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Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning

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Instruments for Assessing Nursing Care Quality: A Scoping Review.

Patrícia Correia^1,2, Rafael A Bernardes², Sílvia Caldeira²

¹Unidade Local de Saúde de Santa Maria (ULSSM), Hospital de Santa Maria, 1649-035 Lisbon, Portugal.

Nursing Reports (Pavia, Italy)

|September 26, 2025

Summary

This summary is machine-generated.

This scoping review maps instruments assessing nursing care quality. It highlights the importance of relational aspects and organizational factors, identifying gaps in longitudinal use and patient-reported outcomes.

Keywords:

instruments nursing care quality scales

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Area of Science:

Healthcare Research
Nursing Science
Psychometrics

Background:

Quality of nursing care (QNC) is crucial globally, with a trend towards patient-centered assessment.
Recent shifts favor holistic frameworks integrating clinical and interpersonal care dimensions.

Purpose of the Study:

To scope the range, nature, and characteristics of self-report instruments for assessing QNC.
To evaluate psychometric properties and contextual applications of these instruments across diverse clinical settings.

Main Methods:

Systematic search of major databases (CINAHL, MEDLINE, Scopus, Web of Science) and gray literature.
Inclusion of studies on QNC tool development, validation, adaptation, or application in hospital/community settings.
Adherence to Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines.

Main Results:

Fifty-nine studies (1995-2025) identified instruments, often based on Donabedian's model, emphasizing relational care (empathy, communication, respect).
Scales like GNCS, QONCS, and Karen Scales showed strong internal consistency (Cronbach's α: 0.79-0.95).

Conclusions:

Organizational factors (leadership, staffing) and predictors (burnout, work intensity) impact perceived nursing care quality.
Gaps exist in longitudinal application and integration of patient-reported outcome measures for QNC assessment.