Predictors of Nurse’s Caring Behavior towards Patients with CriticalIllness

Abstract

Background: Caring for a critical ill patient are challenges for nurses. The nurse is required to deliver comprehensive nursing care including mental, psychological and physical. Caring behavior of nurse is influenced by several factors both internal and external. Objectives: This study aimed was to examine the relationship between nursing supervision, spirituality, caring efficacy, emotional quotation, work stress and working periods with caring behavior while deliver care for a critical patient. Methods: Cross-sectional design was used with the number of participants were 66 nurses. Data were collected in July 2018 in three wards: emergency room, HCU, and ICU in dr. DradjatPrawiranegara Hospital, Banten. Instruments used were the Spiritual Orientation Inventory questionnaires, Manchester Clinical Supervision Scale, Caring Behavior Assessment, and Caring Efficacy Scale which were modified and tested for validity and reliability. Data were analyzed using multivariate linear regressions. Results: The results showed that there were significant relationships between nursing supervision(r=0.511;p<0.01),spirituality(r=0.448;p<0.01),caringefficacy(r=0.433; p<0.01) and emotional intelligence (r = 0.419; p<0.01) with nurse caring behavior in care critical patients (p<0.001). There was no significant relationship between Work Periodandworkstresswithcaringbehavior(p>0.05). Final statistical analysis by using multiple regression showed that nursing supervision Beta=0.434;p<0.01),spirituality (Beta = 0.312; p<0.01) and caring efficacy (Beta = 0.297; p<0.01) were recognized as predictors of nurse’s caring behavior in care critical patient ward. Conclusion: The Increasing of nursing supervision as an external effort and developing activities are expected to improve spirituality and caring efficacy of nurse is needed to improve nurse’s caring behavior in caring for a critical patient.