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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.
Objectives:
Study objectives were to explore nurses' perceptions of self-care, co-worker, and leader caring within healthcare work environments and assess reliability of 3 Watson Caritas Scores.
Background:
Assessing caring in an organization where Watson's Theory of Human Caring guides nursing practice offers insight into the professional practice environment.
Method:
This study reports quantitative data from mixed-methods descriptive, cross-sectional survey of 1307 RNs at a large healthcare system.
Results:
Mean scores were self = 5.46, co-worker = 5.39, and leader score = 5.53, and median scores were >5.6 (range, 1-7). All scales had a positive and significant correlation to likelihood to recommend the organization, with the largest being feeling cared for by leaders. Internal reliability of the 3 scales was ≥0.9.
Conclusion:
Nurse perceptions of caring may influence the organization's reputation. Assessing the perception of caring among nursing staff after the introduction and enculturation of this framework is needed. Results support psychometric value for 3 Watson Caritas Scores.
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