Advanced

Nurses' assessments and patients' perceptions: development of the night nursing care instrument (NNCI), measuring nursing care at night

Johansson, P; Oleni, M and Fridlund, Bengt LU (2005) In International Journal of Nursing Studies 42(5). p.569-578
Abstract
Background: Nursing care provided at night has a different purpose and objective to that provided during the day. A review of the literature does not reveal any scientifically tested research instruments for evaluating and comparing the nurse's assessment of nursing care with the patient's perception at night. Aims and objectives: The aim of this study was to develop and test an instrument for evaluating nursing care and to compare nurses' assessments with patients' perceptions of nursing care provided at night. Design: The study was carried out in two phases; the first had an explorative design and the second an evaluative and comparative design. The Night Nursing Care Instrument (NNCI) included two questionnaires; one for nurses and one... (More)
Background: Nursing care provided at night has a different purpose and objective to that provided during the day. A review of the literature does not reveal any scientifically tested research instruments for evaluating and comparing the nurse's assessment of nursing care with the patient's perception at night. Aims and objectives: The aim of this study was to develop and test an instrument for evaluating nursing care and to compare nurses' assessments with patients' perceptions of nursing care provided at night. Design: The study was carried out in two phases; the first had an explorative design and the second an evaluative and comparative design. The Night Nursing Care Instrument (NNCI) included two questionnaires; one for nurses and one for patients. These questionnaires were developed from a nursing framework and covered the following three areas:,nursing interventions', 'medical interventions' and 'evaluation'. Methods: Nurses (n = 40) on night duty on a medical ward at a central hospital in southern Sweden were consecutively selected, to participate in the study. The patients (n = 80) were selected by means of convenience sampling. In order to achieve construct validity, factor analysis of each individual area was carried out. Reliability in terms of internal consistency was tested by Cronbach's alpha. Results: The overall NNCI had acceptable reliability and validity. There was no statistically significant difference between nurses' assessments and patients' perceptions in any of the three areas of 'nursing interventions', 'medical interventions' or 'evaluation'. The patients rated night nursing care as satisfactory for the majority of the items. Relevance to clinical practice: These findings demonstrate that it is possible to create a short instrument with acceptable reliability and validity, which is easy to use in clinical practice. The results also show that night nurses need to improve their ability to assess patients' needs during the night to increase the quality of night nursing care. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
evaluative, explorative, instrument, night nursing care, development, comparative
in
International Journal of Nursing Studies
volume
42
issue
5
pages
569 - 578
publisher
Elsevier
external identifiers
  • wos:000230121700009
  • pmid:15921988
  • scopus:19544379704
ISSN
1873-491X
DOI
10.1016/j.ijnurstu.2004.09.004
language
English
LU publication?
yes
id
bec755eb-eea6-408c-a277-96230b2d7777 (old id 233841)
date added to LUP
2007-08-20 12:59:58
date last changed
2017-01-01 05:12:24
@article{bec755eb-eea6-408c-a277-96230b2d7777,
  abstract     = {Background: Nursing care provided at night has a different purpose and objective to that provided during the day. A review of the literature does not reveal any scientifically tested research instruments for evaluating and comparing the nurse's assessment of nursing care with the patient's perception at night. Aims and objectives: The aim of this study was to develop and test an instrument for evaluating nursing care and to compare nurses' assessments with patients' perceptions of nursing care provided at night. Design: The study was carried out in two phases; the first had an explorative design and the second an evaluative and comparative design. The Night Nursing Care Instrument (NNCI) included two questionnaires; one for nurses and one for patients. These questionnaires were developed from a nursing framework and covered the following three areas:,nursing interventions', 'medical interventions' and 'evaluation'. Methods: Nurses (n = 40) on night duty on a medical ward at a central hospital in southern Sweden were consecutively selected, to participate in the study. The patients (n = 80) were selected by means of convenience sampling. In order to achieve construct validity, factor analysis of each individual area was carried out. Reliability in terms of internal consistency was tested by Cronbach's alpha. Results: The overall NNCI had acceptable reliability and validity. There was no statistically significant difference between nurses' assessments and patients' perceptions in any of the three areas of 'nursing interventions', 'medical interventions' or 'evaluation'. The patients rated night nursing care as satisfactory for the majority of the items. Relevance to clinical practice: These findings demonstrate that it is possible to create a short instrument with acceptable reliability and validity, which is easy to use in clinical practice. The results also show that night nurses need to improve their ability to assess patients' needs during the night to increase the quality of night nursing care.},
  author       = {Johansson, P and Oleni, M and Fridlund, Bengt},
  issn         = {1873-491X},
  keyword      = {evaluative,explorative,instrument,night nursing care,development,comparative},
  language     = {eng},
  number       = {5},
  pages        = {569--578},
  publisher    = {Elsevier},
  series       = {International Journal of Nursing Studies},
  title        = {Nurses' assessments and patients' perceptions: development of the night nursing care instrument (NNCI), measuring nursing care at night},
  url          = {http://dx.doi.org/10.1016/j.ijnurstu.2004.09.004},
  volume       = {42},
  year         = {2005},
}