{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T15:41:32Z","timestamp":1791906092960,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"21-22","license":[{"start":{"date-parts":[[2020,8,18]],"date-time":"2020-08-18T00:00:00Z","timestamp":1597708800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe the nursing student\u2013patient relationship in terms of three types of relationships\u2014mechanistic, authoritative and facilitative\u2014and analyse the factors related to the type of relationship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>As future professionals, nursing students have a central role in facilitating patient autonomy while working in partnership with patients. Supporting student\u2013patient relationship throughout the nursing education may result in positive outcomes for both students and patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The data were collected from a convenience sample of Finnish nursing students using a structured web survey. Statistical data analysis was performed using chi\u2010square test, two\u2010sample <jats:italic>t<\/jats:italic> test, one\u2010way analysis of variance and multinomial logistic regression. The STROBE Statement \u2014 Checklist for cross\u2010sectional studies was used (Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Students most often assessed their relationship with the patients as facilitative, followed by authoritative and mechanistic relationships. The results revealed three predictors for facilitative relationship: students\u2019 older age, long enough contact time with the patient and higher competence in ensuring quality. In authoritative and facilitative relationships, students had significantly more positive perceptions of the contextual factors and consequences of the relationship and higher ratings of self\u2010assessed competence levels than students in a mechanistic relationship.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It seems that the facilitative student\u2013patient relationship is connected to the professional competence of nursing students, especially in the area of ensuring the quality of patient care. Therefore, sustaining clinical learning environments and pedagogical approaches that value and support facilitative relationships in students\u2019 clinical learning should be enhanced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Efforts aimed at contributing to facilitative student\u2013patient relationships have a crucial role in shaping students\u2019 competency and in promoting high\u2010quality patient care. Thus, supervision of students organised around establishing mutual student\u2013patient relationships with the preceptors acting as facilitators will benefit both students and patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15426","type":"journal-article","created":{"date-parts":[[2020,7,22]],"date-time":"2020-07-22T07:35:06Z","timestamp":1595403306000},"page":"4030-4044","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Nursing student\u2013patient relationship and related factors\u2014A self\u2010assessment by nursing students"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5957-0479","authenticated-orcid":false,"given":"Arja","family":"Suikkala","sequence":"first","affiliation":[{"name":"Department of Nursing Science University of Turku  Turku Finland"},{"name":"Diaconia University of Applied Sciences  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2477-971X","authenticated-orcid":false,"given":"Helena","family":"Leino\u2010Kilpi","sequence":"additional","affiliation":[{"name":"Department of Nursing Science University of Turku  Turku Finland"},{"name":"Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0189-4176","authenticated-orcid":false,"given":"Jouko","family":"Katajisto","sequence":"additional","affiliation":[{"name":"Department of Mathematics and Statistics University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5886-3162","authenticated-orcid":false,"given":"Sanna","family":"Koskinen","sequence":"additional","affiliation":[{"name":"Department of Nursing Science University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.19082\/4968"},{"key":"e_1_2_12_3_1","volume-title":"Act on the Status and Rights of Patients 785\/1992"},{"key":"e_1_2_12_4_1","volume-title":"The European code of conduct for research intregrity","author":"All European Academies","year":"2017"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2018.07.005"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.04.008"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jnu.12020"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05658.x"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459-006-9028-0"},{"issue":"6","key":"e_1_2_12_10_1","first-page":"1","article-title":"The nurse\u2010patient communication: Voices from nursing students","volume":"29","author":"Chan Z. 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