Nursing care quality: a concept analysis.

The purpose of this paper is to provide a clear definition of nursing care quality that contributes to the formulation, application, and measurement of quality nursing outcomes for patients, organisations, and nursing staff. It also indicates the manner in which, by using the definition, empirically based operational definitions can be developed for different operational environments and settings. The study employed a concept analysis methodology to extract terms, attributes, antecedents, and consequences (outcomes) from relevant literature databases. The analysis identified nine attributes: nurse competency performance, met nursing care needs, good experiences for patients, good leadership, staff characteristics, preconditions of care, physical environment, progress of nursing process, and cooperation with relatives. Antecedences include nurse-staffing levels, positive practice environment, and nursing turnover. Consequences include patient safety, patient satisfaction, nursing outcomes, nurse satisfaction, and budget management. Because of the breadth and depth of modern nursing practice, further research and development of the concept is required.

Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review.

The purpose of this literature review is to explore the relationship between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care quality through a consideration of what is meant by perceptions of nursing care quality. Different people define nursing care quality in many ways. It is complex, multi-faceted and multi-dimensional, and attempts to assess, monitor, evaluate and improve nursing care quality have evolved over a number of years. Of particular interest is the way in which changes in nurse staffing, nurse job satisfaction, nurse practice environment, and burnout may affect the quality of nursing care delivery. A search was conducted using the CINAHL, Medline and Embase databases, HINARI, Science Direct, Google, and PubMed. The terms searched included quality of health care; nursing care quality; nurse job satisfaction; nurse practice environment; burnout; and nurse staffing. Papers were included for their relevance to the field of enquiry. The original search was conducted in 2003 and updated in 2004. Quality of care is a complex, multi-dimensional concept, which presents researchers with a challenge when attempting to evaluate it. Many different tools have assessed nursing care quality. In addition, the review found that there were relationships between nurse staffing, nurse job satisfaction, nurse practice environment, burnout, and nursing care qualit.

Professional performance among nurses at accredited hospital in the Bangkok metropolis.

The objectives of this study were to determine the level of professional performance among nurses, to examine factors affecting their performance, and to formulate a model for their performance at accredited hospitals in the Bangkok metropolis. A set of questionnaires was filled out by a random sampling method, 518 samples were drawn. The data were analyzed by multiple regression and confirmatory factor analysis. The findings revealed that about 70% of the nurses were found to have a professional performance score at the moderate level. The mean score for adherence to the nurses’ code, quality of care, and self-development aspect fell within the high and the fairly high levels. The mean score on the resource utilization and management aspect was at the moderate level. Mean scores falling at the rather low levels were community service, theory, research, and professional organization participation aspects: the dissemination aspect’s mean scores was the low level. Factors used for predicting professional performance at predictive power of 39% were the following: goal-setting, self-efficacy, social support, and professional socialization (only this last factor, being not statistically significant). The professional performance among nurses at accredited hospital in the Bangkok metropolis included ten aspects comprising 45 items by confirmatory factor analysis method. The theory, research, dissemination, and community service aspects along with professional organization participation aspect should be promoted by the hospital accreditation policy and nursing professional organization aspect should be professional nurses and the various hospital professionals should be encouraged.