Users' perceptions of nursing care from Kristen Swanson's perspective

Authors

Keywords:

Nursing Theory, Professional Competence, Nursing Care, Empathy, Patient Satisfaction

Abstract

Objective: To determine users' perceptions of the care provided by nursing personnel, from Kristen Swanson's perspective, in a tertiary care institution.

Method: Cross-sectional observational study of 192 adults, selected through stratified probability sampling by service, from a universe of 7,601 users, with 7% precision, 50% expected frequency, 95% confidence level, and 1 design effect.

Results: Median age: 43 years; 56.77% women; median stay: 5 days. Overall score in Professional Care: 55.59. No significant differences in the score were found according to age or length of stay.

Conclusions: The results show comprehensive care, based on the five moments of Swanson's theory, highlighting the team's competence in getting to know the user, accompanying them, promoting their autonomy, strengthening their beliefs, and actively participating in the health process.

Author Biographies

Luis Alberto López-Romero, Autonomous University of Bucaramanga (UNAB), Bucaramanga (BGA), Colombia.

Nurse. Master's degree in Epidemiology. Lecturer at the Autonomous University of Bucaramanga (UNAB), Bucaramanga (BGA), Colombia.

Sandra Lucrecia Romero-Guevara, Industrial University of Santander, Bucaramanga (BGA), Santander, Colombia.

Nurse, PhD in Nursing. School of Nursing. Lecturer at the Industrial University of Santander, Bucaramanga (BGA), Santander, Colombia.

Natalia Esquivel Garzón, Industrial University of Santander, Bucaramanga, (BGA), Colombia

Nurse, PhD in Nursing. School of Nursing. Industrial University of Santander, Bucaramanga, (BGA), Colombia

Dora Inés Parra, Industrial University of Santander, Bucaramanga, (BGA) Colombia.

Nurse, PhD in Nursing. Lecturer at the Industrial University of Santander, Bucaramanga, (BGA) Colombia.

References

1. Wakefield MK, Williams DR, Le Menestrel S, Flaubert JL, National Academies of Sciences, Engineering, et al. The future of nursing 2020-2030: charting a path to achieve health equity. [Internet]. National Academies Press (US); 2021 [cited 2025 Feb 8]. 466 p. Available from: https://doi.org/10.17226/25982

2. Yusefi AR, Sarvestani SR, Kavosi Z, Bahmaei J, Mehrizi MM, Mehralian G. Patients’ perceptions of the quality of nursing services. BMC Nursing [Internet]. 2022 [cited 2025 Feb 8];21:131. Available from: https://doi.org/10.1186/s12912-022-00906-1

3. Avia I, Hariyati RTS. Impact of hospital accreditation on quality of care: a literature review. Enferm Clin [Internet]. 2019 [cited 2025 Mar 23 2025];29(Suppl 2):315-20. Available from: https://doi.org/10.1016/j.enfcli.2019.06.003

4. Aviles Gonzalez CI, Galletta M, Chessa E, Melis P, Contu P, Jimenez Herrera MF. Caring efficacy: nurses’ perceptions and relationships with work-related factors. Acta Biomed [Internet]. 2019 [cited 2025 Feb 8];90(Suppl 11):74-82. Available from: https://doi.org/10.23750/abm.v90i11-S.8684

5. Al-Jabri FYM, Turunen H, Kvist T. Patients’ perceptions of healthcare quality at hospitals measured by the revised humane caring scale. J Patient Exp [Internet]. 2021 [cited 2025 Feb 8];8:1-8. Available from: https://doi.org/10.1177/23743735211065265

6. Saifan A, Devadas B, Daradkeh F, Abdel-Fattah H, Aljabery M, Michael LM. Solutions to bridge the theory-practice gap in nursing education in the UAE: a qualitative study. BMC Med Educ [Internet]. 2021 [cited 2025 Feb 8];21:490. Available from: https://doi.org/10.1186/s12909-021-02919-x

7. Hansen BS, Dysvik E. Expanding the theoretical understanding in Advanced Practice Nursing: Framing the future. Nurs Forum [Internet]. 2022 [cited 2025 Jun 17];57(6):1593-8. Available from: https://doi.org/10.1111/nuf.12827

8. Carvajal EY, Herrera BS. Los modelos de enfermería aplicados en la práctica clínica: revisión integrativa. Archivos de Medicina (Manizales) [Internet]. 2018 [cited 2025 Feb 8];18(1):86-96. Available from: https://www.researchgate.net/publication/325900351_Los_modelos_de_enfermeria_aplicados_en_la_practica_clinica_revision_integrativa

