TY - JOUR
T1 - Hospital environment, nurse-physician relationships and quality of care
T2 - Questionnaire survey
AU - Shen, Hsi Che
AU - Chiu, Hsiao Ting
AU - Lee, Pi Hsia
AU - Hu, Yi Chun
AU - Chang, Wen Yin
PY - 2011/2
Y1 - 2011/2
N2 - Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients' and nurses' perceptions of the hospital environment, nurse-physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse-physician relationships. However, comparisons between patients' and nurses' perceptions are relatively limited.Methods. This was a cross-sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t-tests, stepwise regression and path analysis.Results. Overall, patients' mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3.05 vs. 2.65 points), nurse-physician relationships (7.88 vs. 6.53 points) and quality of care (7.91 vs. 6.63 points) (P <0.001). Both the hospital environment and nurse-physician relationships were statistically significant predictors of quality of care. Path analysis showed that quality of care was affected by the hospital environment, nurse-physician relationships and years of education for patients (P <0.05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse-physician relationships (P <0.05).Conclusion. These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients' and nurses' expectations.
AB - Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients' and nurses' perceptions of the hospital environment, nurse-physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse-physician relationships. However, comparisons between patients' and nurses' perceptions are relatively limited.Methods. This was a cross-sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t-tests, stepwise regression and path analysis.Results. Overall, patients' mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3.05 vs. 2.65 points), nurse-physician relationships (7.88 vs. 6.53 points) and quality of care (7.91 vs. 6.63 points) (P <0.001). Both the hospital environment and nurse-physician relationships were statistically significant predictors of quality of care. Path analysis showed that quality of care was affected by the hospital environment, nurse-physician relationships and years of education for patients (P <0.05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse-physician relationships (P <0.05).Conclusion. These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients' and nurses' expectations.
KW - Hospital environment
KW - Nurses
KW - Nurses-physician relationships
KW - Patients
KW - Quality of care
KW - Survey
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U2 - 10.1111/j.1365-2648.2010.05502.x
DO - 10.1111/j.1365-2648.2010.05502.x
M3 - Article
C2 - 21044136
AN - SCOPUS:78651452284
SN - 0309-2402
VL - 67
SP - 349
EP - 358
JO - Journal of Advanced Nursing
JF - Journal of Advanced Nursing
IS - 2
ER -