Nurses’ Self-Efficacy, Confidence and Interaction with Patients With COVID-19: A Cross-Sectional Study
Main Article Content
Keywords
.
Abstract
This study aimed to assess nurses' self-efficacy, confidence levels, and interactions with patients diagnosed with coronavirus disease (COVID-19).
Methods: We employed a cross-sectional design using an online survey and included scales for self-efficacy, self-confidence, and nurse-patient interaction .Results: A total of 120 nurses participated in the study. The findings indicated a moderate level of self-efficacy (M = 28.84, SD = 7.7), self-confidence (M = 47.41, SD = 9.0), and nurse-patient interaction (M = 93.59, SD = 16.3). Positive correlations were observed between nurses' self-efficacy, self-confidence, and nurse-patient interaction (r = 0.81, P < 0.0001; r = 0.79, P < 0.0001, respectively). Significant variations in self-efficacy were noted based on years of experience, academic qualifications, and position (F = 2.10, P = 0.003; F = 3.60, P = 0.002; F = 2.60, P = 0.007, respectively). Moreover, significant differences were observed in self-confidence and nurse-patient interaction.
Conclusion: The study underscores the importance of nurse educators and administrators implementing strategies such as continuous education, training, financial incentives, organizational support, and access to protective equipment to enhance nurses' self-efficacy, confidence, and interactions with COVID-19 patients.
References
2. World Health Organization. Novel Coronavirus (2019-nCoV): situation report, 3. 2020.
3. Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern. Lancet. 2020;395(10223):470–473.
4. Lee N, Sung JJ. Nosocomial transmission of SARS. Curr Infect Dis Rep. 2003;5(6):473–476.
5. Evans EC. Exploring the nuances of nurse-patient interaction through concept analysis: impact on patient satisfaction. Nurs Sci Q. 2016;29(1):62–70.
6. Sharac J, McCrone P, Sabes-Figuera R, et al. Nurse and patient activities and interaction on psychiatric inpatients wards: a literature review. Int J Nurs Stud. 2010;47(7):909–917.
7. Cardona-Morrell M, Prgomet M, Lake R, et al. Vital signs monitoring and nurse-patient interaction: a qualitative observational study of hospital practice. Int J Nurs Stud. 2016;56:9–16.
8. Haugan G, Moksnes UK, Løhre A. Intrapersonal self-transcendence, meaning-in-life and nurse-patient interaction: powerful assets for quality of life in cognitively intact nursing-home patients. Scand J Caring Sci. 2016;30(4):790–801.
9. Cossette S, Pepin J, Côté JK, et al. The multidimensionality of caring: a confirmatory factor analysis of the Caring Nurse-Patient Interaction Short Scale. J Adv Nurs. 2008;61(6):699–710.
10. Lechleitner R. A study to assess home health nurses from a carative perspective. Hosp Top. 2019;97(1):11–14.
11. Sousa LMM, Marques-Vieira CMA, Antunes AV, et al. Humor intervention in the nurse-patient interaction. Rev Bras Enferm. 2019;72(4):1078–1085.
12. Prip A, Møller KA, Nielsen DL, et al. The patient-healthcare professional relationship and communication in the oncology outpatient setting: a systematic review. Cancer Nurs. 2018;41(5):E11–E22.
13. Haugan G, Rannestad T, Hammervold R, et al. Self-transcendence in cognitively intact nursing-home patients: a resource for well-being. J Adv Nurs. 2013;69(5):1147–1160.
14. Cziraki K, Read E, Spence Laschinger HK, et al. Nurses’ leadership self-efficacy, motivation, and career aspirations. Leadersh Health Serv (Bradf Engl). 2018;31(1):47–61.
15. Henderson A, Rowe J, Watson K, et al. Graduating nurses’ self-efficacy in palliative care practice: an exploratory study. Nurse Educ Today. 2016;39:141–146.
16. Dharmanegara IBA, Pradesa HA. The influence of self-efficacy and emotional intelligence toward caring behavior among nurses in public hospital Denpasar Bali. J Nurs Health Sci. 2015;3(4):9–15.
