Good nursing care: Rodgers’ evolutionary concept analysis

  • Akram Ghahramanian Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Maryam Rassouli School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  • Vahid Zamanzadeh Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Leila Valizadeh Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
  • Elnaz Asghari Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
quality of health care; nurses; nurse-patient relations; patients; analysis


Background & Aim: Considering that the main responsibility of the nurses is to give care to the patients, concept analysis of good care by providing a clear definition will promote nursing practice and quality of healthcare. This study aims to clarify the concept of good care through the use of Rodgers's evolutionary approach.

Methods & Materials: This study used Rodgers's evolutionary approach. The keywords of good care, quality care, and similar words were used for searching from CINHAL, PubMed, Emerald, Elsevier and Scopus databases. Literature published in English between 2000- 2018 was included. Forty one articles were selected and content analysis was used to distinguish attributes, antecedents, and consequences of the good care.

Results: According to the finding, care was considered as good that was accompanied by the up-to-date knowledge and by doing procedural cares skillfully and safely leaded to recovery, reducing health care costs, and patient satisfaction through an effective and efficient relationship with the patient.

Conclusion: Skillful practice, well-informed knowledge and effective communication are the most important inputs for nurses to provide good care for the patients and the lack of these, especially in the case of using unprofessional workforce in nursing, is a serious threat to patient care.


