Hospital environment, nurse-physician relationships and quality of care: Questionnaire survey

Hsi Che Shen, Hsiao Ting Chiu, Pi Hsia Lee, Yi Chun Hu, Wen Yin Chang

研究成果: 雜誌貢獻文章同行評審

22 引文 斯高帕斯(Scopus)

摘要

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.
原文英語
頁(從 - 到)349-358
頁數10
期刊Journal of Advanced Nursing
67
發行號2
DOIs
出版狀態已發佈 - 二月 2011
對外發佈Yes

ASJC Scopus subject areas

  • Nursing(all)

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