The Impact of Intensive Care Nurses' Caring Behaviors on the Quality of Nursing Care

Brief Summary The purpose of this observational study is to find out whether the caring behaviors of intensive care nurses affect the quality of nursing care for adult patients in the Intensive Care Unit (ICU) at Bolu Izzet Baysal State Hospital.

The study aims to answer the following questions:

Do nurses' caring behaviors influence the quality of care that patients receive?

Are nurses' personal and professional characteristics related to their caring behaviors and the quality of care?

In this study:

Nurses will complete questionnaires about their caring behaviors and personal information.

The researcher will observe patients and assess the quality of care they receive.

The study will be conducted between June 1, 2025, and June 1, 2026. The results are expected to support training programs and improvement efforts to enhance nursing care quality in ICUs.

Study Overview

• Status: Completed
• Conditions: Perception of Caring Behaviors; Quality of Nursing Care
• Intervention / Treatment: Behavioral: This involves nurses' self-assessment of their caregiving behaviors and perceptions; Other: Observation by the Researcher and Self-evaluations by nurses

Detailed Description

This observational study investigates whether the caring behaviors of intensive care nurses influence the quality of nursing care for adult patients in the intensive care unit (ICU) at Bolu Izzet Baysal State Hospital.

Nurses play a critical role in providing continuous, high-quality care to critically ill patients. Research suggests that nurses' behaviors and communication can significantly affect patient care experiences and outcomes.

Based on clinical observations, variations in the perceived quality of care have been noticed, especially during shift changes in the ICU. This study aims to assess both how nurses perceive their caring behaviors and how the quality of care is observed by the researcher.

Findings from the study are expected to help identify areas for improvement and inform potential training programs to enhance care quality, teamwork, and communication within ICU settings.

• Study Type: Observational
• Enrollment (Actual): 30

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Bolu, Turkey (Türkiye), 14100
    • Bolu Abant Izzet Baysal Unıversıtesı
  • Bolu
    • Merkez, Bolu, Turkey (Türkiye)
      • Republic of Turkey, Ministry of Health, Bolu Izzet Baysal State Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Non-Probability Sample

Study Population

Patients aged 18 and above, admitted to the intensive care unit and meeting the study's inclusion criteria and Intensive Care Unit (ICU) Nurses

Description

Inclusion Criteria for Nurses:

Registered nurses who have been working in intensive care units for at least 3 months,

Nurses who have provided both verbal and written informed consent to participate in the study,

Nurses who are rotationally responsible for patient populations whose nursing care quality is assessed during 24-hour shifts.

Inclusion Criteria for Patients:

Patients aged 18 years or older,

Patients whose legal guardians have provided verbal and written informed consent to participate in the study,

Patients with a Foley catheter in place for a minimum of 14 days, as this duration is required to evaluate urinary catheter management quality,

Patients who are intubated, mechanically ventilated, equipped with invasive catheters for nutrition and monitoring, and are fully dependent on nursing care.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Intensive Care Unit (ICU) Nurses; Nurses who have been working in intensive care units for at least 3 months with a registered nurse title, Nurses who have provided verbal and written informed consent to participate in the study, Nurses who are rotationally responsible for patient populations whose care quality is evaluated during 24-hour shifts.	Behavioral: This involves nurses' self-assessment of their caregiving behaviors and perceptions; This refers to the clinical observation performed by the nurse researcher
Patients admitted to the Intensive Care Unit (ICU); Patients aged 18 years and older, Patients whose legal representatives have provided verbal and written informed consent for participation, Patients with a Foley catheter in place for a minimum of 14 days, as urine bag replacement is evaluated after this period, Patients who are intubated, mechanically ventilated, possess invasive catheters for nutrition and monitoring, and are fully dependent on nursing care.	Other: Observation by the Researcher and Self-evaluations by nurses; Observation by the Researcher

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Total score of the Caring Behaviors Inventory-24 (CBI-24) completed by ICU nurses	The CBI-24 consists of 24 items rated on a 6-point Likert scale (1 = Never, 6 = Always). Higher total scores indicate higher levels of self-perceived caring behaviors by ICU nurses. Due to the rotational shift system, all ICU nurses contribute to the care of multiple patients over time. Therefore, each nurse will complete the questionnaire only once during the study period to capture their overall perception of caring behaviors.	Each nurse will complete the questionnaire once during the study period

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Total score of the "Quality of Nursing Care in Intensive Care Units Scale" assessed by the researcher through bedside observation	The scale includes 50 items rated on a 3-point Likert scale (0 = Not satisfactory, 2 = Highly satisfactory). Total scores range from 0 to 100. Higher scores indicate better nursing care quality as assessed by the researcher.	Data collected during each patient's stay in the ICU

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of ICU nurses' self-perceived caring behaviors (CBI-24 total score) and nursing care quality (Quality Scale total score)	The relationship between ICU nurses' self-perceived caring behaviors (CBI-24 total scores) and nursing care quality scores observed by the researcher will be evaluated using linear regression analysis. The goal is to determine whether higher caring behaviors are associated with higher nursing care quality.	Analyzed after completion of data collection

Collaborators and Investigators

• Sponsor: Abant Izzet Baysal University

Study record dates

Study Major Dates

• Study Start (Actual): October 10, 2025
• Primary Completion (Actual): January 16, 2026
• Study Completion (Actual): January 30, 2026

Study Registration Dates

• First Submitted: June 12, 2025
• First Submitted That Met QC Criteria: July 7, 2025
• First Posted (Actual): July 9, 2025

Study Record Updates

• Last Update Posted (Actual): February 6, 2026
• Last Update Submitted That Met QC Criteria: February 4, 2026
• Last Verified: February 1, 2026

More Information

Terms related to this study

• Keywords: Intensive Care; Quality of Nursing Care; Intensive Care Nurse; Perception of Caring Behaviors
• Other Study ID Numbers: AIBU-SBF-NSS-25

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: The data will not be shared due to ethical considerations.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No