Gangadevi P, Nayak Shalini Ganesh, Sheilini Melita, Kumar Ashok
Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Educ Health Promot. 2025 Feb 28;14:78. doi: 10.4103/jehp.jehp_704_24. eCollection 2025.
The assessment of nursing care quality is integral in assessing healthcare quality. The constantly evolving healthcare landscape directly impacts the working conditions, workload, and overall quality of work life (QWL) for nurses.
A quantitative exploratory survey was conducted in two phases among nurses working at government and private hospitals with the aim of identifying QWL and priority improvement areas. In phase I, the QWL was assessed by Brook's quality of nursing work life (QNWL) survey tool among 81 and 73 nurses working at government and private hospitals, respectively. Phase II had focus group discussion (FGD) among nurses with moderate and high QWL to obtain priority improvement areas from both sectors.
The results revealed that the mean and standard deviation (±SD) of QWL scores in government 172 (±26.81) and private 178 (±30.76) hospital nurses with no statistically significant difference ( = 0.181). Priority improvement areas identified were improving the societal image on nursing, addressing communication gap, positive punishment policy, training programs, and other supportive healthcare assistants among government hospitals nurses and the need for salary increase, necessity to improve the image of nurses in society, requirement for training programs, and higher studies among private hospital nurses.
The majority of nurses in both government and private hospitals reported moderate to high levels of Quality of Life (QOL), yet expressed a desire for an enhanced public perception of nursing. By fostering improved communication, involving nurses in decision-making processes, and providing clear role definitions, we can elevate job satisfaction, organizational commitment, and performance, ultimately leading to decent work, economic growth, and reduced turnover rates.
护理质量评估是医疗质量评估的重要组成部分。不断演变的医疗环境直接影响护士的工作条件、工作量和工作生活总体质量（QWL）。
对政府医院和私立医院的护士分两个阶段进行了定量探索性调查，目的是确定工作生活质量和优先改进领域。在第一阶段，通过布鲁克护理工作生活质量（QNWL）调查工具对分别在政府医院和私立医院工作的81名和73名护士的工作生活质量进行了评估。第二阶段，对工作生活质量中等和较高的护士进行了焦点小组讨论（FGD），以从两个部门获取优先改进领域。
结果显示，政府医院护士工作生活质量得分的平均值和标准差（±SD）为172（±26.81），私立医院护士为178（±30.76），差异无统计学意义（P = 0.181）。确定的优先改进领域包括：提高社会对护理工作的形象认知、解决沟通差距、实施积极惩罚政策、开展培训项目以及为政府医院护士配备其他支持性医疗辅助人员；私立医院护士则需要提高薪资、改善护士在社会中的形象、开展培训项目以及提供深造机会。
政府医院和私立医院的大多数护士报告工作生活质量处于中等至较高水平，但仍表示希望公众对护理工作有更高的认知度。通过加强沟通、让护士参与决策过程并提供明确的角色定义，我们可以提高工作满意度、组织承诺度和绩效，最终实现体面工作、经济增长并降低离职率。
