The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety

The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety

The healthcare industry is complex in nature. The quality of care and patient safety has become a national and international priority. Limited efforts have been made on improving nursing care in order to optimize the outcomes of care. This study empirically investigated the impact of hospital nurse...

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Main Author: Jarrar, Mutaman Khalil Mahmoud
Format: Thesis
Language:eng
eng
Published: 2015
Subjects:
RA410.55 Hospital Care.
Online Access:https://etd.uum.edu.my/5410/1/s95258.pdf
https://etd.uum.edu.my/5410/2/s95258_abstract.pdf
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malaysian 1
theses 1
id my-uum-etd.5410
record_format uketd_dc
institution Universiti Utara Malaysia
collection UUM ETD
language eng
eng
advisor Dato Abdul Rahman, Hamzah
topic RA410.55 Hospital Care.
spellingShingle RA410.55 Hospital Care.
Jarrar, Mutaman Khalil Mahmoud
The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
description The healthcare industry is complex in nature. The quality of care and patient safety has become a national and international priority. Limited efforts have been made on improving nursing care in order to optimize the outcomes of care. This study empirically investigated the impact of hospital nurse staffing and work environment on the quality of care and patient safety in the medical and surgical wards in Malaysian private hospitals. The mediating effect of patient-centeredness on the effect of both hospital nurse staffing and work environment on the quality of care and patient safety was also investigated. A cross-sectional survey was conducted on 12 private hospitals. Data was collected, through questionnaires, from 652 nurses, with a 61.8 % response rate. The stratified simple random sampling was used to allow nurses from all shifts to participate in the study. Regression analyses and the Hayes PROCESS macro were conducted to test the hypotheses. The results showed that staffing had an insignificant negative impact on the outcomes of care, whereas work environment had a significant positive impact. Moreover, it was found that patient-centeredness significantly mediated the effect of both staffing and work environment upon the outcomes. A model for improving the quality of care and patient safety was proposed. The practical implications indicated that patientcenteredness suppresses the negative impact of nursing shortage and shift length, and complements the positive impact of work environment on the outcomes of care. Further mediators are recommended for future research on the impact of both hospital nurse staffing and work environment on the quality of care and patient safety.
format Thesis
qualification_name Ph.D.
qualification_level Doctorate
author Jarrar, Mutaman Khalil Mahmoud
author_facet Jarrar, Mutaman Khalil Mahmoud
author_sort Jarrar, Mutaman Khalil Mahmoud
title The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
title_short The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
title_full The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
title_fullStr The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
title_full_unstemmed The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
title_sort impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety
granting_institution Universiti Utara Malaysia
granting_department School of Business Management
publishDate 2015
url https://etd.uum.edu.my/5410/1/s95258.pdf
https://etd.uum.edu.my/5410/2/s95258_abstract.pdf
_version_ 1747827929553829888
spelling my-uum-etd.54102021-03-18T08:17:43Z The impact of hospital nurse staffing, work environment and patient-centeredness on the quality of care and patient safety 2015 Jarrar, Mutaman Khalil Mahmoud Dato Abdul Rahman, Hamzah School of Business Management School of Business Management RA410.55 Hospital Care. The healthcare industry is complex in nature. The quality of care and patient safety has become a national and international priority. Limited efforts have been made on improving nursing care in order to optimize the outcomes of care. This study empirically investigated the impact of hospital nurse staffing and work environment on the quality of care and patient safety in the medical and surgical wards in Malaysian private hospitals. The mediating effect of patient-centeredness on the effect of both hospital nurse staffing and work environment on the quality of care and patient safety was also investigated. A cross-sectional survey was conducted on 12 private hospitals. Data was collected, through questionnaires, from 652 nurses, with a 61.8 % response rate. The stratified simple random sampling was used to allow nurses from all shifts to participate in the study. Regression analyses and the Hayes PROCESS macro were conducted to test the hypotheses. The results showed that staffing had an insignificant negative impact on the outcomes of care, whereas work environment had a significant positive impact. Moreover, it was found that patient-centeredness significantly mediated the effect of both staffing and work environment upon the outcomes. A model for improving the quality of care and patient safety was proposed. The practical implications indicated that patientcenteredness suppresses the negative impact of nursing shortage and shift length, and complements the positive impact of work environment on the outcomes of care. Further mediators are recommended for future research on the impact of both hospital nurse staffing and work environment on the quality of care and patient safety. 2015 Thesis https://etd.uum.edu.my/5410/ https://etd.uum.edu.my/5410/1/s95258.pdf text eng public https://etd.uum.edu.my/5410/2/s95258_abstract.pdf text eng public Ph.D. doctoral Universiti Utara Malaysia Abilleira, S., Gallofre, M., Ribera, A., Sanchez, E., & Tresserras, R. (2009). Quality of In-Hospital Stroke Care According to Evidence-Based Performance Measures. Journal of American Heart Association, 40(12), 1433–1438. Ahmad, N., & Oranye, N. O. (2010). Empowerment, job satisfaction and organizational commitment: a comparative analysis of nurses working in Malaysia and England. Journal of Nursing Management, 18(5), 582–591. Aiken, L. H., Clarke, S. P., Cheung, R. B., Sloane, D. M., & Silber, J. H. (2003). Educational levels of hospital nurses and surgical patient mortality. American Medical Association, 290(12), 1617–1623. Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2009). Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes. Journal of Nursing Administration, 38(5), 223–229. Aiken, L. H., Clarke, S., & Sloane, D. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Journal of the American Medical Association, 288(16), 1987–1993. Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., Mckee, M., … Smith, H. L. (2012). Patient safety, satisfaction, and quality of hospital care : cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. British Medical Journal, 344(e1717), 1–14. Aiken, L. H., Sloane, D. M., Bruyneel, L., Van Den Heede, K., Griffiths, P., Busse, R., … Sermeus, W. (2014). Nurse staffing and education and hospital mortality in nine European countries: A retrospective observational study. The Lancet, 383(9931), 1824–1830. Aljunid, S. M., Srithamrongsawat, S., Chen, W., Bae, S. J., Pwu, R.-F., Ikeda, S., & Xu, L. (2012). Health-care data collecting, sharing, and using in Thailand, China mainland, South Korea, Taiwan, Japan, and Malaysia. Value in Health, 15(1), S132–S138. Retrieved from http://doi.org/10.1016/j.jval.2011.11.004 American Association of Critical-Care Nurses. (2005). AACN standards for establishing and sustaining healthy work environments: A journey to excellence. American Journal of Critical Care, 14(3), 187–197. Retrieved from www.aacn.org/WD/HWE/Content/hwehome.pcms?menu= Practice&lastmenu Aslaksen, A. (2005). Improving the quality of palliative care for ambulatory patients with lung cancer. British Medical Journal, 13(1), 1309–1313. Atefi, N., Abdullah, K., & Wong, L. (2014). Job satisfaction of Malaysian registered nurses: a qualitative study. Nursing in Critical Care. Retrieved from http://onlinelibrary.wiley.com/ doi/10.1111/nicc.12100/full Awa, B. A., Wever, A. D., Almazrooa, A., & Habib, H. (2011). The impact of accreditation on patient safety and quality of care indicators at King Abdulaziz University Hospital in Saudi Arabia. Research Journal of Medical Sciences, 5(1), 43–51. Baker, R. L., & Schutz, R. E. (1972). Instructional product research. Ballard, D. J. (2003). Indicators to improve clinical quality across an integrated health care system. International Journal for Quality in Health Care, 15(Suppl 1), i13–i23. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14660519 Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. Bandura, A. (2001). Social Cognitive Theory of Mass Communication Social Cognitive Theory of Mass Communication. Media Psychology, 3(3), 265–299. Retrieved from http://doi.org/10.1207/ S1532785XMEP0303 Baron, R., & Kenny, D. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182. Retrieved from http://psycnet.apa.org/psycinfo/1987-13085-001 Baron, S. E., Morris, P. K., Dye, L., Fielding, D., & Goulden, V. (2006). The effect of dermatology consultations in secondary care on treatment outcome and quality of life in new adult patients with atopic dermatitis. British Journal of Dermatology, 154(5), 942–949. Beckmann, M. W., Brucker, C., Hanf, V., Rauh, C., Bani, M. R., Knob, S., … Häberle, L. (2011). Quality assured health care in certified breast centers and improvement of the prognosis of breast cancer patients. Onkologie, 34(7), 362–367. Retrieved from http://doi.org/ 10.1159/000329601 Benneyan, J. C. (2001). Number-between g-type statistical quality control charts for monitoring adverse events. Health Care Management Science, 4(4), 305–318. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/11718462 Bergman, S., Martelli, V., Monette, M., Sourial, N., Deban, M., Hamadani, F., … Fraser, S. (2013). Identification of quality of care deficiencies in elderly surgical patients by measuring adherence to process-based quality indicators. Journal of the American College of Surgeons, 217(5), 858–866. Retrieved from http://doi.org/10.1016/j.jamcollsurg.2013.07.387 Bhavsar, J., Montgomery, D., Li, J., Kline-Rogers, E., Saab, F., Motivala, A., … Eagle, K. a. (2007). Impact of duty hours restrictions on quality of care and clinical outcomes. The American Journal of Medicine, 120(11), 968–974. Blaya, J. a, Shin, S. S., Yagui, M. J. a, Yale, G., Suarez, C. Z., Asencios, L. L., … Fraser, H. S. F. (2007). A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics. BMC Medical Informatics and Decision Making, 7(1), 33. Retrieved from http://doi.org/ 10.1186/1472-6947-7-33 Bonias, D., Bartram, T., Leggat, S. G., & Stanton, P. (2010). Does psychological empowerment mediate the relationship between high performance work systems and patient care quality in hospitals? Asia Pacific Journal of Human Resources, 48(3), 319–337. Retrieved from http://doi.org/10.1177/1038411110381667 Boumans, N. P. G., Landeweerd, J. a, & Visser, M. (2004). Differentiated practice, patient-oriented care and quality of work in a hospital in the Netherlands. Scandinavian Journal of Caring Sciences, 18(1), 37–48. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15005662 Boyer, S., Protopopescu, C., Marcellin, F., Carrieri, M. P., Koulla-shiro, S., Moatti, J., … Group, S. (2012). Performance of HIV care decentralization from the patient’s perspective : health-related quality of life and perceived quality of services in Cameroon. Health Policy and Planning, 27(4), 301–315. Retrieved from http://doi.org/10.1093/heapol/czr039 Brand, C. A., Martin-khan, M., Wright, O., Jones, R. N., Morris, J. N., Travers, C. M., … Gray, L. C. (2011). Development of quality indicators for monitoring outcomes of frail elderly hospitalised in acute care health settings : Study Protocol. BMC Health Services Research, 11(1), 281. Retrieved from http://doi.org/10.1186/1472-6963-11-281 Briggs, S. R., & Cheek, J. M. (1986). The role of factor analysis in the development and evaluation of personality scales. Journal of Personality, 54(1), 106–148. Brooten, D., Youngblut, J. M., Kutcher, J., & Bobo, C. (2004). Quality and the nursing workforce: APNs, patient outcomes and health care costs. Nursing Outlook, 52(1), 45–52. Browne, G., Lam, L., Giles, H., McCaskill, M., Exley, B., & Fasher, B. (2000). The effects of a seamless model of management on the quality of care for emergency department patients. Journal of Quality in Clinical Practice, 20(4), 120–126. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11207948 Brush, J. E., Rensing, E., Song, F., Cook, S., Lynch, J., Thacker, L., … Valentine, C. M. (2009). A Statewide Collaborative Initiative to Improve the Quality of Care for Patients With Acute Myocardial Infarction and. Journal of The Americam Heart Association, 119(12), 1609–1615. Buuren, S. van. (2012). Flexible imputation of missing data. Taylor and Francis Group. Campmans-Kuijpers, M. J. E., Lemmens, L. C., Baan, C. a, Gorter, K. J., Groothuis, J., van Vuure, K. H., & Rutten, G. E. H. M. (2013). Defining and improving quality management in Dutch diabetes care groups and outpatient clinics: design of the study. BMC Health Services Research, 13(1), 129. Retrieved from http://doi.org/10.1186/1472-6963-13-129 Carayon, P., Wetterneck, T. B., Rivera-Rodriguez, a J., Hundt, A. S., Hoonakker, P., Holden, R., & Gurses, A. P. (2014). Human factors systems approach to healthcare quality and patient safety. Applied Ergonomics, 45(1), 14–25. Retrieved from http://doi.org/10.1016/j. apergo.2013.04.023 Casalino, L., Gillies, R. R., Shortell, S. M., Schmittdiel, J. a, Bodenheimer, T., Robinson, J. C., … Wang, M. C. (2003). External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases. Journal of the American Medical Association, 289(4), 434–341. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12533122 Chandrasekaran, A., Senot, C., & Boyer, K. K. (2012). Process management impact on clinical and experiential quality: managing tensions between safe and patientcentered healthcare. Manufacturing & Service Operations Management, 14(4), 548–566. Retrieved from http://doi.org/ 10.1287/msom.1110.0374 Chehab, E. L., Panicker, N., Alper, P. R., Baker, L. C., Wilson, S. R., & Raffin, T. a. (2001). The impact of practice setting on physician perceptions of the quality of practice and patient care in the managed care era. Archives of Internal Medicine, 161(2), 202–211. Chen, I.-C., & Kuo, M.-H. C. (2011). Quality improvement: perspectives on organizational learning from hospital-based quality control circles in Taiwan. Human Resource Development International, 14(1), 91–101. Retrieved from http://doi.org/10.1080/13678868.2011.542901 Chiu, L. H. (2005). Motivation for nurses undertaking a post-registration qualification in Malaysia. International Nursing Review, 52(1), 46–51. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j. 1466-7657.2004.00415.x/full Chiu, L. H. (2006). Malaysian Registered Nurses’ Professional Learning. International Journal of Nursing Education Scholarship, 3(1). Clapham, S., Basnet, I., Pathak, L. R., & McCall, M. (2004). The evolution of a quality of care approach for improving emergency obstetric care in rural hospitals in Nepal. International Journal of Gynaecology & Obstetrics, 86(1), 86–97. Retrieved from http://doi.org/10.1016/j.ijgo.2004.03.013 Coakes, S. J. (2005). Analysis Without Anguish: SPSS Version 12.0 For Windows. John Wiley & Sons Australia, Ltd. Coetzee, S. K., Klopper, H. C., Ellis, S. M., & Aiken, L. H. (2013). A tale of two systems--nurses practice environment, well being, perceived quality of care and patient safety in private and public hospitals in South Africa: a questionnaire survey. International Journal of Nursing Studies, 50(2), 162–173. Retrieved from http://doi.org/10.1016/j.ijnurstu.2012.11.002 Cohen, J., Cohen, P., West, S., & Aiken, L. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Lawrence Erlbaum Associates. Retrieved from http://books.google.com/books?hl=en&lr=&id=gkaly qTMXNEC&oi=fnd&pg=PP1&dq=Applied+multiple+ regression/+correlation+analysis+for+the+ behavioral+sciences&ots=tQCV02mbch&sig=kbtLMNF zquJwmyNgVxNV-Owh07s Conry, M. C., Humphries, N., Morgan, K., McGowan, Y., Montgomery, A., Vedhara, K., … Mc Gee, H. (2012). A 10 year (2000-2010) systematic review of interventions to improve quality of care in hospitals. BMC Health Services Research, 12(1), 275. Retrieved from http://doi.org/10.1186/1472-6963-12-275 Coomarasamy, J. D., Wint, N., & Sukumaran, S. (2015). Prevalence of Obesity and Daily Lifestyles of the Registered Nurses in Malaysia. International Journal of Innovation and Applied Studies, 7(3), 1202–1208. Cramer, M. E., Jones, K. J., & Hertzog, M. (2011). Nurse staffing in critical access hospitals: structural factors linked to quality care. Journal of Nursing Care Quality, 26(4), 335–343. Da Silva, G. S. M., Chambela, M. C., Sousa, A. S., Sangenis, L. H. C., Xavier, S. S., Costa, A. R., … Saraiva, R. M. (2012). Impact of pharmaceutical care on the quality of life of patients with Chagas disease and heart failure: randomized clinical trial. Trials, 13(1), 244. Retrieved from http://doi.org/10.1186/1745-6215- 13-244 Dahlgaard, J. J., Pettersen, J., & Dahlgaard-Park, S. M. (2011). Quality and lean health care: A system for assessing and improving the health of healthcare organisations. Total Quality Management & Business Excellence, 22(6), 673–689. Retrieved from http://doi.org/10.1080/14783363.2011.580651 Davey, A., & Savla, J. (2010). Statistical power analysis with missing data: A structural equation modeling approach. Taylor and Francis Group, LLC. Retrieved from http://books.google.com/books?hl=en&lr=&id=Yde NAgAAQBAJ&oi=fnd&pg=PR1&dq=Statistical+power+ analysis+with+missing+data:+a+structural+equatio n+modeling+approach&ots=HjhoRiOCqX&sig=s7hRxp B0P020u_1fs2tjVF5HC2o De Lusignan, S., Wells, S., Shaw, A., Rowlands, G., & Crilly, T. (2005). A knowledge audit of the managers of primary care organizations: top priority is how to use routinely collected clinical data for quality improvement. Medical Informatics and the Internet in Medicine, 30(1), 69–80. Retrieved from http://doi.org/10.1080/14639230400028455 Deneckere, S., Euwema, M., Lodewijckx, C., Panella, M., Sermeus, W., & Vanhaecht, K. (2012). The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes. Implementation Science, 7(1), 47. Retrieved from http://doi.org/10.1186/1748-5908-7-47 Desmedt, M., De Geest, S., Schubert, M., Schwendimann, R., & Ausserhofer, D. (2012). A multi-method study on the quality of the nurse work environment in acute-care hospitals: positioning Switzerland in the Magnet hospital research. Swiss Medical Weekly, 142(12), w13733. Djukic, M., Kovner, C. T., Brewer, C. S., Fatehi, F. K., & Cline, D. D. (2013). Work environment factors other than staffing associated with nurses’ ratings of patient care quality. Health Care Management Review, 38(2), 105–114. Retrieved from http://doi.org/10.1097/HMR.0b013e3182388cc3 Dohan, M., Xenodemetropoulos, T., & Tan, J. (2012). Conceptualizing Inter-Clinician Relationships, Communities of Practice and Quality Improvement in Healthcare. International Journal of Healthcare Information Systems and Informatics, 7(2), 29–45. Retrieved from http://doi.org/10.4018/jhisi.2012040103 Donabedian, F. A. (1988). The quality of care. How can it be assessed? Journal of the American Medical Association, 260(12), 1743–1748. Drabo, M., Dauby, C., Macq, J., Seck, I., Ouendo, E. M., Sani, I., … Dujardin, B. (2007). An action research network to improve the quality of tuberculosis care in West Africa. Cahiers Santé, 17(2), 79–86. Drake, R. (2013). Nursing workforce planning : insights from seven Malaysian hospitals. British Journal of Nursing, 22(2), 95–100. Dyer, E. D., Monson, M. a, & Cope, M. J. (1975). Increasing the quality of patient care through performance counseling and written goal setting. Nursing Research, 24(2), 138–144. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/1038618 Edward, N., Ph, D., Brown, T. D., Schapiro, H., Rosenquist, R., & Rauck, R. (2008). Practical Management of Pain. Elovainio, M., Steen, N., Presseau, J., Francis, J., Hrisos, S., Hawthorne, G., … Eccles, M. P. (2013). Is organizational justice associated with clinical performance in the care for patients with diabetes in primary care? Evidence from the improving Quality of care in Diabetes study. Family Practice - The International Journal for Research in Primary Care, 30(1), 31–39. Retrieved from http://doi.org/10.1093/fampra/cms048 Enders, C. (2010). Applied missing data analysis. New York: The Gulilford Press. Retrieved from http://books.google.com/books? hl=en&lr=&id=MN8ruJd2tvgC&oi=fnd&pg=PA1&dq= Applied+missing+data+analysis&ots=dIgAnZTlp9&sig=9FCTTaUqw5UJHesLs9OxIuGGguQ Erkutlu, H. (2012). The impact of team empowerment on proactivity: The moderating roles of leader’s emotional intelligence and proactive personality. Journal of Health Organization & Management, 26(5), 560–577. Retrieved from http://doi.org/10.1108/14777261211256918 Estabrooks, C. A., Cummings, G. G., Olivo, S. a, Squires, J. E., Giblin, C., & Simpson, N. (2009). Effects of shift length on quality of patient care and health provider outcomes: systematic review. Quality & Safety in Health Care, 18(3), 181–188. Retrieved from http://doi.org/10.1136/qshc.2007.024232 Estabrooks, C. A., Midodzi, W. k, Cummings, G. G., Ricker, K. L., & Giovannetti, P. (2005). The impact of hospital nursing characteristics on 30-day mortality. Nursing Research, 54(2), 74–84. Ezat, W., Fuad, I., Hayati, Y., Zafar, A., & Kiyah, G. A. W. (2014). Observational Study on Patient’s Satisfactions and Quality of Life (QoL) Among Cancer Patients Receiving Treatment with Palliative Care Intent in a Tertiary Hospital in Malaysia. Asian Pacific Journal of Cancer Prevention, 15(2), 695–701. Ferguson, L., Calvert, J., Davie, M., Fallon, M., Ferd, N., Gerbach, V., & Sinclair, L. (2007). Clinical leadership: Using observations of care to focus risk management and quality improvement activities in the clinical setting. Contemporary Nurse, 24(2), 212–224. Field, A. (2009). Discovering statistics using SPSS (3rd edi). SAGE Publications Ltd. Retrieved from http://scholar.google.com/scholar ?hl=en&btnG=Search&q=intitle:Discovering+ statistics+using+SPSS#0 Finney, J. W., Willenbring, M. L., & Moos, R. H. (2000). Improving the quality of VA care for patients with substance-use disorders: the Quality Enhancement Research Initiative (QUERI) substance abuse module. Medical Care, 38(6), 105–113. Fischman, D. (2010). Applying lean six sigma methodologies to improve efficiency, timeliness of care, and quality of care in an internal medicine residency clinic. Quality Management in Health Care, 19(3), 201–210. Forster, A., Tugwell, P., & van Walraven, C. (2000). An hypothesis paper on practice environment and the provision of health care: could hospital occupancy rates effect quality? Journal of Quality in Clinical Practice, 20(2-3), 69–74. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11057987 Frampton, S., & Charmel, P. (2009). Putting patients first: best practices in patientcentered care. Retrieved from http://books.google.com/books?hl=en&lr=&id= XPiXhIcobPMC&oi=fnd&pg=PT11&dq=Putting+patients+ first+:+best+practices+in+patientcentered+care& ots=4Mg4h-a6Ut&sig=wo0jF4Ye7mj-JLLmdePxpYQkRG0 Frampton, S., Guastello, S., Hale, M., Horowitz, S., Smith, S. B., & Stone, S. (2008). patien-centered care Improvement Guide. Piker Institute. Camden. Retrieved from http://planetree.org/wp-content/uploads/2012/01/ Patient-Centered-Care-Improvement-Guide-10-28- 09-Final.pdf Franx, G., Kroon, H., Grimshaw, J., Drake, R., Grol, R., & Wensing, M. (2008). Organizational change to transfer knowledge and improve quality and outcomes of care for patients with severe mental illness: a systematic overview of reviews. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 53(5), 294–305. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/18551850 Fritz, J. M., Cleland, J. a, & Brennan, G. P. (2007). Does adherence to the guideline recommendation for active treatments improve the quality of care for patients with acute low back pain delivered by physical therapists? Medical Care, 45(10), 973–980. Retrieved from http://doi.org/10.1097/MLR.0b013e318070c6cd Gabbott, M., & Hogg, G. (1998). Consumers and services. Wiley, Chichester. Gajic, O., Afessa, B., Hanson, A. C., Krpata, T., Yilmaz, M., Mohamed, S. F., … Wylam, M. E. (2008). Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Critical Care Medicine, 36(1), 36–44. Retrieved from http://doi.org/10. 