9. Beristain-García I, Álvarez-Aguirre A, Huerta-Baltazar MI, Casique-Casique L. Kristen Swanson’s theory of care: literature review. Sanus [Internet]. diciembre de 2022 [cited 2025 Feb 8];7:e212. Available from: https://doi.org/10.36789/revsanus.vi1.212

10. Silva-Fhon J, Ramón-Cordova S, Vergaray-Villanueva S, Palacios-Fhon V, Partezani-Rodrigues R. Percepción del paciente hospitalizado respecto a la atención de enfermería en un hospital público. Enfermería Universitaria [Internet]. 2015 [cited 2025 Feb 8];12(2):80-7. Available from: https://doi.org/10.1016/j.reu.2015.04.001

11. Afaya A, Hamza S, Gross J, Acquah NA, Aseku PA, Doeyela D. Assessing patient’s perception of nursing care in medical-surgical ward in Ghana. Int J Caring Sci [Internet]. 2017 [cited 2025 Feb 8];10(3):1329-40. Available from: https://www.proquest.com/docview/1988004217/abstract/259B8F810D844F5DPQ/1

12. Monje VP, Miranda CP, Oyarzün GJ, Seguel PF, Flores GE. Percepção do cuidado de enfermagem humanizado na perspectiva dos usuários hospitalizados. Ciencia y enfermería [Internet]. 2018 [cited 2025 Feb 8];24. Available from: https://doi.org/10.4067/s0717-95532018000100205

13. Fernández-Silva CA, Mansilla-Cordeiro EJ, Flores AA, Mansilla BA, Garcés Saavedra MI. Perception of hospitalized patients regarding nursing care. Enfermería Cuidados Humanizados [Internet]. 2022 [cited 2025 Feb 8];11(1) e2635. Available from: https://doi.org/10.22235/ech.v11i1.2635

14. Kalfoss M, Owe J. Empirical verification of swanson’s caring processes found in nursing actions: systematic review. Open J Nurs [Internet]. 2015 [cited 2025 Feb 8];05(11):976-86. Available from: https://doi.org/10.4236/ojn.2015.511104

15. Lenis-Victoria CA, Manrique-Abril FG. Calidad del cuidado de enfermería percibida por pacientes hospitalizados. Aquichan [Internet]. 2015 [cited 2025 Feb 8];15(3):413-25. Available from: https://doi.org/10.5294/aqui.2015.15.3.9

16. Kurniawati ND, Karamy E, Pradanie R, Yuswanto TJA. Factors affecting patient’s perception on nurse’s carative-caring behaviour. Enferm Clin [Internet]. 2020 [cited 2025 Feb 8];30(Suppl 3):31-4. Available from: https://doi.org/10.1016/j.enfcli.2019.12.021

17. González-Ortega Y. Instrumento Cuidado de comportamiento profesional: validez y confiabilidad. Aquichan [Internet]. 2008 [cited 2025 Jun 17];8(2):170-82. Available from: https://aquichan.unisabana.edu.co/index.php/aquichan/article/view/134

18. Vesga Gualdrón LM, Ruiz de Cárdenas CH. Validez y confiabilidad de una escala de cuidado profesional en español. Av Enferm [Internet]. 2016 [cited 2025 Feb 8];34(1):69-78. Available from:https://doi.org/10.15446/av.enferm.v34n1.44488

19. Posada Morales MN. Adaptación transcultural de la escala de cuidado profesional (CPS): adecuación semántica [thesis on the Internet]. Bogotá: Universidad Nacional de Colombia; 2011 [cited 2025 Feb 8]. 107 p. Available from: https://repositorio.unal.edu.co/items/3d50db31-4027-4a68-98a6-9c2759841720

20. Ortega Barco MA, Muñoz de Rodríguez L. Evaluation of the Nursing Care Offered during the Parturition Process. Controlled Clinical Trial of an Intervention based on Swanson’s Theory of Caring versus Conventional Care Investig Educ Enferm [Internet]. 2018 [cited 2025 Mar 23];36(1):e05. Available from: https://doi.org/10.17533/udea.iee.v36n1e05

21. Ruiz-Cerino JM, Tamariz López MM, Méndez-González LA, Torres-Hernández L, Duran-Badillo T. Perception of the quality of nursing care from the perspective of people hospitalized in a public hospital. SANUS [Internet]. 2020 [cited 2025 Feb 9];5(14):1-9. Available from: https://doi.org/10.36789/sanus.vi14.174

