Volume 31, Issue 113 (August 2018)                   IJN 2018, 31(113): 18-29 | Back to browse issues page


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Bakhteari Z, Hanifi N, Amini K, Jafari Varjoshani N. Quality of Nursing Services in Dialysis Center of Valiasr Hospital in Zanjan from Nurses and Patients' Viewpoint Using the SERVQUAL Model. IJN 2018; 31 (113) :18-29
URL: http://ijn.iums.ac.ir/article-1-2696-en.html
1- Graduate Student, Critical Care Nursing Department, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
2- Assistant Professor, Department of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
3- Assistant Professor, Department of Psychiatric Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
4- Assistant Professor, Department of Community Health Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran. (Corresponding Author) Tel: +988412544 Email :jafari_ns@zums.ac.ir
Abstract:   (5320 Views)
Background & Aim: Quality of care is one of the basic rights of patients. Since the survey of nurses and patients' viewpoint can provide more comprehensive information about the status of provision of services, this study aimed to assess the quality of nursing care from nurses and patients viewpoints.
Materials & Methods: This applied descriptive-analytic study was conducted in Zanjan in 2016. In this study, 150 patients and 16 nurses working in the only dialysis center in Zanjan located in Valiasr Hospital were enrolled by census method. Data were completed using the SERVQUAL questionnaire (Service Quality). Paired t-test, independent t-test and ANOVA and SPSS 16 software were used to analyze the data.
Results: From the perspective of the patients participating in the study, the gap (i.e. the difference in what was expected of the patients and what they understood in practice) was in the quality of providing services in all aspects of perceptions and expectations, except for the guarantee of existence (P < 0.001). From the viewpoint of nurses, there was a gap in the quality of services in all aspects of perceptions and expectations (P < 0.001). There was a significant relationship between education (P = 0.027) and occupation (P = 0.002).
Conclusion: The results of this study indicate that there is a gap in the quality of nursing care in the dimensions of perceptions and expectations of patients and nurses. Therefore, it is recommended to design and implement programs to improve the quality of nursing services after investigating and identifying the reasons for the lack of quality of services.
Full-Text [PDF 762 kb]   (1239 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2018/05/7 | Accepted: 2018/08/6 | Published: 2018/08/6

