Research Article
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Validity-Reliability Study of the Patient’s Assessment of Quality Scale-Acute Care Version for Turkish Society and Determine of the Quality of Nursing Care Received by Patients

Year 2023, Volume: 7 Issue: 1, 49 - 65, 31.01.2023
https://doi.org/10.46237/amusbfd.1109858

Abstract

Objective: The aim of this study is to contribute to the literature by realizing the reliability and validity of the Patient Quality Assessment Scale-Acute Care Version and to determine the quality of nursing care received by hospitalized patients.
Methods: This study is methodological and descriptive. This study was conducted in four different hospitals in a city located in the southern part of Turkey. Data were collected by the researchers using the “Patient Information Form” and the “Patient Quality Assessment Scale-Acute Care Version”. Statistical analyses were performed using the IBM SPSS Statistics 22 and AMOS. Statistical significance was taken p<0.05.
Results: After the analysis, the CFA fit indices of the Patient Quality Assessment Scale-Acute Care Version were found in the appropriate range and the Cronbach alpha coefficient was 0.971. The Patient Quality Assessment Scale-Acute Care Version total mean score was 136.63±21.47. Perceptions of patients regarding Quality Nursing Care were affected by factors such as the type of hospital, patients’ diagnosis, place of living, level of satisfaction with the nursing care received, and finding the nursing care sufficient.
Conclusion: The Turkish version of the Patient Quality Assessment Scale-Acute Care Version was found valid and reliable for Turkish society. The patients found the quality of the nursing care received above-average. The results of the study should be used by hospital management, health care policy developers and nurses to increase the quality of nursing care. Nurses should consider patients' perceptions of nursing care, their experiences, factors affecting nursing care, and individual differences of patients in order to improve the quality of nursing care.

Supporting Institution

Cukurova University Scientific Research Projects

Project Number

TSA-2016-5622

Thanks

This study was supported by Cukurova University Scientific Research Projects (TSA-2016-5622).