1097/01.CCM.0000297887.84347.85 Gandara, E., Ungar, J., Lee, J., Chan-Macrae, M., O’Malley, T., & Schnipper, J. L. (2010). Discharge documentation of patients discharged to subacute facilities: a three-year quality improvement process across an integrated health care system. Joint Commission Journal on Quality and Patient Safety/Joint Commission Resources, 36(6), 243–251. Gardner, J., & Thomas-Hawkins, C. (2007). The relationship between nurses’ perceptions of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrology Nursing, 34(3), 271–282. Gillespie, R. (2007). Improving the quality of care of the critically ill patient: Implementing the care bundle approach in the ICU. American Journal of Critical Care, 23(2), 55–60. Godin, G., Bélanger-Gravel, A., Eccles, M., & Grimshaw, J. (2008). Healthcare professionals’ intentions and behaviours: a systematic review of studies based on social cognitive theories. Implementation Science : IS, 3, 36. Retrieved from http://doi.org/10.1186/1748-5908-3-36 Gok, M. S., & Sezen, B. (2013). Analyzing the ambiguous relationship between efficiency, quality and patient satisfaction in healthcare services: the case of public hospitals in Turkey. Health Policy, 111(3), 290–300. Retrieved from http://doi.org/10.1016/j.health pol.2013.05.010 Graf, J., Wagner, J., Graf, C., Koch, K.-C., & Janssens, U. (2005). Five-year survival, quality of life, and individual costs of 303 consecutive medical intensive care patients???A cost-utility analysis. Critical Care Medicine, 33(3), 547–555. Retrieved from http://doi.org/ 10.1097/01.CCM.0000155990.35290.03 Greene, A., Pagliari, C., Cunningham, S., Donnan, P., & Evans, J. (2009). Do managed clinical networks improve quality of diabetes care? Evidence from a retrospective mixed methods evaluation. Quality and Safety in Health Care, 18(6), 1–27. Greenfield, S., Kaplan, H. S., Kahn, R., Ninomiya, J., & Griffith, L. J. (2002). Profiling care provided by different groups of physicians : effects of patient casemix (bias) and physician-level clustering on quality assessment results. Annals of Internal Medicine, 136(2), 111–123. Griffin, J. P., Koch, K. a, Nelson, J. E., & Cooley, M. E. (2007). Palliative care consultation, quality-of-life measurements, and bereavement for end-of-life care in patients with lung cancer: ACCP evidence-based clinical practice guidelines. Chest Journal, 132(3 Suppl), 404S–422S. Retrieved from http://doi.org/10.1378/chest.07-1392 Groene, O., Klazinga, N., Wagner, C., Arah, O. a, Thompson, A., Bruneau, C., & Suñol, R. (2010). Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the “Deepening our Understanding of Quality Improvement in Europe (DUQuE)” proje. BMC Health Services Research, 10(1), 281. Retrieved from http://doi.org/10.1186/1472- 6963-10-281 Groshaus, H., Boscan, A., Khandwala, F., & Holroyd-Leduc, J. (2012). Use of clinical decision support to improve the quality of care provided to older hospitalized patients. Applied Clinical Informatics, 3(1), 94–102. Retrieved from http://doi.org/10.4338/ACI-2011-08-RA-0047 Gunningberg, L., Fogelberg-Dahm, M., & Ehrenberg, A. (2009). Improved quality and comprehensiveness in nursing documentation of pressure ulcers after implementing an electronic health record in hospital care. Journal of Clinical Nursing, 18(11), 1557–1564. Retrieved from http://doi.org/10.1111/j.1365- 2702.2008.02647.x Guo, L., & Hariharan, S. (2012). Patients are not cars and staff are not robots: Impact of differences between manufacturing and clinical operations on process improvement. Knowledge and Process Management, 19(2), 53–68. Retrieved from http://doi.org/10.1002/kpm Habidin, N., Shazali, N., & Ali, N. (2014). Exploring lean healthcare practice and supply chain innovation for Malaysian healthcare industry. International Journal of Business Excellence, 7(3), 394–410. Retrieved from http://inderscience.metapress.com/index/7363052 870054015.pdf Hair, J., Tatham, R., Anderson, R., & Black, W. (2010). Multivariate data analysis (7th ed). Pearson Prentice Hall. Hannan, E. L., Kilburn, H., O’Donnell, J. F., Bernard, H. R., Shields, E. P., Lindsey, M. L., & Yazici, A. (1992). A longitudinal analysis of the relationship between in-hospital mortality in New York State and the volume of abdominal aortic aneurysm surgeries performed. Health Services Research, 27(4), 517–542. Retrieved from http://www.pubmedcentral.nih.gov/articleren der.fcgi?artid=1069892&tool=pmcentrez&rendertype =abstract Hardy, M. (1993). Regression with dummy variables (1st ed). SAGE Publications Ltd. Retrieved from http://books.google.com/books?hl= en&lr=&id=EzLffJlYISEC&oi=fnd&pg=PR5&dq= Regression+with+Dummy+variable&ots=R8lXjXqfSx&sig=lnNBq6o1hwewjSygDJeQDJSyJTw Harvey, R. (2004). Using clinical performance information to improve the quality of care in a specialist NHS trust. Journal of Nursing Management, 12(6), 427–435. Retrieved from http://doi.org/10.1111/j.1365-2834.2004.00513.x Hayes, A. F. (2013). An Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-based Approach. (1st ed). New York, NY: Guilford Press. Hayes, A. F., & Preacher, K. J. (2014). Statistical mediation analysis with a multicategorical independent variable. The British Journal of Mathematical and Statistical Psychology, 67, 451–470. Retrieved from http://doi.org/10.1111/bmsp.12028 Hearld, L. R., Alexander, J. a, Fraser, I., & Jiang, H. J. (2008). Review: how do hospital organizational structure and processes affect quality of care? A critical review of research methods. Medical Care Research and Review, 65(3), 259–299. Retrieved from http://doi.org/ 10.1177/1077558707309613 Hendrich, A. L., Batcheller, J., Ellison, D. a, Janik, A. M., Jeffords, N. B., Miller, L., … Williams, C. (2012). The ascension health experience: maximizing the chief nursing officer role in a large, multihospital system to advance patient care quality and safety. Nursing Administration Quarterly, 36(4), 277–288. Retrieved from http://doi.org/10.1097/ NAQ.0b013e31826692a6 Hertzog, M. A. (2008). Considerations in Determining Sample Size for Pilot Studies. Research in Nursing & Health, 31(2), 180–191. Retrieved from http://doi.org/10.1002/nur Hillner, B. E., Smith, T. J., & Desch, C. E. (2000). Hospital and physician volume or specialization and outcomes in cancer treatment: importance in quality of cancer care. Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology, 18(11), 2327–2340. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/10829054 Hinno, S., Partanen, P., & Vehviläinen-Julkunen, K. (2011). Hospital nurses’ work environment, quality of care provided and career plans. International Nursing Review, 58(2), 255–262. Retrieved from http://doi.org/ 10.1111/j.1466-7657.2010.00851.x Ho, R. (2006). Handbook of Univariate and Multivariate Data Analysis and Interpretation with SPSS. Chapman and Hall/CRC, Taylor and Francis Group. Hughes, R. (2008). Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality. Retrieved from http://scholar.google.com/scholar?hl=en&btnG=Search&q=intitle:Patient+Safety+and+Qual ity+:+An+Evidence-Based+Handbook+for+Nurses#0 Husin, L. I., Rashid, W., & Othman, M. (2012). Utilization of Quality Assurance Tools in Ensuring High Healthcare Professionals’ Performance in a Public Hospital in Malaysia. IEEE Colloquium on Humanities, Science and Engineering Research, (Chuser), 428–431. Hyde, E., & Murphy, B. (2012). Computerized Clinical Pathways (Care Plans) Piloting a Strategy to Enhance Quality Patient Care. Clinical Nurse Specialist, 26(5), 277–282. Retrieved from http://doi.org/10.1097/NUR. 0b013e31825aebc1 Hyrkäs, K., & Paunonen-Ilmonen, M. (2001). The effects of clinical supervision on the quality of care: examining the results of team supervision. Journal of Advanced Nursing, 33(4), 492–502. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11251737 Ibrahim, J. E., Jeffcott, S., Davis, M., & Chadwick, L. (2013). Recognizing junior doctors ’ potential contribution to patient safety and health care quality improvement. Journal of Health Organisation and Management, 27(2), 273–286. Retrieved from http://doi.org/ 10.1108/14777261311321824 IOM. (2000). To Err Is Human: Bulding a Safer Health System. National Academy Press, Washington DC. IOM. