Perceptions of nursing care quality, in acute hospital settings measured by the Karen instruments
Version of Record online: 2 NOV 2012
© 2012 Blackwell Publishing Ltd
Journal of Nursing Management
Special Issue: This issue: Promoting excellence - Evidence-based Practice at the Bedside and Beyond Issue editors: Kristiina Hyrkas and James P. Rhudy Jr
Volume 21, Issue 1, pages 87–93, January 2013
How to Cite
2012) Journal of Nursing Management Perceptions of nursing care quality, in acute hospital settings measured by the Karen instruments& (
- Issue online: 22 JAN 2013
- Version of Record online: 2 NOV 2012
- Manuscript Accepted: 2 AUG 2012
- Linköping University
- The Swedish Medical Research Council of Southwest Sweden. Grant Number: F96-461
- Karen instruments;
- nursing care quality;
- patient perspective;
- personnel perspective
The objectives of this study were to measure the quality of nursing care from the perspectives of patients and personnel and to compare these perspectives.
The perception of quality in nursing care is affected by patient needs and it is common that patients and personnel disagree on the nature of the quality. Thus, it is important to measure the quality from both perspectives.
A total of 95 patients and 120 personnel from surgical and medical wards at a hospital in Sweden participated. The Karen instruments were used for data collection. A scale index was used for comparison of the perspectives.
The patients and personnel were satisfied with the quality of care and there were no obvious differences in the total index. The different subscales indicated areas of lower care quality in need of improvement.
The quality of the care seemed to be satisfactory from the perspectives of both the patients and the personal. Further analysis from the subscale or a variable level is needed to define areas of lower care quality.
Implications for Nursing Management
Measurements have to be carried out continuously to guarantee care quality over time, as a result of organisational changes and financial cutbacks.