Nurses' Perception of Caring-Based Nursing Care for Stroke Patients with Thrombolysis and Influencing Factors

Abstract

Background: Nursing care based on caring can improve the outcomes of post-stroke patients. However, many nurses tend to prioritize technical tasks over caring behaviors. The factors causing the lack of caring attitudes among nurses in providing care to stroke patients in hospitals are not yet known.   Objective: To determine nurses' perceptions of caring-based nursing care for stroke patients with thrombolysis and the influencing factors.   Methods: A quantitative research design using descriptive analysis with a cross-sectional approach was employed. Inclusion criteria included practicing nurses aged 20-50 with at least one year of work experience. Exclusion criteria were nurses who were sick, on leave, or engaged in educational assignments. Sample selection was done using proportional stratified random sampling over two weeks in September 2022.   Results: A total of 158 respondents from three hospitals completed the questionnaire. Most nurses had good knowledge about assessment, nursing diagnosis, intervention, implementation, and evaluation (80.4%, 69.6%, 63.3%, 58.9%, and 69.6%, respectively). The ability to assess the NIHSS was also good (72.2%), but the ability to measure mRS was less satisfactory (52.5%). The results of the Coefficient of Determination (R2) test showed that the contribution of the factors of nurses, information, organization, and job to the nursing care of stroke patients was 50.3%. The direct hypothesis results also showed a significant influence of nurses, information, and job factors on caring-based nursing care for stroke patients (t-statistic value > 1.96 and p-value < 0.05). The better the nurse, information, and job factors, the more likely it is to improve nurses' caring attitudes (positive coefficient values).   Conclusion: Nurses' knowledge about caring-based nursing care for stroke patients still needs improvement. Nurse, information, and job factors significantly influence caring-based nursing care for stroke patients with thrombolysis.