Impact of Nurse-Patient Relationship Building on Patient-Reported Well-Being in Patients with Colorectal Cancer: A Feasibility Study

Abstract

Aim To evaluate the feasibility and acceptability of a nurse-patient relationship (NPR)-focused intervention based on the Fundamentals of Care framework and to explore its potential influence on patient well-being. Background The NPR is considered fundamental to high-quality nursing care. Although relational elements such as trust and focus are emphasised in theoretical frameworks, there is limited empirical evidence on the feasibility of systematically applying this approach in clinical practice. Methods This feasibility study was designed as a randomised controlled trial conducted in a gastroenterological ward at a Danish university hospital. Adult patients with colorectal cancer were randomised to either standard care or standard care plus an NPR-focused intervention delivered during the first nurse-patient encounter. Feasibility outcomes included recruitment, inclusion and response rates, time expenditure, and acceptability. Patient well-being was explored using the Edmonton Symptom Assessment Scale (ESAS). Results Eight patients participated (80% inclusion rate), and questionnaire completion was 100%. The intervention was feasible to implement and acceptable to both patients and the nurse, although minor challenges arose, e.g., due to a lack of standardisation. Exploratory analyses suggested a lower symptom burden in the intervention group, but the small sample size precludes conclusions regarding effectiveness. Conclusion The NPR-focused intervention appears feasible and acceptable in this clinical context. Minor design adjustments are recommended before conducting a full-scale study. Clinical relevance This provides a foundation for strengthening nurses' competencies by systematically building and maintaining the NPR through the five elements of relational building and by addressing barriers and facilitators in clinical practice. Keywords: Nurse-patient relation, person-centred care, patient well-being, patient-reported outcome measure, colorectal cancer, randomised controlled trial, feasibility study.