Nursing Care Scale Research Articles

Validity and Reliability Test of the Korean Version of the Oncology Patients' Perception of the Quality of Nursing Care Scale

Purpose: The purpose of this methodological study was to examine the validity and reliability of a translated Korean version of The Oncology Patients' Perception of the Quality of Nursing Care Scale. Methods: The translated scale was pilot tested and then administered to 360 patients with cancer. Exploratory and confirmatory factor analyses were utilized to assess the factor structure. Internal consistency reliability was determined using coefficient ⍺. Results: Two of the 40 items were deleted with a principal component method of exploratory factor analysis because they did not meet the factor-loading criterion. The 38 items were again analyzed and, four factors were validated (KMO=.96, Bartlett x 2 =10809.81, df=780, p<.001). The four factors accounted for 60.9% of the variance. Factor loadings of the scale on the four subscales ranged from .65 to .91. The scale showed reliable internal consistency with a Cronbach's ⍺, total 38 items (⍺=.96) in four subscales: individualization (18 items, ⍺=.96), proficiency (10, .91), responsiveness (7, .90), and coordination (3, .80). Conclusion: The findings of this study demonstrate that the scale has satisfactory construct validity and reliability to measure quality of cancer nursing care from the patient's perspective in Korea.

Reliability and validity of Chinese version of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale

Objective To translate the English version of the Oncology Patients' Perceptions of the Quality of Nursing Care Scale (OPPQNCS) into Chinese and to test the reliability and validity of the Chinese version of OPPQNCS in oncology patients. Methods The English version of OPPQNCS was translated by Brislin translation mode.Totally 320 oncology patients were recruited and were investigated by the Chinese version of OPPQNCS. Results The internal consistency coefficient of the Chinese version of OPPQNCS was more than 0.70, ranged from 0.804 to 0.964; the test-retest was 0.826. The content validity index(CVI) was 0.845-1.000, the average CVI was 0.925. Factor analysis got four factors, which explained 78.548% of the total variance. And every objective factor loading were greater than 0.4. Conclusions The Chinese version of OPPQNCS has been proved to be reliable and valid. It can be used as a valid tool for the oncology patients to measure their perceptions of the quality of nursing care they got. Key words: Neoplasms; Reliability; Validity; Oncology Patients' Perceptions of the Quality of Nursing Care Scale

Nurses' attitudes towards nutritional care and malnutrition in hospitalised older people: A Survey in the Liguria Region

Evaluate nurses' attitudes towards nutritional assistance in elderly hospitalized individuals, using the scale "The Staff Attitudes To Nutritional Geriatric Nursing Care Scale (SANN-G Scale)", recently validated in Italian. A descriptive survey was carried out, involving all head nurses and nurses of wards within University Hospital San Martino Hospital in Genoa and ASL3 Genovese Villa Scassi. A comparison was carried out using the Kruscall-Wallis test between wards, in order to determine whether there were significant differences in attitudes with respect to nutritional assistance. Results were compared between individuals who had follow a lecture on nutritional assistance and those who had not, using the test Mann Whitney. 110 questionnaires were delivered of these 103 were filled in (94%). Only 26% of the sample shows to have a strong positive attitude with respect nutritional assitance in elderly people. No significant differences were found either between wards and the other or between those who nurse had lecturer and those who have not. The study revealed a substantial negative attitude with respect to nutritional assitance and malnutrition in the elderly, confirming that aspects related to nutrition of the elderly are not properly taken into account in comparison to other nursing care activities. Our results are similar to those of the internationl literature. There is therefore a need also in Italy to increase awareness of professionals on these issues.

Perceptions of Quality of Patient-Centered Nursing Care among Women with Breast Cancer

Purpose: This study aimed to investigate the quality of patient-centered nursing care (PCNC) among women with breast cancer at a cancer center in Seoul, Korea. Methods: In a cross-sectional survey design, 223 women with breast cancer were recruited from the oncology surgery unit. The Korean version of the oncology patients’ perceptions of the quality of nursing care scale, which is conceptualized in four sub-dimensions (individualization, proficiency, responsiveness, and coordination) was used for measurement. Data were analyzed using descriptive statistics and ANOVA. Results: The participants were all women, with a mean age of 51.3 years. The mean score of PCNC was high and significantly different from each other according to age group. Breast cancer women, who had mastectomy, were satisfied highly in terms of proficiency and responsiveness care, but less satisfied with individualization and coordination care than those of other women. Conclusion: The findings of this study show the quality of cancer nursing care, especially focusing on patient-centeredness, can be measured from the patients’perspective. The individualized and coordinated nursing care is considered to be the core of quality cancer care implying patient-centeredness. Based on the findings of this study, more research is necessary to explore the patients’ view of quality cancer care and to test the effects of PCNC within the context of comparative effectiveness.

