Professional Documents
Culture Documents
Oleh:
UNIVERSITAS JEMBER
2018
Patient Experiences of Caring and Person-Centredness are Associated with Perceived
Nursing Care Quality
Quality in hospital settings is affected not only by the quality of technical care
received but also by the quality of the interpersonal relationships and the quality of the
practice environment. Evidence directly links positive patient experiences with
improved patient safety, clinical effectiveness, and better health outcomes. Patient
experience is widely recognized as a core component of a quality healthcare system.
Self-reported patient experiences have had limited attention in conceptualizations of
healthcare quality as described in policy, national standards, and in health and nursing
practice. The impact of central nursing concepts such as caring and person-centredness
on patient ratings of nursing care quality in the acute-care context is largely unknown.
This study explores the extent to which patient ratings of perceived caring and person-
centredness are associated with perceived nursing care quality in an acute hospital
sample of inpatients. The results indicate that the caring behaviours of staff and the
extent to which the ward was perceived as being person-centred were significantly
associated with and accounted for more than half of the total variance in nursing care
quality as perceived by patients.
The findings indicate that the perceived caring behaviours of staff and the extent
of ward environment was perceived as being person-centred, accounted for more than
half of the total variance in nursing care quality. These findings suggest patient-centred
information and patient experience ratings have an important role in quality and safety
assessment, management and improvement for health services and nursing care. The
data showed that the aspects most highly correlated to perceived nursing care quality
were perceptions of receiving the best possible care from knowledgeable staff, as well
as staff taking the time to make themselves available and open for communication with
patients. The data also showed that the aspects relating to the physical environment of
the ward, for example, the extent to which the ward was neat and clean, also were
highly correlated to perceived nursing care quality. Thus, using the environment as a
nursing intervention may have the potential to maximize patient perceptions of quality
in nursing care. Also, the concept of caring surfaced as highly correlated to perceived
quality which empirically confirms previous theoretical conceptualizations of caring as
being the interpersonal quality marker of nursing care through its attributes of
manifesting expert nursing practice, interpersonal sensitivity and the creation of
intimate relationships.