The Impact of Nursing Staff’s Work Attitude on the Fear of Patients Recovering from Benign Tumors: Family Support as a Mediating Variable

Chengzhe Guo; Aihua Cheng; Jian Chen; Gaojie Cheng

Chengzhe Guo Department of Education, Beijing Normal University, Beijing, 100091, China
Aihua Cheng International College, Krirk University, Bangkok, 10210, Thailand
Jian Chen International College, Krirk University, Bangkok, 10210, Thailand
Gaojie Cheng Organization Personnel Department, Jiangxi Justice Police Vocational College, Nanchang, 330013, China

Article ID: 3843

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Abstract

The perception of nursing staff’s attitude influences patient fear. Understanding this dynamic is crucial for fostering a supportive environment conducive to patient well-being and effective healthcare practices. The purpose of this research is to investigate how the attitudes and behaviours of nursing staff influence the fear and anxiety levels of patients recovering from benign tumors, aiming to improve patient care and recovery outcomes. Data was collected from a sample of 100 participants, comprising 20 nursing staff and 80 patients recovering from benign tumors. Surveys were administered to gather quantitative data on attitudes and fear levels. Participants were selected randomly from hospital records and outpatient clinics. Our analysis encompassed nursing staff attitude, patient fear levels, the influence of family support, progression of tumor recovery, patient-reported satisfaction, and the quality of healthcare services provided. The quantitative aspect utilized PLS-SEM software to perform regression analysis, evaluating both direct and indirect effects. Statistical analysis assessed the relationships between nursing staff attitudes, patient fear during benign tumor recovery, and the mediating role of family support. The findings of the study demonstrate that better nurse attitudes (Hypothesis 1, and stronger family support (Hypothesis 2, are linked to lower levels of patient fear. Partially mediating the relationship between nurse attitudes and patient fear, according to Hypothesis 3 , is family support. Patients’ perceptions of family support are highly influenced by nursing behaviour, as demonstrated by Hypothesis 4 . Our research showed a strong relationship between the attitudes of nursing personnel and patient fear levels. Family support demonstrated a strong mediating effect on patient fear. Patient-reported satisfaction is positively correlated with family support. However, no significant relationship was found between healthcare service quality and patient fear.

References

1.Gillis C, Gill M, Gramlich L, Culos-Reed SN, Nelson G, Ljungqvist O, et al. Patients’ perspectives of prehabilitation as an extension of Enhanced Recovery After Surgery protocols. CanJ Surg. 2021;64(6):E578. doi:10.1503/cjs.014420. [Google Scholar] [PubMed] [CrossRef]

2.Shao M, Yang H, Du R, Zhang M, Zhu J, Zhang H, et al. Family resilience in cancer treatment and key influence factors: a systematic review. Eur J Oncol Nurs. 2023;66:102403. doi:10.1016/j.ejon.2023.102403. [Google Scholar] [PubMed] [CrossRef]

3.Kwame A, Petrucka PM. A literature-based xref of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nurs. 2021;20(1):158. doi:10.1186/s12912-021-00684-2. [Google Scholar] [PubMed] [CrossRef]

4.Benbassat J. Teaching professional attitudes and basic clinical skills to medical students: a practical guide. Berlin, Germany: Springer Nature; 2023. [Google Scholar]

5.Chu KH, Tung HH, Clinciu DL, Hs HI, Wu YC, Hsu CI, et al. A preliminary study on self-healing and self-health management in older adults: perspectives from healthcare professionals and older adults in Taiwan. Gerontol Geriatr Med. 2022;8:23337214221077788. doi:10.1177/23337214221077788. [Google Scholar] [PubMed] [CrossRef]

6.Bunce AE. “What we’re saying makes sense so I’ve subscribed to it and I try to live by it.”: a qualitative exploration of prisoners’ motivation to participate in an innovative rehabilitation program through the lens of self-determination theory (Ph.D. Thesis). University of Surrey: Guildford; 2020. [Google Scholar]

7.Billings J, Ching BCF, Gkofa V, Greene T, Bloomfield M. Experiences of frontline healthcare workers and their views about support during COVID-19 and previous pandemics: a systematic review and qualitative meta-synthesis. BMC Health Ser Res. 2021;21:1–17. [Google Scholar]

8.Abraham LK. Mama might be better off dead: the failure of health care in urban America. Chicago, USA: University of Chicago Press; 2019. [Google Scholar]

9.Finstad GL, Giorgi G, Lulli LG, Pandolfi C, Foti G, León-Perez JM, et al. Resilience, coping strategies and posttraumatic growth in the workplace following COVID-19: a narrative review on the positive aspects of trauma. Int J Environ Res Public Health. 2021;18(18):9453. doi:10.3390/ijerph18189453. [Google Scholar] [PubMed] [CrossRef]

10.Lin B, Gutman T, Hanson CS, Ju A, Manera K, Butow P, et al. Communication during childhood cancer: systematic review of patient perspectives. Cancer. 2020;26(4):701–16. [Google Scholar]

11.Ding B, Liu W, Tsai SB, Gu D, Bian F, Shao X. Effect of patient participation on nurse and patient outcomes in inpatient healthcare. Int J Environ Res Public Health. 2019;16(8):1344. doi:10.3390/ijerph16081344. [Google Scholar] [PubMed] [CrossRef]