Construction and validation of the quality of oncology nursing care scale (QONCS).

BackgroundThere is scarcity of questionnaires specifically on the quality of the nursing care provided to patients diagnosed with cancer. The available questionnaires have been developed without attributing a holistic approach to the care provided with important patient’s needs remaining without assessment. The main aim was to develop a self-administered cancer specific questionnaire exploring patients’ views on quality nursing care provided in oncology settings.MethodsThe development of the scale proceeded through three phases. As part of the first development phase areas of concern and items of interest were identified through a literature review. The second phase included a pilot study of the QONCS and a subsequent validation phase through a multicentre study in 3 hospitals, 4 departments and 418 patients diagnosed with cancer and receiving care as inpatients. The study was designed to select items, identify dimensions, measure reliability, content and construct validity.ResultsThe QONCS consisted of 34 items. A factorial analysis grouped the items into five categories that define quality nursing care: a) Being supported and confirmed, b) Spiritual caring c) Sense of belonging, d) Being valued and e) Being respected. Cronbach’s alpha was 0.95 for the entire questionnaire. The factor solution explained 68.53% of the variance.ConclusionsQONCS appears to measure with adequate reliability and validity the attributes of quality nursing care within the oncological settings and to patients with a variety of cancer diagnoses and at different phases of the cancer trajectory. The instrument is quick to disseminate and easy to complete, making it a suitable instrument for nursing professionals to evaluate patients’ self-perceived quality of nursing care as a mean to promote the quality of the care provided in oncological settings.

Costs and benefits of nursing clinical education for hospital institutions

IntroductionThe Nursing Degree Course (NDC) internships realization is assumed as a pertinent study problem for the teaching and hospital institutions, in a way to improve the learning processes and the efficiency of management. ObjectiveTo identify the clinical teaching formation costs of nursing students in hospital institutions it was decided to measure through the analysis of a structure indicator the material resources, through a process indicator the human resources on the time spent by nurses provisioning care to patients, and through a results indicator the degree of citizen satisfaction, always having in mind the comparative analysis of hospital costs between the presence and absence of nursing students in Clinical Teachings. Material and methodA descriptive-correlational and transversal study was realized on the Hospital, on the year 2011, involving Medicine and Surgery Services, where the Clinical Teachings of the Health School NDC take place. ResultsThe research protocol included a “Documental Corpus” with a list of 26 consumed supplies of the year, an observation grid, for the registration of time of direct cares provided by nurses during 159 observations, and a Citizen Satisfaction Facing Nursing Care Scale, in a sample of 115 citizens inpatient in the services. ConclusionThe inferences show that the presence of students in Clinical Teachings in the hospitals leads to a positive balance of 21.57 € per day and service, with a positive reinforcement associated to the resulting citizens satisfaction facing student rendered cares.

The Expectations Related to Nursing and the Satisfaction Levels of the Parents of the Children who have Acute Health Problems

The study was carried out in order to determine the expectation and satisfaction levels regarding nursing care of parents who have children with acute health problems. The study was realized between the dates of January-March 2013 in a private hospital of descriptive cross-sectional type. This study was not made with sample selection but it was carried out with 160 parents who consorted their children within these dates and accepted to participate the study. The data was obtained from the “data collection form” and “Newcastle Satisfaction with Nursing Care scale. In the data evaluation frequency, ANOVA test and t test were used. 53,8% of the children were girls and their average of age was 4,42±3,23. The participating parents were mothers and their average of age was 36,19±5,31. Majority of the parent were university graduated and 78,1% were working. When the hospital and health professionals expectation of the parents before coming to the hospital were analysed; 71,9% mention that they want medical processes to be made by experienced staff, 63,1% that the medical team is concerned and 56,3% that they want to be examined without waiting. When the relation between the ages of the children and the satisfaction levels of the parents were analysed; it was determined that increasing age means increasing satisfaction level and the result was found statistically meaningful (p<0,05). While the satisfaction level of working parents was 87,3%, it was determined that the satisfaction level of not working parents was 80,8% and the result was statistically meaningful (p<0,05). The average satisfaction point regarding nursing care of parents was 85,89±13,23 and it was determined that they are satisfied from the obtained nursing care in a high degree.

