Background: Caring practice for critically ill patients refers to the actions/behaviors/performance of nurses while caring for critically ill adult patients in the intensive care unit (ICU). Although the caring practice is vital in ICUs and complex due to the multitude of availabletechnologies, research on ICU nurses’ caring practice and its predictive factors are lacking.
Objective: This study aimed to explore the level of nurses’ caring practice for critically ill patients in critical technological environments in China and its predictors.
Methods: This was a cross-sectional online survey study with 218 ICU nurses in 29 tertiary hospitals of Guizhou province, China, from 1st to 30th April 2020. Data were collected by using e-questionnaires made in the Questionnaire Star program, including the Demographic Data Questionnaire (DDQ), Practice of Technological Competency as Caring in Nursing Instrument (P-TCCNI), Influence of Technology Questionnaire (ITQ), and Nurses’ Professional Value Scale (NPVS). The questionnaires were content validated by three experts. Cronbach’s alpha coefficient was 0.96 for the P-TCCNI, 0.70 for the ITQ, and 0.95 for the NPVS. Links to the questionnaires were distributed by research assistants to WeChat groups including target participants. Statistical Package for the Social Science (SPSS) program version 26 (IBM Corporation, Armonk, NY, USA) was used for data analysis. Descriptive and inferential statistics were used to analyze the data. Multiple linear regression analysis using stepwise solution analysis was performed to identify unique predictors of nurses’ caring practice.
Results: The level of nurses’ caring practice for critically ill patients was high (mean = 87.30, standard deviation = 13.73). The professional value was a significant predictor of nurses’ caring practice (β = 0.41, p = 0.00).
Conclusion: ICU nurses exhibited a high level of caring practice. Professional value was a significant predictor of ICU nurses’ caring practice. Nursing administrators should understand the current situation of caring practice in critical technological environments and design strategies to maintain and improve ICU nurses’ professional value to increase the level of caring practice.
Funding: This study was financially supported by a thesis grant from Thailand’s Education Hub for Southern Region of ASEAN Countries (TEH-AC) Scholarship through Prince of Songkla University, Thailand.
Copyright (c) 2021 Yinglan Li, Waraporn Kongsuwan
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Bagherian, B., Sabzevari, S., Mirzaei, T., & Ravari, A. (2017). Effects of technology on nursing care and caring attributes of a sample of Iranian critical care nurses. Intensive and Critical Care Nursing, 39, 18-27. https://doi.org/10.1016/j.iccn.2016.08.011
Biswas, S. R., Kongsuwan, W., & Matchim, Y. (2016). Technological Competency as Caring in Nursing as perceived by ICU nurses in Bangladesh and its related factors. Songklanagarind Journal of Nursing, 36(1), 1-20.
Boykin, A., & Schoenhofer, S. O. (2001). Nursing as caring: A model for transforming practice. Canada: Jones & Bartlett Learning.
Chen, J., Zhou, Y., & Shen, Y. (2016). Caring efficacy and its influencing factors among ICU nurses [in Chinese]. Chinese Nursing Management, 16, 1044-1048.
Cheng, L., Liu, Y., Ke, Y., & Wang, W. (2017). Comparison of caring ability between Chinese and American nursing students. Western Journal of Nursing Research, 39(2), 290-304. https://doi.org/10.1177%2F0193945916656613
Deng, M., Chen, W., Xie, C., & Li, T. (2012). Development and evaluation of nurse professional value scale [in Chinese]. Journal of Qilu Nursing, 18, 95-97.
Despins, L. A. (2017). Factors influencing when intensive care unit nurses go to the bedside to investigate patient related alarms: A descriptive qualitative study. Intensive and Critical Care Nursing, 43, 101-107. https://doi.org/10.1016/j.iccn.2017.04.003
Enns, C. L., & Sawatzky, J.-A. V. (2016). Emergency nurses’ perspectives: Factors affecting caring. Journal of Emergency Nursing, 42(3), 240-245. https://doi.org/10.1016/j.jen.2015.12.003
Fang, M., Wang, C., & Li, X. (2013). Relationship among nurses’ work engagement, professional values, and work stress [in Chinese]. Journal of Nursing Science & Health, 28(17), 16-17.
Grove, S. K., Burns, N., & Gray, J. (2013). Understanding nursing research: Building an evidence-based practice. China: Elsevier Health Sciences.
Hu, X. (2017). The influence of humanistic care ability on the professional values of nurses in primary hospitals [in Chinese]. Chinese General Practice Nursing, 15, 741-743.
Kato, K., Miyagawa, M., Yasuhara, Y., Osaka, K., Kataoka, M., Ito, H., & Kongsuwan, W. (2017). Recognition and status of practicing technological competency as caring in nursing by nurses in ICU. International Journal of Nursing & Clinical Practices, 4(1), 264. https://doi.org/10.15344/2394-4978/2017/264
Kato, K., Tanioka, T., Yasuhara, Y., Miyagawa, M., Osaka, K., Kataoka, M., & Locsin, R. (2017). The development of the perceived inventory of technological competency as caring in nursing. Shikoku Acta Medica, 73(3), 4.