17. Monica M, Ramanaiah G. The role of self efficacy in determining the confidence level among selected post graduation students in Bangalore City: an empirical study. ProQuest. 2017;8(2):31–46.
18. Hinz A, Friedrich M, Kuhnt S, et al. The influence of self-efficacy and resilient coping on cancer patients’ quality of life. Eur J Cancer Care (Engl). 2019;28(1):e12952.
19. Kwak YS, Hur HK. Relationship among knowledge, attitude, self-confidence and performance ability on basic life support in nursing students. J Korea Contents. 2019;19(3):126–137.
20. McCabe DE, Gilmartin MJ, Goldsamt LA. Student self-confidence with clinical nursing competencies in a high-dose simulation clinical teaching model. J Nurs Educ Pract. 2016;6(8):52–58.
21. Reinard JC. Communication Research Statistics. California: SAGE Publications; 2006.
22. Hicks F. Clinical decision-making self-confidence scale. National Council of State Boards of Nursing. The Effect of High-Fidelity Simulation on Nursing Students’ Knowledge and Performance: A Pilot Study. 2009.
23. Schwarzer R, Jerusalem M. Generalized self-efficacy scale. In Weinman J, Wright S, Johnston M, eds. Measures in Health Psychology: A User’s Portfolio. Causal and Control Beliefs. Windsor, UK: NFER-NELSON; 1995:35–37.
24. Cossette S, Cote JK, Pepin J, et al. A dimensional structure of nurse-patient interactions from a caring perspective: refinement of the Caring Nurse-Patient Interaction Scale (CNPI-Short Scale). J Adv Nurs. 2006;55(2):198–214.
25. Arbon P, Ranse J, Cusack L, et al. Australasian emergency nurses’ willingness to attend work in a disaster: a survey. Australas Emerg Nurs J. 2013;16(2):52–57.
26. Ruderman C, Tracy CS, Bensimon CM, et al. On pandemics and the duty to care: whose duty? who cares? BMC Med Ethics. 2006;7:E5.
27. Bevan JC, Upshur REG. Anesthesia, ethics, and severe acute respiratory syndrome. Can J Anaesth. 2003;50(10):977–979.
28. Hui E. The SARS epidemic in Hong Kong 2003: interplay of law, medicine and ethics. In The Nexus of Law and Biology. London: Routledge; 2016:87–104.
29. Ehrenstein BP, Hanses F, Salzberger B. Influenza pandemic and professional duty: family or patients first? A survey of hospital employees. BMC Public Health. 2006;6(1):311.
30. Balicer RD, Omer SB, Barnett DJ, et al. Local public health workers’ perceptions toward responding to an influenza pandemic. BMC Public Health. 2006;6(1):99.
31. Schwarzer R, Warner LM. Perceived Self-Efficacy and its Relationship to Resilience, in Resilience in Children, Adolescents, and Adults. New York: Springer. 2013:139–150.
32. Ko N-Y, Feng M-C, Chiu D-Y, et al. Applying theory of planned behavior to predict nurses’ intention and volunteering to care for SARS patients in southern Taiwan. Kaohsiung J Med Sci. 2004;20(8):389–398.
33. Powers K, Reeve CL. Factors associated with nurses’ perceptions, self-confidence, and invitations of family presence during resuscitation in the intensive care unit: a cross-sectional survey. Int J Nurs Stud. 2018;87:103–112.
34. Schwartz D, Shapira S, Bar-Dayan Y. Health care workers’ knowledge and confidence in personal protective equipment during the H1N1 pandemic in Israel. Disaster Med Public Health Prep. 2014:1–8.
35. Hope K, Massey P, Osbourn M, et al. Senior clinical nurses effectively contribute to the pandemic influenza public health response. Aust J Adv Nurs. 2011;28(3):47.
36. Barnett DJ, Balicer RD, Thompson CB, et al. Assessment of local public health workers’ willingness to respond to pandemic influenza through application of the extended parallel process model. PLos One. 2009;4(7):e6365.
