Nurse reported quality of care: A measure of hospital quality

Authors

  • Matthew D. McHugh,

    Corresponding author
    1. Center for Health Outcomes and Policy Research, University of Pennsylvania, 418 Curie Blvd., Philadelphia, PA 19104
    2. Robert Wood Johnson Foundation Nurse Faculty Scholars, Philadelphia, PA
    • Center for Health Outcomes and Policy Research, University of Pennsylvania, 418 Curie Blvd., Philadelphia, PA 19104
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    • Assistant Professor of Nursing.

  • Amy Witkoski Stimpfel

    1. Center for Health Outcomes and Policy Research, University of Pennsylvania, 418 Curie Blvd., Philadelphia, PA 19104
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    • Post-Doctoral Research Fellow.


  • The authors would like to thank Mr. Tim Cheney for his contributions to the manuscript. This study was funded by Robert Wood Johnson Foundation Nurse Faculty Scholars program (McHugh) and National Institute of Nursing Research (R01-NR-004513, P30-NR-005043, and T32-NR-007104, Linda Aiken, PI).

Abstract

As the primary providers of round-the-clock bedside care, nurses are well positioned to report on hospital quality of care. Researchers have not examined how nurses' reports of quality correspond with standard process or outcomes measures of quality. We assess the validity of evaluating hospital quality by aggregating hospital nurses' responses to a single item that asks them to report on quality of care. We found that a 10% increment in the proportion of nurses reporting excellent quality of care was associated with lower odds of mortality and failure to rescue; greater patient satisfaction; and higher composite process of care scores for acute myocardial infarction, pneumonia, and surgical patients. Nurse reported quality of care is a useful indicator of hospital performance. © 2012 Wiley Periodicals, Inc. Res Nurs Health 35:566–575, 2012

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