The Relationship Between Nurses’ Caring Behavior and Patient Trust in Primary Health Care Settings
##plugins.themes.bootstrap3.article.main##
Abstract
Patient trust is a fundamental element of effective primary health care services and is closely influenced by the quality of nurse patient interactions. Nurses, as frontline health professionals, play a key role in building trust through caring behaviors such as empathy, respect, and effective communication. This study aimed to examine the influence of nurses’ caring approach on patient trust in primary health care services. A quantitative correlational design was used involving patients receiving nursing services in primary health care facilities. Data were collected using structured questionnaires measuring nurses’ caring approach and patient trust, and analyzed using correlation and regression techniques. The findings showed a significant positive relationship between nurses’ caring approach and patient trust. Empathy and communication were identified as the strongest caring dimensions influencing patient trust. Nurses’ caring behaviors significantly contribute to the development of patient trust in primary health care services. Strengthening caring-based nursing practices is essential to enhance patient-centered care and service quality.
##plugins.themes.bootstrap3.article.details##
How to Cite
Hanifa, S., Layla, L., & Salma, N. (2025). The Relationship Between Nurses’ Caring Behavior and Patient Trust in Primary Health Care Settings. International Journal on Health and Medical Sciences, 4(1), 29–38. Retrieved from https://journals.iarn.or.id/index.php/HealMed/article/view/601
References
Ahmad, S. N. A., Yulianti, C. A., & Hasan, R. (2020). THE RELATIONSHIP BETWEEN JEAN WATSON’S THEORY OF HELPING TRUST WITH PATIENT SATISFACTION. Nurse and Health: Jurnal Keperawatan, 9(2), 124–132.
Asamoah, M. K. (2014). Re-examination of the limitations associated with correlational research. Journal of Educational Research and Reviews, 2(4), 45–52.
Atkinson, S., & Haran, D. (2005). Individual and district scale determinants of users’ satisfaction with primary health care in developing countries. Social Science & Medicine, 60(3), 501–513.
Bárrios, H., Narciso, S., Guerreiro, M., Maroco, J., Logsdon, R., & De Mendonça, A. (2013). Quality of life in patients with mild cognitive impairment. Aging & Mental Health, 17(3), 287–292.
Bikker, A. P., Fitzpatrick, B., Murphy, D., & Mercer, S. W. (2015). Measuring empathic, person-centred communication in primary care nurses: validity and reliability of the Consultation and Relational Empathy (CARE) Measure. BMC Family Practice, 16(1), 149.
Cheraghi, M. A., Esmaeili, M., & Salsali, M. (2017). Seeking humanizing care in patient-centered care process: A grounded theory study. Holistic Nursing Practice, 31(6), 359–368.
Cook, N. L., Hicks, L. S., O’Malley, A. J., Keegan, T., Guadagnoli, E., & Landon, B. E. (2007). Access to specialty care and medical services in community health centers. Health Affairs, 26(5), 1459–1468.
Ergezen, F. D., Bozkurt, S. A., Dincer, H., & Kol, E. (2020). Patients’ Perceptions of Knowledge, Trust, and Connectedness in Nurses’ Caring Behaviors. Journal of Education & Research in Nursing/Hemşirelikte Eğitim ve Araştırma Dergisi, 17(2).
Eriksson, U., & Svedlund, M. (2007). Struggling for confirmation–patients’ experiences of dissatisfaction with hospital care. Journal of Clinical Nursing, 16(3), 438–446.
Ganesha, H. R., & Aithal, P. S. (2022). Choosing an appropriate data collection instrument and checking for the calibration, validity, and reliability of data collection instrument before collecting the data during Ph. D. program in India. International Journal of Management Technology and Social Sciences, 7(2), 497–513.
Gilson, L. (2003). Trust and the development of health care as a social institution. Social Science & Medicine, 56(7), 1453–1468.
J. Alharbi, T. S., Olsson, L.-E., Ekman, I., & Carlström, E. (2014). The impact of organizational culture on the outcome of hospital care: after the implementation of person-centred care. Scandinavian Journal of Public Health, 42(1), 104–110.