1. Dolan B, Alligood MR. Nursing Theory Utilization and Application. Missouri: Mosby; 2010.
2. Valizadeh L, Zamanzadeh V, Rassouli M, Ghahramanian A, Archibald MM, Asghari E. A Qualitative Study of Specialized Clinical Nurses’ Perceptions of Good Care in Practice. Clinical Nurse Specialist. 2018;32(5):260-7.
3. Maxwell Mhlanga, Mathilda Zvinavashe, Clara Haruzivishe, Ndaimani A. Quality Nursing Care: A concept analysis. Journal of Medical and Dental Science Research. 2016;3(1):25-30.
4. Oxford living dictionary 2017 [2017-9-27]. Available from:
5. Burger JL, Parker K, Cason L, Hauck S, Kaetzel D, O'nan C, et al. Responses to work complexity: the novice to expert effect. Western Journal of Nursing Research. 2010;32(4):497-510.
6. Rodgers BL. Concept analysis, An evolutionary view. Concept development in nursing foundations, techniques and applications. 2000:77-102.
7. Brady MS. Healthy nursing academic work environments. Online Journal of Issues in Nursing. 2010;15(1).
8. Bahrami MA, Barati O, Ghoroghchian M-s, Montazer-alfaraj R, Ezzatabadi MR. Role of organizational climate in organizational commitment: The case of teaching hospitals. Osong public health and research perspectives. 2016;7(2):96-100.
9. AbuAlRub R, Nasrallah M. Leadership behaviours, organizational culture and intention to stay amongst Jordanian nurses. International nursing review. 2017;64(4):520-7.
10. Djukic M, Kovner CT, Brewer CS, Fatehi FK, Cline DD. Work environment factors other than staffing associated with nurses’ ratings of patient care quality. Health Care Management Review. 2013;38(2):105-14.
11. Nantsupawat A, Srisuphan W, Kunaviktikul W, Wichaikhum OA, Aungsuroch Y, Aiken LH. Impact of nurse work environment and staffing on hospital nurse and quality of care in Thailand. Journal of Nursing Scholarship. 2011;43(4):426-32.
12. Jáimez MJ, Bretones FD. Towards a healthy organisation model: the relevance of empowerment. Is-Guc, The Journal of Industrial Relations & Human Resource. 2011;13:7-26.
13. Aiken LH, Cimiotti JP, Sloane DM, Smith HL, Flynn L, Neff DF. The effects of nurse staffing and nurse education on patient deaths in hospitals with different nurse work environments. Medical care. 2011;49(12):1047.
14. Feather J, McGillis Hall L, Trbovich P, Baker GR. An integrative review of nurses' prosocial behaviours contributing to work environment optimization, organizational performance and quality of care. Journal of nursing management. 2018;26(4):769-81.
15. McHugh MD, Stimpfel AW. Nurse reported quality of care: a measure of hospital quality. Research in nursing & health. 2012;35(6):566-75.
16. Smith JG, Morin KH, Wallace LE, Lake ET. Association of the nurse work environment, collective efficacy, and missed care. Western journal of nursing research. 2018;40(6):779-98.
17. Kramer M, Schmalenberg C, Maguire P. Nine structures and leadership practices essential for a magnetic (healthy) work environment. Nursing Administration Quarterly. 2010;34(1):4-17.
18. Mays MZ, Hrabe DP, Stevens CJ. Reliability and validity of an instrument assessing nurses' attitudes about healthy work environments in hospitals. Journal of nursing management. 2011;19(1):18-26.
19. Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: Cross‐national investigation in six countries. Research in nursing & health. 2010;33(4):288-98.
20. Van Bogaert P, Kowalski C, Weeks SM, Clarke SP. The relationship between nurse practice environment, nurse work characteristics, burnout and job outcome and quality of nursing care: a cross-sectional survey. International journal of nursing studies. 2013;50(12):1667-77.
21. Gillet N, Fouquereau E, Coillot H, Cougot B, Moret L, Dupont S, et al. The effects of work factors on nurses’ job satisfaction, quality of care and turnover intentions in oncology. Journal of advanced nursing. 2018;74(5):1208-19.
22. Zhao SH, Akkadechanunt T. Patients perceptions of quality nursing care in a Chinese hospital. International Journal of nursing and Midwifery. 2011;3(9):145-9.
23. Bradham CU, Dalme FC, Thompson PJ. Personality traits valued by practicing nurses and measured in nursing students. Journal of Nursing Education. 2016;29(5):225-32.
24. Chen S-Y, Hsu H-C. Nurses’ reflections on good nurse traits: Implications for improving care quality. Nursing ethics. 2015;22(7):790-802.
25. Castro EM, Van Regenmortel T, Vanhaecht K, Sermeus W, Van Hecke A. Patient empowerment, patient participation and patient-centeredness in hospital care: a concept analysis based on a literature review. Patient education and counseling. 2016;99(12):1923-39.
26. Siffleet J, Williams AM, Rapley P, Slatyer S. Delivering best care and maintaining emotional wellbeing in the intensive care unit: the perspective of experienced nurses. Applied Nursing Research. 2015;28(4):305-10.
27. Catlett S, Lovan SR. Being a good nurse and doing the right thing: a replication study. Nursing ethics. 2011;18(1):54-63.
28. Curtis JR, Back AL, Ford DW, Downey L, Shannon SE, Doorenbos AZ, et al. Effect of communication skills training for residents and nurse practitioners on quality of communication with patients with serious illness: a randomized trial. Jama. 2013;310(21):2271-81.
29. de Araujo Sartorio N, Pavone Zoboli ELC. Images of a ‘good nurse’presented by teaching staff. Nursing ethics. 2010;17(6):687-94.
30. Mako T, Svanäng P, Bjerså K. Patients’ perceptions of the meaning of good care in surgical care: a grounded theory study. BMC nursing. 2016;15(1):47.
31. Yngman‐Uhlin P, Klingvall E, Wilhelmsson M, Jangland E. Obstacles and opportunities for achieving good care on the surgical ward: nurse and surgeon perspective. Journal of nursing management. 2016;24(4):492-9.
32. Van der Elst E, de Casterlé BD, Gastmans C. Elderly patients’ and residents’ perceptions of ‘the good nurse’: a literature review. Journal of medical ethics. 2012;38(2):93-7.
33. Zuzelo PR. Dosing Kindness As a Therapeutic Intervention. Holistic nursing practice. 2016;30(4):241-3.
34. Kwak C, Chung BY, Xu Y, Eun-Jung C. Relationship of job satisfaction with perceived organizational support and quality of care among South Korean nurses: A questionnaire survey. International journal of nursing studies. 2010;47(10):1292-8.
35. O'lynn C, Krautscheid L. 'How should I touch you?': a qualitative study of attitudes on intimate touch in nursing care. AJN The American Journal of Nursing. 2011;111(3):24-31.
36. Kvåle K, Bondevik M, editors. Patients' perceptions of the importance of nurses' knowledge about cancer and its treatment for quality nursing care. Oncology nursing forum; 2010.
37. Creamer AM, Austin W. Canadian Nurse Practitioner Core Competencies Identified: An Opportunity to Build Mental Health and Illness Skills and Knowledge. The Journal for Nurse Practitioners. 2017;13(5):e231-e6.
38. Aiken LH, Sloane D, Griffiths P, Rafferty AM, Bruyneel L, McHugh M, et al. Nursing skill mix in European hospitals: cross-sectional study of the association with mortality, patient ratings, and quality of care. BMJ Qual Saf. 2017;26(7):559-68.
39. Fletcher MJ, Dahl BH. Expanding nurse practice in COPD: is it key to providing high quality, effective and safe patient care? Primary Care Respiratory Journal. 2013;22:230-3.
40. Hill K. Improving quality and patient safety by retaining nursing expertise. Online Journal of Issues in Nursing. 2010;15(3).
41. Stanik-Hutt J, Newhouse RP, White KM, Johantgen M, Bass EB, Zangaro G, et al. The quality and effectiveness of care provided by nurse practitioners. The Journal for Nurse Practitioners. 2013;9(8):492-500. e13.
42. Adib-Hajbaghery M, Maghaminejad F, Abbasi A. The role of continuous care in reducing readmission for patients with heart failure. Journal of caring sciences. 2013;2(4):255.
43. Ball JE, Bruyneel L, Aiken LH, Sermeus W, Sloane DM, Rafferty AM, et al. Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. International journal of nursing studies. 2018;78:10-5.
44. Nelson JE, Puntillo KA, Pronovost PJ, Walker AS, McAdam JL, Ilaoa D, et al. In their own words: patients and families define high-quality palliative care in the intensive care unit. Critical care medicine. 2010;38(3):808.
45. Almutairi KM, Moussa M. Systematic review of quality of care in Saudi Arabia. A forecast of a high quality health care. Saudi medical journal. 2014;35(8):802-9.
46. Gupta B, Shrestha S, Thulung B. Patient's perception towards quality nursing care. Journal of Nepal Health Research Council. 2014.
47. Rapin J, D’Amour D, Dubois C-A. Indicators for evaluating the performance and quality of care of ambulatory care nurses. Nursing research and practice. 2015;2015.
48. Burhans LM, Alligood MR. Quality nursing care in the words of nurses. Journal of advanced nursing. 2010;66(8):1689-97.
49. Schluter J, Seaton P, Chaboyer W. Understanding nursing scope of practice: A qualitative study. International journal of nursing studies. 2011;48(10):1211-22.
50. Bogaert P, Clarke S, Willems R, Mondelaers M. Nurse practice environment, workload, burnout, job outcomes, and quality of care in psychiatric hospitals: a structural equation model approach. Journal of advanced nursing. 2013;69(7):1515-24.
How to Cite
Ghahramanian A, Rassouli M, Zamanzadeh V, Valizadeh L, Asghari E. Good nursing care: Rodgers’ evolutionary concept analysis. NPT. 7(1):21-29.
Original Article(s)