Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

A Concept Analysis of Quality Nursing Care

  • Received : 2021.04.26
  • Accepted : 2021.07.23
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to perform a concept analysis of quality nursing care. Methods: Walker and Avant's concept analysis method was used to carry out this study. Results: The defining attributes identified were as follows: caring, the nurse-patient relationship, and patient needs. Antecedents included patient characteristics, individual factors (age, education, knowledge, competence, and experience), job position, and environmental factors. The consequences of quality nursing care have significant influence on both patients and nurses. Conclusion: The findings can aid researchers in obtaining a better understanding of quality nursing care, and stakeholders can consider the factors related to quality nursing care and its consequences to improve the nursing process.

Keywords

Acknowledgement

This study was supported by Second Century Fund (C2F), Chulalongkorn University, Bangkok, Thailand.

References

  1. Charalambous A, Papadopoulos R, Beadsmoore A. Quality nursing care: A selective review of the literature of patients'and nurses' interpretations. The Scientific Journal of the Hellenic Regulatory Body of Nurses. 2008;1(2):75-82.
  2. Van Bogaert P, Clarke S, Willems R, Mondelaers M. Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: A structural equation model approach. Journal of Advanced Nursing. 2013;69(7):1515-1524. https://doi.org/10.1111/jan.12010
  3. Van Bogaert P, Peremans L, Van Heusden D, Verspuy M, Kureckova V, Van de Cruys Z, et al. Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: A mixed method study. BMC Nursing. 2017;16:5. https://doi.org/10.1186/s12912-016-0200-4
  4. Van Bogaert P, van Heusden D, Timmermans O, Franck E. Nurse work engagement impacts job outcome and nurse-assessed quality of care: Model testing with nurse practice environment and nurse work characteristics as predictors. Frontiers in Psychology. 2014;5:1261. https://doi.org/10.3389/fpsyg.2014.01261
  5. Reed L, Blegen MA, Goode CS. Adverse patient occurrences as a measure of nursing care quality. The Journal of Nursing Administration. 1998;28(5):62-69. https://doi.org/10.1097/00005110-199805000-00009
  6. Lucero RJ, Lake ET, Aiken LH. Nursing care quality and adverse events in US hospitals. Journal of Clinical Nursing. 2010;19(15-16):2185-2195. https://doi.org/10.1111/j.1365-2702.2010.03250.x
  7. Van Bogaert P, Timmermans O, Weeks SM, van Heusden D, Wouters K, Franck E. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey. International Journal of Nursing Studies. 2014;51(8):1123-1134. https://doi.org/10.1016/j.ijnurstu.2013.12.009
  8. Karaca A, Durna Z. Patient satisfaction with the quality of nursing care. Nursing Open. 2019;6(2):535-545. https://doi.org/10.1002/nop2.237
  9. Jung YA, Sung KM. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. Journal of Korean Academy of Nursing Administration. 2018;24(1):30-39. https://doi.org/10.11111/jkana.2018.24.1.30
  10. Jones TL. Outcome measurement in nursing: Imperatives, ideals, history, and challenges. Online Journal of Issues in Nursing. 2016;21(2):1.
  11. Walker LO, Avant KC. Strategies for theory construction in nursing. 6th ed. New York (NY): Pearson; 2019. p. 167-193.
  12. Oxford University Press. Oxford advanced learner's dictionary [Internet]. Oxford: Oxford University Press; c2021 [cited 2020 Apr 11]. Available from: https://www.oxfordlearnersdictionaries.com/definition/english/.
  13. Cambridge University Press. Cambridge dictionary [Internet]. Cambridge: Cambridge University Press; c2021 [cited 2020 Apr 11]. Available from: https://dictionary.cambridge.org/dictionary/english/.
  14. Oxford University Press (OUP). Lexico.com [Internet]. Oxford: Lexico.com; c2021 [cited 2020 Apr 4]. Available from: https://www.lexico.com/definition/.
