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Published on: February 16, 2011
Nursing care quality: process and outcome relationships
Naomi E Ervin1, Shu-Pi Chen, Harry S Upshaw
1School of Nursing, Eastern Michigan University, Ypsilanti, USA. neervin@hotmail.com
Abstract:
The relationships between variables in a proposed model for the quality of nursing care provided in the home were examined using a cross-sectional correlational design. Sixty patients discharged from a home-care agency were interviewed in their homes using instruments to measure the model's 7 variables. It was proposed that nursing care provided is related to 3 aspects of the interpersonal process--affective support, health information adequacy, and decisional control--and that these 3 variables are related to 3 outcomes--adherence, symptoms, and well-being. The findings support relationships between technical and interpersonal process components. Significant relationships were found between health information adequacy and adherence and between decisional control and well-being. The authors conclude that further refinement of the model will help to build a stronger foundation for the study and provision of quality nursing care.
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