A systematic review of instruments measuring patients' perceptions of patient-centred nursing care.

This systematic review identified and evaluated instruments measuring patients' perceptions of patient-centred nursing care. Of 2629 studies reviewed, 12 were eligible for inclusion. Four instruments were reported: The Individualized Care Scale, the Client-Centred Care Questionnaire, the Oncology patients' Perceptions of the Quality of Nursing Care Scale and the Smoliner scale. These instruments cover themes addressing patient participation and the clinician-patient relationship. Instruments were shown to have satisfactory psychometric properties, although not all were adequately assessed. More research is needed regarding test-retest reliability, convergent and discriminant validity, validity with known groups and structural validity using confirmatory factor analysis.

Knowledge received by hospital patients—a factor connected with the patient‐centred quality of nursing care

The main purpose of this study was to evaluate and analyse the connection between the level of quality of nursing care and knowledge received by patients (N = 266, n = 226), response rate was 85%. The data were collected using two structured instruments: one measuring the quality of nursing care experienced by patients (The Good Nursing Care Scale, GNCS) and one measuring the received knowledge of hospital patients (RKHP). The data were collected at one (out of five) Finnish university hospitals, in all medical wards during 5 weeks in 2009. A clear association between the level of the quality of nursing care and the level of received knowledge was found: on the total level of instruments, correlation was strong (r = 0.705). Support of empowerment (GNCS) had statistically significant strong correlation between biophysiological knowledge (RKHP), (r = 0.718), and experiential knowledge (r = 0.633), (P ≤ 0.01). Furthermore, there was a strong correlation between nursing activities and biophysiological knowledge (r = 0.637). Higher age, sufficient advance information and better self-perceived health status were associated both with the level of the quality of nursing care and level of received knowledge. In the future, a special attention should be paid to the sufficient information for patients before their hospital stays.

Designing and validity evaluation of Quality of Nursing Care Scale in Intensive Care Units.

Quality of nursing care measurement is essential in critical care units. The aim of this study was to develop a scale to measure the quality of nursing care in intensive care units (ICUs). The 68 items of nursing care standards in critical care settings were explored in a literature review. Then, 30 experts evaluated the items' content validity index (CVI) and content validity ratio (CVR). Items with a low CVI score (< 0.78) and low CVR score (< 0.33) were removed from the scale. The 50 items remained in the scale. The Scale level-CVI and Scale level-CVR were 0.898 and 0.725, respectively. The nursing care scale in ICU (Quality of Nursing Care Scale- ICU) that was developed in this research had acceptable CVI and CVR.

English

&nbsp; The purpose of this study is to explore patients&rsquo; perceptions of quality nursing care. Under the changing health care environment, more emphasis is placed on patient-cantered care. To meet patients&rsquo; needs and expectations, patients&rsquo; perceptions of quality nursing care must be given more concern 440 patients (purposive sample) in 18 inpatient nursing units in a China hospital were selected. The Perception of Quality Nursing Care Scale was distributed to ask about the quality of care as perceived by patients. Using descriptive statistics to analyze patients&rsquo; data. The overall mean score and each category mean score of quality nursing care as perceived by patients were at a high level. Patients perceived the highest score in category of progress of nursing process and the lowest mean score in preconditions for care. Patients perceived quality nursing care presented a challenge for nursing administrators to develop strategies for improving nursing care in those categories which patients perceived at a lower quality nursing care than the others, such as psychological support or the nurse&rsquo;s sense of humor. &nbsp; Key words:&nbsp;Patients&rsquo; perceptions, nursing care, quality nursing