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press,. IOM. (2003). Quality chasm summit project description. National Academy Press, Washington DC. Retrieved from www.iom.edu/iom/iomhome.nsf/ pages/QCSummitProjectInformation Jaber, W. a, & Holmes, D. R. (2007). Outcome and quality of care of patients who have acute myocardial infarction. The Medical Clinics of North America, 91(4), 751–768. Retrieved from http://doi.org/10.1016/j.mcna.2007.03.001 James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety, 9(3), 122–8. Retrieved from http://doi.org/10.1097/ PTS.0b013e3182948a69 JCI. (2008). Managing Performance Measurement Data in Health Care (2nd ed). JCI. (2014). Formerly JCI-Accredited and Certified Organizations - Updated March 2014. Retrieved from http://www.jointcommission international.org/about-jci/jciaccredited- organizations/?c=MY John, J., Mani, S. A., & Azizah, M. D. S. Y. (2004). Oral Health Care in the Elderly Population in Malaysia – A Review. Medical Journal of Malaysia, 59(3), 433–439. Kaplan, H. C., & Ballard, J. (2012). Changing practice to improve patient safety and quality of care in perinatal medicine. American Journal of Perinatology, 29(1), 35–42. Retrieved from http://doi.org/10.1055/s-0031-1285826 Keat, C., & Sooaid, N. (2013). Improving safety-related knowledge, attitude and practices of nurses handling cytotoxic anticancer drug: pharmacists’ experience in a general hospital, Malaysia. Asian Pacific Journal of Cancer Prevention, 14(1), 69–73. Retrieved from http://www.koreascience.or.kr/article/Article FullRecord.jsp?cn=POCPA9_2013_v14n1_69 Kelly, L. A., McHugh, M. D., & Aiken, L. H. (2012). Nurse outcomes in Magnet® and non-magnet hospitals. The Journal of Nursing Administration, 41(10), 428–433. Retrieved from http://doi.org/10.1097/NNA.0b013e31822eddbc. Nurse Kerr, C. a, Neeman, N., Davis, R. B., Schulze, J., Libman, H., Markson, L., … Bell, S. K. (2012). HIV quality of care assessment at an academic hospital: outcomes and lessons learned. American Journal of Medical Quality : The Official Journal of the American College of Medical Quality, 27(4), 321–328. Retrieved from http://doi.org/10.1177/1062860611425714 Khoo, E., & Richard, K. (2002). Primary health care and general practice—a comparison between Australia and Malaysia. Asia-Pacific Journal of Public Health, 14(2), 59–63. Retrieved from http://aph.sagepub.com/content/14/2/59.short Kirk, T. (2006). Rapid response teams in hospitals: improving quality of care for patients and quality of the work environment for nursing staff. Holistic Nursing Practice, 20(6), 293–298. Kline, R. B. (2011). Principles and practices of structural equation modelling. Kolfschoten, N. E., Gooiker, G. a, Bastiaannet, E., van Leersum, N. J., van de Velde, C. J. H., Eddes, E. H., … Tollenaar, R. a E. M. (2012). Combining process indicators to evaluate quality of care for surgical patients with colorectal cancer: are scores consistent with short-term outcome? BMJ Quality & Safety, 21(6), 481–489. Retrieved from http://doi.org/10.1136/ bmjqs-2011-000439 Korne, D. F. De, Sol, K. (J. C. a. ., Custers, T., Sprundel, E. Van, Ineveld, B. M. Van, Lemij, H. G., & Klazinga, N. S. (2009). Creating patient value in glaucoma care: applying quality costing and care delivery value chain approaches: A fiveyear case study in the Rotterdam Eye Hospital. International Journal of Health Care Quality Assurance, 22(3), 232–251. Retrieved from http://doi.org/10.1108/09526860910953511 Krejcie, R. V, & Morgan, D. W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 38, 607–610. Kurland, H., Peretz, H., & Hertz-Lazarowitz, R. (2010). Leadership style and organizational learning: the mediate effect of school vision. Journal of Educational Administration, 48(1), 7–30. Retrieved from http://doi.org/10.1108/09578231011015395 Lake, E. . (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176–188. Lanjananda, P., & Patterson, P. G. (2009). Determinants of customer-oriented behavior in a health care context. Journal of Service Management, 20(1), 5–32. Retrieved from http://doi.org/10.1108/09564230910936832 Laschinger, H., & Leiter, M. (2006). The impact of nursing work environments on patients safety outcomes. The mediating role of burnout/engagement. Journal of Nursing Administration, 36(5), 259–267. Laurant, M., Harmsen, M., Wollersheim, H., Grol, R., Faber, M., & Sibbald, B. (2009). The impact of nonphysician clinicians: do they improve the quality and cost-effectiveness of health care services? Medical Care Research and Review, 66(6 Suppl), 36S–89S. Retrieved from http://doi.org/10.1177/1077558709346277 Le Duff, F., Daniel, S., Kamendjé, B., Le Beux, P., & Duvauferrier, R. (2005). Monitoring incident report in the healthcare process to improve quality in hospitals. International Journal of Medical Informatics, 74(2), 111–117. Retrieved from http://doi.org/10.1016/j.ijmedinf .2004.06.007 Leach, L. S., Kagawa, F., Mayo, A., & Pugh, C. (2012). Improving patient safety to reduce preventable deaths: the case of a California safety net hospital. Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality, 34(2), 64–76. Retrieved from http://doi.org/10.1111/j. 1945-1474.2011.00185.x Leape, L. L. (2015). Hospital Readmissions Following Surgery Turning Complications Into “Treasures.” Journal of the American Medical Association, 313(5), 467–468. Retrieved from http://doi.org/10.1001/jama.2014.18614.3 LeBrasseur, R., Whissell, R., & Ojha, A. (2002). Organisational learning, transformational leadership and implementation of continuous quality improvement in Canadian hospitals. Australian Journal of Management, 27(2), 141–162. Retrieved from http://doi.org/ 10.1177/031289620202700203 Lee KH, Yang SB, C. M. (2009). The association between hospital ownership and technical efficiency in a managed care environment. Journal of Medical Systems, 33(4), 307–315. Linwood, R., Day, G., FitzGerald, G., & Oldenburg, B. (2007). Quality improvement and paramedic care: What does the literature reveal for pre-hospital emergency care in Australia? International Journal of Health Care Quality Assurance, 20(5), 405–415. Retrieved from http://doi.org/10.1108/09526860710763325 Longford, N. T. (2005). Missing data and small-area estimation: modern analytical equipment for the survey statistician. Springer Science and Business Media, Inc. Ludin, S. M., Parker, S., & Arbon, P. (2014). A survey of Malaysian Critical Intensive Care Unit nurses’ awareness of patients' transition experiences (PE) and transitional care practice (TCP). Intensive & Critical Care Nursing, 30(4), 196–203. Retrieved from http://doi.org/10.1016/ j.iccn.2013.12.006 MacKinnon, D. P., Lockwood, C. M., Hoffman, J. M., West, S. G., & Sheets, V. (2002). A comparison of methods to test mediation and other intervening variable effects. Psychological Methods, 7(1), 83–104. Retrieved from http://doi.org/10.1037//1082-989X.7.1.83 Malhotra, N. K., & Birks, D. F. (2007). Marketing Research: An Applied Approach (3rd ed). Prentice Hall Inc. Mallak, L. a., Lyth, D. M., Olson, S. D., Ulshafer, S. M., & Sardone, F. J. (2003). Culture, the built environment and healthcare organizational performance. Managing Service Quality, 13(1), 27–38. Retrieved from http://doi.org/10.1108/09604520310456690 Manojlovich, M., Antonakos, C. L., & Ronis, D. L. (2009). Intensive care units, communication between nurses and physicians, and patients’ outcomes. American Journal of Critical Care, 18(1), 21–30. Retrieved from http://doi.org/10.4037/ajcc2009353 Manojlovich, M., & DeCicco, B. (2007). Healthy work environments, nursephysician communication, and patients’ outcomes. American Journal of Critical Care, 16(6), 536–543. Retrieved from http://ajcc.aacnjournals.org/ content/16/6/536.short Manukyan, N., Eppstein, M. J., & Horbar, J. D. (2013). Team structure and quality improvement in collaborative environments. International Conference on Collaboration Technologies and Systems (CTS), 523–529. Retrieved from http://doi.org/10.1109/CTS.2013.6567282 Margaret, L. (2001). Tel-eNurse Practice Quality of Care and Patient Outcomes. Journal of Nursing Administration, 31(3), 145–152. Maskor, N., & Krauss, S. (2013). Communication competencies of oncology nurses in Malaysia. Asian Pacific Journal of Cancer Prevention, 14(1), 153–158. Retrieved from http://www.apjcpcontrol.org/paper_file/issue_abs/Volume14_No1/153-158 12.5 Nor Aida Maskor.pdf McClellan, F., Washington, M., Ruff, R., & Selkirk, S. M. (2013). Early and innovative symptomatic care to improve quality of life of ALS patients at Cleveland VA ALS Center. Journal of Rehabilitation Research and Development, 50(4), vii–xvi. