Patients' and nurses' perceptions of the quality of nursing care in Kuwait

Abstract

Using an exploratory research method and a purposive sample of 259 subjects (109 of whom were nurses and 148 patients), data were collected using an instrument consisting of the elements of the nursing process. Four hypotheses were tested, using the analysis of covariance and the t‐test The result of hypothesis I showed that there was no statistically significant difference in the perception of the quality of nursing care between the patients in the medical and surgical units of the five study hospitals. Hypothesis 2 indicated that there was no significant difference between nurses in the medical‐surgical units in the areas of assessment, planning and implementation. However, a significant difference was found for accountability and responsibility. Further analysis using a t‐test showed a significant difference between nurses in the medical and surgical units in the areas of accountability and responsibility. The data for hypothesis 3 and 4 yielded no significant difference in the perceptions of quality care by nurses according to work experience and by patients in all hospitals regardless of the patients’ age and sex.

Relationship between quality of care, staffing levels, skill mix and nurse autonomy: literature review

“…While there are studies reporting congruence in the way that staff and patients perceive quality (Redfern & Norman 1996, Al‐Kandari & Ogundeyin 1998), others have taken a contrary viewpoint (Ervin et al. 1992, Irurita 1999, Attree 2001, Bassett 2002).…”

The quality of nursing care as perceived by individuals with chronic illnesses: the magical touch of nursing

“…In overall hospital care, nursing care is the most significant factor (Joiner, 1996; Williams, 1998; Al‐Kandari & Ogundeyin, 1998) and a high correlation has been found between satisfaction with nursing care and satisfaction with overall health care (Beck & Larrabee, 1996). Research has indicated that patient satisfaction is an important indicator of quality of care (Jacox et al.…”

“…In order to provide that kind of care, nurses must seek patients' perspectives on nursing care quality and incorporate them into routine quality evaluation as well as professional and organizational perspectives (Chang, 1997). Despite extensive research regarding quality in health care, relatively little attention has been given to the patients' perspectives (Joiner, 1996; Oermann, 1999; Radwin, 2000; Oermann & Templin, 2000) but such studies are emerging (Al‐Kandari & Ogundeyin, 1998; Redfern & Norman, 1999; Larsson, 1999; Koch et al. , 2001).…”

Predictors of patients’ experiences of nursing care in medical‐surgical wards

“…However, because patients have no basis to compare with, they might have difficulty in evaluating what nurses provide to them 13 . Furthermore, the assessments of quality of health care represent a complex mixture of needs, expectations of care and the experience of care 9,14 …”