Jacobson, N. (2009). Dignity violation in health care. Qualitative Health Research, 19(11), 1536–1547.
Kaur, P., Stoltzfus, J., & Yellapu, V. (2018). Descriptive statistics. International Journal of Academic Medicine, 4(1), 60–63.
Kim-Soon, N., Abdulmaged, A. I., Mostafa, S. A., Mohammed, M. A., Musbah, F. A., Ali, R. R., & Geman, O. (2022). A framework for analyzing the relationships between cancer patient satisfaction, nurse care, patient attitude, and nurse attitude in healthcare systems. Journal of Ambient Intelligence and Humanized Computing, 13(1), 87–104.
Liaw, S. Y., Scherpbier, A., Klainin‐Yobas, P., & Rethans, J. (2011). A review of educational strategies to improve nurses’ roles in recognizing and responding to deteriorating patients. International Nursing Review, 58(3), 296–303.
McCabe, C. (2004). Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing, 13(1), 41–49.
McCabe, T. J., & Sambrook, S. (2014). The antecedents, attributes and consequences of trust among nurses and nurse managers: A concept analysis. International Journal of Nursing Studies, 51(5), 815–827.
Moody, R. C., & Pesut, D. J. (2006). The motivation to care: Application and extension of motivation theory to professional nursing work. Journal of Health Organization and Management, 20(1), 15–48.
Mpofu, E. (2014). Community-oriented health services: Practices across disciplines. Springer Publishing Company.
Murray, B., & McCrone, S. (2015). An integrative review of promoting trust in the patient–primary care provider relationship. Journal of Advanced Nursing, 71(1), 3–23.
Organization, W. H. (2018). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. World Health Organization.
Papastavrou, E., Efstathiou, G., Tsangari, H., Suhonen, R., Leino-Kilpi, H., Patiraki, E., Karlou, C., Balogh, Z., Palese, A., & Tomietto, M. (2012). Patients’ and nurses’ perceptions of respect and human presence through caring behaviours: A comparative study. Nursing Ethics, 19(3), 369–379.
Pollock, K. (2012). Procedure versus process: Ethical paradigms and the conduct of qualitative research. BMC Medical Ethics, 13(1), 25.
Pratt, H., Moroney, T., & Middleton, R. (2021). The influence of engaging authentically on nurse–patient relationships: A scoping review. Nursing Inquiry, 28(2), e12388.
Stein-Parbury, J. (2013). Patient and person: Interpersonal skills in nursing. Elsevier Health Sciences.
Wang, M.-L., & Chang, S.-C. (2016). The impact of job involvement on emotional labor to customer-oriented behavior: an empirical study of hospital nurses. Journal of Nursing Research, 24(2), 153–162.
Asamoah, M. K. (2014). Re-examination of the limitations associated with correlational research. Journal of Educational Research and Reviews, 2(4), 45–52.
Atkinson, S., & Haran, D. (2005). Individual and district scale determinants of users’ satisfaction with primary health care in developing countries. Social Science & Medicine, 60(3), 501–513.
Bárrios, H., Narciso, S., Guerreiro, M., Maroco, J., Logsdon, R., & De Mendonça, A. (2013). Quality of life in patients with mild cognitive impairment. Aging & Mental Health, 17(3), 287–292.
Bikker, A. P., Fitzpatrick, B., Murphy, D., & Mercer, S. W. (2015). Measuring empathic, person-centred communication in primary care nurses: validity and reliability of the Consultation and Relational Empathy (CARE) Measure. BMC Family Practice, 16(1), 149.
Cheraghi, M. A., Esmaeili, M., & Salsali, M. (2017). Seeking humanizing care in patient-centered care process: A grounded theory study. Holistic Nursing Practice, 31(6), 359–368.
Cook, N. L., Hicks, L. S., O’Malley, A. J., Keegan, T., Guadagnoli, E., & Landon, B. E. (2007). Access to specialty care and medical services in community health centers. Health Affairs, 26(5), 1459–1468.
