The aim of this study was to identify perceptions of caring behaviors in student nurses from four countries.
Methods
This study employed a descriptive, comparative survey design. Four hundred sixty-seven students were recruited from four countries (Nigeria, India, Greece, and the Philippines) to participate in the study during the months of September 2013 to January 2014. Data were collected using the Caring Behavior Inventory.
Findings
The highest ranked subscale was “assurance of human presence” (4.827 ± 0.927), while “positive connectedness” (4.610 ± 0.949) was the lowest ranked subscale. There were no statistically significant correlations between the Caring Behavior Inventory scale and gender (F = 0.215, p = .643), educational level (F = 0.396, p = .529), and family structure of students (F = 0.680, p = .410), except for age (F = 9.380, p = .002, η2 = 0.141) and the country of origin (F = 5.772, p = .001, η2 = 0.036).
Conclusion
Students from four countries possess positive caring behaviors, specifically on physically based caring interventions, while there is a need to emphasize expressive caring behaviors during nursing education and training.
Implication for Nursing Practice
Caring interventions should be carried out in order to help students build or enhance their caring behaviors that can be adapted to clinical situations.
AlpersR. R.JarrellK.WotringR. (2013). Is caring really teachable?Teaching and Learning in Nursing, 8, 68–69.
2.
BeckC. T. (2001). Caring within nursing education: A metasynthesis. Journal of Nursing Education, 40, 101–109.
3.
BegumS.SlavinH. (2012). Perceptions of “caring” in nursing education by Pakistani nursing students: An exploratory study. Nurse Education Today, 2, 332–336.
4.
BennerP. (1984). From novice to expert, excellence and power in clinical nursing practice. Menlo Park, CA: Addison-Wesley Publishing Company.
5.
BrilowskiG. A.Cecilia WendlerM. (2005). An evolutionary concept analysis of caring. Journal of Advanced Nursing, 50, 641–650.
6.
CarlsonS.KotzeW. J.Van RooyenD. (2003). Accompaniment needs of first year nursing students in the clinical learning environment. Curationis, 26, 30–39.
7.
ClarkC. M. (2008). Student voices on faculty incivility in nursing education: A conceptual model. Nursing Education Perspectives, 29, 284–289.
8.
CohenH. A. (1981). The nurse's quest for a professional identity (1st ed.). Menlo Park, CA: Addison-Wesley.
9.
CookL. J. (2005). Inviting teaching behaviors of clinical faculty and nursing students' anxiety. Journal of Nursing Education, 44, 156–161.
10.
CookP. R.CullenJ. A. (2003). Caring as an imperative for nursing education. Nursing Education Perspectives, 24(4), 192–197.
11.
Eklund-MyrskogD. G. (2000). Student nurses' understanding of caring science. Nurse Education Today, 20(2), 164–170.
HinshawA.ScofieldR.AtwoodJ. (1981). Staff, patient, and cost outcomes of all-registered nurse staffing. Journal of Nursing Administration, 11(11–12), 30–36.
14.
IsselL. M.KahnD. (1998). The economic value of caring. Health Care Management Review, 23, 43–53.
15.
JohnsonM.CowinL. (2013). Measuring the qualities of nurses: Development and testing of the qualities of nurses scale. Nursing Education Research, 34(2), 111–117.
16.
KapborgI. (2000). The nursing education programme in Lithuania: Voices of student nurses. Journal of Advanced Nursing, 32(4), 857–863.
17.
KapborgI.BerteröC. (2003). The phenomenon of caring from the novice student nurse's perspective: A qualitative content analysis. International Nursing Review, 50, 183–192.
KhademianZ.VizeshfarF. (2008). Nursing students' perceptions of the importance of caring behaviors. Journal of Advanced Nursing, 61, 456–462.
21.
LabragueL. J. (2012). Caring competencies of baccalaureate nursing students of Samar State University. Journal of Nursing Education and Practice, 2(4), 105–113.
22.
LabragueL. J.McEnroe-PetitteD. M.PapathanasiouI. V.EdetO. B.ArulappanJ. (2015). Impact of instructors' caring on students' perceptions of their own caring behaviors. Journal of Nursing Scholarship, 47(4), 338–346.
23.
LarrabeeJ. H.OstrowC. L.WithrowM. L.JanneyM. A.HobbsG. R.BurantC. (2004). Predictors of patient satisfaction with inpatient hospital nursing care. Research in Nursing & Health, 27(4), 254–268.