References

  • 1. Gul, S., & Dinc, L. (2018). Examining the perceptions of patients and nurses towards nursing care. Hacettepe University Journal of Nursing Faculty, 5(3), 192–208. (Turkish)
  • 2. Gul, S. Nursing care and affecting factors in the light of the Concept of Care. Acibadem University Health Sciences Journal, 2019;10(2):129-134. (Turkish)
  • 3. Bayer, N., & Baykal, U. (2018). Improving quality perception scale of health workers. Journal of Health and Nursing Management, 5(2), 86-99.
  • 4. Koy, V., Yunibhand, J., Angsuroch, Y., & Fisher, M. L. (2015). Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review. International Journal of Research in Medical Sciences, 3(8), 1825-1831.
  • 5. Allen-Duck, A., Robinson, J. C., & Stewart, M. W. (2017). Healthcare quality: a concept analysis. Nursing Forum, 52(4), 377-386.
  • 6. World Health Organization (WHO). Access: https://www.who.int/hrh/resources/Nursing-and-Midwifery-in-History-of-WHO/en/. Date of access: 04.06.2020
  • 7. Andersson, I. S., & Lindgren, M. (2017). The Karen instruments for measuring quality of nursing care. Item analysis. Vård I Norden, 28(3),14-18.
  • 8. Mhlanga, M., Zvinavashe, M., Haruzivishe, C., & Ndaimani, A. (2016). Quality nursing care: a concept analysis. Journal of Medical and Dental Science Research, 3(1), 25-30.
  • 9. Karaca, A., & Durna, Z. (2018). Nursing care quality and associated factors. Health and Society Journal, 3, 16–23.
  • 10. Kewi, S. Y., Tesem, A. A., & Negussie, B. B. (2018). Patient’s perception towards quality of nursing care in ınpatient department at public hospitals of Benishangul Gumuz Regional State, North West Ethiopia. Journal of Nursıng Care Qualıty, 7(4), 1–10.
  • 11. Alsaqri, S. (2016). Patient satisfaction with quality of nursing care at governmental hospitals, Ha’il City, Saudi Arabia.” Journal of Biology, Agriculture and Healthcare, 6(10), 128–42.
  • 12. Atallah, M. A., Hamdan-Mansour, A. M., Al-Sayed, M. M., & Aboshaiqah, A. E. (2013). Patients’ satisfaction with the quality of nursing care provided: the Saudi experience. International Journal of Nursing Practice, 19, 584–90.
  • 13. Thomas, L. H., McColl, E., Priest, J., Bond, S., & Boys, R. J. (1996). Newcastle satisfaction with nursing scales: an ınstrument for quality assessments of nursing care. BMJ Quality & Safety, 5(2), 67–72.
  • 14. Gishu, T., Weldetsadik, A. Y., & Teklea, A. M. (2019). Patients’ Perception of quality of nursing care; a tertiary center experience from Ethiopia. BMC Nursing, 18, 1–6. 15. Khan, A., Muhammad, A., Afsar, A., Muhammad, H., & Gilani, S. E. (2018). Patient’s perception towards quality of nursing care at public hospitals in Lahore, Pakistan. Independent Journal of Allied Health Sciences, 1(3), 175–82.
  • 16. Kol, E., Geckil, E., Arikan, C., Ilter, M., Ozcan, O., & Atay, S. (2017). Examination of Nursing Care Perception in Turkey. Acibadem University Journal of Health Sciences, 3, 163–72. (Turkish)
  • 17. Lynn, M. R., McMillen, B. J., & Sidani, S. (2007). Understanding and measuring patients’ assessment of the quality of nursing care. Nursing Research, 56(3), 159–66.
  • 18. Al-Hussami M., Muwafaq AM, Sawsan, H., Mahmoud, M., & Muhamad, D. (2017). Patients’ perception of the quality of nursing care and related hospital services. Health and Primary Care, 1(2), 1–6.
  • 19. DeVellis, R. F. Scale development: theory and applications (applied social research methods). Los Angeles: SAGE Publications Inc. 2017.
  • 20. Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
  • 21. Kalaycı, Ş. (2010). SPSS applied multivariate statistical techniques 5th. Edition. Ankara, Turkey: Asil Publishing.
  • 22. Can, A. 2018. SPSS Ile Bilimsel Araştırma Sürecinde Nicel Veri Analizi. 6. Baskı. Ankara: PEGEM Akademi.
  • 23. Tavşancıl, E. 2014. Measuring Attitudes and Data Analysis with SPSS. 5th ed. Ankara: Nobel Publishing.
  • 24. Alpar R. Uygulamalı İstatistik ve Geçerlik-Güvenirlik, 4. Baskı. Ankara, Detay Yayıncılık, 2016: 502–621(Turkish)
  • 25. Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open 6, 535–45.
  • 26. Ayyub, R., Zeenatkhanu, K., Dias, J., & Roshan, R. (2015). Perceptions of patients regarding quality nursing care (qnc) at a tertiary hospital in Karachi, Pakistan. Journal of Clinical Research & Bioethics, 6(6),1–5.
  • 27. Karayurt, O., Erol-Ursavas, F., & Iseri, O. (2018). Examination of nurses' individualized care delivery situations and views. Acibadem University Journal of Health Sciences, 9(2), 163–69. (Turkish)
  • 28. El-Nagger, N. S., Ahmed, S. M. A., Elsayed, L. A., & Khami H. M. A. (2013). Patients’ satisfaction regarding nursing care provided in different hospitals in Makkah AL Mukramah. Life Science Journal,10(2), 4, 21–29.
  • 29. Geckil, E., Dündar, O., & Sahin, O. (2008). Evaluation of satisfaction levels of patients in Adıyaman city center in terms of nursing. Hacettepe University Journal of Nursing Faculty, 15(2), 41–51. (Turkish)
  • 30. Karatepe, H., Atik, D., & Yuce, U. O. (2020). Adaptation with the chronic disease and expectations from nurses. Erciyes Medical Journal, 42(1), 18–24.
  • 31. Cerit, B. (2016). Satisfaction level of patients in terms of Nursing. Hacettepe University Journal of Nursing Faculty, 3(1), 27–36. (Turkish)
  • 32. Folami, O. A., & Odeyemi, O. (2019). Assessment of patient satisfaction with nursing care in selected wards of the Lagos University Teaching Hospital (Luth). Biomedical Journal of Scientific & Technical Research, 17(1), 124, 89–97.
  • 33. Uzelli-Yilmaz, D., Akin-Korhan, E., & Khorshid, L. (2017). Evaluation of nursing care quality in a palliative care clinic. Journal of Human Sciences, 14(3), 29, 68–80. (Turkish)
  • 34. Toru, F. (2020). The key to nursing practice: individualized care. Adnan Menderes University Faculty of Health Sciences Journal, 4(1),46–59. (Turkish)
  • 35. Karaman-Ozlu, Z., & Uzun, O. (2015). evaluation of satisfaction with nursing care of patients hospitalaized in surgical clinics of different hospitals. International Journal of Caring Sciences, 8(1), 19–24.
  • 36. Folami, O. A., & Odeyemi, O. (2019). Assessment of patient satisfaction with nursing care in selected wards of the Lagos University Teaching Hospital (Luth). Biomedical Journal of Scientific & Technical Research, 17(1), 124, 89–97.

