title: A pilot study of staff nurses' perceptions of factors that influence quality of care in critical access hospitals.
abstract: Knowledge is limited about quality of care (QOC) in rural hospitals, including the smallest hospitals, critical access hospitals. Staff nurses from 7 critical access hospitals identified items important for QOC across 4 levels of care: patients, microsystems, organizations, and environments. Several items were unique to critical access hospitals. Most QOC items were at the microsystem level, yet few of these items are routinely measured. These findings offer beginning evidence about how to advance QOC evaluations in rural hospitals.
authors.affiliation: School of Nursing and Department of Public Health Sciences, University of Virginia, Charlottesville, VA 22908 , USA. baernholdt@virginia.edu
authors.forename: Marianne
authors.initials: M
authors.lastname: Baernholdt
authors.forename: Bonnie Mowinski
authors.initials: BM
authors.lastname: Jennings
authors.forename: Erica Jeané
authors.initials: EJ
authors.lastname: Lewis
mesh_terms: D001291:Attitude of Health Personnel; D003697:Delphi Technique; D005260:Female; D006780:Hospitals, Rural; D006801:Humans; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010865:Pilot Projects; D058996:Quality Improvement; D011795:Surveys and Questionnaires; D014481:United States
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