Original Article

Nursing presence from the perspective of cancer patients: A cross-sectional study


Background & Aim: Nursing presence is an essential element of nursing care. Since the perception of nursing presence is influenced by different factors depending on the culture within which patients receive nursing care, this study aimed to investigate Iranian patients' nursing presence with cancer.
Methods & Materials: In this cross-sectional study, 130 cancer patients were selected by random sampling from an oncology teaching hospital. Data was collected by the Presence of Nursing Scale and analyzed by SPSS software.
Results: The results showed that the mean score of nursing presence (in a range of 0 to 125) was 101.91±16.19. According to the results, the highest and lowest scores belonged to the items "I trusted in these nurses" and "These nurses met my spiritual needs" with a mean score of 4.38±0.81 and 3.68±1.16, respectively. Data analysis by Pearson correlation coefficient showed no significant correlation between the mean score of nursing presence and quantitative variables such as patients' age, length of stay in the hospital, and the number of hospitalization (p>0.05).
Conclusion: Although the total score of nursing presence was high, improvements in some items such as fulfilling the spiritual needs of cancer patients seem necessary. Evaluation of nursing presence by valid measures, encouraging nurses to spend more time and interacting with their patients, and providing special courses on nursing presence could help nurses improve and implement oncology nursing. 

1. Glerean N, Hupli M, Talman K, Haavisto E. Young peoples' perceptions of the nursing profession: An integrative review. Nurse Education Today. 2017;57:95-102.
2. Feo R, Rasmussen P, Wiechula R, Conroy T, Kitson A. Developing effective and caring nurse-patient relationships. Nursing Standard. 2017;31(28):54-63.
3. Mohammadipour F, Atashzadeh-Shoorideh F, Parvizy S, Hosseini M. Concept development of “nursing presence”: application of schwartz-barcott and kim's hybrid model. Asian Nursing Research. 2017;11(1):19-29.
4. Peplau HE. Peplau's theory of interpersonal relations. Nursing science quarterly. 1997;10(4):162-7.
5. Watson J. Nursing: The Philosophy and Science and Caring. Caring in Nursing Classics: An Essential Resource. 2012:143-52.
6. Jarvis K. Swanson's Theory of Caring: An Application to the Role of Nursing Education. International Journal for Human Caring. 2019;23(3):266-71.
7. Hessel JA. Presence in nursing practice: A concept analysis. Holistic nursing practice. 2009;23(5):276-81.
8. Cherrill S, Octavian G, Pamela DiVito T, Caroline E. The Use and Intended Outcomes of Presence: A Focus Group Study. International Journal of Nursing Knowledge. 2016;29(1):59-65.
9. Turpin RL. Psychometric Testing of the Presence of Nursing Scale: Measurability of Patient Perceptions of Nursing Presence Capability of Nurses in an Academic Medical Center: East Tennessee State University; 2016.
10. Shahbazi S, Heidari M, Ghafourifard M. Comparison of direct and indirect methods of teaching breast self-examination–influence on knowledge and attitudes of Iranian nursing and midwifery personnel. Asian Pacific journal of cancer prevention: APJCP. 2017;18(4):1157.
11. Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2017: A Systematic Analysis for the Global Burden of Disease Study. JAMA Oncol 2019;5(12):1749-68.
12. World Health Organisation: cancer 2018 [Available from: https://www.who.int/news-room/fact-sheets/detail/cancer.
13. Zendehdel K. Cancer Statistics in I.R. Iran in 2018. Basic Clin Cancer Res. 2016;11(1):1-4.
14. Yesilot SB, Oz F. Validity and reliability of the presence of nursing scale in patients with cancer in the Turkish language. International Journal of caring sciences. 2016;9(2):443-51.
15. Kostovich CT. Development and psychometric assessment of the presence of nursing scale. Nursing Science Quarterly. 2012;25(2):167-75.
16. Bozdoğan Yeşilot S, Öz F. Cancer patients’ perceptions of nursing presence. Journal of Psychiatric Nursing. 2017;8(3):150-6.
17. Surbone A. Cultural aspects of communication in cancer care. Recent results in cancer research Fortschritte der Krebsforschung Progres dans les recherches sur le cancer. 2006;168:91-104.
18. Zyblock DM, editor Nursing presence in contemporary nursing practice. Nursing Forum; 2010: Wiley Online Library.
19. Rohani C, Kesbakhi MS, Mohtashami J. Clinical empathy with cancer patients: a content analysis of oncology nurses’ perception. Patient preference and adherence. 2018;12:1089.
20. Ozaras G, Abaan S. Investigation of the trust status of the nurse-patient relationship. Nursing ethics. 2018;25(5):628-39.
21. Zhao L, Wang R, Liu S, Yan J. Validation of Chinese version of the 4-item Trust in Nurses Scale in patients with cancer. Patient preference and adherence. 2017;11:1891-6.
22. Zamanzadeh V, Valizadeh L, Rahmani A, Ghafourifard M. Compassionate care in nursing: A hybrid concept analysis. Journal of hayat. 2017;22(4):362-80.
23. Ahmadpour B, Ghafourifard M, Ghahramanian A. Trust towards nurses who care for haemodialysis patients: a cross‐sectional study. Scandinavian Journal of Caring Sciences. 2019.
24. Zamanzadeh V, Valizadeh L, Rahmani A, van der Cingel M, Ghafourifard M. Factors facilitating nurses to deliver compassionate care: a qualitative study. Scandinavian journal of caring sciences. 2018;32(1):92-7.
25. Stolt M, Charalambous A, Radwin L, Adam C, Katajisto J, Lemonidou C, et al. Measuring trust in nurses – Psychometric properties of the Trust in Nurses Scale in four countries. European Journal of Oncology Nursing. 2016;25:46-54.
26. Rchaidia L, Dierckx de Casterlé B, De Blaeser L, Gastmans C. Cancer patients' perceptions of the good nurse: a literature review. Nursing ethics. 2009;16(5):528-42.
27. Rahnama M, Fallahi Khoshknab M, Seyed Bagher Madah S, Ahmadi F. Cancer patients’ perception of spiritual care. Medical Ethics and History of Medicine. 2012;5(3):64-80.
28. Mojarad FA, Sanagoo A, Jouybari L. Exploring the experiences of oncology nurses about the factors facilitating their presence at the bedside of patients with cancer: A qualitative study. Indian J Palliat Care. 2019;25(2):236.
29. Forouzi MA, Tirgari B, Safarizadeh MH, Jahani Y. Spiritual Needs and Quality of Life of Patients with Cancer. Indian J Palliat Care. 2017;23(4):437-44.
30. Fahlberg B, Roush T. Mindful presence: Being “with” in our nursing care. Nursing2019. 2016;46(3):14-5.
IssueVol 8 No 2 (2021): Spring QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v8i2.5125
nurse-patient relations; nurses; nursing care; cancer

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How to Cite
Mahdavi M, Ghafourifard M, Rahmani A. Nursing presence from the perspective of cancer patients: A cross-sectional study. NPT. 8(2):139-145.