Nurse reported quality of care: a measure of hospital quality.
Open accessAbstract
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.
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Overtime working has been associated with adverse quality because of cumulative fatigue, lack of rest, and adverse working environments.
“Overtime working has also been associated with adverse quality because of cumulative fatigue, lack of rest, and adverse working environments. 21,22”
From Nurses’ Shift Length and Overtime Working in 12 European Countries: The Association With Perceived Quality of Care and Patient Safety (2014) · cites this paper as [22]
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- Authors
- McHugh, M. D., & Stimpfel, A. W.
- Affiliations
- Robert Wood Johnson Foundation (US)
- University of Pennsylvania (US)
- Corresponding author
- McHugh, Matthew D.
- Venue
- Research in Nursing & Health
- Publisher
- Wiley
- Published
- 2012-08-21
- Volume
- 35
- Issue
- 6
- Pages
- 566-575
- ISSN
- 0160-6891 (ISSN-L)
- 1098-240X
- PMC
- PMC3596809
- OpenAlex
- W2076048615
- Cited by
- 231
- References
- 41
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 14 · 2023: 22 · 2022: 16 · 2021: 17 · 2020: 22 · 2019: 13 · 2018: 20 · 2017: 17 · 2016: 17 · 2015: 18 · 2014: 10 · 2013: 14 · 2012: 4
- FWCI
- 23.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Research in Nursing & Health (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5p30nr005043-10)
- National Institute of Nursing Research (P30-NR-005043, R01NR004513, T32NR007104)
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Keywords
- hospital quality, quality indicators, measurement validity, mortality, failure to rescue, patient satisfaction, process of care, acute myocardial infarction, pneumonia, surgical patients, hospital performance
- MeSH terms
- Attitude of Health Personnel, Data Collection, Humans, Nursing Staff, Hospital, Outcome and Process Assessment, Health Care, Regression Analysis, Retrospective Studies, United States, Reproducibility of Results, Quality Indicators, Health Care
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