Türk Toplumu İçin Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu Geçerlilik-Güvenirlik Çalışması ve Hastaların Aldıkları Hemşirelik Bakımının Kalitesinin Belirlenmesi

Year 2023, Volume: 7 Issue: 1, 49 - 65, 31.01.2023
https://doi.org/10.46237/amusbfd.1109858

Abstract

Amaç: Bu çalışmanın amacı, Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu güvenirliğini ve geçerliğini gerçekleştirerek literatüre katkıda bulunmak ve hastanede yatan hastaların aldıkları hemşirelik bakımının kalitesini belirlemektir.
Yöntem: Bu çalışma, metodolojik ve tanımlayıcı tiptedir. Çalışma, Türkiye'nin güney kesiminde yer alan bir şehirde dört farklı hastanede gerçekleştirilmiştir. Veriler, “Hasta Tanıtım Formu” ve “Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu” ile toplanmıştır. İstatistiksel analizler, IBM SPSS Statistics 22 ve AMOS kullanılarak yapılmıştır. İstatistiksel anlamlılık p<0.05 olarak alınmıştır.
Bulgular: Analiz sonrasında Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu DFA uyum indeksleri uygun aralıkta bulunmuş. Cronbach’s Alpha 0,971 ile çok iyi derecede saptanmıştır. Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu toplam puan ortalaması 136,63±21,47’dir. Hastaların hemşirelik bakım kalitesine yönelik değerlendirmelerinin, hastane tipi, hastaların tanısı, yaşadıkları yer, aldıkları hemşirelik bakımına yönelik memnuniyet düzeyleri ve hemşirelik bakımını yeterli bulma durumlarından etkilendiği saptanmıştır.
Sonuç: Araştırma sonucunda, Hasta Kalite Değerlendirme Ölçeği-Akut Bakım Versiyonu Türkçe versiyonunun Türk toplumu için geçerli ve güvenilir bir ölçüm aracı olduğu belirlenmiştir. Hastaların aldıkları hemşirelik bakım kalitesini, ortalamanın üzerinde değerlendirdikleri görülmüştür. Çalışma sonuçları, hemşirelik bakım kalitesinin arttırılması için hastane yönetimi, sağlık bakım politika geliştiricileri ve hemşireler tarafından kullanılmalıdır. Hemşireler, hemşirelik bakımının kalitesini artırmak için hastaların hemşirelik bakımı algılarını, deneyimlerini, hemşirelik bakımını etkileyen faktörleri ve hastaların bireysel farklılıklarını dikkate almalıdır.  

