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To measure patients' views of nurses' communication and interpersonal skills during acute hospitalisation.
This was a descriptive cross-sectional study.
From January to June 2024, a convenience sampling approach was used to recruit patients hospitalised in acute care wards across two healthcare organisations in regional Victoria, Australia. A self-report survey, the Communication Assessment Tool for Nurses, included 15 items that measured patients' opinions about the quality of nurses' communication using a 5-point scale. Data were analysed by descriptive and univariate statistics and logistic regression.
The sample included 204 participants. Higher ratings were found for respectful care: ‘Treated me with respect’ and ‘Showed care and concern’. Lower ratings largely related to shared decision-making: ‘Encouraged me to ask questions’, ‘Informed me about my plan of care’, ‘Involved me in decisions as much as I wanted’ and ‘Showed interest in my ideas about my health’. Logistic regression revealed lower ratings for the quality of nurses' communication based on longer hospital stay for items related to greetings and shared decision-making.
Whilst this study found that patients perceive a high quality of respectful nursing care, the findings underscore the need for communication skills training to enhance shared decision-making by nurses. Consideration is needed regarding how nurses are prepared to engage in shared decision-making with patients during acute hospitalisation, particularly for longer hospital stays.
This study addresses a gap in evidence regarding patients' perceptions about the quality of nurses' communication during acute hospitalisation in the Australian context. Whilst they perceive that nurses communicate in a respectful and caring manner, opportunities for shared decision-making may not be capitalised on. Hospital managers and nurse academics should develop interventions to address essential communication skills.
This study did not include patient or public involvement in its design, conduct or reporting.
To examine nurses' opinions and assess their level of engagement in clinical research.
An observational study employing a cross-sectional online survey from April to August 2024.
A convenience sample of registered nurses in a metropolitan health service in Victoria, Australia completed a self-report survey from April to August 2024. The survey consisted of fixed-response questions (5-point Likert scale) that measured nurses' opinions about clinical research and level of research involvement. Data were analysed using descriptive and univariate statistics, and content for two free-text open-ended questions.
There were 186 participants who reported positive opinions towards the role of clinical nursing research in improving patient outcomes and quality of care. Lower ratings were observed for items concerning confidence in understanding and conducting research, enjoyment of reading research articles and access to resources necessary for participation in research. Few participants had previous experience in study design, data analysis and manuscript preparation and publication. Nurses with higher academic qualifications (e.g., Master's, PhD), and those employed in senior roles, had more positive opinions about clinical nursing research and were more actively engaged in it. Content analysis revealed five themes: (1) Accessibility and awareness of research opportunities, (2) Support and resources, (3) Time constraints and workload, (4) Professional development and (5) Integration of research into clinical practice.
Whilst nurses perceive the importance of research, the findings underscore the need for targeted strategies to build their confidence and capacity to engage in clinical nursing research.
Nurses face significant barriers to active participation in research. Consideration is needed regarding how nurses are prepared for and adequately resourced to increase their involvement in clinical nursing research.
This study addresses the gap in evidence regarding nurses' opinions and level of engagement in clinical nursing research. Research leaders need to develop and test interventions to increase nurses' involvement in research.
This study did not include patient or public involvement in its design, conduct or reporting.
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