Causal Modelling of Factors Influencing Quality of Nursing Care in China.

The quality of nursing care is essential and contributes to restoring people's health and well-being, especially when people are hospitalized. Various factors relating to the quality of nursing care have been identified, including nursing shortages. However, in China, there has been little research...

Descripción completa

Detalles Bibliográficos
Publicado en:Pacific Rim International Journal of Nursing Research Vol. 27; no. 3; pp. 417 - 431
Autores principales: Xiaolu Xue, Wipada Kunaviktikul, Kulwadee Abhicharttibutra, Orn-Anong Wichaikhum
Formato: research tables/charts Journal Article
Publicado: Thailand Nursing & Midwifery Council Jul-Sep2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172261841&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 172261841
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        19068107
        B7IM
      jtl: Pacific Rim International Journal of Nursing Research
      issn: 19068107
      maglogo: N
    pubinfo:
      dt: Jul-Sep2023
      vid: 27
      iid: 3
      pid: 26313
      pub: Thailand Nursing & Midwifery Council
    artinfo:
      ui:
        172261841
        172261841
        172261841
        10.60099/prijnr.2023.261537
        172261841
      ppf: 417
      ppct: 14
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Causal Modelling of Factors Influencing Quality of Nursing Care in China.
      aug:
        au:
          Xiaolu Xue
          Wipada Kunaviktikul
          Kulwadee Abhicharttibutra
          Orn-Anong Wichaikhum
        affil: PhD (Candidate), Doctor of Philosophy Program in Nursing Science (International Program), Faculty of Nursing, Chiang Mai University, Thailand
      sug:
        subj:
          Causal Modeling
          Quality of Nursing Care China
          Hospitalization
          Psychological Well-Being
          Theory Construction
          Models, Theoretical Evaluation
          Nursing Theory Evaluation
          Human
          Male
          Female
          Adult
          China
          Inpatients
          Cross Sectional Studies
          Multicenter Studies
          Stratified Random Sample
          Registered Nurses
          Scales
          Questionnaires
          Psychological Tests
          Nursing Practice
          Work Environment
          Work Engagement
          Empowerment
          Conceptual Framework
          Structural Equation Modeling
          Summated Rating Scaling
          Data Analysis Software
          Descriptive Statistics
          Chi Square Test
          Comparative Studies
          Checklists
          Adult: 19-44 years
          Male
          Female
      ab: The quality of nursing care is essential and contributes to restoring people's health and well-being, especially when people are hospitalized. Various factors relating to the quality of nursing care have been identified, including nursing shortages. However, in China, there has been little research undertaken on factors influencing nursing care quality. This cross-sectional study aimed to develop and test the Chinese Model of Quality Nursing Care. A multi-stage, proportional stratified random sampling was used to recruit 784 registered nurses in three affiliated hospitals of a medical university in the People's Republic of China. Eight Instruments were used for data collection: a demographic data form, the Good Nursing Care Scale, the Nurse Staffing Item, the Practice Environment Scale of the Nursing Work Index, the 3-item Utrecht Work Engagement Scale, the Psychological Empowerment Scale, the High-performance Work Systems Scale, the 8-item Survey of Perceived Organizational Support. In addition, the Analysis of Moment Structure software program was used to test the hypothesized model. Results indicated that the modified model fitted the empirical data and explained 31% of the variance in the quality of nursing care. Nursing practice environment, psychological empowerment and work engagement had positive direct effects on the quality of nursing care, with the nursing practice environment having the strongest total effect. Nursing practice environment, high-performance work systems, and perceived organizational support indirectly positively affected the quality of nursing care through psychological empowerment and work engagement. Unexpectedly, the patient-to-nurse ratio had no significant influence on the quality of nursing care. The results support the need for hospital managers to take action to improve the organizational support and work environment and create high-performance work systems to retain more nurses and midwives to enhance the quality of nursing care. The model requires further testing in practice and possible refinement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N