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Caring in nursing practice: the development of a conceptual framework.

Tanya V McCance1

  • 1Northern Ireland Practice and Education Council for Nursing & Midwifery, Belfast. tanya.mccance@nipec.n-i.nhs.uk

Research and Theory for Nursing Practice
|July 26, 2003
PubMed
Summary

This qualitative study explored patient caring experiences after hospital discharge. Findings reveal that positive nurse attributes and attentive care processes significantly enhance patient well-being and satisfaction outcomes.

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Area of Science:

  • Nursing
  • Qualitative Research
  • Patient Experience

Background:

  • Understanding the patient's perspective on caring is crucial in nursing.
  • Previous research has identified various components of the caring process, but a unified framework is needed.

Purpose of the Study:

  • To explore and describe patients' experiences of caring after hospital discharge.
  • To develop a conceptual framework illustrating the relationship between caring structures, processes, and outcomes.

Main Methods:

  • A qualitative research study employing a hermeneutic approach and narrative method.
  • One-to-one interviews were conducted with 24 patients in their homes post-discharge.
  • Data were analyzed using narrative analysis.

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Main Results:

  • Identified key categories within the patient's experience of caring in nursing.
  • Developed a conceptual framework based on Donabedian's constructs: structure, process, and outcome.
  • Structures included nurse and patient attributes and organizational factors; processes involved attentive activities and respect; outcomes included well-being and satisfaction.

Conclusions:

  • The study supports a positive linear relationship between caring structures, processes, and patient outcomes.
  • Findings align with existing theories on professional caring, nurse interventions, and the dual nature of caring (attitudes and actions).
  • The developed conceptual framework provides a new model for understanding patient-centered caring in nursing.