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Background <p>Inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), require long-term, multidisciplinary care. Within this model, the nurse–patient relationship is essential, yet little is known about mutuality—defined as shared trust, collaboration, and reciprocity. This study assessed nurse–patient mutuality in IBD using the Nurse–Patient Mutuality in Chronic Illness (NPM-CI) scale.</p> Methods <p>A multicenter, cross-sectional study was conducted in Italian IBD centers. Adult outpatients with confirmed IBD completed the NPM-CI patient version, a 20-item validated tool assessing three dimensions: developing and going beyond, being a point of reference, and deciding and sharing care. Descriptive statistics were used.</p> Results <p>Among 453 patients, 449 (94%) completed the NPM-CI. The mean total score was high (81.2 ± 13.3). UC patients reported higher scores than CD patients. The highest-rated items concerned respect for privacy and attention to well-being, while lower scores reflected limited emotional sharing and clarification of information from other professionals.</p> Conclusions <p>This is the first study to evaluate nurse–patient mutuality in IBD using a validated tool. Findings highlight the central role of IBD nurses in building therapeutic relationships. Enhancing emotional communication and shared decision-making could further strengthen mutuality and improve care outcomes.</p>

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Exploring nurse–patient mutuality in inflammatory bowel disease: a multicenter cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月12日

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  • Daniele Napolitano,
  • Silvia Cilluffo,
  • Alessia Marini,
  • Maura Lusignani

摘要

Background

Inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), require long-term, multidisciplinary care. Within this model, the nurse–patient relationship is essential, yet little is known about mutuality—defined as shared trust, collaboration, and reciprocity. This study assessed nurse–patient mutuality in IBD using the Nurse–Patient Mutuality in Chronic Illness (NPM-CI) scale.

Methods

A multicenter, cross-sectional study was conducted in Italian IBD centers. Adult outpatients with confirmed IBD completed the NPM-CI patient version, a 20-item validated tool assessing three dimensions: developing and going beyond, being a point of reference, and deciding and sharing care. Descriptive statistics were used.

Results

Among 453 patients, 449 (94%) completed the NPM-CI. The mean total score was high (81.2 ± 13.3). UC patients reported higher scores than CD patients. The highest-rated items concerned respect for privacy and attention to well-being, while lower scores reflected limited emotional sharing and clarification of information from other professionals.

Conclusions

This is the first study to evaluate nurse–patient mutuality in IBD using a validated tool. Findings highlight the central role of IBD nurses in building therapeutic relationships. Enhancing emotional communication and shared decision-making could further strengthen mutuality and improve care outcomes.