  15. Redfern SJ. In pursuit of quality of nursing care. Journal of Clinical Nursing. 1993;2(3):141-148. https://doi.org/10.1111/j.1365-2702.1993.tb00153.x
  16. Burhans LM, Alligood MR. Quality nursing care in the words of nurses. Journal of Advanced Nursing. 2010;66(8):1689-1697. https://doi.org/10.1111/j.1365-2648.2010.05344.x
  17. Koy V, Yunibhand J, Angsuroch Y, Fisher ML. Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: Literature review. International Journal of Research in Medical Sciences. 2015;3(8):1825-1831. https://doi.org/10.18203/2320-6012.ijrms20150288.
  18. Williams AM. The delivery of quality nursing care: A grounded theory study of the nurse's perspective. Journal of Advanced Nursing. 1998;27(4):808-816. https://doi.org/10.1046/j.1365-2648.1998.00590.x
  19. Kunaviktikul W, Anders RL, Srisuphan W, Chontawan R, Nuntasupawat R, Pumarporn O. Development of quality of nursing care in Thailand. Journal of Advanced Nursing. 2001;36(6):776-784. https://doi.org/10.1046/j.1365-2648.2001.02039.x
  20. Tafreshi MZ, Pazargadi M, Abed Saeedi Z. Nurses' perspectives on quality of nursing care: A qualitative study in Iran. International Journal of Health Care Quality Assurance. 2007;20(4):320-328. https://doi.org/10.1108/09526860710754389
  21. Attree M. An analysis of the concept "quality" as it relates to contemporary nursing care. International Journal of Nursing Studies. 1993;30(4):355-369. https://doi.org/10.1016/0020-7489(93)90107-6
  22. Koy V, Yunibhand J, Angsuroch Y. Nursing care quality: A concept analysis. International Journal of Research in Medical Sciences. 2015;3(8):1832-1838. https://doi.org/10.18203/2320-6012.ijrms20150289
  23. Redfern S, Norman I. Quality of nursing care perceived by patients and their nurses: An application of the critical incident technique. Part 2. Journal of Clinical Nursing. 1999;8(4):414-421. https://doi.org/10.1046/j.1365-2702.1999.0288b.x
  24. Liu Y, Aungsuroch Y, Gunawan J, Sha L, Shi T. Development and psychometric evaluation of a quality nursing care scale from nurses' perspective. Nursing Open. 2021;8(4):1741-1754. https://doi.org/10.1002/nop2.816
  25. Kitson AL. Indicators of quality in nursing care--an alternative approach. Journal of Advanced Nursing. 1986;11(2):133-144. https://doi.org/10.1111/j.1365-2648.1986.tb01231.x
  26. Koy V, Yunibhand J, Angsuroch Y, Turale S. Development and psychometric testing of the Cambodian Nursing Care Quality Scale. Pacific Rim International Journal of Nursing Research. 2017;21(4):267-279.
  27. Stolt M, Katajisto J, Kottorp A, Leino-Kilpi H. Measuring quality of care: A Rasch validity analysis of the Good Nursing Care Scale. Journal of Nursing Care Quality. 2019;34(4):E1-E6. https://doi.org/10.1097/NCQ.0000000000000391
  28. Lynn MR, McMillen BJ, Sidani S. Including the provider in the assessment of quality care: Development and testing of the Nurses' Assessment of Quality Scale - acute care version. Journal of Nursing Care Quality. 2007;22(4):328-336. https://doi.org/10.1097/01.NCQ.0000290414.42640.c0
  29. Mrayyan MT. Jordanian nurses' job satisfaction, patients' satisfaction and quality of nursing care. International Nursing Review. 2006;53(3):224-230. https://doi.org/10.1111/j.1466-7657.2006.00439.x
  30. Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. Journal of Advanced Nursing. 2009;65(11):2299-2310. https://doi.org/10.1111/j.1365-2648.2009.05090.x
  31. Van Bogaert P, Kowalski C, Weeks SM, Van Heusden D, Clarke SP. The relationship between nurse practice environment, nurse work characteristics, burnout and job outcome and quality of nursing care: A cross-sectional survey. International Journal of Nursing Studies. 2013;50(12):1667-1677. https://doi.org/10.1016/j.ijnurstu.2013.05.010
  32. Van den Heede K, Clarke SP, Sermeus W, Vleugels A, Aiken LH. International experts' perspectives on the state of the nurse staffing and patient outcomes literature. Journal of Nursing Scholarship. 2007;39(4):290-297. https://doi.org/10.1111/j.1547-5069.2007.00183.x
