Table 3 Results of expert consultations (n = 12)
From: Developing and validating the nurse-patient relationship scale (NPRS) in China
Item | First Round | Item | Second Round | |||||
|---|---|---|---|---|---|---|---|---|
Source | Description | Agreement* % (Mean) | Suggestion | Modified description | Agreement* % (Mean) | Suggestion | ||
Dimension 1: nurse-patient understanding and respect | ||||||||
1 | Peplau's relationship theory [42] | I understand what it's like to be sick | 66.6% (3.75) | Adjust expression | N1 | I can understand and respect the feelings of patients when they are sick | 100% (4.69) | Finetune expression |
2 | Caring Behavior Assessment [43] | I can't call the patient kindly | 83.3% (4.75) | Adjust expression | N2 | I can call the patient kindly | 100% (4.67) | |
3 | Caring Behavior Assessment [43] | I don't like to spend time listening to patients express concerns about their illness | 83.3% (4.08) | Adjust expression | N3 | I'm not willing to spend time listening to patients' concerns about their condition | 100% (4.58) | |
4 | Caring Behavior Assessment [43] | I can protect the patient's information and privacy | 100% (4.75) | N4 | I can protect the patient's information and privacy | 100% (4.83) | ||
5 | Caring Behavior Assessment [43] | I have no patience for patients with poor expression skills | 100% (4.08) | Adjust expression | N5 | I am also patient with patients who cannot describe the disease in detail | 100% (4.58) | |
6 | Caring Behavior Assessment [43] | I'm not prejudiced against the patients I administer | 83.3% (4.17) | N6 | I have no prejudice against the patients I care for | 100% (4.67) | ||
7 | Caring Behavior Assessment [43] | Patients show bias and discrimination against my work | 75.0% (4.00) | Adjust expression | N7 | Patients show bias and discrimination against the nature of my work | 100% (4.58) | |
8 | Caring Behavior Assessment [43] | The patient's address to me is rude | 75.0% (4.08) | Adjust expression | N8 | The patient is very rude to me | 91.6% (4.50) | |
9 | Caring Behavior Assessment [43] | Patients don't cooperate with my work | 41.7% (3.83) | Delete | ||||
Dimension 2 nurse-patient trust | ||||||||
10 | Okaya Keiko Trust Scale [44] | I don't trust the Information provided by the patient | 75.0% (3.92) | Add more details | N9 | I don't trust the Information provided by the patient | 83.3% (3.92) | |
11 | Okaya Keiko Trust Scale [44] | I’m on guard against patients | 75.0% (3.75) | Delete | ||||
12 | Okaya Keiko trust Scale [44] | I’m afraid the patient is a threat to my personal safety | 41.7% (3.67) | Retained because item 11 was removed | I’m afraid the patient is a threat to my personal safety | 66.7% (4.00) | Delete | |
13 | Okaya Keiko Trust Scale [44] | Patients have questioned the performance of my nursing practices | 75.0% (4.17) | Add more details | N10 | patients have questioned the performance of my nursing operations and professional skills | 91.6% (4.50) | |
14 | Okaya Keiko Trust Scale [44] | Patients or family members often supervise me when administering medication | 83.3% (4.08) | Adjust expression | N11 | When caring for a patient, the patient or the patient’s family often supervises me | 83.3% (4.17) | |
Patients do not trust my explanation and health education | Add | N12 | patients do not trust my explanation and health education | 91.6% (4.33) | ||||
Dimension 3 nurse-patient communication | ||||||||
15 | Nurse-patient Communication Questionnaire | I don't have enough energy to answer questions from patients or their families | 83.3% (4.25) | Add more details | N13 | I do not have enough energy to patiently answer questions from patients or their families | 100% (4.58) | |
16 | Nurse-patient Communication Questionnaire | I think a lot of what the patient says is useless, so it is unlikely that I will interrupt him/her quickly | 75.0% (4.00) | N14 | I think a lot of the patient's words are useless, so I will interrupt him / her soon | 91.6% (4.50) | ||
17 | Nurse-patient Communication Questionnaire | I think my words are easy to understand and I don't need to spend time explaining them to the patient | 66.7% (4.08) | Adjust expression | N15 | I think I have clearly expressed my meaning and I don’t need to spend time explaining to patients | 91.6% (4.42) | |
18 | Nurse-patient Communication Questionnaire | I will not voluntarily apologize to patients for my failures in care | 66.7% (4.00) | Merge of item 18 and 19 | N16 | I will voluntarily apologize to patients for my failures in care | 100% (4.33) | Adjust expression |
19 | Communication Questionnaire | Patients often overreact during communication attitude | 75.0% (4.08) | Merge of item 18 and 19 | ||||
20 | Communication Questionnaire | In the process of communication, the patient's family members often speak excessively | 75.0% (4.00) | Adjust expression | N17 | During the communication process, the patient or the patient's family often express excessive emotion | 91.6% (4.50) | |
Before special examination or surgery, I can inform the patient of the matters needing attention in time | Add | N18 | Before special examination or surgery, I can inform the patient of the matters needing attention in time | 100% (4.67) | ||||
Maintain proper eye contact when communicating with patients | Add this item according to expert opinions | N19 | Maintain proper eye contact when communicating with patients | 91.6% (4.58) | ||||
patient or family member will thank me for the care operation | Add this item according to expert opinions | N20 | patient or family member will thank me for the care operation | 100% (4.67) | ||||
Dimension 4 nurses' help and guidance to patients | ||||||||
21 | Caring Behavior Assessment [43] | I encourage patients to call me when they have problems | 100% (4.83) | N21 | I encourage patients to call me when they have problems | 100% (4.92) | ||
22 | Caring Behavior Assessment [43] | I can give patients routine nursing operations in a timely manner | 100% (4.75) | N22 | I can give patients routine nursing operations in a timely manner | 100% (4.92) | ||
23 | Humanistic Nurse-Patient Scale [45] | When a patient has an emergency, I can correctly judge and deal with it according to the nursing standard | 100% (4.67) | N23 | When a patient has an emergency, I can correctly judge and deal with it according to the nursing standard | 100% (4.83) | ||
24 | Humanistic Nurse-Patient Scale [45] | I have enough time to give patients the appropriate guidance and health education | 100% (4.67) | Add more details | N24 | I have enough time and ability to give patients corresponding guidance and health education | 91.6% (4.75) | |
25 | I can relieve the patient's symptoms | 75.0% (4.17) | Add more details | N25 | I can relieve the pain and stress of patients through my nursing work | 100% (4.67) | ||
I can basically solve the patient's nursing problems | Add | N26 | I can basically solve the patient's nursing problems | 91.6% (4.50) | ||||