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Instruments for assessing nursing care quality: a scoping review

2025-09-19Review article Open access
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dc.contributor.authorCorreia, Patrícia
dc.contributor.authorBernardes, Rafael A.
dc.contributor.authorCaldeira, Sílvia
dc.date.accessioned2025-10-09T09:39:58Z
dc.date.available2025-10-09T09:39:58Z
dc.date.issued2025-09-19
dc.description.abstractBackground/Objectives. Quality of nursing care (QNC) is a central concept in healthcare systems worldwide, with growing emphasis on developing reliable and contextually appropriate instruments for its assessment. Over recent decades, there has been a shift from outcome-based evaluation toward more holistic, patient-centered frameworks that consider both clinical indicators and interpersonal dimensions of care. This scoping review aimed to map the range, nature, and characteristics of self-report instruments used to assess the quality of nursing care, including their psychometric properties and contextual applications across different clinical settings. Methods. A systematic search was conducted in CINAHL Complete, MEDLINE (via PubMed), Scopus, Web of Science, and ProQuest Dissertations & Theses, alongside gray literature sources, following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Studies were included if they reported on the development, validation, adaptation, or application of QNC assessment tools in hospital or community nursing contexts, and were published in English, Portuguese, or Spanish. Results. Fifty-nine studies were included, spanning from 1995 to 2025. The instruments identified were predominantly structured around Donabedian’s structure-process-outcome model, and many emphasized relational domains such as empathy, communication, and respect. Tools like the Good Nursing Care Scale (GNCS), the Quality of Oncology Nursing Care Scale (QONCS), and the Karen Scales demonstrated strong internal consistency (Cronbach’s ? ranging from 0.79 to 0.95). Conclusions. Organizational factors, including leadership and staffing, and predictors such as burnout and work intensity, were found to influence perceived care quality. Important gaps remain regarding longitudinal use and integration of patient-reported outcome measures.eng
dc.identifier.citationCorreia, P., Bernardes, R. A., & Caldeira, S. (2025). Instruments for assessing nursing care quality: a scoping review. Nursing Reports, 15(9), Article 342. https://doi.org/10.3390/nursrep15090342
dc.identifier.doi10.3390/nursrep15090342
dc.identifier.eid105017168916
dc.identifier.issn2039-439X
dc.identifier.otherb69972d5-61d2-4ee6-9467-1b88cc7ba9c6
dc.identifier.pmcPMC12472527
dc.identifier.pmid41003298
dc.identifier.urihttp://hdl.handle.net/10400.14/55172
dc.identifier.wos001580674900001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectInstruments
dc.subjectNursing care
dc.subjectQuality
dc.subjectScales
dc.titleInstruments for assessing nursing care quality: a scoping revieweng
dc.typereview article
dspace.entity.typePublication
oaire.citation.issue9
oaire.citation.titleNursing Reports
oaire.citation.volume15
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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