  33. Liu K, You LM, Chen SX, Hao YT, Zhu XW, Zhang LF, et al. The relationship between hospital work environment and nurse outcomes in Guangdong, China: A nurse questionnaire survey. Journal of Clinical Nursing. 2012;21(9-10):1476-1485. https://doi.org/10.1111/j.1365-2702.2011.03991.x
  34. Anzai E, Douglas C, Bonner A. Nursing practice environ-ment, quality of care, and morale of hospital nurses in Japan. Nursing & Health Sciences. 2014;16(2):171-178. https://doi.org/10.1111/nhs.12081
  35. Gunther M, Alligood MR. A discipline-specific determination of high quality nursing care. Journal of Advanced Nursing. 2002;38(4):353-359. https://doi.org/10.1046/j.1365-2648.2002.02201.x
  36. Idvall E, Rooke L. Important aspects of nursing care in surgical wards as expressed by nurses. Journal of Clinical Nursing. 1998;7(6):512-520. https://doi.org/10.1046/j.1365-2702.1998.00180.x
  37. Kieft RA, de Brouwer BB, Francke AL, Delnoij DM. How nurses and their work environment affect patient experiences of the quality of care: A qualitative study. BMC Health Services Research. 2014;14:249. https://doi.org/10.1186/1472-6963-14-249
  38. Carthon JM, Kutney-Lee A, Jarrin O, Sloane D, Aiken LH. Nurse staffing and postsurgical outcomes in black adults. Journal of the American Geriatrics Society. 2012;60(6):1078-1084. https://doi.org/10.1111/j.1532-5415.2012.03990.x
  39. Doran DI, Sidani S, Keatings M, Doidge D. An empirical test of the Nursing Role Effectiveness Model. Journal of Advanced Nursing. 2002;38(1):29-39. https://doi.org/10.1046/j.1365-2648.2002.02143.x
  40. Aiken LH, Clarke SP, Sloane DM. Hospital staffing, organization, and quality of care: Cross-national findings. Nursing Outlook. 2002;50(5):187-194. https://doi.org/10.1067/mno.2002.126696
  41. Van Bogaert P, Meulemans H, Clarke S, Vermeyen K, Van de Heyning P. Hospital nurse practice environment, burnout, job outcomes and quality of care: Test of a structural equation model. Journal of Advanced Nursing. 2009;65(10):2175-2185. https://doi.org/10.1111/j.1365-2648.2009.05082.x
  42. Weldetsadik AY, Gishu T, Tekleab AM, Asfaw YM, Legesse TG, Demas T. Quality of nursing care and nurses' working environment in Ethiopia: Nurses' and physicians' perception. International Journal of Africa Nursing Sciences. 2019;10:131-135. https://doi.org/10.1016/j.ijans.2019.03.002
  43. Rochefort CM, Clarke SP. Nurses' work environments, care rationing, job outcomes, and quality of care on neonatal units. Journal of Advanced Nursing. 2010;66(10):2213-2224. https://doi.org/10.1111/j.1365-2648.2010.05376.x
  44. Laschinger HK, Grau AL. The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: A cross-sectional study. International Journal of Nursing Studies. 2012;49(3):282-291. https://doi.org/10.1016/j.ijnurstu.2011.09.004
  45. Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: Cross-national investigation in six countries. Research in Nursing & Health. 2010;33(4):288-298. https://doi.org/10.1002/nur.20383
  46. Spence Laschinger HK, Zhu J, Read E. New nurses' perceptions of professional practice behaviours, quality of care, job satisfaction and career retention. Journal of Nursing Management. 2016;24(5):656-665. https://doi.org/10.1111/jonm.12370
  47. Labrague LJ, De Los Santos JAA, Tsaras K, Galabay JR, Falguera CC, Rosales RA, et al. The association of nurse caring behaviours on missed nursing care, adverse patient events and perceived quality of care: A cross-sectional study. Journal of Nursing Management. 2020;28(8):2257-2265. https://doi.org/10.1111/jonm.12894
  48. Cunningham RS. Advanced practice nursing outcomes: A review of selected empirical literature. Oncology Nursing Forum. 2004;31(2):219-232. https://doi.org/10.1188/04.ONF.219-232
  49. Wu Y, Larrabee JH, Putman HP. Caring Behaviors Inventory: A reduction of the 42-item instrument. Nursing Research. 2006;55(1):18-25. https://doi.org/10.1097/00006199-200601000-00003