Nursing care quality: process and outcome relationships.
The relationships between variables in a proposed model for the quality of nursing care provided in the home were examined using a cross-sectional correlational design. Sixty patients discharged from a home-care agency were interviewed in their homes using instruments to measure the model's 7 variables. It was proposed that nursing care provided is related to 3 aspects of the interpersonal process--affective support, health information adequacy, and decisional control--and that these 3 variables are related to 3 outcomes--adherence, symptoms, and well-being. The findings support relationships between technical and interpersonal process components. Significant relationships were found between health information adequacy and adherence and between decisional control and well-being. The authors conclude that further refinement of the model will help to build a stronger foundation for the study and provision of quality nursing care.
Ervin
Naomi E
NE
School of Nursing, Eastern Michigan University, Ypsilanti, USA. neervin@hotmail.com
Chen
Shu-Pi
SP
Upshaw
Harry S
HS
D000293:Adolescent; D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D003152:Community Health Nursing / Q000592:standards*; D003430:Cross-Sectional Studies; D005260:Female; D006304:Health Status; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States; D016294:Models, Nursing; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009736:Nursing Process / Q000592:standards; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic / Q000592:standards; D011787:Quality of Health Care / Q000592:standards*; D012944:Social Support; D011795:Surveys and Questionnaires