Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Effect of Ethical Sensitivity and Compassionate Communication on Patient-Centered Care Competence: Descriptive and Correlation Study
Etik Duyarlılığın ve Şefkatli İletişimin Hasta Merkezli Bakım Yetkinliğine Etkisi: Tanımlayıcı ve İlişki Arayıcı Araştırma
Ayşe AYDINLIa , Züleyha KILIÇb , Yurdagül GÜNAYDINc
aSüleyman Demirel University Faculty of Health Sciences, Department of Fundamental Nursing, Isparta, Türkiye
bNiğde Ömer Halisdemir University Faculty of Health Sciences, Department of Internal Medicine Nursing, Niğde, Türkiye
cTarsus University Faculty of Health Sciences, Department of Nursing, Mersin, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(3):789-97
doi: 10.5336/nurses.2024-107228
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the effect of compassionate communication and ethical sensitivity of nursing students on patient-centered care competence. Material and Methods: The research was conducted as a descriptive and correlational study. The study population consisted of 654 nursing students enrolled in the department of nursing, faculty of health sciences at a state university. The study was completed with 452 students who volunteered to participate. The data were collected using an introductory information form, the Compassionate Communication Scale (CCS), the Ethical Sensitivity Questionnaire for Nursing Students, and the Patient-Centered Care Competence Scale (PCC). Data were analyzed using descriptive statistics, normality tests, correlation analyses, and regression analysis, ethics committee approval, institutional permission, and consent were obtained from the students. Results: In the present study, the mean scores for the Ethical Sensitivity for Nursing Students Scale, CCS, and PCC among the nursing students were 22.4±9.2, 85.2±15.0, and 72.6±8.2, respectively. There was a correlation between all CCS scores and PCC scores (p<0.05). CCS sub-scale compassionate communication was determined as effective on the PCC total score. As compassionate communication scores increased, PCC total score increased by 0.726 points (p<0.001). Conclusion: It can be stated that the ethical sensitivity and compassionate communication levels of nursing students were moderate, while their patient-centered care competency levels were high. Moreover, it was determined that there was a positive relationship between compassionate communication and patient-centered care competence. It was determined that compassionate communication was particularly effective on patient-centered care competence.

Keywords: Nursing; ethical sensitivity; compassionate; patient-centered care
ÖZET
 Amaç: Bu araştırma, hemşirelik öğrencilerinin etik duyarlılık ve şefkatli iletişim düzeylerinin hasta merkezli bakım yetkinliği üzerine etkisini belirlemek amacıyla yapılmıştır. Gereç ve Yöntemler: Araştırma, tanımlayıcı ve ilişki arayıcı tiptedir. Araştırmanın evrenini, bir devlet üniversitesinin sağlık bilimleri fakültesi hemşirelik bölümünde öğrenim gören 654 öğrenci oluşturmuştur. Araştırma, çalışmaya katılmaya gönüllü 452 öğrenci ile tamamlanmıştır. Veriler; tanıtıcı bilgi formu, Hasta Merkezli Bakım Yetkinliği Ölçeği, Etik Duyarlılık Ölçeği ve Şefkatli İletişim Ölçeği kullanılarak toplanmıştır. Veriler; tanımlayıcı istatistikler, normallik testleri, korelasyon analizleri ve regresyon analizi kullanılarak değerlendirildi. Araştırmanın yapılabilmesi için etik kurul onayı, kurum izni ve öğrencilerden onam alınmıştır. Bulgular: Araştırmada, hemşirelik öğrencilerinin Etik Duyarlılık Ölçeği puan ortalaması 22,4±9,2, Şefkatli İletişim Ölçeği puan ortalaması 85,2±15,0 ve Hasta Merkezli Bakım Yetkinliği Ölçeği puan ortalaması 72,6±8,2'dir. Şefkatli İletişim Ölçeği ile Hasta Merkezli Bakım Yetkinliği Ölçeği puanları arasında anlamlı bir korelasyon bulunmaktadır (p<0,05). Şefkatli İletişim Ölçeği'nin ''şefkatli konuşma'' alt boyutunun, Hasta Merkezli Bakım Yetkinliği Ölçeği toplam puanı üzerinde anlamlı bir etkisi bulunmuştur. Şefkatli konuşma puanı arttıkça toplam puan 0,726 birim artmaktadır (p<0,001). Sonuç: Hemşirelik öğrencilerinin etik duyarlılık ve şefkatli iletişim düzeylerinin orta, hasta merkezli bakım yeterliliklerinin ise yüksek olduğu görülmüştür. Şefkatli iletişim ile hasta merkezli bakım yeterliliği arasında pozitif bir ilişki bulunmuş ve şefkatli iletişimin, özellikle hasta merkezli bakım yeterliliği üzerinde etkili olduğu belirlenmiştir.

Anahtar Kelimeler: Hemşirelik; etik duyarlılık; şefkatli iletişim; hasta merkezli bakım
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