FACTORS INFLUENCING ON NURSING CARE QUALITY PERCEIVED BY PROFESSIONAL NURSES IN GOVERNMENT HOSPITALS, KINGDOM OF CAMBODIA

Abstract

This descriptive cross-sectional research design for causal modeling aimed to examine factors influencing on nursing care quality in government hospitals, Cambodia. The conceptual framework were modified from the Nurse Work Environment, Nurse Staffing, and Outcome Model and empirical studies. A multi-stage sampling was used for data collection, which conducted from October 2016 to April 2017. Three hundred and seventy five RNs represented twelve tertiary general hospitals were invited for the study. All of participants completed five questionnaires, including demographic data and nurse staffing, nurse practice environment, nursing work index, Copenhagen burnout inventory, Index work satisfaction, and Cambodian nursing care quality scale. The results specified that the hypothesis model fit the empirical data and explained 12% of the variance about nursing care quality (χ2 = 266.78, df = 187, χ2/df = 1.42, p-value = .001, GFI = .94, RMSEA = .034, SRMR = .042, and CFI = .99, AGFI = .92, NFI = .96). The structural equation modeling resulted nurse work satisfaction had negative directly affected nursing care quality, nurse staffing had positive directly affected on nurse work satisfaction (r = -.26 and .22, p < .05 respectively). However, nurse practice environment had no affected nursing care quality, burnout, and nurse work satisfaction. In addition, nurse staffing had no affected on nursing care quality and burnout. The results indicated that the nurse work satisfaction was negatively impacted on nursing care quality, and nurse staffing was positively impacted on nurse work satisfaction.