been gone through semi-structured interviews on the perception and influencefactors of nurses’ role. According to relative theoretical research, theoretical framework onpatients’ perception to the nurse role had been put forward.②Combining literatureanalysis and qualitative interview findings, questionnaire draft of external factors onpatients perception to the nurse role had been formed. Questionnaire structure dimensionsand the items had been consulted and revised by expert consulting method. Previoussurvey and edition formed external factors questionnaire on the patients’ perception to thenurse role. At the same time, Caring Behavior Inventory had been introduced and revised.③According to the theoretical framework, using questionnaire method, applying externalfactors questionnaires on patients’ perception to nurse role, Caring Behavior Inventory-24in Chinese version, researching previous study on measurement tools of patients’perception to the nurse role as well as demographic questionnaire, convenience samplingmethod had been used to investigate468patients in two hospitals in Zhongshan city fromexternal factors, nurse-patient interactive process and patients’ self-factors, and analyzedinfluence factors of patients’ perception to the nurse role with formation of cognitivemechanisms on patients’ perception to the nurse role.Results:①The internal reliability of self-compiled external factors questionnaire on patients’ perception to the nurse role based on Cronbach’s alpha was0.850-0.954. Re-testreliability was0.618-0.827. S-CVI/UA was0.97.②Chinese version of Caring BehaviorInventory-24based on Cronbach’s alpha was0.855-0.959. Re-test reliability was0.656-0.883. S-CVI/UA was0.95.③The mean score for the nurse role which coming frompatients were: The mean score for occupation of self-discipline was4.46±0.65, occupationaccomplishment came next and score was4.45±0.69, positioning occupation image scorewas4.44±0.68; nurses’ factor was being the greatest influence factors among the externalfactors which patients to the nurse role, and score was3.21±1.35, social background camenext and the score was2.15±0.95, the score of media factor was2.03±0.92. Patientsthought hospital management factors with minimal impact and score was1.90±0.82;general mean score of patient perception in nurses caring behaviors was4.69±0.20,Knowledge and Skills got the highest score and it was5.12±0.86, Assurance came nextand score was4.86±0.92, the score of Respect was4.43±1.01, Connectedness came lastand the score was4.29±1.08.④Self-discipline factors among the factors which patientsperceive the nurse role: hospital management factor (β=-0.184), connectedness (β=-0.232),social background factor (β=-0.150), health condition (β=0.138), previous hospitalexperience (β=0.106); influence factor of positioning occupation image: connectedness(β=0.254), media factor (β=-0.200), health condition (β=0.151), hospital managementfactor (β=-0.161), current health condition (β=0.135), social background factor (β=-0.133),previous hospital experience (β=0.115).⑤External factors played direct prediction on thestereotypes: a positive influence on occupation of self-discipline, positioning occupationimage, occupation accomplishment. Standard estimated values of path coefficient were0.402、0.343、0.274; External factors had direct negative influence on caring behaviors andstandard estimated values of path coefficient were-0.467.Conclusion:①This study self-compiled external influence factors questionnaire ofpatients’ perception to nurses role, which applicable to this research: Caring BehaviorInventory-24in Chinese version well applied to the assessment of patients’ perception tothe nurses’ caring behaviors in China.②Clarity the mechanism of patients’ perception tothe nurse role: service continuity among interpersonal system factors was the initialinfluence factor of patients’ perception to the nurse role. Social background factors,hospital management factors and media factors are the factors influencing patients’perception to the nurse role among social system factors. Patients’ health status andprevious hospital experience among patients’ individual factor were influencing patients’ perception to the nurse role.③Constructed mechanism model of patients’ perception tothe nurse role, and proposed intervention strategies to promote patients making positiveassessment on the nurse role. The results of this study provided valuable evidence onmaking nurses training strategies which focus on optimizing professional image,strengthening self-disciplined occupation, enhancing professional quality, sought thesituation among doctors, nurses and patients and built harmonious medical environment ofour country for benefiting public health requirement.