Nurses’ attitudes toward quality improvement in hospitals: Implications for nursing management systems
Abstract
Background & Aim: Quality improvement in hospitals is a systematically widely used framework that improves patient care quality delivered by health care professionals. This study assessed the attitude of nurses toward Quality Improvement.
Methods & Materials: A quantitative research approach was used. A total of 361 nurses working in two government hospitals and two private hospitals in the Philippines were selected using convenience sampling. The data collected using a self-administered questionnaire was started in March-April 2019. To identify the association between nurse demographic characteristics and perceived quality improvement, an independent sample t-test, a one-way analysis of variance with a post-hoc Tukey HSD test, and a Pearson’s product-moment correlation were conducted using SPSS.
Results: Nurses have high positive quality improvement attitude scores. The age, salary, and hospital type, influence quality improvement attitude scores.
Conclusion: Nurses have a positive attitude towards qualitative improvement. In addition, nurses’ age, salary, and public hospitals' work have a positive qualitative improvement than nurses working in private hospitals.
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Alshehry AS, Alquwez N, Almazan J, Namis IM, Cruz JP. Influence of workplace incivility on the quality of nursing care. Journal of clinical nursing. 2019 Dec;28(23-24):4582-94. doi:10.1111/jocn.15051
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13. Almazan JU, Albougami AS, Alamri MS. Exploring nurses' work-related stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences. 2019 Aug 1;14(4):376-82. doi:10.1016/j.jtumed.2019.04.006
14. Almazan JU, Cruz JP, Albougami AS, Alamri MS, Adolfo CS. Maternity‐ward nurses’ kangaroo mother care attitudes and practices: implications and future challenges. Scandinavian journal of caring sciences. 2019 Dec;33(4):848-56. doi:10.1111/scs.12681
15. Alshehry AS, Alquwez N, Almazan J, Namis IM, Cruz JP. Influence of workplace incivility on the quality of nursing care. Journal of clinical nursing. 2019 Dec;28(23-24):4582-94. doi:10.1111/jocn.15051
16. Alshehry AS, Alquwez N, Almazan J, Namis IM, Moreno‐Lacalle RC, Cruz JP. Workplace incivility and its influence on professional quality of life among nurses from multicultural background: A cross‐sectional study. Journal of clinical nursing. 2019 Jul;28(13-14):2553-64. doi:10.1111/jocn.14840
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18. Alenezi A, Pandaan RP, Almazan JU, Pandaan IN, Casison FS, Cruz JP. Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey. Journal of clinical nursing. 2019 Dec;28(23-24):4496-503. doi:10.1111/jocn.15038
19. Albaqawi HM, Alquwez N, Almazan JU, Alharbi SM, Catimbang CC, Rivera PP, Cruz JP. Workplace spiritual climate and its influence on nurses’ provision of spiritual care in multicultural hospitals. Religions. 2019 Feb;10(2):118. doi:10.3390/rel10020118
20. Department of Labor and employment. National Wages Productivity Commission (NWPC) 2019. Available at: http://www.nwpc.dole.gov.ph/ Accessed August 23 2019.
21. Raadabadi M, Bahadori M, Ravangard R, Mousavi SM. Comparing the quality of nursing services between two public and private hospitals. International Journal of Healthcare Management. 2017 Oct 2;10(4):252-8.
22. Ramez WS. Comparing Patients’ satisfactions towered service quality of public and private hospitals in Bahrain. International Business and Management. 2014 Feb 28;8(1):72-82.
doi: 10.3968/j.ibm.1923842820140801.1140
23. Zarei E. Service quality of hospital outpatient departments: patients' perspective.
Int J Health Care Qual Assur. 2015; 28(8):778-90.
24. Pires BS, Oliveira LZ, Siqueira CL, Feldman LB, Oliveira RA, Gasparino RC. Nurse work environment: comparison between private and public hospitals. Einstein (São Paulo). 2018;16(4):eAO4322. doi:10.31744/einstein_journal/2018AO4322
2019. Available at: https://www.ahrq.gov/professionals/prevention-chronic-care/improve/system/pfhandbook/mod4.html
Accessed July 12, 2019.
2. Wilkinson, J., Powell, A., Davies H.Evidence: Are clinicians engaged in quality
improvement? 2011. Avalable at: https://pdfs.semanticscholar.org/e84d/e5ba663026b0fd501cf4da25f308ffe8d0b9.pdf
Accessed October 2, 2019.
3. Yousapronpaiboon K, Johnson WC. A comparison of service quality between private and public hospitals in Thailand. International Journal of Business and Social Science. 2013 Sep 1;4(11):176-84.
4. Cruz JP, Cabrera DN, Hufana OD, Alquwez N, Almazan J. Optimism, proactive coping and quality of life among nurses: A cross‐sectional study. Journal of clinical nursing. 2018May;27(9-10):2098-108. doi:10.1111/jocn.14363
5. National objectives for health Philippines 2017-2022, 2018. Manila, Philippines: Department of Health.
6. Lavado R, Ulep VG, Pantig I, Pantig D, Ortiz M, Datu J, Jimenez J, Banzon E. Profile of Private Hospitals in the Philippines. Philippine Institute for Development Studies. Discussion Paper Series No. 2011;05:1-27.
