What Quality of Care Means? Exploring Clinical Nurses’ Perceptions on the Concept of Quality Care: A Qualitative Study

Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to invest...

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Published inClinics and practice Vol. 12; no. 4; pp. 468 - 481
Main Authors Stavropoulou, Areti, Rovithis, Michael, Kelesi, Martha, Vasilopoulos, George, Sigala, Evangelia, Papageorgiou, Dimitrios, Moudatsou, Maria, Koukouli, Sofia
Format Journal Article
LanguageEnglish
Published Bari MDPI AG 30.06.2022
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Abstract Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to investigate how clinical nurses, providing care to adult medical patients, perceive and define the concept of quality nursing care. A descriptive qualitative research design was applied. A purposive sampling strategy was used to recruit nurses from the clinical sector of a general public hospital in Athens, Greece. Ten female nurses from the medical sector participated the study. Data collection was conducted through in-depth, semi-structured interviews. Conventional content analysis was used to analyze the verbatim data. Four categories were revealed from the data analysis, namely: (a) “Quality care is holistic care”, (b) “Good care is an interpersonal issue”, (c) “Leadership is crucial”, and (d) “Best care is our responsibility”. Quality care was defined as holistic care, addressing all patient needs with competency and aiming for the best patient outcomes. It was associated with communication, teamwork, good leadership, and personal commitment. By developing an in-depth and mutual understanding about what quality means, nurse leaders and practitioners may collaborate in finding common paths to support quality interventions and enhance quality nursing care in clinical practice.
AbstractList Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to investigate how clinical nurses, providing care to adult medical patients, perceive and define the concept of quality nursing care. A descriptive qualitative research design was applied. A purposive sampling strategy was used to recruit nurses from the clinical sector of a general public hospital in Athens, Greece. Ten female nurses from the medical sector participated the study. Data collection was conducted through in-depth, semi-structured interviews. Conventional content analysis was used to analyze the verbatim data. Four categories were revealed from the data analysis, namely: (a) “Quality care is holistic care”, (b) “Good care is an interpersonal issue”, (c) “Leadership is crucial”, and (d) “Best care is our responsibility”. Quality care was defined as holistic care, addressing all patient needs with competency and aiming for the best patient outcomes. It was associated with communication, teamwork, good leadership, and personal commitment. By developing an in-depth and mutual understanding about what quality means, nurse leaders and practitioners may collaborate in finding common paths to support quality interventions and enhance quality nursing care in clinical practice.
Author Rovithis, Michael
Moudatsou, Maria
Kelesi, Martha
Koukouli, Sofia
Sigala, Evangelia
Papageorgiou, Dimitrios
Stavropoulou, Areti
Vasilopoulos, George
AuthorAffiliation 3 Department of Social Work, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 714 10 Heraklion, Greece; moudatsoum@hmu.gr (M.M.); koukouli@hmu.gr (S.K.)
2 Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 714 10 Heraklion, Greece; rovithis@hmu.gr
1 Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, Ag. Spyridonos Str., 122 43 Athens, Greece; mkel@uniwa.gr (M.K.); gvasilop@uniwa.gr (G.V.); esigala@uniwa.gr (E.S.); dpapa@uniwa.gr (D.P.)
AuthorAffiliation_xml – name: 1 Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, Ag. Spyridonos Str., 122 43 Athens, Greece; mkel@uniwa.gr (M.K.); gvasilop@uniwa.gr (G.V.); esigala@uniwa.gr (E.S.); dpapa@uniwa.gr (D.P.)
– name: 2 Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 714 10 Heraklion, Greece; rovithis@hmu.gr
– name: 3 Department of Social Work, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 714 10 Heraklion, Greece; moudatsoum@hmu.gr (M.M.); koukouli@hmu.gr (S.K.)