Lithuanian nurses’ assessments of their empowerment

The aim was to explore nurse empowerment and the factors associated with it from the viewpoint of surgical nurses. A multicentre cross-sectional, descriptive, correlational study design was used. The data were collected from 11 units of seven largest Lithuanian hospitals located in three major cities during the period of 11/2007 to 01/2008. All the nurses (N = 270) working in the abdominal perioperative settings were invited to participate in the study; 247 questionnaires were returned giving the response rate of 91 %. The data were analyzed on the basis of 218 responses. The statistical analysis was performed by SPSS (12.0 version). Two instruments, both originally developed in Finland and adapted to the Lithuanian cultural context, were used: Nurse Empowerment Scale (NES) and Good Nursing Care Scale for Nurses (GNCS-N). Surgical nurses evaluated their work empowerment positively. Several background factors were associated with nurse empowerment, such as nurse education, type of nurse license (working area), the continuing nurse education (completed courses during last 5 years), the workload at hospital, the work independence, and work satisfaction. The connection between nurse empowerment and quality of nursing care was also identified (r = 0.139-0.525, p < 0.01). Surgical nurses feel empowered at their work when they have higher education and have completed the continuing education courses. Nurses should have possibility to continue their studies at the university. Independent at work, satisfied, and motivated nurses have more power at their work in the surgical units in Lithuania. However, further research is needed to explore nurse empowerment in other fields of nursing care nationally and internationally.

Competence of Nurses and Factors Associated With It

Nurse competence became a relevant topic for discussion among nurse practitioners and nurse researchers. However, the factors connected with nurse competence need deeper exploring. The aim of this study was to explore nurse competence and factors associated with it from the perspective of nurses for predicting the possible ways for upgrading the nursing practice. A multicenter, descriptive study was performed in 11 surgical wards of 7 Lithuanian hospitals. Data were collected from November 2007 to January 2008. Lithuanian nurses (n=218) who were working with patients after abdominal surgery participated in this study. The response rate was 91%. Two instruments, both originally developed in Finland, were used: the Nurse Competence Scale and the Good Nursing Care Scale for Nurses. The overall level of nurse competence and the frequency of using the competencies in practice as perceived by nurses were high. Nurses assessed the competencies in managing situations and work role the highest and in teaching-coaching and ensuring quality the lowest. Sociodemographic factors such as nurse education, experience, professional development, independence, and work satisfaction as well as the evaluation of quality of nursing care were identified as factors associated with nurse competence. The findings of study allow us to make the assumption that nurse education, nurse experience, and nurse professional development play a significant role in the evaluation of nurse competence as well as the evaluation of quality of nursing care. It is necessary to upgrade nursing education programs at all levels of nursing education in Lithuania: university, non-university, and professional development courses. The qualities of preconditions for nursing care, cooperation with relatives, caring and supporting initiative are related to nurse competence.

Hastanede Hemşirelik Bakımı ile İlgili Hasta Memnuniyeti

Objective: The aim of this study was to assess patient satisfaction with the nursing care. Material and Methods: This descriptive correlational study was conducted in 500 adult patients in the internal and surgical units of State Hospital between September 2007 and January 2008. Demographic and clinic information questionnaire and Newcastle Satisfaction with Nursing Care Scale (19 items) were used in this study. ANOVA test, Tukey HSD test, -t- test and multiple robust regression analysis were used in statistical evaluation. Results: Of patients, 21.4% were in the 62-72 year group, 52.8% were females, 51.8% were elementary school graduates, and, 88.2% were married. The mean satisfaction score for the nursing care was 67.76 ± 16.07. The highest satisfaction was for

Validity and reliability of the ‘good perioperative nursing care scale’ for Turkish patients and nurses

To test the validity and reliability of the Turkish version of Good Perioperative Nursing Care Scale for nurses and patients. The nursing care in operating departments has an important role in modern health care and therefore more research concerning perioperative care quality is needed and the development of a measurement tool is necessary. The study was designed as a cross-sectional survey. The research population was 346 patients who had surgery and 159 operating room nurses who worked at 11 hospitals. The GPNCS contains 32 items. The items on the nurses' form were changed as little as possible to create the form for patients to be able to directly compare them. To determine the tool's language equivalency/adaptation of the questionnaire for both nurses and patients, the tool was translated into Turkish then retranslated, and a pilot study was conducted. The total scale's total mean score and standard deviation for nurses was determined to be 113·23 (SD 2·13) and for patients was 128·23 (SD 1·27). To test the scale's stability over time, a test-retest was conducted and the results showed a strong confirmatory correlation. The GPNCS was determined to be a tool that had indicators of being adequate, reliable and valid for the Turkish population. This study highlighted the importance of comparing the quality and effectiveness of nursing care in different operating departments. It is recommended that it be used to determine the quality of perioperative nursing care in Turkey.

