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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Veröffentlicht in:Journal of advanced nursing 2011-02, Vol.67 (2), p.349-358
Hauptverfasser: Shen, Hsi-Che, Chiu, Hsiao-Ting, Lee, Pi-Hsia, Hu, Yi-Chun, Chang, Wen-Yin
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container_issue 2
container_start_page 349
container_title Journal of advanced nursing
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creator Shen, Hsi-Che
Chiu, Hsiao-Ting
Lee, Pi-Hsia
Hu, Yi-Chun
Chang, Wen-Yin
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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(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 &lt; 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 &lt; 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P &lt; 0·05). Conclusion.  These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. 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(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 &lt; 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 &lt; 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P &lt; 0·05). Conclusion.  These findings may help nursing leaders to ensure future excellent patient care by helping them to see which areas need improvement. 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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 &lt; 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 &lt; 0·05). However, for nurses, quality of care was only directly affected by the hospital environment and nurse–physician relationships (P &lt; 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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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library All Journals
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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