22. Rojas Espinoza JB, García Hernández ML, Cárdenas Becerri L, Vázquez Galindo L, Kempfer SS. Adaptation of Kristen Swanson's Model for Nursing Care in Older Adults. Texto contexto enferm [Internet]. 2018 [cited 2025 Mar 23];27(4):e0660017. Available from: https://doi.org/10.1590/0104-07072018000660017

23. Davis-Toledo G, Bustamante-Muñoz W, López-Caja I. La buena enfermera según las personas mayores: “que sea amable, dedicada y que me explique”. Index de Enfermería [Internet]. 2020 [cited 2025 Feb 9];29(3):117-21. Available from: https://ciberindex.com/index.php/ie/article/view/e12714

24. Dois-Castellón A, Bravo-Valenzuela P, Martínez-Pereira A. El Buen Trato en el encuentro clínico de enfermería: características y atributos. Index de Enfermería [Internet]. 2022 [cited 2025 Feb 9];31(4):250-4. Available from: https://doi.org/10.58807/indexenferm20225169

25. Saavedra Chinchayán M, León Montoya G, Dávila Guerrero A. Therapeutic communication of the nurse, from the perspective of the hospitalized patient at the General Hospital of Jaén, Peru. Enferm Glob [Internet]. 2021 [cited 2025 Feb 9];20(61):379-94. Available from: https://doi.org/10.6018/eglobal.417451

26. McKelvey MM. Finding meaning through Kristen Swanson’s caring behaviors: a cornerstone of healing for nursing education. Creat Nurs [Internet]. 2018 [cited 2025 Jun 17];24(1):6-11. Available from: https://doi.org/10.1891/1078-4535.24.1.6

27. Meneses-La-Riva ME, Suyo-Vega JA, Fernández-Bedoya VH. Humanized care from the nurse–patient perspective in a hospital setting: a systematic review of experiences disclosed in spanish and portuguese scientific articles. Front Public Health [Internet]. 2021 [cited 2025 Jun 17];3(9):737506. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678081/

28. Nikmanesh P, Mohammadzadeh B, Nobakht S, Yusefi AR. Nurses Communication Skills Training and Its Effect on Patients’ Satisfaction in Teaching Hospitals of Shiraz University of Medical Sciences. Iran J Health Sci [Internet]. 2018 [cited 2025 Mar 23];6(4):22-9. Available from: https://doi.org/10.18502/jhs.v6i4.201

29. Yasin AMA. Theory critique of Kristen Swanson’s theory of caring.

Open J Nurs [Internet]. 2023 [cited 2025 Mar 23];13(8):528-36. Available from: https://doi.org/10.4236/ojn.2023.138035

30. Al-Hussami M, Al-Momani M, Hammad S, Maharmeh M, Darawad M. Patients’ perception of the quality of nursing care and related hospital services. Health Prim Car [Internet]. 2017 [cited 2025 Mar 23];1(2):1-6. Available from: https://doi.org/10.15761/HPC.1000110

Downloads

Published

2025-12-29

How to Cite

López-Romero, L. A., Romero-Guevara, S. L., Esquivel Garzón, N., & Parra, D. I. (2025). Users’ perceptions of nursing care from Kristen Swanson’s perspective. Cogitare Enfermagem, 31. Retrieved from https://revistas.ufpr.br/cogitare/article/view/99443

Issue

Vol. 31 (2026)

Section

ORIGINAL ARTICLE

License

Copyright (c) 2025 Luis Alberto López-Romero, Sandra Lucrecia Romero-Guevara, Natalia Esquivel Garzón, Dora Inés Parra

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Cogitare Enfermagem reserves the right to make normative, orthographic, and grammatical changes to the published article to maintain the cultured standard of the language, while respecting the authors' style.

The published study is the sole responsibility of the author(s), and Cogitare Enfermagem is exclusively responsible for evaluating the manuscript as a scientific publication vehicle. Revista Cogitare Enfermagem is not responsible for any violations of Law No. 9,610/1998, the Brazilian Copyright Law.

Cogitare Enfermagem allows the author to hold the copyright of articles accepted for publication, without restrictions.

The articles published are licensed under the Creative Commons license CC BY 4.0 Creative Commons - Attribution 4.0 International - CC BY 4.0 - The attribution adopted by Cogitare Enfermagem is permitted:

  • Share - copy and redistribute the material in any media or format.
  • Adapt - remix, transform and build upon the material for any purpose, even commercially.
  • Attribution - You must give proper credit, provide a link to the license, and indicate if changes have been made. You may do this in any reasonable way, but not in a way that suggests that the licensor endorses it or approves of its use.
  • No additional restrictions - You may not apply legal terms or technological measures that legally restrict others from doing something that the license allows.