title: Quality nursing care for hospitalized patients with advanced illness: concept development.
abstract: The quality of nursing care as perceived by hospitalized patients with advanced illness has not been examined. A concept of quality nursing care for this population was developed by integrating the literature on constructs defining quality nursing care with empirical findings from interviews of 16 patients with advanced illness. Quality nursing care was characterized as competence and personal caring supported by professionalism and delivered with an appropriate demeanor. Although the attributes of competence, caring, professionalism, and demeanor were identified as common components of quality care across various patient populations, the caring domain increased in importance when patients with advanced illness perceived themselves as vulnerable. Assessment of quality nursing care for patients with advanced illness needs to include measures of patient perceptions of vulnerability.
authors.affiliation: College of Nursing, Washington State University, P.O. Box 1495, Spokane, WA 99210-1495, USA.
authors.forename: Shigeko
authors.initials: S
authors.lastname: Izumi
authors.forename: Judith G
authors.initials: JG
authors.lastname: Baggs
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Knafl
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002983:Clinical Competence; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009732:Nursing Care; D009741:Nursing Staff, Hospital; D017060:Patient Satisfaction; D011787:Quality of Health Care; D014481:United States