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Cites_doi 10.1111/j.1547-5069.1984.tb01393.x
10.1097/01.mlr.0000109122.92479.fe
10.1111/inr.12526
10.1177/0969733017720847
10.3390/ijerph16132381
10.1002/nop2.268
10.1097/NCQ.0000000000000211
10.1002/nur.20362
10.1080/13814788.2017.1375092
10.1093/intqhc/mzm042
10.1111/jnu.12594
10.1016/j.ijnurstu.2017.11.007
10.1002/kjm2.12308
10.1111/j.1468-0009.2005.00397.x
10.1186/1472-6963-14-249
10.1080/0142159X.2018.1497149
10.1111/jonm.12370
10.1111/jonm.12312
10.1016/j.colegn.2017.03.006
10.1136/bmj.323.7322.1192
10.4135/9781529719208
10.1016/j.afjem.2017.08.001
10.1186/s12913-017-2080-z
10.36648/1791-809X.14.1.692
10.1016/j.apnr.2017.11.004
10.1111/jan.13524
10.1111/jonm.12853
10.1108/IJQRM-02-2017-0031
10.1016/j.nedt.2018.11.003
10.1111/j.1365-2648.2010.05344.x
10.1186/s12874-019-0867-9
10.1177/1744987119880234
10.1111/j.1365-2648.2007.04569.x
10.1111/nuf.12207
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References Zhu (ref_38) 2016; 24
Sandelowski (ref_17) 2010; 33
McGrath (ref_20) 2019; 41
Pepito (ref_13) 2018; 6
Tong (ref_28) 2007; 19
Chaboyer (ref_32) 2021; 37
Erlingsson (ref_24) 2017; 7
(ref_43) 2016; 24
Doyle (ref_22) 2020; 25
Rahmah (ref_31) 2021; 11
ref_19
Filej (ref_45) 2013; 3
ref_15
Chicca (ref_16) 2020; 15
ref_37
Gunawan (ref_29) 2020; 52
Elo (ref_25) 2008; 62
Burhans (ref_14) 2010; 66
Robinson (ref_6) 2017; 52
Kol (ref_8) 2018; 25
Bachnick (ref_11) 2018; 81
Baker (ref_5) 2001; 232
Kirkpatrick (ref_30) 2019; 73
Bradshaw (ref_18) 2017; 4
Ozolins (ref_23) 2020; 20
Suratno (ref_39) 2018; 11
Planta (ref_34) 2018; 39
Donabedian (ref_3) 2005; 83
Ryan (ref_9) 2017; 32
Mitchell (ref_12) 2004; 42
Fatima (ref_10) 2018; 35
ref_21
Baek (ref_40) 2019; 27
ref_1
Wang (ref_36) 2018; 5
ref_2
Altisent (ref_42) 2019; 26
Gillet (ref_35) 2018; 74
Borrego (ref_44) 2019; 66
Hakami (ref_41) 2020; 14
Oshodi (ref_33) 2019; 6
ref_4
ref_7
Korstjens (ref_26) 2018; 24
Stahl (ref_27) 2020; 44
Fawcett (ref_46) 1984; 16
References_xml – ident: ref_7
– volume: 3
  start-page: 1
  year: 2013
  ident: ref_45
  article-title: Holistic nursing practice
  publication-title: South East Eur. Health Sci. J.
  contributor:
    fullname: Filej
– volume: 16
  start-page: 84
  year: 1984
  ident: ref_46
  article-title: The Metaparadigm of Nursing: Present Status and Future Refinements
  publication-title: Image. J. Nurs. Scholarsh.
  doi: 10.1111/j.1547-5069.1984.tb01393.x
  contributor:
    fullname: Fawcett
– volume: 42
  start-page: 4
  year: 2004
  ident: ref_12
  article-title: Framing the Problem of Measuring and Improving Healthcare Quality
  publication-title: Med. Care
  doi: 10.1097/01.mlr.0000109122.92479.fe
  contributor:
    fullname: Mitchell
– volume: 66
  start-page: 381
  year: 2019
  ident: ref_44
  article-title: Self-efficacy and organizational commitment among Spanish nurses: The role of work engagement
  publication-title: Int. Nurs. Rev.
  doi: 10.1111/inr.12526
  contributor:
    fullname: Borrego
– volume: 26
  start-page: 778
  year: 2019
  ident: ref_42
  article-title: A concept analysis of professional commitment in nursing
  publication-title: Nurs. Ethics.
  doi: 10.1177/0969733017720847
  contributor:
    fullname: Altisent
– ident: ref_37
  doi: 10.3390/ijerph16132381
– volume: 6
  start-page: 878
  year: 2019
  ident: ref_33
  article-title: The nursing work environment and quality of care: Content analysis of comments made by registered nurses responding to the Essentials of Magnetism II scale
  publication-title: Nurs. Open.
  doi: 10.1002/nop2.268
  contributor:
    fullname: Oshodi
– volume: 32
  start-page: 180
  year: 2017
  ident: ref_9
  article-title: Nurses perceptions of quality care
  publication-title: J. Nurs. Care Qual.
  doi: 10.1097/NCQ.0000000000000211
  contributor:
    fullname: Ryan
– volume: 33
  start-page: 77
  year: 2010
  ident: ref_17
  article-title: What’s in a name? Qualitative description revisited
  publication-title: Res. Nurs. Health
  doi: 10.1002/nur.20362
  contributor:
    fullname: Sandelowski
– volume: 24
  start-page: 120
  year: 2018
  ident: ref_26
  article-title: Series: Practical guidance to qualitative research. Part 4: Trustworthiness and publishing
  publication-title: Eur. J. Gene. Pract.
