Association Between Nurse Anesthetists’ Caring Behaviors and Preoperative Self-Efficacy Among Surgical Patients: A Cross-Sectional Study

Wafirotul  Khasanah; Anita  Setyowati; Joko  Murdiyanto

doi:10.66763/gjmsn.v1i2.37

Authors

Wafirotul Khasanah Universitas ‘Aisyiyah Yogyakarta Author
Anita Setyowati Universitas ‘Aisyiyah Yogyakarta Author
Joko Murdiyanto Universitas ‘Aisyiyah Yogyakarta Author

DOI:

https://doi.org/10.66763/gjmsn.v1i2.37

Keywords:

Caring behavior, Nurse anesthetists, Preoperative care, self-efficacy, Surgical patients

Abstract

Background: Preoperative patients often experience fear, anxiety, and reduced confidence when facing anesthesia and surgical procedures. Nurse anesthetists’ caring behaviors may help patients feel safer, more supported, and more confident during the preoperative phase.
Objectives: This study aimed to examine the association between nurse anesthetists’ caring behaviors and preoperative self-efficacy among surgical patients at RSUD Sleman, Indonesia.
Methods: This study employed a quantitative correlational design with a cross-sectional approach. A total of 80 preoperative patients were selected using purposive sampling. Eligible participants were aged 18–55 years, had undergone pre-anesthesia assessment, were conscious and cooperative, and were scheduled for their first or second surgery. Nurse anesthetists’ caring behaviors were measured using a modified 24-item Caring Behaviors Inventory questionnaire, while preoperative self-efficacy was assessed using the Indonesian version of the General Self-Efficacy Scale. Data were analyzed using descriptive statistics and the Spearman rank correlation test, with statistical significance set at p < 0.05.
Results: Most participants perceived nurse anesthetists’ caring behaviors as good (67.5%), and most had high preoperative self-efficacy (80.0%). The Spearman rank correlation test showed a significant positive association between nurse anesthetists’ caring behaviors and preoperative self-efficacy (p = 0.044; r = 0.226), indicating a weak positive correlation.
Conclusions: Nurse anesthetists’ caring behaviors were significantly associated with preoperative self-efficacy among surgical patients. Strengthening caring-based communication, reassurance, and emotional support may contribute to patients’ confidence and psychological readiness before surgery.

References

Alikari, V., Gerogianni, G., Fradelos, E. C., Kelesi, M., Kaba, E., & Zyga, S. (2022). Perceptions of Caring Behaviors among Patients and Nurses. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010396

Ataro, B. A., Geta, T., Endirias, E. E., Gadabo, C. K., & Bolado, G. N. (2024). Patient satisfaction with preoperative nursing care and its associated factors in surgical procedures, 2023: a cross-sectional study. BMC Nursing, 23(1), 235. https://doi.org/10.1186/s12912-024-01881-5

Bedaso, A., Mekonnen, N., & Duko, B. (2022). Prevalence and factors associated with preoperative anxiety among patients undergoing surgery in low-income and middle-income countries: a systematic review and meta-analysis. BMJ Open, 12(3), e058187. https://doi.org/10.1136/bmjopen-2021-058187

Berhe, Y. W., Agegnehu, T., Endeshaw, M., Riskey, N., & Kassaw, G. (2023). Quality of anesthetist communication with surgical patients in the perioperative setting: a survey at an academic tertiary referral hospital in Ethiopia. Patient Safety in Surgery, 17(1), 11. https://doi.org/10.1186/s13037-023-00361-0

Du, S., Feng, Z., Wang, W., Tian, L., & Wang, Y. (2022). A structural equation model linking health literacy, self efficacy and quality of life in adults with coronary heart disease. BMC Cardiovascular Disorders, 22(1), 285. https://doi.org/10.1186/s12872-022-02720-8

Friedrich, S., Reis, S., Meybohm, P., & Kranke, P. (2022). Preoperative anxiety. Current Opinion in Anaesthesiology, 35(6), 674–678. https://doi.org/10.1097/ACO.0000000000001186

Ghanbari-Afra, L., Adib-Hajbaghery, M., & Dianati, M. (2022). Human Caring: A Concept Analysis. Journal of Caring Sciences, 11(4), 246–254. https://doi.org/10.34172/jcs.2022.21

