The purpose of this study was to offer the results of content analysis and qualitative study that explored the perceptions about quality nursing care of patients and families as consumers and to identify 1;he implications of this study for quality nursing care management and research.
The data was collected from 12 adult patients and´ 9 families who were admmitted at medical and surgical nursing unit of one university hospital in Seoul from October, 1996 to January, 1997. Research participants were asked to response "what do you think quality nursing care?"" and similar questions during the interviews was performed.
Data vvere analyzed using open coding and con-tent analysis with frequencies and percents of at-tributes of quality nursing care. Attributes of quality nursing care and meaning of quality nursing care that patients and families perceived were explored.
1. The attributes of quality nursing care that patient ;end families perceived were categorized into 56 attributes. The highest response rate among the attributes was ´one´s heart at ease´ (76.2%): and the next high response rates were ranked in order `consideration´ `care about´ (each 61.9%)expert :kill´ (57.1%), `deal with problem promptly´ `information offer´ (42.9 0 , `intimate feeling´ (38.1%), ´smile´ `service spirit´ `do one´s best´ (each 33.3%), `frequent visit´ (23.8%). `observe the time´ (23.8%). `direct nursing care´ `speak-ing warmly´ `give a hope´ `address kindly´ `a sense of duty´ `good facilities´ (each 19.0%). `inquire after a patient health´ `patient-centered nursing care´ `showing an example´ ´professional knowledge´ `careless moraly patient´ `give en- courage to patients´ `good answer a question´ (each 14.3%), `do not imprudently´ ´do not dis-regard´ `broad knowledge´ `emergency treatment skill´ `dependability´ `consolation´ `giving a sense of security´ `a self -sacrificing spirit´ `a sense of responsibility´ `hard -working´ , `enough disposition of. nursing staff (each 9.5%). `improve patient´s pride´ and the rest attributes exhibited 4.7%, respectively.
2. The attributes that were identified in patients" data only were 8 categories. ´service sprit´ (58.3 %) `expert knowledge´ `good answer a question´ (each 25.0%), `hard -working´ (16.7%). `a warm character´ , `professional attainments´ . `do without reserve´ , ´satisfaction´ (each 8.3%).
3. The attributes were identified to families´ -data only were 31 categories, "speaking warmly´ , `direct nursing care´ , `adress kindly´ . `patient-centered nursing care´ . ´showing an example´ (each 33.3%). `do not imprudently´ ´do not disregard´ , `consolation´ , `giving a sense of security´ `broad knowledge´ `emergency treatment skill´ .`dependability´ , `a self -sacrificing spirit´ , ´a sense of responsibility´ teach 22.2%), `improve patient´s pride´ `without discrimination´ `show kindness´ `individual nursing care´ , `being with patient´ , `helping´ , `accuracy´ , `without any mistake´ . `love´ , `self -confidence´ , `self -possession´ ,a self -denying spirit´ . `a sense of duty´ , `tighten discipline´ , `disposed room with similar patient to diagnosis", "compensatory relationship between me dical team´ . `role of connection´ (each 11.1%).
4. The attributes of quality nursing care were integrated into 11 categories that they were "patient-centered nursing care"(25.1%), ´expertise"(22.1%), ´caring´(18.1%), ´kindness´(11.10), ´nurse attainments´(10.1´´/0), "sincerity (7.5%). ´good environment´ (2,0%), "e:ffective organizational management", "coordination". ´enough nursing staff (each 1.0%). "satisfaction~(0:5%) were showed in the order of the highest rate.
5. The concept of quality nursing care were de-fined as ´give a satisfactions to patients by patient-centered care based on professional skill and caring with kindness and sincerity´.
The description of the mea3-ning of quality nursing care provided by this research participants. patients and families can provide important information for quality mlrsing care management, medical marketing, education and researches of this field.
On the basis of the above findings the following recommendations are made to suggest to utilize this results for patient care in practice setting, development of quality assessment tool in nursing care, repe,~t study by the same subjects and method, and to a comparative study by the same method to nurse.
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