A1 Journal article – refereed
Perceived quality of nursing care and patient education: a cross-sectional study of hospitalised surgical patients in Finland

List of Authors: Gröndahl W, Muurinen H, Katajisto J, Suhonen R, Leino-Kilpi H
Publisher: BMJ Publishing Group
Publication year: 2019
Journal: BMJ Open
Volume number: 3
Issue number: 9
eISSN: 2044-6055



This study aims to analyse the relationship
between patient education and the quality of surgical nursing care as
perceived by patients. The background of the study lies in the
importance of a patient-centred approach for both patient education and
quality evaluation.


This was a cross-sectional descriptive correlational study with surgical patients.


Data were collected in 2013 in one hospital district in Finland.


480 hospitalised surgical patients.


data were collected using two structured instruments: one measuring the
perceived quality of nursing care experienced by patients (Good Nursing
Care Scale) and one measuring the received knowledge of hospital
patients (RKhp). Data were analysed statistically using descriptive and
inferential statistics to describe the sample and study variables.
Pearson's correlation coefficients were used to analyse the association
between the scales.


Surgical hospital patients
evaluated the level of the quality of nursing care as high; this was
especially true with reference to the environment and staff
characteristics, but not to collaboration with family members. Most
(85%) of the patients had received sufficient knowledge preoperatively
and they were familiar with the proceeding of their care and treatment
after discharge; in particular, they had received bio-physiological
knowledge, consisting of knowledge of the disease, symptoms and the
physiological elements of care. The positive correlation between the
perceived quality of surgical nursing care and received knowledge was
strong, suggesting a positive relationship between patient education and
improvement of the quality of nursing care.


on the results, the quality of nursing care and patient education are
interconnected. Thus, by improving patient education, the quality of
nursing care can also be improved. It is particularly important to
improve collaboration with family members and patients' own management
strategies as well as the multidimensionality of educational knowledge.

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Last updated on 2019-20-07 at 05:09