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Quality and care: patients' perceptions

S A Williams1

  • 1Department of Adult Health Nursing, East Carolina University, Greenville, NC, USA.

Journal of Nursing Care Quality
|July 31, 1998
PubMed
Summary
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Patients value nurse caring behaviors, not just competence, for quality nursing care. Incorporating patient-centered interactions into institutional measures can bridge perception gaps in healthcare quality.

Area of Science:

  • Nursing
  • Healthcare Quality
  • Patient Experience

Background:

  • Healthcare professionals and patients define quality nursing care differently.
  • Institutions often rely on satisfaction surveys that may overlook crucial aspects of patient-perceived care.
  • A gap exists between institutional metrics and patient expectations regarding nursing care quality.

Purpose of the Study:

  • To explore patient perceptions of quality nursing care.
  • To identify key nurse caring behaviors valued by patients.
  • To propose a method for aligning institutional quality measures with patient experiences.

Main Methods:

  • Utilized the Holistic Caring Inventory (HCI) across three distinct studies.
  • Collected patient perceptions of nurse caring behaviors and attitudes.

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  • Analyzed data to identify components of quality care from the patient's perspective.

    • Main Results:

    • Patients consistently perceived specific nurse caring behaviors and attitudes as indicators of quality care.
    • The Holistic Caring Inventory (HCI) effectively captured these patient-perceived quality indicators.
    • Findings highlight the importance of interpersonal interactions in patient satisfaction with nursing care.

    Conclusions:

    • Bridging the gap between institutional and patient perceptions of quality care requires valuing patient-defined interactions.
    • Integrating patient-centered caring behaviors into quality measurement frameworks is essential.
    • Future quality metrics should encompass the interpersonal and caring dimensions of nursing.