Neuroticism and Patient-Perceived Care Quality: Nursing Experience as a Moderator

Thursday, 16 July 2009: 8:50 AM

Ching-I Teng, PhD
Department of Business Administration, Chang Gung University, Taoyuan, Taiwan

Learning Objective 1: The learner will be able to understand the interactive effects of neuroticism and experience of nurses on patient-perceived care quality.

Learning Objective 2: The learner will be able to identify and reduce negative emotions of experienced nurses and thus improve overall patient-perceived care quality.

Purpose: Although studies indicate that neuroticism in nurses affects care quality, none has investigated whether nursing experience moderates such influence. This study thus investigated whether neuroticism and experience in nurses have interactive effects on patient-perceived care quality.

Methods: Neuroticism was measured using items from the Mini-Marker scale. The SERVQUAL scale was used to measure patient-perceived care quality. A cross-sectional survey was conducted in forty-nine units in a single medical center. Stratified random sampling was used to select 192 pairs of nurses and patients. All sampled nurses were 20- to 40-year-old females with bachelor degrees.

Results: Four reliability indices, two convergent validity criteria, one discriminant validity criterion and ten fit indices were applied to confirm adequate measurement quality. Regression analyses indicated the significance of interaction effects. The sample was then split into experienced (>1 year) and junior (1 year) groups. Neuroticism decreased patient-perceived care quality given by experienced nurses (β=|.24, p=.00) but not that given by junior nurses (β=.07, p=.63). Patient gender, age and educational level did not significantly affect care quality. These findings contribute to the literature by extending the negative impact of neuroticism, which was first reported by Teng et al. (2007). A unique finding of the present study is that the negative impact of neuroticism is contingent upon nursing experience.

Conclusion: Neuroticism and experiences in nurses have interactive effects on patient-perceived care quality.References:
Teng, C.-I., Hsu, K.-H., Chien, R.-C., & Chang, H.-Y. (2007). Influence of personality on care quality of hospital nurses. Journal of Nursing Care Quality, 22(4), 358-364.