  doi: 10.1080/13814788.2017.1375092
  contributor:
    fullname: Korstjens
– volume: 19
  start-page: 349
  year: 2007
  ident: ref_28
  article-title: Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups
  publication-title: Int. J. Qual. Health Care
  doi: 10.1093/intqhc/mzm042
  contributor:
    fullname: Tong
– volume: 52
  start-page: 623
  year: 2020
  ident: ref_29
  article-title: Factors Related to the Clinical Competence of Registered Nurses: Systematic Review and Meta-Analysis
  publication-title: J. Nurs. Scholarsh.
  doi: 10.1111/jnu.12594
  contributor:
    fullname: Gunawan
– volume: 81
  start-page: 98
  year: 2018
  ident: ref_11
  article-title: Patient-centered care, nurse work environment and implicit rationing of nursing care in Swiss acute care hospitals: A cross-sectional multi-center study
  publication-title: Int. J. Nurs. Stud.
  doi: 10.1016/j.ijnurstu.2017.11.007
  contributor:
    fullname: Bachnick
– volume: 37
  start-page: 82
  year: 2021
  ident: ref_32
  article-title: Missed nursing care: An overview of reviews
  publication-title: Kaohsiung J. Med. Sci.
  doi: 10.1002/kjm2.12308
  contributor:
    fullname: Chaboyer
– volume: 83
  start-page: 691
  year: 2005
  ident: ref_3
  article-title: Evaluating the quality of medical care
  publication-title: Milbank Q.
  doi: 10.1111/j.1468-0009.2005.00397.x
  contributor:
    fullname: Donabedian
– ident: ref_1
– ident: ref_15
  doi: 10.1186/1472-6963-14-249
– volume: 41
  start-page: 1002
  year: 2019
  ident: ref_20
  article-title: Twelve tips for conducting qualitative research interviews
  publication-title: Med. Teach.
  doi: 10.1080/0142159X.2018.1497149
  contributor:
    fullname: McGrath
– volume: 24
  start-page: 656
  year: 2016
  ident: ref_38
  article-title: New nurses’ perceptions of professional practice behaviours, quality of care, job satisfaction and career retention
  publication-title: J. Nurs. Manag.
  doi: 10.1111/jonm.12370
  contributor:
    fullname: Zhu
– volume: 24
  start-page: E101
  year: 2016
  ident: ref_43
  article-title: Work engagement in nursing: An integrative review of the literature
  publication-title: J. Nurs. Manag.
  doi: 10.1111/jonm.12312
– volume: 25
  start-page: 51
  year: 2018
  ident: ref_8
  article-title: A quality indicator for the evaluation of nursing care: Determination of patients satisfaction and related factors at a university hospital in the mediterranean region of Turkey
  publication-title: Collegian
  doi: 10.1016/j.colegn.2017.03.006
  contributor:
    fullname: Kol
– ident: ref_4
– volume: 232
  start-page: 1192
  year: 2001
  ident: ref_5
  article-title: Crossing the quality chasm: A new health system for the 21st century
  publication-title: BMJ
  doi: 10.1136/bmj.323.7322.1192
  contributor:
    fullname: Baker
– ident: ref_19
  doi: 10.4135/9781529719208
– volume: 15
  start-page: 28
  year: 2020
  ident: ref_16
  article-title: Introduction to qualitative nursing research
  publication-title: Am. Nurse J.
  contributor:
    fullname: Chicca
– volume: 20
  start-page: 69
  year: 2020
  ident: ref_23
  article-title: Translation and back-translation methodology in health research—A critique
  publication-title: Expert Rev. Pharm. Outcomes Res.
  contributor:
    fullname: Ozolins
– volume: 11
  start-page: 2736
  year: 2021
  ident: ref_31
  article-title: Nurses’ efforts to maintain competence: A qualitative study
  publication-title: J. Public Health Res.
  contributor:
    fullname: Rahmah
– volume: 7
  start-page: 93
  year: 2017
  ident: ref_24
  article-title: A hands-on guide to doing content analysis
  publication-title: Afr. J. Emerg. Med.
  doi: 10.1016/j.afjem.2017.08.001
  contributor:
    fullname: Erlingsson
– ident: ref_2
  doi: 10.1186/s12913-017-2080-z
– volume: 14
  start-page: 692
  year: 2020
  ident: ref_41
  article-title: The Relationship between Nurses Job Satisfaction and Organizational Commitment
  publication-title: Health Sci. J.
