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Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions
Aims and objectives. To describe patients’ perceptions of quality of care and to explore combinations of person‐related and external objective care conditions as potential predictors of these perceptions. Background. Several studies have examined various single factors of person‐related and extern...
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| Published in: | Journal of clinical nursing 2011-09, Vol.20 (17-18), p.2540-2551 |
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| container_issue | 17-18 |
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| container_title | Journal of clinical nursing |
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| creator | Grøndahl, Vigdis Abrahamsen Karlsson, Ingela Hall-Lord, Marie Louise Appelgren, Jari Wilde-Larsson, Bodil |
| description | Aims and objectives. To describe patients’ perceptions of quality of care and to explore combinations of person‐related and external objective care conditions as potential predictors of these perceptions.
Background. Several studies have examined various single factors of person‐related and external objective care conditions in relation to quality of care. None of these has included the effect of over‐occupancy on patients’ perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis.
Design. A cross‐sectional design.
Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical‐surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person‐related conditions were measured with the ‘Quality from Patient’s Perspective’ instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used (p |
| doi_str_mv | 10.1111/j.1365-2702.2011.03810.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_DiVA_org_kau_9305</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>896882749</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5020-ab73d915812a8352b5b7950404129b040b00f0ae522936232396df36b46b44b93</originalsourceid><addsrcrecordid>eNqNkUtv1DAUhSMEokPhLyCLTRdVBj9iJ2aB1E6hgKpWoPLYWXbigNMkDrZDZzb8dmxSZsGqlqVr-X7n2LonywCCaxTXy26NCKM5LiFeY4jQGpIq9rYPstW-8TBbQc5wjiArD7In3ncQIoIxeZwdYFQWnCK8yn5_nGVvwg7YFtTSadA6O4BJBqPH4I_ApJ2fdB3ML_0KmGGSdUho-KFBbQdlxkjaMV0l0o65070MugFybIDeBu1G2QOrusVjeaO2Y2OSzj_NHrWy9_rZXT3MPr99c715l19cnb_fnFzkNYUY5lKVpOGIVgjLilCsqCo5hQUsEOYqVgVhC6WmGHPCMMGEs6YlTBVxF4qTw-x48fW3epqVmJwZpNsJK404M19OhHXfxY2cBSeQRvpooSdnf87aBzEYX-u-l6O2sxcVZ1WF4wjvQRJekYqSSL74j-zsnIYToaqgBSuKBFULVDvrvdPt_qMIipS86EQKWKSARUpe_E1ebKP0-Z3_rAbd7IX_oo7A6wW4Nb3e3dtYfLjaXKZjNMgXA-OD3u4NpLsRrCQlFV8vz8UnBk_J9dk3cUr-AAeUyy0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>884546443</pqid></control><display><type>article</type><title>Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions</title><source>Wiley:Jisc Collections:Wiley Read and Publish Open Access 2024-2025 (reading list)</source><creator>Grøndahl, Vigdis Abrahamsen ; Karlsson, Ingela ; Hall-Lord, Marie Louise ; Appelgren, Jari ; Wilde-Larsson, Bodil</creator><creatorcontrib>Grøndahl, Vigdis Abrahamsen ; Karlsson, Ingela ; Hall-Lord, Marie Louise ; Appelgren, Jari ; Wilde-Larsson, Bodil</creatorcontrib><description>Aims and objectives. To describe patients’ perceptions of quality of care and to explore combinations of person‐related and external objective care conditions as potential predictors of these perceptions.
Background. Several studies have examined various single factors of person‐related and external objective care conditions in relation to quality of care. None of these has included the effect of over‐occupancy on patients’ perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis.
Design. A cross‐sectional design.
Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical‐surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person‐related conditions were measured with the ‘Quality from Patient’s Perspective’ instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used (p < 0·05).
Results. The combination of person‐related and external objective care conditions revealed five factors that predict patients’ perception of quality of care. Three of these are person‐related conditions: sex, age and self‐reported psychological well‐being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over‐occupancy. These five factors explained 55% of the model. Patients rated the quality of care high.
