Measuring health services quality: Nurses’ perceptions and the SERVPERF scale
This study aimed to assess service quality in the health-care sector by employing the SERVPERF scale, with a particular focus on the perceptions of nursing staff, which have a significant impact on patient care. Utilizing the SERVPERF scale, this research investigates the perceived quality of health services in hospitals and examines the predictors of service quality based on the scale’s dimensions and items. The five dimensions under consideration include tangibility, reliability, responsiveness, empathy, and assurance. The data were collected from a sample of 214 nurses who completed the research survey to determine their perception of service quality. The questionnaire demonstrated high reliability, with an overall Cronbach’s alpha value of 0.72. The study was conducted in private hospitals situated in Yemen’s largest city. The findings revealed that the dimensions of health-care service quality were highly rated, with the safety dimension scoring the highest and the reliability dimension scoring the lowest. These results have significant implications for measuring health-care service quality. Although the study is limited by the use of a sample from five hospitals in nursing departments, the findings offer valuable insights for health-care sector leaders to assess service quality in hospitals.
Akdere, M., Top, M., & Tekingündüz, S. (2020). Examining patient perceptions of service quality in Turkish hospitals: The SERVPERF model. Total Quality Management and Business Excellence, 31:342-352. https://doi.org/10.1080/14783363.2018.1427501
Al-Kandari, F., & Ogundeyin, W. (1998). Patients’ and nurses’ perceptions of the quality of nursing care in Kuwait. Journal of Advanced Nursing, 27(5):914-921. https://doi.org/10.1046/j.1365-2648.1998.t01-1-00047.x
Alsufyani, A.M., Aldawsari, A.A., Aljuaid, S.M., Almalki, K.E., & Alsufyani, Y.M. (2020). Quality of nursing care in Saudi Arabia: Are empathy, advocacy, and caring important attributes for nurses? Nurse Media Journal of Nursing, 10(3):244-259. https://doi.org/10.14710/NMJN.V10I3.32210
Apriana, R., & Ratnasari, I. (2021). Quality of nursing services affect the patient satisfaction in hospital. Journal of Noncommunicable Disease, 1(2):118. https://doi.org/10.52365/jond.v1i2.364
Athanasakis, E. (2020). Registered nurses’ experiences of medication errors-an original research protocol: Methodology, methods, and ethics. Canadian Journal of Nursing Research, 53(2):171-183.
Canova-Barrios, C., & Oviedo-Santamaría, P. (2021). Health-related quality of life among intensive care unit workers. Enfermeria Intensiva (Engl Ed), 32(4):181-188. https://doi.org/10.1016/j.enfi.2020.11.002
Dalle, A., Purwantono, S., & Bahtiar, B. (2020). Analysis of the quality of health center services based on public service regulation by the government. Health Notions, 4(6):192-195. https://doi.org/10.33846/hn 40606
Dureab, F., Al-Awlaqi, S., & Jahn, A. (2020). COVID-19 in Yemen: Preparedness measures in a fragile state. The Lancet Public Health, 5(6):e311. https://doi.org/10.1016/s2468-2667(20)30101-8
Endeshaw, B. (2020). Healthcare service quality-measurement models: A review. Journal of Health Research, 35(2):106-117. https://doi.org/10.1108/jhr-07-2019-0152
Fabrellas, N., Carol, M., Palacio, E., Aban, M., Lanzillotti, T., Nicolao, G., et al. (2020). Nursing care of patients with cirrhosis: The liverhope nursing project. Hepatology, 71:1106-1116. https://doi.org/10.1002/hep.31117
Ghildiyal, A.K., Devrari, J.C., & Dhyani, A. (2022). Quality of healthcare service and its influencing factors. International Journal of Health Sciences, 6(3). https://doi.org/10.53730/ijhs.v6ns3.8052
Ghimire, P., Ghimire, P., & Acharya, M.R. (2020). SERVQUAL questionnaire based health service quality assessment in a private hospital of Western Nepal. Nepal Journal of Medical Sciences, 5(1):79-85. https://doi.org/10.3126/njms.v5i1.36958
Habahbeh, A.A., & Alkhalaileh, M. (2020). Effect of an educational programme on the attitudes towards patient safety of operation room nurses. British Journal of Nursing, 29(4):222-228. https://doi.org/10.12968/bjon.2020.29.4.222
Halabi, J.O., Nilsson, J., & Lepp, M. (2021). Professional competence among registered nurses working in hospitals in saudi arabia and their experiences of quality of nursing care and patient safety. Journal of Transcultural Nursing, 32:425-433. https://doi.org/10.1177/1043659621992845
Haldane, V., Zhang, Z., Abbas, R.F., Dodd, W., Lau, L.L., Kidd, M.R., et al. (2020). National primary care responses to COVID-19: A rapid review of the literature. BMJ Open, 10:e041622. https://doi.org/10.1136/bmjopen-2020-041622 https://doi.org/10.1177/0844562120902668
Khodayari-Zarnaq, R., Yousefi, M., Hajizadeh, M., & Heydari, M. (2021). Medical tourists’ perspectives on the quality of care in Iran. Anatolia, 32(1):70-79. https://doi.org/10.1080/13032917.2020.1850484
Koy, V., Yunibhand, J., Angsuroch, Y., Turale, S., & Rojnawee, S. (2020). Registered nurses’ perceptions of factors influencing nursing care quality: A structural equation modeling study. Nursing and Health Sciences, 22(1):91-98. https://doi.org/10.1111/nhs.12653
Krejcie, R.V., & Morgan, D.W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30(3), 607-610.
