Measuring Quality of Delivered Nursing Services

This study measured and compared the perceived quality of delivered nursing services in hospital settings in Brazil and the United States. Within the context of this study purpose, four research hypotheses were tested. Two of the hypotheses involved direct comparisons of patient and provider perceptions between Brazilian and American samples, while the remaining two hypotheses involved comparisons between patient and provider perceptions within the Brazilian and American samples. Research results are presented within the context of each hypothesis.

Comparison of Patient Perceptions:

Hypothesis number one held that patient perceptions of the quality level of nursing services will be higher in the United States than in Brazil. The structure of the rating instruments completed by the patient and provider samples yielded results wherein lower scores indicated more positive perceptions of delivered nursing services, or a lower level of dissatisfaction. Therefore, for hypothesis number one to be accepted, two criteria were required to be met. First, the mean patient score of the quality level of nursing services delivered in Brazil was required to be higher that the mean patient score in the United States. Second, the variations between the weighted perceptions of the Brazilian and American patient samples were required to be statistically significant at p<.05. As the data presented in Table 1 indicate (the table may be found on the following

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s, the second criterion for acceptance of the hypothesis was met, as providers perceived nursing services to be of a higher quality level than the quality of such services was perceived by patients. Because the statistical significance of the variance criterion was not met, however, hypothesis number three, by inference, was rejected. Table 3 Results of ANOVA: Comparison of Patient and Provider Perceptions in the United States ================================================================= Source of Sum of Degrees of Mean F Ratio Variation Squares Freedom Square Status 204.485 1 204.485 0.539 Residual 36046.906 95 379.441 Total 36251.391 96 Critical Value of F at p<.05: 3.970 Statistically Significant at p<.05: No ================================================================= Comparison of Provider and Patient Perceptions in Brazil Hypothesis number four held that patient perceptions of the quality level of nursing services will be higher than provider perceptions of these services in Brazil. Th

Category: Medical - M