Kanser Hastalarında Karşılanamayan Bakım Gereksinimlerinin Hastaların Bakım Memnuniyetine ve Hemşirelere Duydukları Güvene Etkisi

Abstract

This study was conducted in a descriptive relational type to examine the effect of missed care on cancer patients’ satisfaction with care and trust in nurses. The study was carried out at the Medical Oncology wards of a university-affiliated Oncology Hospital between December 26, 2022 and August 30, 2023. The sample of the study consisted of 228 cancer patients who were at least 18 years old, diagnosed with stage 1-4 cancer, received inpatient care for at least three days, could understand and speak Turkish, and voluntarily agreed to participate in the study. The data of the research were collected using the Patient Information Form, MISSCARE Survey-Patient, Newcastle Satisfaction with Nursing Care Scale, and Trust in Nurses Scale. In the analysis of the research data, number, percentage, min-max values, mean, standard deviation, independent t-test, and one-way analysis of variance were used; Pearson correlation was used for the correlation between variables, and the effect of missed care on cancer patients’ perception of satisfaction with care and trust was evaluated by multiple linear regression analysis. The mean score of patients on the communication sub-dimension of MISSCARE Survey-Patient was 1.68±0.70 (1-5), the mean score of basic care sub-dimension was 3.85±1.19 (1-5); the mean score of Newcastle Satisfaction with Nursing Care Scale was 91.90±4.95 (73.00-95.00) and the mean score of Trust in Nurses Scale was 28.15±2.20 (19.00-30.00). A statistically significant, negative, and weak correlation was found between the communication sub-dimension of the MISSCARE Survey-Patient and both the Newcastle Satisfaction with Nursing Care Scale (r=-0.245, p<0.05) and the Trust in Nurses Scale (r=-0.208, p<0.05), while no significant correlation was detected between the basic care sub-dimension of the MISSCARE Survey-Patient and either the Newcastle Satisfaction with Nursing Care Scale (r=-0.040, p>0.05) or the Trust in Nurses Scale (r=-0.088, p>0.05). The models established to examine the effect of missed care on satisfaction with care (F=7.200, p<0.05) and trust in nurses (F=5.339, p<0.05) using the communication and basic care sub-dimensions of the MISSCARE Survey-Patient, the Newcastle Satisfaction with Nursing Care Scale and the Trust in Nurses Scale were found to be statistically significant. When the significance levels of the independent variables were examined, it was determined that missed communication had a statistically significant and negative effect on both satisfaction with care (t=-3.743, p<0.05) and trust in nurses (t=-2.974, p<0.05), while missed basic care had no statistically significant effect on either satisfaction with care (t=0.212, p>0.05) or trust in nurses (t=-0.671, p>0.05). A one-unit increase in missed communication leads to a 1.748 unit decrease in satisfaction with care (B=-1.748), and a 0.622 unit decrease in trust in nurses (B=-0.622). Missed care explain 6% of the change in satisfaction with care (R2=0.060), and 4.5% of the change in trust in nurses (R2=0.045). In our study, although the mean score of the cancer patients’ communication sub-dimension of the MISSCARE Survey-Patient was found to be at a low level, it was determined that missed communication had a statistically significant and negative effect on both patients' satisfaction with nursing care and their trust in nurses, and therefore, it was recommended that nurses should provide care in a way to meet the communication needs of cancer patients and make arrangements to increase communication between patients and nurses for the nurse managers and the institution.