Nurse-perceived time pressure and patient-perceived care quality

J Nurs Manag. 2010 Apr;18(3):275-84. doi: 10.1111/j.1365-2834.2010.01073.x.

Abstract

Aims: To examine how time pressure among nurses influences patient-perceived care quality.

Background: Although nurses worldwide face increased time pressure in the workplace, no studies have addressed how workplace time pressure influences patient-perceived care quality. Patient-perceived care quality predicts patient intent to revisit the hospital if care is required, warranting investigation as to whether nurse-perceived time pressure decreases patient-perceived care quality.

Methods: A cross-sectional design and survey method were adopted. The data analysis was based on 229 nurse-patient sets drawn from a medical centre in northern Taiwan. Each set comprised one nurse and three patients.

Results: The study results demonstrate that time pressure among nurses reduces patient-perceived reliability/accountability, responsiveness and assurance. The test results, however, did not indicate a significant negative association between time pressure and patient-perceived empathy and tangibles.

Conclusion: Time pressure among nurses may reduce patient perception of care quality in terms of reliability/accountability, responsiveness and assurance.

Implications for nursing management: To enhance patient perception of care quality, nursing managers need to devise means to reduce nurse-perceived time pressure.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Confidence Intervals
  • Cross-Sectional Studies
  • Efficiency
  • Female
  • Health Care Surveys
  • Humans
  • Male
  • Middle Aged
  • Nurse Administrators
  • Nursing Staff, Hospital / psychology*
  • Nursing, Supervisory*
  • Occupational Exposure
  • Patient Satisfaction*
  • Quality of Health Care*
  • Reproducibility of Results
  • Social Responsibility
  • Stress, Psychological*
  • Time Perception*
  • Workplace
  • Young Adult