Labrague, L.J., De los Santos, J.A.A., & Fronda, D.C. (2022). Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Journal of Nursing Management, 30(1):62-70. https://doi.org/10.1111/jonm.13483
Li, Y., Zeng, X., Chen, M., Hu, Y., Wu, J., Lu, W., et al. (2022). Association between spiritual care competency and perceived professional benefit among nurses: A cross-sectional study. Journal of Nursing Management, 30:3368-3377. https://doi.org/10.1111/jonm.13793
Manyazewal, T. (2017). Using the World Health Organization health system building blocks through survey of healthcare professionals to determine the performance of public healthcare facilities. Archives of Public Health, Archives Belges de Sante Publique, 75:50. https://doi.org/10.1186/s13690-017-0221-9
Mert, S., Kersu, Ö., Aydın Sayılan, A., Baydemır, C., & Ilter, G. (2020). Patients’ and nurses’ perceptions of the quality of nursing care in surgical clinics: A multicenter study in Turkey. Journal of Nursing Care Quality, 36:188-194 https://doi.org/10.1097/NCQ.0000000000000528
Molina-Mula, J., & Gallo-Estrada, J. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. International Journal of Environmental Research and Public Health, 17(3):835. https://doi.org/10.3390/ijerph17030835
Mynaříková, E., Jarošová, D., Janíková, E., Plevová, I., Polanská, A., & Zeleníková, R. (2020). Occurrence of hospital-acquired infections in relation to missed nursing care: A literature review. Central European Journal of Nursing and Midwifery, 11(1):43-49. https://doi.org/10.15452/cejnm.2020.11.0007
Prakoeswa, C.R., Hidayah, N., Dewi, A., Purnamasari, I., Adriansyah, A.A., & Yaqub, A.M. (2022). Patient satisfaction, perception-expectation gap, and costumer satisfaction index in annual survey 2021 at Dr. Soetomo general academic hospital. Folia Medica Indonesiana, 58(2):178-186. https://doi.org/10.20473/fmi.v58i2.34550
Pratama, V., & Hartini, S. (2020). The effect of perception of health care service quality on patient satisfaction and loyalty in mother and child hospital. Journal of Theory and Applied Management, 13(3):234 https://doi.org/10.20473/jmtt.v13i3.21139
Qirbi, N., & Ismail, S.A. (2017). Health system functionality in a low-income country in the midst of conflict: The case of Yemen. Health Policy and Planning, 32(6):911-922. https://doi.org/10.1093/heapol/czx031
Riordan, F., McHugh, S.M., O’Donovan, C.J., Mtshede, M.N., & Kearney, P.M. (2020). The role of physician and practice characteristics in the quality of diabetes management in primary care: Systematic review and meta-analysis. Journal of General Internal Medicine, 35:1836-1848. https://doi.org/10.1007/s11606-020-05676-7
Ryan, C., Powlesland, J., Phillips, C., Raszewski, R., Johnson, A., Banks-Enorense, K., et al. (2017). Nurses’ perceptions of quality care. Journal of Nursing Care Quality, 32,180-185. https://doi.org/10.1097/NCQ.0000000000000211
Shafei, I., Walburg, J., & Taher, A. (2019). Verifying alternative measures of healthcare service quality. International Journal of Health Care Quality Assurance, 32(2):516-533. https://doi.org/10.1108/IJHCQA-05-2016-0069
Sulistyorini, N., Jati, S.P., & Agushybana, F. (2021). The effect of health care quality town patient satisfaction in Indonesia. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 6(3):687-692. https://doi.org/10.30604/jika.v6i3.1012
Yanti, N.P., & Suarningsih, N.K. (2022). Effect of spiritual care training on nurses’ perceptions of spirituality and spiritual care. International Journal of Health Sciences, 6(S2):4183-4191. https://doi.org/10.53730/ijhs.v6ns2.5939