BMC Nursing最新文献

Background: Individualised care and compassionate care are fundamental components of person-centred nursing, yet little is known about their relationship from the patient perspective. Understanding this link may help improve care quality and patient satisfaction.

Method: This study examined the relationship between patients' perceptions of individualised and compassionate care. This descriptive, correlational, cross-sectional study was conducted with 382 inpatients treated at Çanakkale Onsekiz Mart University Health Practice and Research Hospital between March and October 2024. During data collection, the "Patient Information Form," the "Individualised Care Scale-B (ICS-B)," and the "5-Item Compassion Scale (5-CM)" were employed. Statistical analyses were performed using the Kolmogorov-Smirnov test, Spearman's rho correlation coefficient, Kruskal-Wallis test, Mann-Whitney U test, and Bonferroni correction test.

Results: The mean total ICS-B score was 4.69 ± 0.43. Subscale means were 4.69 ± 0.47 for "Clinical Situation," 4.67 ± 0.52 for "Personal Life Situation," and 4.70 ± 0.44 for "Decision-Making Control." The mean total score for the 5-CM was 3.79 ± 0.39. A statistically significant, moderate, positive correlation was found between the ICS-B total and subscale scores and the 5-CM total score (Spearman's rho = 0.56, 95% CI: 0.44-0.69, p < 0.001).

Conclusions: A positive relationship was found between patients' perceptions of individualised care and compassionate care. Strengthening individualised-care practices may enhance patients' experiences of compassionate care and improve overall patient satisfaction.

Background: Occupational exposure of healthcare workers to antineoplastic drugs can be prevented through the consistent use of protective measures. Despite clear scientific evidence of exposure risks, adherence to safety standards and use of personal protective equipment remain insufficient. The most frequently cited barriers include lack of training, weak safety culture, and inconsistent institutional policies. Training interventions have been shown to improve knowledge, attitudes, and performance related to safe handling.

Methods: This study evaluated the effectiveness of an educational intervention on factors influencing the use of personal protective equipment among nurses who administer antineoplastic drugs, guided by the "Factors Predicting Use of Hazardous Drug Safe Handling Precautions" model. A single-group, before-and-after comparative design was applied. The study included 67 nurses from internal medicine, adult oncology, and pediatric oncology departments of a university hospital in western Turkey. Data were collected using the Hazardous Drug Handling Questionnaire before and three months after the intervention. The program was structured according to national and international guidelines and based on Pender's Health Promotion Model. Statistical analyses were conducted using paired sample t-tests and McNemar's test.

Results: The intervention led to significant improvements in knowledge of hazardous drug risks, self-efficacy, perceived risk, interpersonal modeling, and frequency of personal protective equipment use (p < 0.05). No significant changes were observed in perceived barriers, interpersonal norms, or perceived conflict of interest. Nurses' perceptions of workplace safety climate declined slightly after training (p = 0.047). Reports of the presence of written procedures and spill kits in units increased significantly. Moreover, the proportion of nurses associating health problems with occupational exposure nearly doubled after the intervention.

Conclusion: The educational intervention effectively enhanced individual-level determinants of safe handling behaviors. However, the limited impact on organizational-level factors indicates that training alone cannot ensure sustained behavior change. These findings highlight the need for institutional strategies that include leadership engagement and supportive policies. Strengthening nurses' competencies and self-efficacy in personal protective equipment contributes to building a safety-oriented workplace culture and supports the delivery of safe, high-quality nursing care.