Kisorio, L. C., & Langley, G. C. (2019). Critically ill patients' experiences of nursing care in the intensive care unit. Nursing in Critical Care, 24(6), 392-398. https://doi.org/10.1111/nicc.12409
Kongsuwan, W., & Locsin, R. C. (2011). Thai nurses’ experience of caring for persons with life-sustaining technologies in intensive care settings: A phenomenological study. Intensive and Critical Care Nursing, 27(2), 102-110. https://doi.org/10.1016/j.iccn.2010.12.002
Limbu, S., Kongsuwan, W., & Yodchai, K. (2019). Lived experiences of intensive care nurses in caring for critically ill patients. Nursing in Critical Care, 24(1), 9-14. https://doi.org/10.1111/nicc.12349
Lindemann, N. (2019). What’s the average survey response rate? [2019 benchmark]. Retrieved from https://surveyanyplace.com/average-survey-response-rate/
Liu, Y., Wu, X., & Timmins, F. (2019). Strengthening actions for caring as a core component of nursing in the People's Republic of China. Journal of Nursing Management, 27(8), 1577-1579. https://doi.org/10.1111/jonm.12823
Locsin, R. C. (2005). Technological competency as caring in nursing: A model for practice. Indianapolis, IN: Sigma Theta Tau International
Locsin, R. C., & Kongsuwan, W. (2013). Lived experience of patients being cared for in ICUs in Southern Thailand. Nursing in Critical Care, 18(4), 200-211. https://doi.org/10.1111/nicc.12025
Locsin, R. C., & Kongsuwan, W. (2018). The evolution of the theory of technological competency as caring in nursing: A middle-range theory of nursing. Thailand: Chanmeoug.
Meng, M., Zhang, X., & Jiang, A. (2011). A theoretical framework of caring in the Chinese context: A grounded theory study. Journal of Advanced Nursing, 67(7), 1523-1536. https://doi.org/10.1111/j.1365-2648.2010.05573.x
Parcells, D. A., & Locsin, R. C. (2011). Development and psychometric testing of the technological competency as caring in nursing Instrument. International Journal of Human Caring, 15(4), 8-13. https://doi.org/10.20467/1091-5710.15.4.8
Petersen, C. L., Weeks, W. B., Norin, O., & Weinstein, J. N. (2019). Development and implementation of a person-centered, technology-enhanced care model for managing chronic conditions: Cohort study. JMIR mHealth and uHealth, 7(3), e11082. https://doi.org/10.2196/11082
Polit, D., F., & Beck, C., T. . (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia: Lippincott William & Wilkins.
Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice. (9th ed.). Philadelphia: Lippincott Williams & Wilkins.
Poorchangizi, B., Borhani, F., Abbaszadeh, A., Mirzaee, M., & Farokhzadian, J. (2019). The importance of professional values from nursing students’ perspective. BMC Nursing, 18(1), 1-7. https://doi.org/10.1186/s12912-019-0351-1
Reid, C., Jones, L., Hurst, C., & Anderson, D. (2018). Examining relationships between socio-demographics and self-efficacy among registered nurses in Australia. Collegian, 25(1), 57-63. https://doi.org/10.1016/j.colegn.2017.03.007
Sabzevari, S., Mirzaei, T., Bagherian, B., & Iranpour, M. (2015). Critical care nurses’ attitudes about influences of technology on nursing care. Journal of Advances in Medicine and Medical Research, 9(8), 1-10. https://doi.org/10.9734/BJMMR/2015/18400
Simmons, P. R., & Cavanaugh, S. H. (2000). Relationships among student and graduate caring ability and professional school climate. Journal of Professional Nursing, 16(2), 76-83. https://doi.org/10.1016/S8755-7223(00)80019-8
Su, F., Zhao, D., & Song, L. (2014). Investigation of the caring capacity of ICU nurses [in Chinese]. Chinese Journal of Modern Nursing, 20, 2371-2373.
Tehranineshat, B., Torabizadeh, C., & Bijani, M. (2020). A study of the relationship between professional values and ethical climate and nurses’ professional quality of life in Iran. International Journal of Nursing Sciences, 7(3), 313-319. https://doi.org/10.1016/j.ijnss.2020.06.001
Wang, X., Chen, H., & Lan, X. (2014). Caring behaviour of ICU nurses and patients’ perceptions of caring: A survey study [in Chinese]. Journal of Nursing Management, 29, 49-51.
Wang, Y., Hong, F., Yang, S., Zhou, W., Zhang, R., Zhang, J., & Ding, Y. (2016). A comparative study on humanistic caring ability and caring behaviour of nurses [in Chinese]. Nursing Research, 30(3), 984-986.
Wu, J., Zou, S., Xu, J., & Li, L. (2019). Analysis on the humanistic care ability and influencing factors of ICU nurses towards their patients [in Chinese]. Journal of Xingjiang Medical University, 42, 1223-1228.
Yau, X. C., Tam, W. S. W., Seah, H. W. V., & Siah, C. J. R. (2019). An exploration of factors influencing inpatient nurses’ care behaviour in an acute hospital setting. International Journal for Quality in Health Care, 31(6), 473-479. https://doi.org/10.1093/intqhc/mzy199