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Association Between Intensive Care Nurses' Self-Reported Caring Behaviours and Observed Care Quality: A Single-Centre
Saadet Can Çiçek1, Nurcan Hıracı Tekinalp2,3, Songül Çağlar4
1Department of Internal Medicine Nursing, Faculty of Health Sciences, Bolu Abant İzzet Baysal University, Bolu, Türkiye.
Journal of Evaluation in Clinical Practice
|August 10, 2026
Summary
Intensive care nurses' self-reported caring behaviors did not correlate with observed nursing care quality. While voluntary intensive care nurses showed higher caring scores, overall care quality remained unchanged.
Area of Science:
- Nursing Science
- Healthcare Quality
- Patient Care
Background:
- Caring behaviors are fundamental to nursing practice.
- These behaviors are presumed to impact care quality, especially in intensive care settings.
Purpose of the Study:
- To investigate the link between intensive care nurses' self-reported caring behaviors and observed nursing care quality.
- To determine if perceived caring aligns with measurable care quality in a team-based intensive care unit.
Main Methods:
- A single-center, prospective, observational study involving 30 intensive care nurses and 60 patients.
- Data collected via the Caring Behaviours Inventory-24 (CBI-24) and the Turkish version of the Nursing Care Quality Scale for Intensive Care Units.
- Spearman correlation and comparative statistical tests were employed.
Main Results:
- No statistically significant relationship was found between total caring behavior scores and total nursing care quality scores.
- Nurses who voluntarily chose intensive care reported higher caring behaviors (p=0.022).
- Observed care quality scores did not differ significantly between groups.
Conclusions:
- Perceived caring behaviors by nurses are not significantly associated with observation-based nursing care quality in intensive care.
- Observed nursing care quality in intensive care may not directly reflect nurses' self-perceived caring behaviors.