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Nurses' Perceptions of Caring at Work: Mixed-Methods Study, Quantitative Report
Jennifer Drake1, Theresa M Davis, Anne-Marie O'Brien
1Author Affiliations: Caritas Coach/Leader and Clinical Educator for Onboarding (Dr Drake), Professional Development, Inova Alexandria Hospital, Alexandria, Virginia; and AVP of Nursing High Reliability Center (Dr Davis), Inova Health System, Falls Church, Virginia; Associate Professor (Dr O'Brien), Department of Nursing, Sonoma State University, Rohnert Park, California; and Senior Nurse Manager (Parker) and Registered Nurse (Dr Douglas), Outpatient Inova Physician Services, and Clinical Nurse, Inova Staffing Solutions (Thomas), Inova Health System, Falls Church, Virginia; Clinical Educator (Rickard), Inova Mount Vernon Hospital, Alexandria, Virginia; Chief Nurse Executive (Dr Sintich), Inova Health System, Falls Church, Virginia; Professor of Public Health (Dr Gollenberg), Department of Public Health and Environmental Studies, Statistical Analysis and Results, Shenandoah University, Winchester, Virginia; and Nursing Research Scientist (Dr Mowery), Professional Development, Inova Health System, Falls Church, Virginia.
Nurses perceive caring from self, coworkers, and leaders positively, which correlates with recommending their organization. The Watson Caritas Scores demonstrate strong reliability and psychometric value for assessing caring in nursing environments.
Area of Science:
- Nursing Practice
- Healthcare Management
- Organizational Psychology
Background:
- Watson's Theory of Human Caring provides a framework for understanding caring within nursing practice.
- Assessing caring perceptions offers insights into the professional practice environment.
- The study focuses on a large healthcare system where human caring guides nursing.
Purpose of the Study:
- To explore registered nurses' (RNs) perceptions of self-care, co-worker caring, and leader caring.
- To evaluate the reliability and psychometric properties of three Watson Caritas Scores.
- To understand the influence of caring perceptions on the healthcare work environment.
Main Methods:
- Quantitative data collected via a mixed-methods descriptive, cross-sectional survey.
- Survey administered to 1307 RNs within a large healthcare system.
- Reliability and correlation analyses were performed on the Watson Caritas Scores.
Main Results:
- Mean scores for self-care, co-worker caring, and leader caring were 5.46, 5.39, and 5.53, respectively (scale 1-7).
- All caring dimensions positively correlated with the likelihood to recommend the organization, particularly leader caring.
- The three Watson Caritas Scales exhibited high internal reliability (≥0.9).
Conclusions:
- Nurse perceptions of caring significantly influence organizational reputation and professional practice environments.
- Assessing caring perceptions is crucial after implementing frameworks like Watson's Theory of Human Caring.
- The study supports the psychometric validity of the three Watson Caritas Scores for measuring caring.
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