Date of Award

1995

Degree Type

Thesis

Degree Name

Nursing (M.S.N.)

Department

College of Nursing

First Advisor

Jean Nagelkerk

Second Advisor

Linda Urden

Third Advisor

Donna VanIwaarden

Abstract

There is a need for nurse administrators to understand how the use of nursing resources impacts the quality of patient care. A descriptive correlational research design was used to examine the relationship between R.N. time spent in direct care activities, nursing skill mix and patient perceptions of nurse caring. A secondary analysis was conducted using data previously collected as part of a large-scale data set from a 529 bed community teaching hospital. The data consisted of 76,491 activity samples obtained through work sampling of 16 nursing units, 2 categories of unit skill mix measurements, and a Caring Behaviors Inventory completed by 313 patients. A significantly positive relationship was found between the percentage of time R.N.s spent in direct care activities and patient perceptions of nurse caring (r =.6874, p {dollar}<{dollar}.01). A significantly positive relationship was also found between the percentage of R.N.s in the skill mix and patient perceptions of nurse caring (r =.50, p {dollar}<{dollar}.05).

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