Project Number

TSA-2016-5622

References

  • 1. Gul, S., & Dinc, L. (2018). Examining the perceptions of patients and nurses towards nursing care. Hacettepe University Journal of Nursing Faculty, 5(3), 192–208. (Turkish)
  • 2. Gul, S. Nursing care and affecting factors in the light of the Concept of Care. Acibadem University Health Sciences Journal, 2019;10(2):129-134. (Turkish)
  • 3. Bayer, N., & Baykal, U. (2018). Improving quality perception scale of health workers. Journal of Health and Nursing Management, 5(2), 86-99.
  • 4. Koy, V., Yunibhand, J., Angsuroch, Y., & Fisher, M. L. (2015). Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review. International Journal of Research in Medical Sciences, 3(8), 1825-1831.
  • 5. Allen-Duck, A., Robinson, J. C., & Stewart, M. W. (2017). Healthcare quality: a concept analysis. Nursing Forum, 52(4), 377-386.
  • 6. World Health Organization (WHO). Access: https://www.who.int/hrh/resources/Nursing-and-Midwifery-in-History-of-WHO/en/. Date of access: 04.06.2020
  • 7. Andersson, I. S., & Lindgren, M. (2017). The Karen instruments for measuring quality of nursing care. Item analysis. Vård I Norden, 28(3),14-18.
  • 8. Mhlanga, M., Zvinavashe, M., Haruzivishe, C., & Ndaimani, A. (2016). Quality nursing care: a concept analysis. Journal of Medical and Dental Science Research, 3(1), 25-30.
  • 9. Karaca, A., & Durna, Z. (2018). Nursing care quality and associated factors. Health and Society Journal, 3, 16–23.
  • 10. Kewi, S. Y., Tesem, A. A., & Negussie, B. B. (2018). Patient’s perception towards quality of nursing care in ınpatient department at public hospitals of Benishangul Gumuz Regional State, North West Ethiopia. Journal of Nursıng Care Qualıty, 7(4), 1–10.
  • 11. Alsaqri, S. (2016). Patient satisfaction with quality of nursing care at governmental hospitals, Ha’il City, Saudi Arabia.” Journal of Biology, Agriculture and Healthcare, 6(10), 128–42.
  • 12. Atallah, M. A., Hamdan-Mansour, A. M., Al-Sayed, M. M., & Aboshaiqah, A. E. (2013). Patients’ satisfaction with the quality of nursing care provided: the Saudi experience. International Journal of Nursing Practice, 19, 584–90.
  • 13. Thomas, L. H., McColl, E., Priest, J., Bond, S., & Boys, R. J. (1996). Newcastle satisfaction with nursing scales: an ınstrument for quality assessments of nursing care. BMJ Quality & Safety, 5(2), 67–72.
  • 14. Gishu, T., Weldetsadik, A. Y., & Teklea, A. M. (2019). Patients’ Perception of quality of nursing care; a tertiary center experience from Ethiopia. BMC Nursing, 18, 1–6. 15. Khan, A., Muhammad, A., Afsar, A., Muhammad, H., & Gilani, S. E. (2018). Patient’s perception towards quality of nursing care at public hospitals in Lahore, Pakistan. Independent Journal of Allied Health Sciences, 1(3), 175–82.
  • 16. Kol, E., Geckil, E., Arikan, C., Ilter, M., Ozcan, O., & Atay, S. (2017). Examination of Nursing Care Perception in Turkey. Acibadem University Journal of Health Sciences, 3, 163–72. (Turkish)
  • 17. Lynn, M. R., McMillen, B. J., & Sidani, S. (2007). Understanding and measuring patients’ assessment of the quality of nursing care. Nursing Research, 56(3), 159–66.
  • 18. Al-Hussami M., Muwafaq AM, Sawsan, H., Mahmoud, M., & Muhamad, D. (2017). Patients’ perception of the quality of nursing care and related hospital services. Health and Primary Care, 1(2), 1–6.
  • 19. DeVellis, R. F. Scale development: theory and applications (applied social research methods). Los Angeles: SAGE Publications Inc. 2017.
