The Impact of Intensive Care Nurses' Caring Behaviors on the Quality of Nursing Care

Abant Izzet Baysal University30 enrolled

Overview

Brief Summary The purpose of this observational study is to find out whether the caring behaviors of intensive care nurses affect the quality of nursing care for adult patients in the Intensive Care Unit (ICU) at Bolu Izzet Baysal State Hospital. The study aims to answer the following questions: Do nurses' caring behaviors influence the quality of care that patients receive? Are nurses' personal and professional characteristics related to their caring behaviors and the quality of care? In this study: Nurses will complete questionnaires about their caring behaviors and personal information. The researcher will observe patients and assess the quality of care they receive. The study will be conducted between June 1, 2025, and June 1, 2026. The results are expected to support training programs and improvement efforts to enhance nursing care quality in ICUs.

This observational study investigates whether the caring behaviors of intensive care nurses influence the quality of nursing care for adult patients in the intensive care unit (ICU) at Bolu Izzet Baysal State Hospital. Nurses play a critical role in providing continuous, high-quality care to critically ill patients. Research suggests that nurses' behaviors and communication can significantly affect patient care experiences and outcomes. Based on clinical observations, variations in the perceived quality of care have been noticed, especially during shift changes in the ICU. This study aims to assess both how nurses perceive their caring behaviors and how the quality of care is observed by the researcher. Findings from the study are expected to help identify areas for improvement and inform potential training programs to enhance care quality, teamwork, and communication within ICU settings.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Perception of Caring Behaviors Quality of Nursing Care

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria for Nurses: Registered nurses who have been working in intensive care units for at least 3 months, Nurses who have provided both verbal and written informed consent to participate in the study, Nurses who are rotationally responsible for patient populations whose nursing care quality is assessed during 24-hour shifts. Inclusion Criteria for Patients: Patients aged 18 years or older, Patients whose legal guardians have provided verbal and written informed consent to participate in the study, Patients with a Foley catheter in place for a minimum of 14 days, as this duration is required to evaluate urinary catheter management quality, Patients who are intubated, mechanically ventilated, equipped with invasive catheters for nutrition and monitoring, and are fully dependent on nursing care.

Outcomes

Primary Outcomes

Total score of the Caring Behaviors Inventory-24 (CBI-24) completed by ICU nurses

The CBI-24 consists of 24 items rated on a 6-point Likert scale (1 = Never, 6 = Always). Higher total scores indicate higher levels of self-perceived caring behaviors by ICU nurses. Due to the rotational shift system, all ICU nurses contribute to the care of multiple patients over time. Therefore, each nurse will complete the questionnaire only once during the study period to capture their overall perception of caring behaviors.

Time frame: Each nurse will complete the questionnaire once during the study period

Secondary Outcomes

Total score of the "Quality of Nursing Care in Intensive Care Units Scale" assessed by the researcher through bedside observation

The scale includes 50 items rated on a 3-point Likert scale (0 = Not satisfactory, 2 = Highly satisfactory). Total scores range from 0 to 100. Higher scores indicate better nursing care quality as assessed by the researcher.

Time frame: Data collected during each patient's stay in the ICU