Selected factors affecting nurse-perceived reciprocity in nurse-patient relationships
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Abstract
This exploratory study examined factors affecting nurse-perceived reciprocity in nurse-patient relationships of practicing public health nurses. The hypothesis was that there is a positive relationship between selected demographic (age), professional (years as RN, years in public health nursing), personal (career satisfaction, satisfaction with nurse-patient relationships), and contextual variables (work satisfaction, years with current employer, type of nursing care delivery system (team, primary, case management, functional, other), and satisfaction with workload) and nurse-perceived reciprocity in nurse-patient relationships. A convenience sample of 69 public health nurses from three health departments in large urban areas in Texas provided surveys.
Data were analyzed using multiple regression. The smallest (two-factor) significant predictor model with reciprocity as the criterion included two variables: career satisfaction and case management. This model accounted for 16.8% of variance (Adjusted R Square) (p =.001). Seven other variables were also significant (satisfaction with nurse-patient relationships, years with current employer, work satisfaction, "other" type of nursing care delivery, satisfaction with workload, "functional" nursing, and primary nursing), but contributed little additional predictiveness to the two-factor model. Results suggest that career satisfaction and case management are the most important predictors among factors included of nurse-perceived reciprocity.
The study supports the importance of reciprocity in nurse-patient relationships and links nurse-perceived reciprocity and work satisfaction, career satisfaction, satisfaction with nurse-patient relationships, and certain types of nursing care delivery systems. The Nurse-Perceived Reciprocity Scale measures reciprocity from a nursing perspective, using items identified by nurses as rewards in their interpersonal relationships with patients.
Description
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9603915; ProQuest document ID: 304245657. The author still retains copyright.
Repository Posting Date
2020-06-12T17:56:43Z
Notes
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type Information
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Category Information
Evidence Level | Descriptive/Correlational |
Research Approach | Pilot/Exploratory Study |
Keywords | Public Health Nursing; Nurse Retention; Patient Participation in Care |
CINAHL Subject(s) | Nurse-Patient Relations; Job Satisfaction; Perception; Community Health Nursing; Nurse-Patient Relations--Evaluation; Job Satisfaction--Evaluation; Perception--Evaluation |
Degree Information
Grantor | The University of Texas at Austin |
Advisor | Grobe, Susan J. |
Level | PhD |
Year | 1995 |
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