Stavropoulou Areti, Rovithis Michael, Kelesi Martha, Vasilopoulos George, Sigala Evangelia, Papageorgiou Dimitrios, Moudatsou Maria, Koukouli Sofia
Department of Nursing, Faculty of Health and Care Sciences, University of West Attica, Ag. Spyridonos Str., 122 43 Athens, Greece.
Department of Nursing, Faculty of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 714 10 Heraklion, Greece.
Clin Pract. 2022 Jun 30;12(4):468-481. doi: 10.3390/clinpract12040051.
Quality is a multidimensional issue involving various features that depend on service performance and personal assessment. Clarifying the concept of quality is essential in order to further facilitate the understanding and improvement of quality in healthcare. The purpose of this study was to investigate how clinical nurses, providing care to adult medical patients, perceive and define the concept of quality nursing care. A descriptive qualitative research design was applied. A purposive sampling strategy was used to recruit nurses from the clinical sector of a general public hospital in Athens, Greece. Ten female nurses from the medical sector participated the study. Data collection was conducted through in-depth, semi-structured interviews. Conventional content analysis was used to analyze the verbatim data. Four categories were revealed from the data analysis, namely: (a) "Quality care is holistic care", (b) "Good care is an interpersonal issue", (c) "Leadership is crucial", and (d) "Best care is our responsibility". Quality care was defined as holistic care, addressing all patient needs with competency and aiming for the best patient outcomes. It was associated with communication, teamwork, good leadership, and personal commitment. By developing an in-depth and mutual understanding about what quality means, nurse leaders and practitioners may collaborate in finding common paths to support quality interventions and enhance quality nursing care in clinical practice.
质量是一个多维度的问题，涉及到各种取决于服务表现和个人评估的特征。澄清质量的概念对于进一步促进对医疗保健质量的理解和改进至关重要。本研究的目的是调查为成年内科患者提供护理的临床护士如何理解和界定优质护理的概念。采用了描述性定性研究设计。采用目的抽样策略从希腊雅典一家公立医院的临床科室招募护士。来自内科的10名女护士参与了该研究。通过深入的半结构化访谈进行数据收集。采用常规内容分析法对逐字记录的数据进行分析。数据分析揭示了四个类别，即：(a)“优质护理是整体护理”，(b)“良好护理是人际关系问题”，(c)“领导力至关重要”，以及(d)“最佳护理是我们的责任”。优质护理被定义为整体护理，以能力满足所有患者需求并追求最佳患者结局。它与沟通、团队合作、良好的领导力和个人承诺相关。通过对质量意味着什么形成深入和相互的理解，护士领导者和从业者可以合作寻找共同途径来支持质量干预措施并提高临床实践中的优质护理。