24.
LathamC. P. (1996). Predictors of patient outcomes following interactions with nurses. Western Journal of Nursing Research, 18(5), 548–564.
25.
LeiningerM. (2002). Culture care theory: A major contribution to advance transcultural nursing knowledge and practices. Journal of Transcultural Nursing, 13(3), 189–192.
26.
MaF.LiJ.LiangH.BaiY.SongJ. (2014). Baccalaureate nursing students’ perspectives on learning about caring in China: A qualitative descriptive study. BMC Medical Education, 14(1), 42.
27.
MackintoshC. (2006). Caring: The socialisation of pre-registration student nurses: A longitudinal qualitative descriptive study. International Journal of Nursing Studies, 43(8), 953–962.
28.
McEnroe-PetitteD. (2011). Impact of faculty caring on student retention and success. Teaching and Learning in Nursing, 6(2), 80–83.
29.
McEnroe-PetitteD. (2014). Caring in traditional and non-traditional nursing students (ProQuest Dissertations & Theses: Full Text Database) (UMI No.3625901). Capella University, Minneapolis, MN.
30.
McManemyJ. (2002). Caring behaviors and cultural influences: Retention strategies for minority nursing students (Published dissertation abstract). Saint Louis University, St. Louis, MO.
PaleseA.TomiettoM.SuhonenR.EfstathiouG.TsangariH.MerkourisA.PapastavrouE. (2011). Surgical patient satisfaction as an outcome of nurses' caring behaviors: A descriptive and correlational study in six European countries. Journal of Nursing Scholarship, 43(4), 341–350.
34.
SaultzJ. W.LochnerJ. (2005). Interpersonal continuity of care and care outcomes: A critical review. Annals of Family Medicine, 3(2), 159–166.
35.
SawatzkyJ. A.EnnsC. L.AshcroftT. J.DavisP. L.HarderB. N. (2009). Teaching excellence in nursing education: A caring framework. Journal of Professional Nursing, 25, 260–266.
36.
SmithP. (1992). The emotional labour of nursing. How nurses care. Basingstoke, UK: Macmillan Education.
37.
SutherlandJ. A.HamiltonM. J.GoodmanN. (2007). Affirming at-risk minorities for success (ARMS): Retention, graduation, and success on the NCLEX-RN. Journal of Nursing Education, 46, 347–353.
38.
SwansonK. M. (1999). Effects of caring, measurement, and time on miscarriage impact and women's well-being. Nursing Research, 48, 288–298.
39.
WadeG. H.KasperN. (2006). Nursing students' perceptions of instructor caring: An instrument based on Watson's theory of transpersonal caring. Journal of Nursing Education, 45, 162–168.
40.
WatermanM. A. (2007). Case study of caring in nursing education (ProQuest Dissertations & Theses: Full Text Database) (UMI No. 3260177). Ohio State University, Columbus.
41.
WatsonJ. (2002). Intentionality and caring-healing consciousness: A practice of transpersonal nursing. Holistic Nursing Practice, 16, 12–19.
42.
WatsonJ. (2008). Assessing and measuring caring in nursing and health science (2nd ed.). New York: Springer.
43.
WatsonR.DearyI. J.LeaA. (1999). A longitudinal study into the perceptions of caring and nursing among student nurses. Journal of Advanced Nursing, 29(5), 1228–1237.
44.
WolfD. M.LehmanL.QuinlinR.ZulloT.HoffmanL. (2008). Effect of patient-centered care on patient satisfaction and quality of care. Journal of Nursing Care Quality, 23(4), 316–321.
45.
WolfZ. R.MillerP. A.DevineM. (2003). Relationship between nurse caring and patient satisfaction in patients undergoing invasive cardiac procedures. Medsurg Nursing, 12(6), 391–396.
46.
WoodrowW. (2003). Preparing a new workforce. Nursing Administration Quarterly, 27, 215–222.
47.
WuJ.LarrabeeJ. H.PutmanH. (2006). Caring behaviors inventory: A reduction of the 42-item instrument. Nursing Research, 55, 18–25.
48.
ZamanzadehV.ValizadehL.AzimzadehR.AminaieN.YousefzadehS. (2014). First and fourth-year student's perceptions about importance of nursing care behaviors: Socialization toward caring. Journal of Caring Sciences, 3(2), 93–101.
