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Nurse reported quality of care: A measure of hospital quality
Author(s) -
McHugh Matthew D.,
Stimpfel Amy Witkoski
Publication year - 2012
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.21503
Subject(s) - medicine , quality (philosophy) , nursing , health care , health care quality , acute care , odds , medline , patient satisfaction , quality management , pneumonia , family medicine , emergency medicine , logistic regression , philosophy , epistemology , management system , management , political science , law , economics , economic growth
As the primary providers of round‐the‐clock bedside care, nurses are well positioned to report on hospital quality of care. Researchers have not examined how nurses' reports of quality correspond with standard process or outcomes measures of quality. We assess the validity of evaluating hospital quality by aggregating hospital nurses' responses to a single item that asks them to report on quality of care. We found that a 10% increment in the proportion of nurses reporting excellent quality of care was associated with lower odds of mortality and failure to rescue; greater patient satisfaction; and higher composite process of care scores for acute myocardial infarction, pneumonia, and surgical patients. Nurse reported quality of care is a useful indicator of hospital performance. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:566–575, 2012