Perceptions of Quality of Care Among Nursing Professionals
Main Article Content
Abstract
Inequalities in nursing practice conditions complicate the interpretation of perceived care quality and its relationship with care delivery. This study aimed to analyze perceptions of care quality among hospital nursing professionals in Latin American settings. A qualitative, exploratory, and descriptive documentary synthesis was conducted using reflexive thematic analysis of scientific articles and institutional reports. Findings were organized into technical and clinical, interpersonal, and organizational domains. A Brazilian study involving 544 nursing professionals reported a mean score of 23.6, with a standard deviation of 4.5, indicating a nursing care product rated as good; in a Chilean study, 86% reported at least one missed care activity. Institutional differences and associations between workload, work environment, and missed care were also identified. The coexistence of favorable assessments and specific difficulties suggests that global indicators do not uniformly reflect all care components. Heterogeneity across sources prevented a pooled estimate or the identification of a shared temporal trajectory. Perceived care quality therefore requires a multidimensional, context-sensitive interpretation that distinguishes professional assessments, missed care, and organizational conditions to inform targeted institutional evaluations.
Downloads
Article Details
Section

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
Aiken, L. H., Simonetti, M., Sloane, D. M., Cerón, C., Soto, P., Bravo, D., Galiano, A., Behrman, J. R., Smith, H. L., McHugh, M. D., & Lake, E. T. (2021). Hospital nurse staffing and patient outcomes in Chile: A multilevel cross-sectional study. The Lancet Global Health, 9(8), e1145–e1153. https://doi.org/10.1016/S2214-109X(21)00209-6
Audulv, Å., Hall, E. O. C., Kneck, Å., Westergren, T., Fegran, L., Pedersen, M. K., Aagaard, H., Dam, K. L., & Ludvigsen, M. S. (2022). Qualitative longitudinal research in health research: A method study. BMC Medical Research Methodology, 22, 255. https://doi.org/10.1186/s12874-022-01732-4
Bayuo, J., Nyande, F. K., Awunyo, W., & Akpalu, E. (2026). The longitudinal qualitative research design in nursing, health, and social care research: Philosophy, methodology, and methods. BMC Medical Research Methodology, 26, 2. https://doi.org/10.1186/s12874-025-02736-6
Braun, V., & Clarke, V. (2022). Thematic analysis: A practical guide. SAGE. https://study.sagepub.com/thematicanalysis
Camacho-Rodríguez, D. E., Carrasquilla-Baza, D. A., Dominguez-Cancino, K. A., & Palmieri, P. A. (2022). Patient safety culture in Latin American hospitals: A systematic review with meta-analysis. International Journal of Environmental Research and Public Health, 19(21), 14380. https://doi.org/10.3390/ijerph192114380
Donabedian, A. (2002). An introduction to quality assurance in health care (R. Bashshur, Ed.). Oxford University Press. https://doi.org/10.1093/oso/9780195158090.001.0001
Herrera-Sánchez, P. J., & Mina-Villalta, G. Y. (2023). Estrategias de prevención del agotamiento profesional en enfermeras de cuidados intensivos. Revista Científica Ciencia y Método, 1(4), 1–15. https://doi.org/10.55813/gaea/rcym/v1/n4/24
Herrera-Sánchez, P. J., Dávila-Rodríguez, C., & Mina-Villalta, G. Y. (2025). Calidad del cuidado de enfermería y satisfacción del paciente en servicios hospitalarios. Revista Científica Enfoques del Conocimiento, 2(1), 19–38. https://doi.org/10.55813/gaea/revistacec/v2/n1/28
Horvath, E. de S. C., Santos, J. L. G. dos, Erdmann, A. L., Lanzoni, G. M. de M., Menegon, F. H. A., & Balsanelli, A. P. (2026). Assessment of the nursing care product during the COVID-19 pandemic in Brazilian university hospitals. Texto & Contexto – Enfermagem, 35, e20250305. https://doi.org/10.1590/1980-265X-TCE-2025-0305en
Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059
Lima, J. C. de, Silva, A. E. B. de C., & Caliri, M. H. L. (2020). Omission of nursing care in hospitalization units. Revista Latino-Americana de Enfermagem, 28, e3233. https://doi.org/10.1590/1518-8345.3138.3233
Lima, P. G., Gonçalves, G. C. de S., Lanzoni, G. M. de M., & Balsanelli, A. P. (2024). Care management and leadership according to nurses’ perception in the hospital context of COVID-19. Revista da Escola de Enfermagem da USP, 58, e20240049. https://doi.org/10.1590/1980-220X-REEUSP-2024-0049en
López-Cudco, L. L. (2023). Salud mental y burnout en profesionales de enfermería en hospitales ecuatorianos. Revista Científica Zambos, 2(2), 63–80. https://doi.org/10.69484/rcz/v2/n2/44
Mendoza-Falcones, L. M., Guida-Acevedo, G. N., Herrera-Esquivel, C. A., & Herrera-Sánchez, P. J. (2026). Bioética y equidad en el acceso a los servicios de salud en Ecuador y América Latina. Journal of Economic and Social Science Research, 6(1), 121–140. https://doi.org/10.55813/gaea/jessr/v6/n1/234
Morgan, H. (2022). Conducting a qualitative document analysis. The Qualitative Report, 27(1), 64–77. https://doi.org/10.46743/2160-3715/2022.5044
Organización Panamericana de la Salud. (2025). Día Internacional de las Enfermeras y los Enfermeros 2025. https://www.paho.org/es/campanas/dia-internacional-enfermeras-enfermeros-2025
Ponce-Rivera, O. S., Díaz-Vásquez, S. M., Roman-Huera, C. K., & Vinueza-Martínez, C. N. (2024). El rol de la enfermería en el manejo de emergencias: Desde el triage hasta la atención integral. Journal of Economic and Social Science Research, 4(1), 57–76. https://doi.org/10.55813/gaea/jessr/v4/n1/86
Porras-Roque, M. S., & Herrera-Sánchez, P. J. (2022). Desafíos en la formación y capacitación de enfermeras en el sistema de salud ecuatoriano. Revista Científica Zambos, 1(3), 60–75. https://doi.org/10.69484/rcz/v1/n3/33
Simonetti, M., Cerón, C., Galiano, A., Lake, E. T., & Aiken, L. H. (2022). Hospital work environment, nurse staffing and missed care in Chile: A cross-sectional observational study. Journal of Clinical Nursing, 31(17–18), 2518–2529. https://doi.org/10.1111/jocn.16068