Causal Modelling of Factors Influencing Quality of Nursing Care in China

The quality of nursing care is essential and contributes to restoring people’s health well-being, especially when people are hospitalized. Various factors relating the have been identified, including shortages. However, in China, there has little research undertaken on influencing quality. This cross-sectional study aimed develop test Chinese Model Quality Nursing Care. A multi-stage, proportional stratified random sampling was used recruit 784 registered nurses three affiliated hospitals a medical university People’s Republic China. Eight Instruments were for data collection: demographic form, Good Care Scale, Nurse Staffing Item, Practice Environment Scale Work Index, 3-item Utrecht Engagement Psychological Empowerment High-performance Systems 8-item Survey Perceived Organizational Support. In addition, Analysis Moment Structure software program hypothesized model. Results indicated that modified model fitted empirical explained 31% variance care. practice environment, psychological empowerment work engagement had positive direct effects care, with environment having strongest total effect. high-performance systems, perceived organizational support indirectly positively affected through engagement. Unexpectedly, patient-to-nurse ratio no significant influence results need hospital managers take action improve create systems retain more midwives enhance requires further testing possible refinement.