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Relationships between patient‐centered cancer nursing interventions and desired health outcomes in the context of the health care system
Author(s) -
Radwin Laurel E.,
Cabral Howard J.,
Wilkes Gail
Publication year - 2009
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20302
Subject(s) - operationalization , optimism , psychological intervention , context (archaeology) , medicine , health care , nursing interventions classification , confirmatory factor analysis , nursing research , amotivation , ethnic group , nursing , psychology , structural equation modeling , social psychology , philosophy , statistics , mathematics , epistemology , sociology , anthropology , economics , biology , economic growth , intrinsic motivation , paleontology
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. © 2008 Wiley Periodicals, Inc. Res Nurs Health 32:4–17, 2009