7. Salmond SW, Echevarria M. Healthcare transformation and changing roles for nursing. Orthopedic nursing. 2017 Jan;36(1):12-25. https://doi.org/10.1097/NOR.0000000000000308
8. Manyisa ZM, van Aswegen EJ. Factors affecting working conditions in public hospitals: A literature review. International journal of Africa nursing sciences. 2017 Jan 1;6:28-38. doi: 10.1016/j.ijans.2017.02.002
9. Hughes RG, Blegen MA. Medication administration safety. Patient Safety and Quality: An Evidence‐Based Handbook for Nurses. AHRQ Publication No. 08–0043. Rockville, MD: Agency for Healthcare Research and Quality;2008.
Adolfo CS. Quality and safety of the nurse practice environment: Implications for management commitment to a culture of safety. In Nursing forum 2019 Oct; 54(4): 537-44. doi:10.1111/nuf.12367
10. Mutair AA. Quality of nursing care in Saudi Arabia: Needs for improvement. Journal of Nursing Care. 2015;4(6):1000309. doi:10.4172/2167-1168.1000309
Dunagan PB. The quality improvement attitude survey: Development and preliminary psychometric characteristics. Journal of clinical nursing. 2017 Dec;26(23-24):5113-20. doi:10.1111/jocn.14054
Alomari FK, Alshahrani MM, Alyami RM. Knowledge, attitude, and practice of quality standards in small-sized public hospitals, Saudi Arabia. Journal of Health Specialties. 2015 Jan 1;3(1):22. doi:10.4103/1658-600x.150756
Alshehry AS, Alquwez N, Almazan J, Namis IM, Cruz JP. Influence of workplace incivility on the quality of nursing care. Journal of clinical nursing. 2019 Dec;28(23-24):4582-94. doi:10.1111/jocn.15051
11. Fong EH, Catagnus RM, Brodhead MT, Quigley S, Field S. Developing the cultural awareness skills of behavior analysts. Behavior Analysis in Practice. 2016 Mar 1;9(1):84-94. doi:10.1007/s40617-016-0111-6
12. Unterrainer C, Jeppesen HJ, Jønsson TF. Distributed leadership agency and its relationship to individual autonomy and occupational self-efficacy: a two wave-mediation study in denmark. Humanistic Management Journal. 2017 Oct;2(1):57-81. doi:10.1007/s41463-017-0023-9
13. Almazan JU, Albougami AS, Alamri MS. Exploring nurses' work-related stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences. 2019 Aug 1;14(4):376-82. doi:10.1016/j.jtumed.2019.04.006
14. Almazan JU, Cruz JP, Albougami AS, Alamri MS, Adolfo CS. Maternity‐ward nurses’ kangaroo mother care attitudes and practices: implications and future challenges. Scandinavian journal of caring sciences. 2019 Dec;33(4):848-56. doi:10.1111/scs.12681
15. Alshehry AS, Alquwez N, Almazan J, Namis IM, Cruz JP. Influence of workplace incivility on the quality of nursing care. Journal of clinical nursing. 2019 Dec;28(23-24):4582-94. doi:10.1111/jocn.15051
16. Alshehry AS, Alquwez N, Almazan J, Namis IM, Moreno‐Lacalle RC, Cruz JP. Workplace incivility and its influence on professional quality of life among nurses from multicultural background: A cross‐sectional study. Journal of clinical nursing. 2019 Jul;28(13-14):2553-64. doi:10.1111/jocn.14840
17. Wood D, Crapnell T, Lau L, Bennett A, Lotstein D, Ferris M, Kuo A. Emerging adulthood as a critical stage in the life course. Handbook of life course health development. 2018:123-43. doi:10.1007/978-3-319-47143-3_7
18. Alenezi A, Pandaan RP, Almazan JU, Pandaan IN, Casison FS, Cruz JP. Clinical practitioners' perception of the dimensions of patient safety culture in a government hospital: A one‐sample correlational survey. Journal of clinical nursing. 2019 Dec;28(23-24):4496-503. doi:10.1111/jocn.15038
19. Albaqawi HM, Alquwez N, Almazan JU, Alharbi SM, Catimbang CC, Rivera PP, Cruz JP. Workplace spiritual climate and its influence on nurses’ provision of spiritual care in multicultural hospitals. Religions. 2019 Feb;10(2):118. doi:10.3390/rel10020118
20. Department of Labor and employment. National Wages Productivity Commission (NWPC) 2019. Available at: http://www.nwpc.dole.gov.ph/ Accessed August 23 2019.
21. Raadabadi M, Bahadori M, Ravangard R, Mousavi SM. Comparing the quality of nursing services between two public and private hospitals. International Journal of Healthcare Management. 2017 Oct 2;10(4):252-8.
22. Ramez WS. Comparing Patients’ satisfactions towered service quality of public and private hospitals in Bahrain. International Business and Management. 2014 Feb 28;8(1):72-82.
doi: 10.3968/j.ibm.1923842820140801.1140
23. Zarei E. Service quality of hospital outpatient departments: patients' perspective.
Int J Health Care Qual Assur. 2015; 28(8):778-90.
24. Pires BS, Oliveira LZ, Siqueira CL, Feldman LB, Oliveira RA, Gasparino RC. Nurse work environment: comparison between private and public hospitals. Einstein (São Paulo). 2018;16(4):eAO4322. doi:10.31744/einstein_journal/2018AO4322
| Files | ||
| Issue | Vol 8 No 3 (2021): Summer | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/npt.v8i3.5935 | |
| Keywords | ||
| attitudes; health care; nursing management; quality improvement | ||
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How to Cite
1.
Adolfo C, Albougami A, Roque M, Almazan J. Nurses’ attitudes toward quality improvement in hospitals: Implications for nursing management systems. NPT. 2021;8(3):206-215.
