By applying the IMCHB
model to the parent-PNP interaction, it was expected that the relationship among the PNPs' communication skills, clinical competence, caring behavior, decisional control, and parents' intent to adhere to recommended regimen would be revealed.
McDonald and co-authors (1999) used the IMCHB to develop a questionnaire to explore staff nurses' perceptions of problems encountered during care of patients with diabetes and to identify potential patient problems.
However, few tools specific to the IMCHB interaction element were found in the literature, with the notable exceptions being the Client Encounter Form (CEF) (Bear & Holcomb, 1999) and three instruments developed by Ervin, Chen, and Upshaw (2006).
These findings may be explained partially by the IMCHB as Cox predicted: as patients' need for professional/technical skills decreased (e.g.
MacLeod & IMCHB
, CS, N=75, Not Ex Stewart (1994) by location or race O'Brien Cousins SCT, HLC, CS, N=327, PA (1996) Urban, Not by race O'Brien Cousins SCT, HPM, CS, N=327, PA (2000) Urban, Not by race Paxton et al.