Ergezen, F. D., Bozkurt, S. A., Dincer, H., & Kol, E. (2020). Patients’ Perceptions of Knowledge, Trust, and Connectedness in Nurses’ Caring Behaviors. Journal of Education & Research in Nursing/Hemşirelikte Eğitim ve Araştırma Dergisi, 17(2).
Eriksson, U., & Svedlund, M. (2007). Struggling for confirmation–patients’ experiences of dissatisfaction with hospital care. Journal of Clinical Nursing, 16(3), 438–446.
Ganesha, H. R., & Aithal, P. S. (2022). Choosing an appropriate data collection instrument and checking for the calibration, validity, and reliability of data collection instrument before collecting the data during Ph. D. program in India. International Journal of Management Technology and Social Sciences, 7(2), 497–513.
Gilson, L. (2003). Trust and the development of health care as a social institution. Social Science & Medicine, 56(7), 1453–1468.
J. Alharbi, T. S., Olsson, L.-E., Ekman, I., & Carlström, E. (2014). The impact of organizational culture on the outcome of hospital care: after the implementation of person-centred care. Scandinavian Journal of Public Health, 42(1), 104–110.
Jacobson, N. (2009). Dignity violation in health care. Qualitative Health Research, 19(11), 1536–1547.
Kaur, P., Stoltzfus, J., & Yellapu, V. (2018). Descriptive statistics. International Journal of Academic Medicine, 4(1), 60–63.
Kim-Soon, N., Abdulmaged, A. I., Mostafa, S. A., Mohammed, M. A., Musbah, F. A., Ali, R. R., & Geman, O. (2022). A framework for analyzing the relationships between cancer patient satisfaction, nurse care, patient attitude, and nurse attitude in healthcare systems. Journal of Ambient Intelligence and Humanized Computing, 13(1), 87–104.
Liaw, S. Y., Scherpbier, A., Klainin‐Yobas, P., & Rethans, J. (2011). A review of educational strategies to improve nurses’ roles in recognizing and responding to deteriorating patients. International Nursing Review, 58(3), 296–303.
McCabe, C. (2004). Nurse–patient communication: an exploration of patients’ experiences. Journal of Clinical Nursing, 13(1), 41–49.
McCabe, T. J., & Sambrook, S. (2014). The antecedents, attributes and consequences of trust among nurses and nurse managers: A concept analysis. International Journal of Nursing Studies, 51(5), 815–827.
Moody, R. C., & Pesut, D. J. (2006). The motivation to care: Application and extension of motivation theory to professional nursing work. Journal of Health Organization and Management, 20(1), 15–48.
Mpofu, E. (2014). Community-oriented health services: Practices across disciplines. Springer Publishing Company.
Murray, B., & McCrone, S. (2015). An integrative review of promoting trust in the patient–primary care provider relationship. Journal of Advanced Nursing, 71(1), 3–23.
Organization, W. H. (2018). A vision for primary health care in the 21st century: towards universal health coverage and the Sustainable Development Goals. World Health Organization.
Papastavrou, E., Efstathiou, G., Tsangari, H., Suhonen, R., Leino-Kilpi, H., Patiraki, E., Karlou, C., Balogh, Z., Palese, A., & Tomietto, M. (2012). Patients’ and nurses’ perceptions of respect and human presence through caring behaviours: A comparative study. Nursing Ethics, 19(3), 369–379.
Pollock, K. (2012). Procedure versus process: Ethical paradigms and the conduct of qualitative research. BMC Medical Ethics, 13(1), 25.
Pratt, H., Moroney, T., & Middleton, R. (2021). The influence of engaging authentically on nurse–patient relationships: A scoping review. Nursing Inquiry, 28(2), e12388.
Stein-Parbury, J. (2013). Patient and person: Interpersonal skills in nursing. Elsevier Health Sciences.
Wang, M.-L., & Chang, S.-C. (2016). The impact of job involvement on emotional labor to customer-oriented behavior: an empirical study of hospital nurses. Journal of Nursing Research, 24(2), 153–162.
Copyright and Licensing
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.