Reliability and validity of the scale of patient perception of hospital experience with nursing care in a Turkish population

This study aimed to adapt an English version of the survey tool Patient Perception of Hospital Experience with Nursing Care for Turkish patients and to evaluate its psychometric properties. Patient satisfaction is used as an important indicator of care quality and frequently included in health care planning and evaluation. In Turkey, although a review of the literature identified several tests that measured patient satisfaction with hospitalisation services, there are few studies that measured both patients' satisfaction and patients' perceptions. This study was conducted at the Research and Application Hospital of Ataturk University in Erzurum, Turkey with a convenience sample of 150 patients who were discharged from medical and surgical clinical units. Experts' viewpoints were used to determine language validity of the scale, and factor analysis was used to determine the structural validity of the scale. Cronbach's α reliability coefficient, item analysis, test-retest analysis were conducted to evaluate the reliability of the scale. Data were collected using the Patient Perception of Hospital Experience with Nursing Care Scale and Socio-demographic form. It was determined that Patient Perception of Hospital Experience with Nursing Care showed a one-factor structure, Cronbach's α reliability coefficient was 0·92 and item-total point correlations were between 0·36-0·74. In addition, it was found that the test-retest correlation value was 0·90, which was found to be statistically significant (p<0·001). The validity and the reliability of the Patient Perception of Hospital Experience with Nursing Care Scale are extremely high, and it is an adequate measurement scale to determine patients' satisfaction with nursing care. We suggest that the scale can be used in nursing research projects to evaluate the patient satisfaction and the quality of nursing care.

Patient satisfaction with nursing care and its relationship with patient characteristics

The aim of this study was to assess patient satisfaction with nursing care and the relationship between patient satisfaction and patient characteristics. This cross-sectional study was conducted at a 1100-bed tertiary care teaching hospital in Turkey. Data were collected using the Newcastle Satisfaction with Nursing Care Scales and a patient information form. Overall, data indicated a high level of patient satisfaction. Hospitalization affected the Experience of Nursing Care Scale independently, while the type of ward, sex, income, and education independently affected the Satisfaction with Nursing Care Scale. Patients who underwent surgical procedures, male patients, the 40-59-year-old age group, those who had low levels of education or income, and patients who were hospitalized for long periods were most satisfied. Patients' sex, age, income, duration of hospitalization, and ward type were important factors that affected their satisfaction with nursing care. The characteristics of patients who have a low level of satisfaction with nursing care should be assessed and taken into consideration by nurses.

Research on the care environment: Celebrating signs of success, posing questions to advance future investigations

Research on the care environment: Celebrating signs of success, posing questions to advance future investigations

Adapting "the Staff Attitudes to Nutritional Nursing Care scale" to geriatric nursing care.

A positive attitude is assumed to be important in nursing staff's help and support of elderly people during meals. As there is no specific tool for measuring staff's attitudes regarding important issues within eating and nutrition, the SANN (Staff Attitudes to Nutritional Nursing Care) scale was developed. The scale was developed and tested in nursing staff working at resident homes, and the number of items was reduced from 63 to 19 with five underlying factors. The aim of this study was to describe how the SANN scale was adapted and tested in nursing staff working in different types of elderly care. The raw 63-item version went through minor changes, and one unclear worded item was excluded. The changed raw 62-item version was answered by 188 nursing staff working at six hospital care clinics and 64 staff working at one resident home. The analysis reduced the 62 items to 18, and the adapted scale was named the SANN-G scale, G standing for "geriatric care". A rotated factor analysis gave a five-factor solution, explaining 54% of the variance. The scale achieved good internal reliability, with a Cronbach's alpha of 0.83. Fourteen items fulfilled inclusion criteria in both the SANN and the SANN-G scales. The SANN-G scale is practicable for use in staff working in different types of elderly care. It can be used to explore existing attitudes and identify areas with a low degree of prevailing positive attitudes as well as to evaluate whether and how attitudes change after nutritional education and intervention.

Quality of care experienced by Finnish cancer patients during radiotherapy

The purpose of this study is to describe patients' experiences of the quality of care received at a radiotherapy centre. The data were collected using the Good Nursing Care Scale For Patients (GNCS/P), which was modified for this study. Structured questionnaires were handed out in March-May 2004 to 150 adult curative cancer patients attending outpatient radiotherapy at a university hospital in Finland. A total of 135 completed questionnaires were returned. The patients were generally satisfied with the quality of care they received. Among the four quality categories, the highest ratings were given to staff characteristics, and the lowest to the environment. Younger patients, employed patients and those with a higher level of education gave the lowest quality ratings. Improvements are needed primarily in the counselling and education of patients and their relatives. The results of this study provide valuable clues for improving the quality of care in radiotherapy based on patients' expectations.