Hospital environment, nurse-physician relationships and quality of care: questionnaire survey
shen h.‐c., chiu h.‐t., lee p.‐h., hu y.‐c. & chang w.‐y. (2011) Hospital environment, nurse–physician relationships, and quality of care: questionnaire survey. Journal of Advanced Nursing 67(2), 349–358. Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients’...
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description | shen h.‐c., chiu h.‐t., lee p.‐h., hu y.‐c. & chang w.‐y. (2011) Hospital environment, nurse–physician relationships, and quality of care: questionnaire survey. Journal of Advanced Nursing 67(2), 349–358.
Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients’ and nurses’ perceptions of the hospital environment, nurse–physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.
Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse–physician relationships. However, comparisons between patients’ and nurses’ perceptions are relatively limited.
Methods. This was a cross‐sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t‐tests, stepwise regression and path analysis.
Results. Overall, patients’ mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3·05 vs. 2·65 points), nurse–physician relationships (7·88 vs. 6·53 points) and quality of care (7·91 vs. 6·63 points) (P |
doi_str_mv | 10.1111/j.1365-2648.2010.05502.x |
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Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients’ and nurses’ perceptions of the hospital environment, nurse–physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.
Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse–physician relationships. However, comparisons between patients’ and nurses’ perceptions are relatively limited.
Methods. This was a cross‐sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t‐tests, stepwise regression and path analysis.
Results. Overall, patients’ mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3·05 vs. 2·65 points), nurse–physician relationships (7·88 vs. 6·53 points) and quality of care (7·91 vs. 6·63 points) (P < 0·001). Both the hospital environment and nurse–physician relationships were statistically significant predictors of quality of care. Path analysis showed that quality of care was affected by the hospital environment, nurse–physician relationships and years of education for patients (P < 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P < 0·05).
Conclusion. These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients’ and nurses’ expectations.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/j.1365-2648.2010.05502.x</identifier><identifier>PMID: 21044136</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Attitude of Health Personnel ; Educational Status ; Female ; Health Facility Environment - standards ; hospital environment ; Hospitals ; Hospitals, Teaching ; Humans ; Male ; Middle Aged ; Nurses ; nurses-physician relationships ; Nursing ; Nursing Staff, Hospital - psychology ; Patient Satisfaction - statistics & numerical data ; Patients ; Perceptions ; Physician-Nurse Relations ; Physicians ; Quality of care ; Quality of Health Care ; Questionnaires ; Regression Analysis ; survey ; Surveys and Questionnaires ; Taiwan ; Workplace - standards ; Young Adult</subject><ispartof>Journal of advanced nursing, 2011-02, Vol.67 (2), p.349-358</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>2010 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Feb 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4162-ac1a86c85c867dc2999059c9d56213a244dd6e8d676aad531de681c40610a48a3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2648.2010.05502.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2648.2010.05502.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21044136$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shen, Hsi-Che</creatorcontrib><creatorcontrib>Chiu, Hsiao-Ting</creatorcontrib><creatorcontrib>Lee, Pi-Hsia</creatorcontrib><creatorcontrib>Hu, Yi-Chun</creatorcontrib><creatorcontrib>Chang, Wen-Yin</creatorcontrib><title>Hospital environment, nurse-physician relationships and quality of care: questionnaire survey</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>shen h.‐c., chiu h.‐t., lee p.‐h., hu y.‐c. & chang w.‐y. (2011) Hospital environment, nurse–physician relationships, and quality of care: questionnaire survey. Journal of Advanced Nursing 67(2), 349–358.
Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients’ and nurses’ perceptions of the hospital environment, nurse–physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.
Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse–physician relationships. However, comparisons between patients’ and nurses’ perceptions are relatively limited.
Methods. This was a cross‐sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t‐tests, stepwise regression and path analysis.
Results. Overall, patients’ mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3·05 vs. 2·65 points), nurse–physician relationships (7·88 vs. 6·53 points) and quality of care (7·91 vs. 6·63 points) (P < 0·001). Both the hospital environment and nurse–physician relationships were statistically significant predictors of quality of care. Path analysis showed that quality of care was affected by the hospital environment, nurse–physician relationships and years of education for patients (P < 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P < 0·05).