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23934878 McLaughlin, C. P., & Kaluzny, A. D. (2004). Continuous quality improvement in health care: theory, implementation, and applications (2nd ed). Jones & Bartlett Learning. Medverd, J. R., Cross, N. M., Font, F., & Casertano, A. (2013). Advanced medical imaging protocol workflow-a flexible electronic solution to optimize process efficiency, care quality and patient safety in the National VA Enterprise. Journal of Digital Imaging, 26(4), 643–650. Retrieved from http://doi.org/10.1007/s10278-012-9563-6 Melnyk, B., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Retrieved from http://books.google.com/books?hl=en&lr=&id= hHn7ESF1DJoC&oi=fnd&pg=PT15&dq=Evidence-Based+ Practice+in+Nursing+%26+Healthcare:+A+Guide+to+ Best+Practice&ots=HlHtpfjYb1&sig=oWBkqGaWSNfwwmg fHiwzZnKdIEI Meraviglia, M., Grobe, S., Tabone, S., Wainwright, M., Shelton, S., Yu, L., & Jordan, C. (2008). Nurse-Friendly Hospital Project. Jornal of Nursing Care Quality, 23(4), 305–313. Merican, I., & bin Yon, R. (2002). Health Care Reform and Changes: the Malaysian Experience. Asia-Pacific Journal of Public Health, 14(1), 17–22. Retrieved from http://doi.org/10.1177/101053950201400105 Meyers, L., Gamst, G., & Guarino, A. (2006). Applied multivariate research: Design and interpretation. SAGE Publications Ltd. Retrieved from http://scholar.google.com/ scholar?hl=en&btnG=Search&q=intitle:Applied+ multivariate+research:+Design+and+interpretation #0 MOH. (2011a). Annual Report. Retrieved from http://www.moh.gov.my/images/gallery/publicati ons/md/ar/2011_en.pdf MOH. (2011b). Country health plan 10 th Malaysia plan 2011-2015. Retrieved from http://www.moh.gov.my/images/gallery/Report/ Country_health.pdf MOH. (2012). Health facts (Vol. 12). Retrieved from http://www.moh.gov.my/images/gallery/stats/ heal_fact/health_fact_2012_page_by_page.pdf Montgomery, A., Todorova, I., Baban, A., & Panagopoulou, E. (2013). Improving quality and safety in the hospital: the link between organizational culture, burnout, and quality of care. British Journal of Health Psychology, 18(3), 656–662. Retrieved from http://doi.org/ 10.1111/bjhp.12045 Morag, I., Gopher, D., Spillinger, a., Auerbach-Shpak, Y., Laufer, N., Lavy, Y., … Soudry, M. (2012). Human Factors-Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. Human Factors: The Journal of the Human Factors and Ergonomics Society, 54(2), 195–213. Retrieved from http://doi.org/10.1177/0018720811434767 Morgan, D. J., Day, H. R., Harris, A. D., Furuno, J. P., & Perencevich, E. N. (2011). The impact of Contact Isolation on the quality of inpatient hospital care. PloS One, 6(7), e22190. Retrieved from http://doi.org/10.1371/ journal.pone.0022190 Muntlin, A., Gunningberg, L., & Carlsson, M. (2006). Patients’ perceptions of quality of care at an emergency department and identification of areas for quality improvement. Journal of Clinical Nursing, 15(8), 1045–1056. Retrieved from http://doi.org/10.1111/j.1365-2702.2006.01368.x Naidu, A. (2009). Factors affecting patient satisfaction and healthcare quality. International Journal of Health Care Quality Assurance, 22(4), 366–381. Retrieved from http://doi.org/10.1108/09526860910964834 Namasivayam, P., Lee, S., O’Connor, M., & Barnett, T. (2014). Caring for families of the terminally ill in Malaysia from palliative care nurses’ perspectives. Journal of Clinical Nursing, 23(1-2), 173–180. Retrieved from http://doi.org/10.1111/jocn.12242 Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., Wichaikhum, O.-A., Aungsuroch, Y., & Aiken, L. H. (2011). Impact of nurse work environment and staffing on hospital nurse and quality of care in Thailand. Journal of Nursing Scholarship, 43(4), 426–432. Retrieved from http://doi.org/10.1111/j.1547-5069.2011.01419.x Needleman, J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K. (2002). Nurse-staffing levels and the quality of care in hospitals. The New England Journal of Medicine, 346(22), 1715–1722. Retrieved from http://doi.org/10.1056/NEJMsa012247 Newhouse, R. P., Himmelfarb, C. D., & Morlock, L. (2013). A phased clusterrandomized trial of rural hospitals testing a quality collaborative to improve heart failure care: organizational context matters. Medical Care, 51(5), 396–403. Nicole, M. (2013). A Review of Research in the Quality Management Journal : Influential Resources, Key Themes, and Emerging Trends. Quality Management Journal, 20(1), 7–36. Nolan, E., VanRiper, S., Talsma, A., Mageno, L., Richter, A., Kearly, G., … Eagle, K. (2003). Rapid-cycle improvement in quality of care for patients hospitalized with acute myocardial infarction or heart failure: moving from a culture of missed opportunity to a system of accountability. The Journal of Cardiovascular Management : The Official Journal of the American College of Cardiovascular Administrators, 16(1), 14–19. Retrieved from http://www.ncbi.nlm.nih.gov/ pubmed/15715179 Nwabueze, U. (2011). Implementing TQM in healthcare: The critical leadership traits. Total Quality Management & Business Excellence, 22(3), 331–343. Retrieved from http://doi.org/ 10.1080/14783363.2010.532338 Nyweide, D. J., Weeks, W. B., & Gottlieb, D. J. (2009). Relationship of Primary Care Physicians’ Patient Caseload WithMeasurement of Quality and Cost Performance. American Medical Association, 302(22), 2444–2450. Olson, D., Preidis, G. a, Milazi, R., Spinler, J. K., Lufesi, N., Mwansambo, C., … McCollum, E. D. (2013). Task shifting an inpatient triage, assessment and treatment programme improves the quality of care for hospitalised Malawian children. Tropical Medicine & International Health, 18(7), 879–886. Retrieved from http://doi.org/10.1111/tmi.12114 Oppenheim, A. . (2001). Questionnaire design, interviewing and attitude measurement (7th ed). British library. Orsolini-Hain, L. (2011). Mixed messages: Hospital practices that serve as disincentive for associate degree-prepared nurses to return to school. Nursing Outlook, 5(7), 1–10. Orsolini-Hain, L., & Malone, R. E. (2007). Examining the impending gap in clinical nursing expertise. Policy, Politics & Nursing Practice, 8(3), 158–69. Retrieved from http://doi.org/10.1177/1527154407309050 Ouwens, M. M. T. J., Hermens, R. R. P. M. G., Marlies, M. E. J. L., Merkx, M. A. W., Hoogen, F. J. A. Van Den, Grol, R. P., … Marres, H. A. M. (2009). Impact of an integrated care program for patients with head and neck cancer on the quality of care. Head & Neck, 10(7), 902–910. Retrieved from http://doi.org/10.1002/hed Øvretveit, J. (2000). The economics of quality-a practical approach. International Journal of Health Care Quality Assurance, 13(5), 200–207. Retrieved from http://www.emeraldinsight.com/doi/abs/10.1108/ 09526860010372803 Pallant, J. (2011). SPSS Survival Manual (4th ed). British library. Retrieved from http://scholar.google.com/scholar?hl=en&btnG= Search&q=intitle:SPSS+Survival+Manual#7 Pantouvakis, A., & Mpogiatzidis, P. (2013). The impact of internal service quality and learning organization on clinical leaders’ job satisfaction in hospital care services. Leadership in Health Services, 26(1), 34–49. Retrieved from http://doi.org/10.1108/1751187 1311291714 Patel, P., & Mitera, G. (2011). A Systematic Scoping Literature Review of Incorporating a Total Quality Culture Within Radiotherapy Staffing Models: A Management Strategy to Improve Patient Safety and Quality of Care in Radiation Therapy Departments. Journal of Medical Imaging and Radiation Sciences, 42(2), 81–85. Retrieved from http://doi.org/10.1016/j. jmir.2011.03.001 Peabody, J. W., Tozija, F., Muñoz, J. a, Nordyke, R. J., & Luck, J. (2004). Using vignettes to compare the quality of clinical care variation in economically divergent countries. Health Services Research, 39(6 Pt 2), 1951–1970. Retrieved from http://doi.org/ 10.1111/j.1475-6773.2004.00327.x Pedhazur, E., & Schmelkin, L. (1991). Measurement, design, and analysis: An integrated approach. London: Lawrence Erlbaum Associates. Retrieved from http://books.google.com/books?hl=en&lr=&id=WXt_ NSiqV7wC&oi=fnd&pg=PR2&dq=Measurement,+design,+ and+analysis:+an+integrated+approach&ots=7s qqO3fkHU&sig=q8vyRo2K-s_nkDP9Lnkqw0sfZVs Pelletier, L., & Beaudin, C. (2005). Q solutions: Essential resources for the healthcare quality professional. United States of America: National Association for Healthcare Quality. Retrieved from http://scholar.google. com/scholar?hl=en&btnG=Search&q=intitle:Q+SOLUT IONS+:+Essential+Resources+for+the+Healthcare+Quality+profestionals#0 Philibert, I., Nasca, T., Brigham, T., & Shapiro, J. (2013). Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? Annual Review of Medicine, 64, 467–4683. Retrieved from http://doi.org/10.1146/annurev-med-120711-135717 Pickering, B. W., Hurley, K., & Marsh, B. (2009). Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. Critical Care Medicine, 37(11), 2905–2912. Retrieved from http://doi.org/10.1097/CCM.0b013e3181a96267 Pincus, T., Maclean, R., Yazici, Y., & Harrington, J. T. (2007). Quantitative measurement of patient status in the regular care of patients with rheumatic diseases over 25 years as a continuous quality improvement activity, rather than traditional research. Clinical and Experimental Rheumatology, 25(6), 69–81. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18021510 Ponte, P. R., & Peterson, K. (2008). A patient- and family-centered care model paves the way for a culture of quality and safety. Critical Care Nursing Clinics of North America, 20(4), 451–464. Retrieved from http://doi.org/10.1016/j.ccell.2008.08.001 Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879–891. Retrieved from http://doi.org/10.3758/BRM.40.3.879 Priscilla, D., Hamidin, A., Azhar, M. Z., Noorjan, K., Salmiah, M. S., & Bahariah, K. (2011). The Socio-Demographic and Clinical Factors Associated with Quality of Life among Patients with Haematological Cancer in a Large Government Hospital in Malaysia. Malaysian Journal of Medical Sciences, 18(4), 49–56. Reerink, E., & Alihussein, N. (1990). Teaching quality assurance in Malaysia: a report on six workshops on quality assurance in patient care services for health care providers in government service. Medical Education, 24(1), 359–365. Retrieved from http://onlinelibrary.wiley.com/doi/10.1111/j. 1365-2923.1990.tb02452.x/full Robbins, J. (2013). LiveData, Inc: Improving the quality of patient care and lowering costs in the perioperative suite. Critical Care Nursing Quarterly, 36(2), 174–180. Retrieved from http://doi.org/10.1097/CNQ.0b013e318283d09f Rogers, L. M. (2006). Meeting the center for Medicare & Medicaid Services requirements for quality assessment and performance improvement. Journal of Nursing Care Quality, 21(4), 325–330. Ronellenfitsch, U., Schwarzbach, M., Kring, A., Kienle, P., Post, S., & Hasenberg, T. (2012). The effect of clinical pathways for bariatric surgery on perioperative quality of care. Obesity Surgery, 22(5), 732–739. Retrieved from http://doi.org/10.1007/s11695-012-0605-4 Rose, R. C., Uli, J., Abdul, M., & Ng, K. L. (2004). Hospital service quality: a managerial challenge. International Journal of Health Care Quality Assurance, 17(3), 146–159. Retrieved from http://doi.org/10.1108/09526860410532784 Schwarzbach, M., Bönninghoff, R., Harrer, K., & Weiss, J. (2010). Effects of a clinical pathway on quality of care in kidney transplantation: a non-randomized clinical trial. Langenbeck’s Archives of Surgery, 395(1), 11–17. Scott, I. a, Poole, P. J., & Jayathissa, S. (2008). Improving quality and safety of hospital care: a reappraisal and an agenda for clinically relevant reform. Internal Medicine Journal, 38(1), 44–55. Retrieved from http://doi.org/10.1111/j.1445-5994.2007.01456.x Seddon, M., & Buchanan, J. (2006). Quality improvement in New Zealand healthcare. Part 3: achieving effective care through clinical audit. The New Zealand Medical Journal, 119(1239), U2108–U2108. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16912726 Sekaran, U. (2003). Research methods for business (4th ed). John Wiley & Sons Ltd. Sekaran, U., & Bougie, R. (2010). Research methodology for business (5th ed). John Wiley & Sons Ltd. Sheppard, C., Franks, N., Nolte, F., & Fantz, C. (2008). Improving quality of patient care in an emergency department: a laboratory perspective. American Journal of Clinical Pathology, 130(4), 573–577. Retrieved from http://doi.org/10.1309/DGXYTH0VNTTQRQHD Shortell, S. M., Jones, R. H., Rademaker, A. W., Gillies, R. R., Dranove, D. S., Hughes, E. F. X., … Reynolds, K. S. E. (2000). Assessing the impact of total quality management and organizational culture on multiple outcomes of care for coronary artery bypass graft surgery patients. Medical Care, 38(2), 207–217. Sidorenkov, G., Haaijer-Ruskamp, F. M., de Zeeuw, D., Bilo, H., & Denig, P. (2011). Review: relation between quality-of-care indicators for diabetes and patient outcomes: a systematic literature review. Medical Care Research and Review, 68(3), 263–289. Retrieved from http://doi.org/10.1177/1077558710394200 Siegel, J. D., Rhinehart, E., Cic, R. N. M. P. H., Jackson, M., Brennan, P. J., & Bell, M. (2007). 2007 Guideline for Isolation Precautions : Preventing Transmission of Infectious Agents in Healthcare Settings. American Journal of Infection Control. Siriwardena, A. N. (2006). Releasing the potential of health services : translating clinical leadership into healthcare quality improvement. Quality in Primary Care, 14(3), 125–128. Sivasampu, S., Ny, A., Mm, L., Afidah, A., Fatihah, M., Faridah, O., & Ruby, N. (2010). Hospital Service in Malaysia. National Healthcare Establishment & Workforce Statistics. Spence Laschinger, H. K., & Leiter, M. P. (2006). The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. The Journal of Nursing Administration, 36(5), 259–67. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/16705307 Sriram, S., Chack, L. E., Ramasamy, R., Ghasemi, A., Ravi, T. K., & Sabzghabaee, A. M. (2011). Impact of pharmaceutical care on quality of life in patients with type 2 diabetes mellitus. Journal of Research in Medical Sciences : The Official Journal of Isfahan University of Medical Sciences, 16(Suppl 1), S412. Retrieved from http://www.pubmedcentral.nih.gov/articlerender. fcgi?artid=3252774&tool=pmcentrez&rendertype= abstract Steiger, B. (2007). Doctors Say Many Obstacles Block Paths to Patient Safety. The Physician Executive, 33(3), 6–14. Stevens, J. P. (2009). Applied multivariate statistics for the social sciences (5th ed). Taylor and Francis Group. Stimpfel, A., & Aiken, L. (2013). Hospital staff nurses’ shift length associated with safety and quality of care. Journal of Nursing Care Quality, 28(2), 122–129. Retrieved from http://doi.org/10.1097/NCQ.0b013e3182725f09. Hospital Stimpfel, A. W., Rosen, J. E., & McHugh, M. D. (2014). Understanding the role of the professional practice environment on quality of care in Magnet® and non-Magnet hospitals. The Journal of Nursing Administration, 44(1), 10–16. Retrieved from http://doi.org/10.1097/NNA. 0000000000000015 Stone, P. W., Du, Y., Cowell, R., Amsterdam, N., Helfrich, T. a, Linn, R. W., … Mojica, L. a. (2006). Comparison of nurse, system and quality patient care outcomes in 8-hour and 12-hour shifts. Medical Care, 44(12), 1099–1106. Retrieved from http://doi.org/10.1097/01.mlr. 0000237180.72275.82 Strating, M. M. H., & Nieboer, A. P. (2009). Psychometric test of the Team Climate Inventory-short version investigated in Dutch quality improvement teams. BMC Health Services Research, 9(1), 126. http://doi.org/10.1186/ 1472-6963-9-126 Tabachnick, B., & Fidell, L. (2013). Using Multivariate Statistics (6th ed). Pearson Education. Tan, P. J., Khoo, E. M., Chinna, K., Hill, K. D., Poi, P. J. H., & Tan, M. P. (2014). An individually-tailored multifactorial intervention program for older fallers in a middle-income developing country: Malaysian Falls Assessment and Intervention Trial (MyFAIT). BMC Geriatrics, 14(1), 78. Retrieved from http://doi.org/10.1186/1471-2318-14-78 Tao, G., & Irwin, K. L. (2006). Gonorrhea prevention and clinical care in the private sector: lessons learned and priorities for quality improvement. Sexually Transmitted Diseases, 33(11), 652–662. Retrieved from http://doi.org/10.1097/01.olq.0000216030. 65618.0e Tappenden, K. a, Quatrara, B., Parkhurst, M. L., Malone, A. M., Fanjiang, G., & Ziegler, T. R. (2013). Critical role of nutrition in improving quality of care: an interdisciplinary call to action to address adult hospital malnutrition. Journal of the Academy of Nutrition and Dietetics, 22(3), 147–165. Retrieved from http://doi.org/10.1016/j.jand.2013.05.015 Terrien, N., Anthoine, E., & Moret, L. (2012). Development and validation of a scale aiming at measuring perceived patient-centered care by professionals. Geriatrie et Psychologie Neuropsychiatrie Du Vieillissement, 10(4), 403–411. Retrieved from http://doi.org/10.1684/ pnv.2012.0378 Thuemmler, C., & Morris, C. (2005). Global Case Management: Scotland Real-Time Monitoring of Patient Flow as an Instrument to Optimize Quality of Care in Acute Receiving Units. Lippincott’s Case Management, 10(5), 254–260. Tillman, M., Wehbe-Janek, H., Hodges, B., Smythe, W. R., & Papaconstantinou, H. T. (2013). Surgical care improvement project and surgical site infections: can integration in the surgical safety checklist improve quality performance and clinical outcomes? The Journal of Surgical Research, 184(1), 150–156. Retrieved from http://doi.org/10.1016/j.jss. 2013.03.048 Tourangeau, A. E., Cranley, L. a, & Jeffs, L. (2006). Impact of nursing on hospital patient mortality: a focused review and related policy implications. Quality & Safety in Health Care, 15(1), 4–8. Retrieved from http://doi.org/10.1136/qshc.2005.014514 Tourangeau, A. E., Doran, D. M., McGillis Hall, L., O’Brien Pallas, L., Pringle, D., Tu, J. V, & Cranley, L. a. (2007). Impact of hospital nursing care on 30-day mortality for acute medical patients. Journal of Advanced Nursing, 57(1), 32–44. Retrieved from http://doi.org/10. 