References
1. Sh T, Sadeghifar J, Hamouzadeh P, Afshari S, Foruzanfar F, SM TS. [Quality of educational services from the viewpoints of students SERVQUAL model]. Education Strategies in Medical Sciences. 2011;4(1):21-6.
2. Enayati NA, Uosefi M, Siyami L, Javaheri DM. [Evaluation of the quality of education services of Payam Noor University of Hamedan Based on the SERVQUAL Model]. Quarterly journal of Research and Planning in Higher Education. 2011;17(3):135-51.
3. Sahney S, Banwet D, Karunes S. An integrated framework for quality in education: Application of quality function deployment, interpretive structural modelling and path analysis. Total Quality Management & Business Excellence. 2006;17(2):265-85. [DOI:10.1080/14783360500450376]
4. Burhans LM, Alligood MR. Quality nursing care in the words of nurses. J Adv Nurs. 2010;66(8):1689-97. [DOI:10.1111/j.1365-2648.2010.05344.x] [PMID]
5. Bahadori M, Mousavi SM, Sadeghifar J, Haghi M. [Reliability and performance of SEVQUAL survey in evaluating quality of medical education services]. International Journal of Hospital Research. 2013;2(1):39-44.
6. Lau PM, Akbar AK, Fie DYG. Service quality: a study of the luxury hotels in Malaysia. Journal of American Academy of Business. 2005;7(2):46-55.
7. Alavi M. [Evaluation of the quality of services of hospitalized patients in surgical wards in private and public hospitals in Mashhad]. Iran Health Insurance Organization. Mashhad University of Medical Sciences. Mashhad. 2016.
8. Gholami A, Noori A, Khojastepoor M, Asgari M, Sajadi H. [Gaps in the quality of primary health care services provided by health centers-Care Nishapur city]. Scientific Journal of shahed university. 2011;18(92):1-11.
9. Gohari M. [The relationship between services quality and patient's loyalty in Tehran public and private hospitals: 2009]. Journal of Hospital. 2010;8(3):35-42.
10. Mohammadi A, Eftekharardabili H, Akbarihaghighi F, Mahmudi M, Poorreza A. [mesuring service quality based on patient's Expectations and perceptions in zanjan hospitals]. Journal of the Faculty of Health and Medical Research Instute. 2003;2(2):308-13.
11. Khammarnia M, Ravangard R, Jahromi M, Moradi A. [Study on the Medical Errors in Public Hospitals of Shiraz, 2013]. Hospital (Rio J). 2014;13(3):17-24.
12. Mohammadnia M, Delgoshaei B, Tofighi S, Riahi L, Omrani A. [Survey on nursing service quality by SERVQUAL at Tehran Social Security Organization hospitals]. Journal of Hospital. 2010;8(3):68-73.
13. Naqavi MR, Refaiee R, Baneshi MR, Nakhaee N. [Analysis of gap in service quality in drug addiction treatment centers of Kerman, Iran, using SERVQUAL model]. Addiction & health. 2014;6(3-4):85. [PMID] [PMCID]
14. Jenaabadi H, Abili K, Nastiezaie N, Yaghubi NM. [The gap between perception and expectations of patients of quality of treatment centers in Zahedan by using the Servqual model]. Payesh. 2011:449-57.
15. Ranjbarezatabadi M, ZareAhmadabadi H, Arab M, Nasiri S, Hataminasab S, Bahrami M. [Analysis of SERVQUAL in Shahid Sadoghi hospital, Yazd, Iran]. Bimonthly Journal of Hormozgan University of Medical Sciences. 2012;16(4):333-40.
16. Bahadori M, Raadabadi M, Jamebozorgi MH, Salesi M, Ravangard R. [Measuring the quality of provided services for patients with chronic kidney disease]. Nephro-urology monthly. 2014;6(5):1- 7. [DOI:10.5812/numonthly.21810]
17. Taie ES. Emerging of medical tourism in Egyptian hospitals: International patient satisfaction towards nurses services quality. Global Adv Res J Manag Bus Stud. 2013;2:93-104.
18. Esteki R, Attafar A. [Quality of nursing services (contemporary level of reality and level of expectation) from nurses' viewpoint on the basis of SERVQUAL Model in Al-Zahra Hospital in Isfahan (2010)]. Modern Care Journal. 2012;9(2):72-9.
19. Ghamari ZA, Anousheh M, Vanaki Z, Hajizadeh E. [Quality of Nurse's Performance and Patients'satisfaction in Cardiac Care Units]. Zahedan Journal Of Research In Medical Sciences. 2008;10(1):27-36.
20. Schulmeister L, Quiett K, Mayer K, editors. Quality of life, quality of care, and patient satisfaction: perceptions of patients undergoing outpatient autologous stem cell transplantation. Oncol Nurs Forum; 2005. [PMCID]
21. Zadeh H. [The effect of peer review evaluation on quality of nurse's performance and patient's satisfaction]. Iran Journal of Nursing. 2010;22(62):8-21.
22. Samina M, Qadri G, Tabish S, Samiya M, Riyaz R. Patient's perception of nursing care at a large teaching hospital in India. International Journal of Health Sciences. 2008;2(2):92.
23. Wagner D, Bear M. Patient satisfaction with nursing care: a concept analysis within a nursing framework. J Adv Nurs. 2009;65(3):692-701. [DOI:10.1111/j.1365-2648.2008.04866.x] [PMID]
24. Charalambous A. Variations in patient satisfaction with care for breast, lung, head and neck and prostate cancers in different cancer care settings. Eur J Oncol Nurs. 2013;17(5):588-95. [DOI:10.1016/j.ejon.2013.01.006] [PMID]
25. Parvan K, Lakdizaji S, Roshangar F, Mostofi M. [Assessment of quality of life in patients undergoing continuous hemodialysis in four hospitals of East Azarbayjan, in 2012]. Razi Journal of Medical Sciences. 2014;21(123):19-28.
26. Hojat M, Mohebi J, Nazari V, Charkh-Andaz M. [Personnel and patients satisfaction as a measure of service quality measurement]. Iran Journal of Nursing. 2010;23(65):73-82.
27. Parasuraman A, Zeithaml VA, Berry LL. Servqual: A multiple-item scale for measuring consumer perc. Journal of retailing. 1988;64(1):12.
28. Heidarnia M-A, Riazi-Isfahani S, Abadi A, Mohseni M. [Cross cultural adaptation and assessing validity and reliability of SERVQUAL questionnaire in hospital service quality]. Research in Medicine. 2014;38(2):98-105.
29. Muhammad Butt M, Cyril de Run E. Private healthcare quality: applying a SERVQUAL model. Int J Health Care Qual Assur. 2010;23(7):658-73. [DOI:10.1108/09526861011071580] [PMID]
30. Bakar C, Seval Akgün H, Al Assaf A. The role of expectations in patients' hospital assessments: A Turkish university hospital example. Int J Health Care Qual Assur. 2008;21(5):503-16. [DOI:10.1108/09526860810890477] [PMID]
31. Gorji HA, Tabatabaei S, Akbari A, Sarkhosh S, Khorasan S. [Using the service quality gap's model (SERVQUAL) in Imam Khomeini teaching hospital: 2012]. Journal of Health Administration (JHA). 2013;16(51):7-18.
32. Martínez ER, Iriarte MS, Viguria RG, Linares MDB, Coscojuela MM, Erro MA. La calidad asistencial en cuidados intensivos evaluada por los pacientes mediante la escala Servqual. Enferm Intensiva. 2010;21(1):3-10. [DOI:10.1016/j.enfi.2009.10.001] [PMID]
33. Bastani P, Barati O, Sadeghi A, Sharifi S, Abhari S. [Analysis of Service Quality Gap in Outpatient Wards Using SERVQUAL Model in Shahid Motahhari Clinic of Shiraz in 2014]. Journal of Rafsanjan University of Medical Sciences. 2016;14(12):1015-32.

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