Conclusions. Sex, age, psychological well‐being, frequency of over‐occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high.
Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over‐occupancy and they must consider the number of RNs working on the wards.</description><identifier>ISSN: 0962-1067</identifier><identifier>ISSN: 1365-2702</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2011.03810.x</identifier><identifier>PMID: 21749512</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Cross-Sectional Studies ; Female ; general linear modelling ; Humans ; Male ; Middle Aged ; Multivariate analysis ; Norway ; nurses ; Nursing ; nursing care ; Nursing Science ; Omvårdnad ; organisation ; Patients ; Patients - psychology ; Perceptions ; person-related conditions ; Quality of care ; quality of care QPP ; Quality of Health Care</subject><ispartof>Journal of clinical nursing, 2011-09, Vol.20 (17-18), p.2540-2551</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2011 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Sep 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5020-ab73d915812a8352b5b7950404129b040b00f0ae522936232396df36b46b44b93</citedby><cites>FETCH-LOGICAL-c5020-ab73d915812a8352b5b7950404129b040b00f0ae522936232396df36b46b44b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21749512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-9305$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Grøndahl, Vigdis Abrahamsen</creatorcontrib><creatorcontrib>Karlsson, Ingela</creatorcontrib><creatorcontrib>Hall-Lord, Marie Louise</creatorcontrib><creatorcontrib>Appelgren, Jari</creatorcontrib><creatorcontrib>Wilde-Larsson, Bodil</creatorcontrib><title>Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and objectives. To describe patients’ perceptions of quality of care and to explore combinations of person‐related and external objective care conditions as potential predictors of these perceptions.
Background. Several studies have examined various single factors of person‐related and external objective care conditions in relation to quality of care. None of these has included the effect of over‐occupancy on patients’ perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis.
Design. A cross‐sectional design.
Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical‐surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person‐related conditions were measured with the ‘Quality from Patient’s Perspective’ instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used (p < 0·05).
Results. The combination of person‐related and external objective care conditions revealed five factors that predict patients’ perception of quality of care. Three of these are person‐related conditions: sex, age and self‐reported psychological well‐being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over‐occupancy. These five factors explained 55% of the model. Patients rated the quality of care high.
Conclusions. Sex, age, psychological well‐being, frequency of over‐occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high.
Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over‐occupancy and they must consider the number of RNs working on the wards.</description><subject>Adult</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>general linear modelling</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Norway</subject><subject>nurses</subject><subject>Nursing</subject><subject>nursing care</subject><subject>Nursing Science</subject><subject>Omvårdnad</subject><subject>organisation</subject><subject>Patients</subject><subject>Patients - psychology</subject><subject>Perceptions</subject><subject>person-related conditions</subject><subject>Quality of care</subject><subject>quality of care QPP</subject><subject>Quality of Health Care</subject><issn>0962-1067</issn><issn>1365-2702</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNqNkUtv1DAUhSMEokPhLyCLTRdVBj9iJ2aB1E6hgKpWoPLYWXbigNMkDrZDZzb8dmxSZsGqlqVr-X7n2LonywCCaxTXy26NCKM5LiFeY4jQGpIq9rYPstW-8TBbQc5wjiArD7In3ncQIoIxeZwdYFQWnCK8yn5_nGVvwg7YFtTSadA6O4BJBqPH4I_ApJ2fdB3ML_0KmGGSdUho-KFBbQdlxkjaMV0l0o65070MugFybIDeBu1G2QOrusVjeaO2Y2OSzj_NHrWy9_rZXT3MPr99c715l19cnb_fnFzkNYUY5lKVpOGIVgjLilCsqCo5hQUsEOYqVgVhC6WmGHPCMMGEs6YlTBVxF4qTw-x48fW3epqVmJwZpNsJK404M19OhHXfxY2cBSeQRvpooSdnf87aBzEYX-u-l6O2sxcVZ1WF4wjvQRJekYqSSL74j-zsnIYToaqgBSuKBFULVDvrvdPt_qMIipS86EQKWKSARUpe_E1ebKP0-Z3_rAbd7IX_oo7A6wW4Nb3e3dtYfLjaXKZjNMgXA-OD3u4NpLsRrCQlFV8vz8UnBk_J9dk3cUr-AAeUyy0</recordid><startdate>201109</startdate><enddate>201109</enddate><creator>Grøndahl, Vigdis Abrahamsen</creator><creator>Karlsson, Ingela</creator><creator>Hall-Lord, Marie