title: Relationships between patient-centered cancer nursing interventions and desired health outcomes in the context of the health care system.
abstract: A non-experimental longitudinal prospective study was conducted to examine the relationships between patient-centered nursing interventions (PCNIs), system characteristics, patient characteristics, and desired health outcomes (DHOs) for 173 hematology-oncology patients. Forty-nine nurse participants provided system characteristics data. Confirmatory factor analyses yielded parsimonious scales to operationalize the variables. In the path model, one PCNI-individualization-was positively related to three subsequent DHOs: authentic self-representation, optimism, and sense of well-being. Two additional PCNIs-responsiveness and proficiency-were positively related to subsequent trust in nurses. PCNIs did not vary with patient race, ethnicity, age, gender, or educational level. Patient-centeredness of care for cancer patients may be enhanced by quality improvement activities that measure and monitor these PCNIs and resultant outcomes.
authors.affiliation: Institute for Patient Care, Massachusetts General Hospital, Boston, MA 02114, USA.
authors.forename: Laurel E
authors.initials: LE
authors.lastname: Radwin
authors.forename: Howard J
authors.initials: HJ
authors.lastname: Cabral
authors.forename: Gail
authors.initials: G
authors.lastname: Wilkes
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D003625:Data Collection / Q000379:methods; D005163:Factor Analysis, Statistical; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009369:Neoplasms / Q000451:nursing*; D009511:New England; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research / Q000379:methods* / Q000706:statistics & numerical data; D010043:Outcome and Process Assessment, Health Care / Q000379:methods* / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D018802:Patient-Centered Care; D011446:Prospective Studies; D012107:Research Design