1111/j.1365-2648.2006.04084.x Turner, J., & Leonard, L. (2011). The effect of the work and physical environment on hospital nurses’ perceptions and attitudes: service quality and commitment. Quality Management Journal, 18(4), 36–49. Turrentine, F. E., Wang, H., Young, J. S., & Calland, J. F. (2010). What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using the American College of Surgeons national surgical quality program improvement database. The Journal of Trauma, 69(2), 313–319. Retrieved from http://doi.org/10.1097/TA.0b013e3181e49291 Valero, C., Monteagudo, M., Llagostera, M., Bayona, X., Granollers, S., Acedo, M., … Muñoz, L. (2009). Evaluation of a combined strategy directed towards healthcare professionals and patients with chronic obstructive pulmonary disease (COPD): information and health education feedback for improving clinical monitoring and quality-of-life. BMC Public Health, 9(1), 442. Retrieved from http://doi.org/10.1186/1471-2458-9-442 Van Bogaert, P., Clarke, S., Vermeyen, K., Meulemans, H., & Van de Heyning, P. (2009). Practice environments and their associations with nurse-reported outcomes in Belgian hospitals: development and preliminary validation of a Dutch adaptation of the Revised Nursing Work Index. International Journal of Nursing Studies, 46(1), 54–64. Retrieved from http://doi.org/10.1016/j.ijnurstu.2008.07.009 Van Bogaert, P., Meulemans, H., Clarke, S., Vermeyen, K., & Van de Heyning, P. (2009). Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model. Journal of Advanced Nursing, 65(10), 2175–2185. Retrieved from http://doi.org/10.1111/j.1365-2648.2009.05082.x Van Bogaert, P., Timmermans, O., Weeks, S. M., van Heusden, D., Wouters, K., & Franck, E. (2014). Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events-A cross-sectional survey. International Journal of Nursing Studies, 51(8), 1123–1134. Retrieved from http://doi.org/10.1016/j.ijnurstu.2013.12.009 Van Bogaert, P., Wouters, K., Willems, R., Mondelaers, M., & Clarke, S. (2013). Work engagement supports nurse workforce stability and quality of care: nursing team-level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing, 20(8), 679–686. Retrieved from http://doi.org/10.1111/jpm.12004 Veerasamy, C., Sambasivan, M., & Kumar, N. (2013). Individual skills based volunteerism and life satisfaction among healthcare volunteers in Malaysia: role of employer encouragement, self-esteem and job performance, a cross-sectional study. PloS One, 8(10), e77698. Retrieved from http://doi.org/10.1371/journal.pone.0077698 Verma, J. (2013). Data analysis in management with SPSS software. Springer. Retrieved from http://books.google.com/books?hl=en&lr=&id= fhcQRQAWmjgC&oi=fnd&pg=PR7&dq=Data+Analysis+in+ Management+with+SPSS+Software&ots=nMa7Ryve_6& sig=rngMuRk-CcDE_haBQlewXo4NZyA Versa, G., & Inoue, K. (2011). Influence of dimensioning the nursing staff on the quality of care of the critical patient. Texto & Contexto-Enfermagem, 20(4), 796–802. Virga, P. H., Jin, B., Thomas, J., & Virodov, S. (2012). Electronic health information technology as a tool for improving quality of care and health outcomes for HIV/AIDS patients. International Journal of Medical Informatics, 81(10), e39–e45. Retrieved from http://doi.org/ 10.1016/j.ijmedinf.2012.06.006 Walshe, K., & Rundall, T. G. (2001). Evidence-based management: from theory to practice in health care. The Milbank Quarterly, 79(3), 429–457. Retrieved from http://www.pubmedcentral.nih.gov/articlerender. fcgi?artid=2751196&tool=pmcentrez&rendertype= abstract Warshawsky, N. E., & Havens, D. S. (2011). Global use of the Practice Environment Scale of the Nursing Work Index. Nursing Research, 60(1), 17–31. Retrieved from http://doi.org/10. 1097/NNR.0b013e3181ffa79c Webster, R. T., Curry, L., Berg, D., Radford, M., Krumholz, H., & Bradley, E. (2011). Organizational resiliency: how top-performing hospitals respond to setbacks in improving quality of cardiac care. Jounal of Healthcare Management/American College of Healthcare Executives, 53(3), 169–182. Weingart, S. N., Zhu, J., Chiappetta, L., Stuver, S. O., Schneider, E. C., Epstein, A. M., … Weissman, J. S. (2011). Hospitalized patients’ participation and its impact on quality of care and patient safety. International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care/ISQua, 23(3), 269–277. Retrieved from http://doi.org/10.1093/intqhc/ mzr002 Welton, J. M. (2008). Implications of Medicare reimbursement changes related to inpatient nursing care quality. The Journal of Nursing Administration, 38(7-8), 325–330. West, S. G., Aiken, L. S., & Krull, J. L. (1996). Experimental personality designs: Analyzing categorical by continuous variable interactions. Journal of Personality, 64(1), 1–48. Wheelen, T. L., Hunger, J. D., Hoffman, A. N., & Bamford, C. E. (2015). Strategic Management and Business Policy: Globalization, Innovation, and Sustainability (14th ed.). Pearson Education. WHO. (1948). Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. WHO. (2010). WHO-Malaysia Country Cooperation Strategy (CCS) 2009-2013. Retrieved from http://www.who.int/countryfocus/cooperation_ strategy/ccs_mys_en.pdf Wicks, A. M., & Roethlein, C. J. (2009). A satisfaction-based definition of quality. Journal of Business & Economic Studies, 15(1), 82–98. Wilson, R., Runciman, W., Gibberd, R., Harrison, B., Newby, L., & Hamilton, J. (1995). The quality in Australian health care study. Medical Journal of Australia, 163(9), 458–471. Wood, D. L., Brennan, M. D., Chaudhry, R., Chihak, A. a, Feyereisn, W. L., Woychick, N. L., … Larusso, N. F. (2008). Standardized care processes to improve quality and safety of patient care in a large academic practice: the Plummer Project of the Department of Medicine, Mayo Clinic. Health Services Management Research, 21(4), 276–280. Retrieved from http://doi.org/10.1258/hsmr.2008.008009 Woodard, L. D., Landrum, C. R., Urech, T. H., Wang, D., Virani, S. S., & Petersen, L. a. (2012). Impact of clinical complexity on the quality of diabetes care. The American Journal of Managed Care, 18(9), 508–514. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/23009301 Xirasagar, S., Samuels, M. E., & Stoskopf, C. H. (2005). Physician leadership styles and effectiveness: an empirical study. Medical Care Research and Review, 62(6), 720–740. Retrieved from http://doi.org/10.1177/1077558705281063 Yaakup, H., Eng, T. C., & Shah, S. A. (2014). Does Clinical Experience Help Oncology Nursing Staff to Deal with Patient Pain Better than Nurses from other Displines ? Knowledge and Attitudes Survey Amongst Nurses in a Tertiary Care in Malaysia. Asian Pacific Journal of Cancer Prevention, 15(12), 4885–4891. You, L., Aiken, L. H., Sloane, D. M., Liu, K., He, G., Hu, Y., … Sermeus, W. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International Journal of Nursing Studies, 50(2), 154–161. Retrieved from http://doi.org/10.1016/j.ijnurstu.2012.05.003 Young, a S., Sullivan, G., & Duan, N. (1999). Patient, provider, and treatment factors associated with poor-quality care for schizophrenia. Mental Health Services Research, 1(4), 201–211. Zeng, Z., Ma, X., Hu, Y., Li, J., & Bryant, D. (2012). A simulation study to improve quality of care in the emergency department of a community hospital. Journal of Emergency Nursing, 38(4), 322–328. Zhao, X., Lynch Jr., J. G., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and Truths about Mediation Analysis. Journal of Consumer Research, 37(2), 197–206. Retrieved from http://doi.org/10.1086/651257 Zikmund, W. G., Babin, B. J., Carr, J. C., & Griffin, M. (2013). Business Research Methods (9th ed). South-Western, Cengage Learning.

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