Louise</creator><creator>Appelgren, Jari</creator><creator>Wilde-Larsson, Bodil</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>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG3</scope></search><sort><creationdate>201109</creationdate><title>Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions</title><author>Grøndahl, Vigdis Abrahamsen ; Karlsson, Ingela ; Hall-Lord, Marie Louise ; Appelgren, Jari ; Wilde-Larsson, Bodil</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5020-ab73d915812a8352b5b7950404129b040b00f0ae522936232396df36b46b44b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>general linear modelling</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Norway</topic><topic>nurses</topic><topic>Nursing</topic><topic>nursing care</topic><topic>Nursing Science</topic><topic>Omvårdnad</topic><topic>organisation</topic><topic>Patients</topic><topic>Patients - psychology</topic><topic>Perceptions</topic><topic>person-related conditions</topic><topic>Quality of care</topic><topic>quality of care QPP</topic><topic>Quality of Health Care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Grøndahl, Vigdis Abrahamsen</creatorcontrib><creatorcontrib>Karlsson, Ingela</creatorcontrib><creatorcontrib>Hall-Lord, Marie Louise</creatorcontrib><creatorcontrib>Appelgren, Jari</creatorcontrib><creatorcontrib>Wilde-Larsson, Bodil</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</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><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Karlstads universitet</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Grøndahl, Vigdis Abrahamsen</au><au>Karlsson, Ingela</au><au>Hall-Lord, Marie Louise</au><au>Appelgren, Jari</au><au>Wilde-Larsson, Bodil</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2011-09</date><risdate>2011</risdate><volume>20</volume><issue>17-18</issue><spage>2540</spage><epage>2551</epage><pages>2540-2551</pages><issn>0962-1067</issn><issn>1365-2702</issn><eissn>1365-2702</eissn><abstract>Aims and objectives. To describe patients’ perceptions of quality of care and to explore combinations of person‐related and external objective care conditions as potential predictors of these perceptions.
Background. Several studies have examined various single factors of person‐related and external objective care conditions in relation to quality of care. None of these has included the effect of over‐occupancy on patients’ perception of quality of care. Furthermore, little is known about how combinations of different factors are related to each other and to the perception of quality of care using multivariate analysis.
Design. A cross‐sectional design.
Method. A total of 528 patients (83·7%) from 12 medical, surgical or medical‐surgical wards in five hospitals in Norway participated. Perceptions of quality of care and person‐related conditions were measured with the ‘Quality from Patient’s Perspective’ instrument. Data on external objective care conditions was collected from ward statistics provided by head nurses. Multivariate general linear modelling was used (p < 0·05).
Results. The combination of person‐related and external objective care conditions revealed five factors that predict patients’ perception of quality of care. Three of these are person‐related conditions: sex, age and self‐reported psychological well‐being and two of them are external objective care conditions: RNs (headcount) on the wards and frequency of over‐occupancy. These five factors explained 55% of the model. Patients rated the quality of care high.
Conclusions. Sex, age, psychological well‐being, frequency of over‐occupancy and the number of RNs are important factors that must be emphasised if patients are to perceive the quality of care as high.
Relevance to clinical practice. Head nurses and healthcare authorities must continually prepare the wards for over‐occupancy and they must consider the number of RNs working on the wards.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21749512</pmid><doi>10.1111/j.1365-2702.2011.03810.x</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Cross-Sectional Studies Female general linear modelling Humans Male Middle Aged Multivariate analysis Norway nurses Nursing nursing care Nursing Science Omvårdnad organisation Patients Patients - psychology Perceptions person-related conditions Quality of care quality of care QPP Quality of Health Care |
| title | Quality of care from patients' perspective: impact of the combination of person-related and external objective care conditions |
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