  doi: 10.36648/1791-809X.14.1.692
  contributor:
    fullname: Hakami
– volume: 6
  start-page: 106
  year: 2018
  ident: ref_13
  article-title: Can Nurses Remain Relevant in a Technologically Advanced Future?
  publication-title: Int. J. Nurs. Sci.
  contributor:
    fullname: Pepito
– volume: 39
  start-page: 130
  year: 2018
  ident: ref_34
  article-title: The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction
  publication-title: Appl. Nurs. Res.
  doi: 10.1016/j.apnr.2017.11.004
  contributor:
    fullname: Planta
– volume: 74
  start-page: 1208
  year: 2018
  ident: ref_35
  article-title: The effects of work factors on nurses’ job satisfaction, quality of care and turnover intentions in oncology
  publication-title: J. Adv. Nurs.
  doi: 10.1111/jan.13524
  contributor:
    fullname: Gillet
– volume: 4
  start-page: 1
  year: 2017
  ident: ref_18
  article-title: Employing a qualitative description approach in health care research
  publication-title: Glob. Qual. Nurs. Res.
  contributor:
    fullname: Bradshaw
– volume: 44
  start-page: 26
  year: 2020
  ident: ref_27
  article-title: Expanding approaches for research: Understanding and using trustworthiness in qualitative research
  publication-title: J. Dev. Educ.
  contributor:
    fullname: Stahl
– volume: 5
  start-page: 81
  year: 2018
  ident: ref_36
  article-title: Interventions to improve communication between nurses and physicians in the intensive care unit: An integrative literature review
  publication-title: Int. J. Nurs. Sci.
  contributor:
    fullname: Wang
– volume: 27
  start-page: 1655
  year: 2019
  ident: ref_40
  article-title: Authentic leadership, job satisfaction and organizational commitment: The moderating effect of nurse tenure
  publication-title: J. Nurs. Manag.
  doi: 10.1111/jonm.12853
  contributor:
    fullname: Baek
– volume: 35
  start-page: 1195
  year: 2018
  ident: ref_10
  article-title: Hospital healthcare service quality, patient satisfaction and loyalty: An investigation in context of private healthcare systems
  publication-title: Int. J. Qual. Reliab.
  doi: 10.1108/IJQRM-02-2017-0031
  contributor:
    fullname: Fatima
– volume: 73
  start-page: 23
  year: 2019
  ident: ref_30
  article-title: Relationships among nursing student palliative care knowledge, experience, self-awareness, and performance: An end-of-life simulation study
  publication-title: Nurse Educ. Today
  doi: 10.1016/j.nedt.2018.11.003
  contributor:
    fullname: Kirkpatrick
– volume: 66
  start-page: 1689
  year: 2010
  ident: ref_14
  article-title: Quality nursing care in the words of nurses
  publication-title: J. Adv. Nurs.
  doi: 10.1111/j.1365-2648.2010.05344.x
  contributor:
    fullname: Burhans
– ident: ref_21
  doi: 10.1186/s12874-019-0867-9
– volume: 25
  start-page: 443
  year: 2020
  ident: ref_22
  article-title: An overview of the qualitative descriptive design within nursing research
  publication-title: J. Res. Nurs.
  doi: 10.1177/1744987119880234
  contributor:
    fullname: Doyle
– volume: 11
  start-page: 1416
  year: 2018
  ident: ref_39
  article-title: The relationship between transformational leadership and quality of nursing work life in hospital
  publication-title: Int. J. Caring Sci.
  contributor:
    fullname: Suratno
– volume: 62
  start-page: 107
  year: 2008
  ident: ref_25
  article-title: The qualitative content analysis process
  publication-title: J. Adv. Nurs.
  doi: 10.1111/j.1365-2648.2007.04569.x
  contributor:
    fullname: Elo
– volume: 52
  start-page: 377
  year: 2017
  ident: ref_6
  article-title: Healthcare Quality: A Concept Analysis
  publication-title: Nurs. Forum.
  doi: 10.1111/nuf.12207
  contributor:
    fullname: Robinson
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Snippet Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is...
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SubjectTerms clinical nurse
Clinical outcomes
Hospitals
Medical research
Nurses
Nursing care
Patient safety
Patient satisfaction
Patient-centered care
Qualitative research
quality care
Research methodology
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Title What Quality of Care Means? Exploring Clinical Nurses’ Perceptions on the Concept of Quality Care: A Qualitative Study
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https://pubmed.ncbi.nlm.nih.gov/PMC9326653
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Volume 12
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