Conclusion. These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients’ and nurses’ expectations.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Attitude of Health Personnel</subject><subject>Educational Status</subject><subject>Female</subject><subject>Health Facility Environment - standards</subject><subject>hospital environment</subject><subject>Hospitals</subject><subject>Hospitals, Teaching</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>nurses-physician relationships</subject><subject>Nursing</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Patient Satisfaction - statistics & numerical data</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Physician-Nurse Relations</subject><subject>Physicians</subject><subject>Quality of care</subject><subject>Quality of Health Care</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>survey</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan</subject><subject>Workplace - standards</subject><subject>Young Adult</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc1u1DAURi0EokPLKyCLDZtmuP6NjcSiGkEHVA0bKlbIMo6resg4wU7K5O1xOmUW3dQbW_ee78r2QQgTWJKy3m-XhElRUcnVkkKpghBAl_tnaHFsPEcLYKAryoGeoFc5bwEIo5S-RCeUAOeFXKCf6y73YbAt9vEupC7ufBzOcRxT9lV_O-Xggo04-dYOoYv5NvQZ29jgP6NtwzDh7gY7m_yHUvB5RqINyeM8pjs_naEXN7bN_vXDfoquP3_6vlpXV98uv6wurirHiaSVdcQq6ZRwStaNo1prENrpRkhKmKWcN430qpG1tLYRjDReKuI4SAKWK8tO0bvD3D519_cwu5Cdb1sbfTdmo4QEXmtNnia5BlBc1YV8-4jcdmOK5RkFUpyAILRAbx6g8dfON6ZPYWfTZP5_cAE-HoC_ofXTsU_AzCLN1sy-zOzLzCLNvUizN18vNvOp5KtDPuTB7495m34bWbNamB-bSyP0erOqGRjK_gHIlZ90</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Shen, Hsi-Che</creator><creator>Chiu, Hsiao-Ting</creator><creator>Lee, Pi-Hsia</creator><creator>Hu, Yi-Chun</creator><creator>Chang, Wen-Yin</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201102</creationdate><title>Hospital environment, nurse-physician relationships and quality of care: questionnaire survey</title><author>Shen, Hsi-Che ; Chiu, Hsiao-Ting ; Lee, Pi-Hsia ; Hu, Yi-Chun ; Chang, Wen-Yin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4162-ac1a86c85c867dc2999059c9d56213a244dd6e8d676aad531de681c40610a48a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Attitude of Health Personnel</topic><topic>Educational Status</topic><topic>Female</topic><topic>Health Facility Environment - standards</topic><topic>hospital environment</topic><topic>Hospitals</topic><topic>Hospitals, Teaching</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>nurses-physician relationships</topic><topic>Nursing</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Patient Satisfaction - statistics & numerical data</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Physician-Nurse Relations</topic><topic>Physicians</topic><topic>Quality of care</topic><topic>Quality of Health Care</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>survey</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan</topic><topic>Workplace - standards</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shen, Hsi-Che</creatorcontrib><creatorcontrib>Chiu, Hsiao-Ting</creatorcontrib><creatorcontrib>Lee, Pi-Hsia</creatorcontrib><creatorcontrib>Hu, Yi-Chun</creatorcontrib><creatorcontrib>Chang, Wen-Yin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shen, Hsi-Che</au><au>Chiu, Hsiao-Ting</au><au>Lee, Pi-Hsia</au><au>Hu, Yi-Chun</au><au>Chang, Wen-Yin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hospital environment, nurse-physician relationships and quality of care: questionnaire survey</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2011-02</date><risdate>2011</risdate><volume>67</volume><issue>2</issue><spage>349</spage><epage>358</epage><pages>349-358</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>shen h.‐c., chiu h.‐t., lee p.‐h., hu y.‐c. & chang w.‐y. (2011) Hospital environment, nurse–physician relationships, and quality of care: questionnaire survey. Journal of Advanced Nursing 67(2), 349–358.
Aim. This paper is a report of a study conducted to (a) to compare hospitalized patients’ and nurses’ perceptions of the hospital environment, nurse–physician relationships and quality of care; (b) to determine which factors best predict the quality of care from hospitalized patients' and nurses' perspectives; and (c) to assess the relationships among all variables.
Background. Quality of care is a function of many factors and includes elements of the hospital environment and nurse–physician relationships. However, comparisons between patients’ and nurses’ perceptions are relatively limited.
Methods. This was a cross‐sectional study, and 575 patients and 220 nurses across 13 units completed questionnaires. Data were collected in 2009 and analysed using descriptive statistics, independent t‐tests, stepwise regression and path analysis.
Results. Overall, patients’ mean scores were statistically significantly higher than those of nurses on perception of hospital environment (3·05 vs. 2·65 points), nurse–physician relationships (7·88 vs. 6·53 points) and quality of care (7·91 vs. 6·63 points) (P < 0·001). Both the hospital environment and nurse–physician relationships were statistically significant predictors of quality of care. Path analysis showed that quality of care was affected by the hospital environment, nurse–physician relationships and years of education for patients (P < 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P < 0·05).
Conclusion. These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. They may also help nursing leaders to develop strategies to meet patients’ and nurses’ expectations.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21044136</pmid><doi>10.1111/j.1365-2648.2010.05502.x</doi><tpages>10</tpages></addata></record> |
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subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Attitude of Health Personnel Educational Status Female Health Facility Environment - standards hospital environment Hospitals Hospitals, Teaching Humans Male Middle Aged Nurses nurses-physician relationships Nursing Nursing Staff, Hospital - psychology Patient Satisfaction - statistics & numerical data Patients Perceptions Physician-Nurse Relations Physicians Quality of care Quality of Health Care Questionnaires Regression Analysis survey Surveys and Questionnaires Taiwan Workplace - standards Young Adult |
title | Hospital environment, nurse-physician relationships and quality of care: questionnaire survey |
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