ArticleBMC nursing2025
The relationship between nurses' caring behaviors and patient loyalty: trust towards nurses as a mediating role.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- LGBTQ+ individuals' experiences of initial identity disclosure in primary healthcare services: a qualitative scoping review.International journal of nursing studies advances · 2026Review
- Article
- Exploring the Relationship Between Authentic Leadership and Nurses' Caring Behavior: The Mediating Effect of Occupational Coping Self-Efficacy.Journal of nursing management · 2026Article
- The impact of E-health literacy on patient loyalty in county-level public hospitals: the mediating role of value co-creation and the moderating role of perceived social support.Frontiers in public health · 2026Article
- The relationship between nurses' caring behaviors with comfort and fear of hospitalization of hospitalized elderly patients.BMC geriatrics · 2025Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundMost of the literature on factors influencing patient trust and loyalty has focused on measuring the quality of healthcare services, overlooking the role of nurses. To address this gap, the present study investigated the connection between nurses' caring behaviors, patient trust in nurses, and patient loyalty. Also, the mediating role of trust towards nurses in relation between nurses' caring behaviors with patient loyalty has been examined.
methodsThis study utilized a cross-sectional design and included a sample of 196 hospitalized patients from five universal hospitals in Iran. The participants were selected using stratified proportional random sampling based on the number of hospital beds and different departments. Data collection took place from October 2021 to April 2022. It involved gathering information on the patients' demographic characteristics, as well as their responses to the Caring Behavior Inventory-24 (CBI-24), Trust in Nurses Scale (TNS), and a questionnaire on patient loyalty to the hospital. The collected data were analyzed using SPSS ver24 and AMOS ver24 software.
resultsThe results indicate that patient perception of nurses' caring behaviors has a significant and positive correlation with trust towards nurses and patient loyalty. Additionally, trust towards nurses also has a significant and positive correlation with patient loyalty. By controlling the demographic characteristics of the patients, there is an association between nurses' caring behaviors with trust towards nurses (β = 0.756; R
conclusionsThis study highlighted the crucial role of nursing care in fostering trust toward nurses, which in turn enhances patient loyalty. To promote a trusting relationship and increase patient loyalty, it is essential to improve nurses' caring behaviors. Hospital administrators and nursing managers should focus on enhancing these behaviors in daily nursing practice.
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