Early career RNs' perceptions of quality care in the hospital setting

Daniel D. Cline, Marie Claire Rosenberg, Christine T. Kovner, Carol Brewer

Research output: Contribution to journalArticlepeer-review


The purpose of this study was to explore early-career registered nurses' perceptions of high-quality nursing care in hospitals. The study findings contribute to ongoing work intended to explore and define what quality nursing care is and how it ultimately impacts patients. The final sample analyzed for this article consisted of 171 narrative responses from hospital-based registered nurses. We used Krippendorff's technique for qualitative content analysis to identify themes. Three themes emerged as integral to high quality nursing care: registered nurse presence, developing relationships, and facilitating the flow of knowledge and information. Development of nursing quality indicators should focus on nursing processes in addition to patient outcomes. Such a focus would better capture the complexity of hospital nursing care.

Original languageEnglish (US)
Pages (from-to)673-682
Number of pages10
JournalQualitative Health Research
Issue number5
StatePublished - May 2011


  • Content analysis
  • Health care acute/critical
  • Health care administration
  • Nursing
  • Quality improvement
  • Quality of care

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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