Patient ‐ Centred Quality of Nursing Care : A Cross‐Sectional Study of the Level and Associated Factors as Perceived by Patients
AIM: To produce evaluative knowledge on the patient-centred quality of nursing care and factors related to it from the perspective of hospitalized patients in Finland. DESIGN: A cross-sectional explorative study. REVIEW METHODS: Survey instrument included the structured, internationally validated Good Nursing Care Scale (40 items) (Leino-Kilpi 2025), General Evaluation of the Quality of Nursing Care (5 items) and background factors (15 items). The data were statistically analysed. DATA SOURCES: Data were collected between May and July 2025 from hospitalized adult patients (N = 861), from two wellbeing services counties in Finland. RESULTS: Patients evaluated the quality of nursing care high: subcategories of Good Nursing Care Scale (Median 3.80-3.00, Scale 1-4), The General Evaluation of the Quality of Nursing (Median 9, Scale 4-10) and Patient educational support (Median 3.46, Scale 1-4). Lowest ratings were in the collaboration with the family/significant others. Identified statistically associated factors were patients´ work status and health status on the day of discharge, and sufficient information prior hospitalization. CONCLUSION: The results both confirm existing knowledge and identify development needs in conceptual, methodological and clinical fields. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The research has implications both on the patient and organizational levels, including role of the patients and leadership of nursing quality. IMPACT: The public social and healthcare reform underscores the need for quality evaluation in Finland. The research showed the patient-centred quality of nursing care in hospital being high, but identified areas for development. The findings may impact on nursing practice, nursing education and healthcare organizations. REPORTING METHOD: Reported in accordance with the STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION: Patients were voluntary respondents in the study.
Authors
- Helena Leino‐Kilpi (ORCID: https://orcid.org/0000-0003-2477-971X)
- Miko Pasanen (ORCID: https://orcid.org/0000-0002-1637-5064)
- Saija Inkeroinen (ORCID: https://orcid.org/0000-0001-5989-9442)
- Minna Stolt (ORCID: https://orcid.org/0000-0002-1845-9800)
- Heli Virtanen (ORCID: https://orcid.org/0000-0003-1801-549X)
- Sanna Mäkinen (ORCID: https://orcid.org/0009-0000-9903-9893)
- Jenna Poraharju (ORCID: https://orcid.org/0009-0003-3670-7796)
Institutions
- University of Turku (FI)
- Turku University Hospital (FI)
- Satakunta Central Hospital (FI)
Publication Details
- Journal
- Nursing Open
- Published
- 2026-11-01
- DOI
- https://doi.org/10.1002/nop2.70995
- Primary Topic
- Patient Satisfaction in Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00