12.Cole DA, Bersick E, Skarbek A, Cummins K, Dugan K, Grantoza R. The courage to speak out: a study describing nurses’ attitudes to report unsafe practices in patient care. J Nurs Manag. 2019;27(6):1176–81. doi:10.1111/jonm.v27.6. [Google Scholar] [CrossRef]

13.Wang KY, Chou CC, Lai JCY. A structural model of total quality management, work values, job satisfaction, and patient-safety-culture attitude among nurses. J Nurs Manag. 2019;27(2):225–32. doi:10.1111/jonm.2019.27.issue-2. [Google Scholar] [CrossRef]

14.Al-Mugheed K, Bayraktar N, Al-Bsheish M, AlSyouf A, Jarrar MT, AlBaker W, et al. Patient safety attitudes among doctors and nurses: associations with workload, adverse events experience. Healthcare. 2022;10:631. doi:10.3390/healthcare10040631. [Google Scholar] [PubMed] [CrossRef]

15.Hinz A, Herzberg PY, Lordick F, Weis J, Faller H, Brähler E, et al. Age and gender differences in anxiety and depression in cancer patients compared with the general population. Europ J Cancer Care. 2019;28(5):e13129. doi:10.1111/ecc.13129. [Google Scholar] [PubMed] [CrossRef]

16.Li L, Hou Y, Kang F, Wei X. The mediating and moderating roles of resilience in the relationship between anxiety, depression, and post-traumatic growth among breast cancer patients based on structural equation modeling: an observational study. Medicine. 2020;99(50):e23273. doi:10.1097/MD.0000000000023273. [Google Scholar] [PubMed] [CrossRef]

17.Chirico A, Maiorano P, Indovina P, Milanese C, Giordano GG, Alivernini F, et al. Virtual reality and music therapy as distraction interventions to alleviate anxiety and improve mood states in breast cancer patients during chemotherapy. J Cell Physiol. 2020;235(6):5353–62. doi:10.1002/jcp.29422. [Google Scholar] [PubMed] [CrossRef]

18.Kim MJ, Oh HK, Lee KC, Yang HH, Koo BW, Lee J, et al. Effects of an internet-based informational video on preoperative anxiety in patients with colorectal cancer. Ann Surg Treat Res. 2019;96(6):290. doi:10.4174/astr.2019.96.6.290. [Google Scholar] [PubMed] [CrossRef]

19.Majumdar JR, Vertosick EA, Cohen B, Assel M, Levine M, Barton-Burke M. Preoperative anxiety in patients undergoing outpatient cancer surgery. Asia-Pac J Oncol Nurs. 2019;6(4):440–5. doi:10.4103/apjon.apjon_16_19. [Google Scholar] [PubMed] [CrossRef]

20.Mariani R, Renzi A, Di Trani M, Trabucchi G, Danskin K, Tambelli R. The impact of coping strategies and perceived family support on depressive and anxious symptomatology during the coronavirus pandemic (COVID-19) lockdown. Front Psychiat. 2020;11:587724. doi:10.3389/fpsyt.2020.587724. [Google Scholar] [PubMed] [CrossRef]

21.Sari DK, Dewi R, Daulay W. Association between family support, coping strategies and anxiety in cancer patients undergoing chemotherapy at General Hospital in Medan, North Sumatera. Indones Asian Pac J Cancer Prev. 2019;20(10):3015–9. doi:10.31557/APJCP.2019.20.10.3015. [Google Scholar] [PubMed] [CrossRef]

22.Dorman-Ilan S, Hertz-Palmor N, Brand-Gothelf A, Hasson-Ohayon I, Matalon N, Gross R, et al. Anxiety and depression symptoms in COVID-19 isolated patients and their relatives. Front Psychiatry. 2020;11:581598. doi:10.3389/fpsyt.2020.581598. [Google Scholar] [PubMed] [CrossRef]

23.Brivio E, Guiddi P, Scotto L, Giudice AV, Pettini G, Busacchio D, et al. Patients living with breast cancer during the coronavirus pandemic: the role of family resilience, coping flexibility, and locus of control on affective responses. Front Psychol. 2021;11:567230. doi:10.3389/fpsyg.2020.567230. [Google Scholar] [PubMed] [CrossRef]

24.Ma X, He Z, Zhou S, Huang G, Zhu R, Wang Q. Analysis of postoperative nursing effect of patients with spinal intramedullary tumor resection under microscope. Acta Microsc. 2020;29(5):2617. [Google Scholar]

25.Duymuş ME, Aydın HA. Evaluation of awareness, behaviour, and knowledge levels of female healthcare professionals about breast and cervical cancer in Southern Turkey. Acta Oncol Turc. 2023;56(1):13–26. doi:10.5505/aot.2023.60376. [Google Scholar] [CrossRef]

26.Feng J, Ge L, Jin F, Jiang L. Application of narrative nursing combined with focused solution model to anxiety and depression in patients with lung tumors during the perioperative period. Front Surg. 2022;9:858506. doi:10.3389/fsurg.2022.858506. [Google Scholar] [PubMed] [CrossRef]