A Donabedian Model of the Quality ofNursing Care From Nurses' Perspectivesin a Portuguese Hospital: A Pilot Study

    loading  Checking for direct PDF access through Ovid

Abstract

Background and Purpose:

To test a Donabedian model in a pilot study of nurses' perceptions of the quality of nursing care.

Methods:

Four methods for detecting the tridimensionality of perception are compared: Cronbach's alpha, Steenbergen's similarity coefficients, the box and whiskers plot (B&W), and the Friedman test.

Results:

Low alphas suggested multidimensionality; the similarity coefficients indicated confounding between two factors but B&W and the Friedman test (p < .001) suggest nurses perceive more quality in outcome than in process.

Conclusions:

The similarity coefficients are preferable to Cronbach's alpha for estimating internal consistency and for detecting multidimensionality. B&W suggests the factors confounded using Steenbergen's method occupy different levels of perception, suggesting tridimensionality. The homogeneous social group is largely responsible for the apparently contradictory results obtained from statistical analysis.

Related Topics

    loading  Loading Related Articles