  • 20. Davis, L. L. (1992). Instrument review: Getting the most from a panel of experts. Applied Nursing Research, 5(4), 194-197.
  • 21. Kalaycı, Ş. (2010). SPSS applied multivariate statistical techniques 5th. Edition. Ankara, Turkey: Asil Publishing.
  • 22. Can, A. 2018. SPSS Ile Bilimsel Araştırma Sürecinde Nicel Veri Analizi. 6. Baskı. Ankara: PEGEM Akademi.
  • 23. Tavşancıl, E. 2014. Measuring Attitudes and Data Analysis with SPSS. 5th ed. Ankara: Nobel Publishing.
  • 24. Alpar R. Uygulamalı İstatistik ve Geçerlik-Güvenirlik, 4. Baskı. Ankara, Detay Yayıncılık, 2016: 502–621(Turkish)
  • 25. Karaca, A., & Durna, Z. (2019). Patient satisfaction with the quality of nursing care. Nursing Open 6, 535–45.
  • 26. Ayyub, R., Zeenatkhanu, K., Dias, J., & Roshan, R. (2015). Perceptions of patients regarding quality nursing care (qnc) at a tertiary hospital in Karachi, Pakistan. Journal of Clinical Research & Bioethics, 6(6),1–5.
  • 27. Karayurt, O., Erol-Ursavas, F., & Iseri, O. (2018). Examination of nurses' individualized care delivery situations and views. Acibadem University Journal of Health Sciences, 9(2), 163–69. (Turkish)
  • 28. El-Nagger, N. S., Ahmed, S. M. A., Elsayed, L. A., & Khami H. M. A. (2013). Patients’ satisfaction regarding nursing care provided in different hospitals in Makkah AL Mukramah. Life Science Journal,10(2), 4, 21–29.
  • 29. Geckil, E., Dündar, O., & Sahin, O. (2008). Evaluation of satisfaction levels of patients in Adıyaman city center in terms of nursing. Hacettepe University Journal of Nursing Faculty, 15(2), 41–51. (Turkish)
  • 30. Karatepe, H., Atik, D., & Yuce, U. O. (2020). Adaptation with the chronic disease and expectations from nurses. Erciyes Medical Journal, 42(1), 18–24.
  • 31. Cerit, B. (2016). Satisfaction level of patients in terms of Nursing. Hacettepe University Journal of Nursing Faculty, 3(1), 27–36. (Turkish)
  • 32. Folami, O. A., & Odeyemi, O. (2019). Assessment of patient satisfaction with nursing care in selected wards of the Lagos University Teaching Hospital (Luth). Biomedical Journal of Scientific & Technical Research, 17(1), 124, 89–97.
  • 33. Uzelli-Yilmaz, D., Akin-Korhan, E., & Khorshid, L. (2017). Evaluation of nursing care quality in a palliative care clinic. Journal of Human Sciences, 14(3), 29, 68–80. (Turkish)
  • 34. Toru, F. (2020). The key to nursing practice: individualized care. Adnan Menderes University Faculty of Health Sciences Journal, 4(1),46–59. (Turkish)
  • 35. Karaman-Ozlu, Z., & Uzun, O. (2015). evaluation of satisfaction with nursing care of patients hospitalaized in surgical clinics of different hospitals. International Journal of Caring Sciences, 8(1), 19–24.
  • 36. Folami, O. A., & Odeyemi, O. (2019). Assessment of patient satisfaction with nursing care in selected wards of the Lagos University Teaching Hospital (Luth). Biomedical Journal of Scientific & Technical Research, 17(1), 124, 89–97.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

Meltem Akbaş 0000-0002-5845-0552

Emine İbici Akça 0000-0001-5432-2951

Cemile Onat Köroğlu 0000-0002-9674-4076

Şule Gökyıldız Sürücü 0000-0002-0088-4219

Project Number TSA-2016-5622
Publication Date January 31, 2023
Published in Issue Year 2023 Volume: 7 Issue: 1

Cite

APA Akbaş, M., İbici Akça, E., Onat Köroğlu, C., Gökyıldız Sürücü, Ş. (2023). Validity-Reliability Study of the Patient’s Assessment of Quality Scale-Acute Care Version for Turkish Society and Determine of the Quality of Nursing Care Received by Patients. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(1), 49-65. https://doi.org/10.46237/amusbfd.1109858