Analysis of influencing factors of nurse-patient disputes based on patient characteristics: A cross-sectional study.
Yawen Wang, Jinjin Lu, Qian Ye and 4 others
PMID 34547181WHAT IT FOUND
Patients with higher household income, higher neuroticism scores, and lower appreciation for nursing work were more likely to report disputes with nurses.
The study identifies patient-side risk factors but cannot prove causation or predict individual behaviour.
Key findings
019.6% of surveyed patients reported having had a dispute with a nurse.
02In multivariate analysis, higher monthly household income and higher neuroticism scores were associated with an increased likelihood of nurse-patient disputes.
03Higher humanistic quality scores and higher recognition of nursing work were associated with a decreased likelihood of nurse-patient disputes.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design prevents establishing causality; it is unclear if personality traits cause disputes or if disputes alter self-reported traits. Self-reported data on disputes may be subject to recall bias and social desirability bias. Convenience sampling from two hospitals in China limits generalizability to other healthcare systems or populations. The 'humanistic quality' and 'recognition of nursing work' scales were self-developed and may not be widely validated or comparable across contexts. Attrition analysis was not possible, so it is unknown if dropouts differed from participants.
Declared interests
None declared.
The easy way to misread this
Do not interpret these associations as predictive tools for individual patient care. The study identifies statistical correlations in a specific Chinese hospital population, not causal mechanisms or evidence that targeting these patient traits will reduce disputes.