Gu, X., Zhang, Y., Wei, W., & Zhu, J. (2023). Effects of Preoperative Anxiety on Postoperative Outcomes and Sleep Quality in Patients Undergoing Laparoscopic Gynecological Surgery. Journal of Clinical Medicine, 12(5). https://doi.org/10.3390/jcm12051835

Hanalis-Miller, T., Nudelman, G., Ben-Eliyahu, S., & Jacoby, R. (2022). The Effect of Pre-operative Psychological Interventions on Psychological, Physiological, and Immunological Indices in Oncology Patients: A Scoping Review. Frontiers in Psychology, 13, 839065. https://doi.org/10.3389/fpsyg.2022.839065

Kargar, L., Khademian, Z., & Rambod, M. (2021). Association between perception of caring behaviors and self-efficacy in patients with cardiovascular disease at coronary care units: a cross-sectional study. Acute and Critical Care, 36(2), 118–125. https://doi.org/10.4266/acc.2020.00752

Khaletabad, N. A., Radfar, M., Khademi, M., & Khalkhali, H. (2023). Caring Behaviors Inventory-24: translation, cross-cultural adaptation, and psychometric testing for using in nurses and patients. BMC Nursing, 22(1), 82. https://doi.org/10.1186/s12912-023-01248-2

Kharod, U., Panchal, N. N., Varma, J., & Sutaria, K. (2022). Effect of pre-operative communication using anaesthesia information sheet on pre-operative anxiety of patients undergoing elective surgery-A randomised controlled study. Indian Journal of Anaesthesia, 66(8), 559–572. https://doi.org/10.4103/ija.ija_32_22

Larsson, F., Engström, Å., Rysst Gustafsson, S., & Strömbäck, U. (2024). Feeling Safe in the Perioperative Period: Experiences from Patients Undergoing Orthopedic Day Surgery. SAGE Open Nursing, 10, 23779608241258560. https://doi.org/10.1177/23779608241258562

Lekens, A. L. B., Drageset, S., & Hansen, B. S. (2023). How nursing care is expressed among nurse anaesthetists in the perioperative context: A meta-ethnographic synthesis. Journal of Clinical Nursing, 32(17–18), 5763–5778. https://doi.org/10.1111/jocn.16700

Leonardsen, A.-C. L., Wolf, A., & Nilsson, U. (2024). Patient-Centeredness in the Perioperative Period-A Rapid Review of Current Research. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 39(5), 915-920.e3. https://doi.org/10.1016/j.jopan.2023.12.028

Ng, S. X., Wang, W., Shen, Q., Toh, Z. A., & He, H. G. (2022). The effectiveness of preoperative education interventions on improving perioperative outcomes of adult patients undergoing cardiac surgery: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 21(6), 521–536. https://doi.org/10.1093/eurjcn/zvab123

Pennington, B. R. T., Politi, M. C., Abdallah, A. Ben, Janda, A. M., Eshun-Wilsonova, I., deBourbon, N. G., Siderowf, L., Klosterman, H., Kheterpal, S., & Avidan, M. S. (2023). A survey of surgical patients’ perspectives and preferences towards general anesthesia techniques and shared-decision making. BMC Anesthesiology, 23(1), 277. https://doi.org/10.1186/s12871-023-02219-5

Petersen, H. S., Rothmann, M. J., & Jensen, H. I. (2024). Certified Registered Nurse Anesthetists’ Experiences of Nursing in Anesthesia Care: An Interview Study. Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses, 39(6), 1049–1055. https://doi.org/10.1016/j.jopan.2024.01.024

Saasouh, W., Ghanem, K., Al-Saidi, N., LeQuia, L., McKelvey, G., & Jaffar, M. (2024). Patient-centered perspectives on perioperative care. Frontiers in Anesthesiology, Volume 3-2024. https://doi.org/10.3389/fanes.2024.1267127

Schunk, D. H., & DiBenedetto, M. K. (2020). Motivation and social cognitive theory. Contemporary Educational Psychology, 60, 101832. https://doi.org/https://doi.org/10.1016/j.cedpsych.2019.101832