Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review

IF 2.7 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-07-09 DOI:10.1016/j.apnr.2025.151988

Ba-Etilayoo Atinga , Wilma ten Ham-Baloyi , Nolundi Radana

{"title":"Optimizing the quality of nursing care in public hospitals in low-and middle-income countries: an integrative literature review","authors":"Ba-Etilayoo Atinga , Wilma ten Ham-Baloyi , Nolundi Radana","doi":"10.1016/j.apnr.2025.151988","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.</div></div><div><h3>Purpose</h3><div>Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.</div></div><div><h3>Methods</h3><div>An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.</div></div><div><h3>Results</h3><div>Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.</div></div><div><h3>Conclusion</h3><div>This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.</div></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":"84 ","pages":"Article 151988"},"PeriodicalIF":2.7000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0897189725000904","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Quality nursing care is essential for positive patient outcomes and satisfaction. Understanding quality nursing care in public hospitals in low-and middle-income countries is invaluable for developing contextualised strategies aimed at optimizing the delivery of nursing care.

Purpose

Summarize existing relevant literature on optimising quality nursing care in public hospitals of low- and middle-income countries.

Methods

An integrative literature review according to Whittemore and Knafl’s stages. An in-depth search of literature from January 1, 2014 to March 31, 2025 was conducted, including Web of Science, PubMed, Scopus, EBSCOhost (Academic Search Complete, CINAHL and MEDLINE), followed by a manual search on Google and citation search. The identified literature was critically appraised using the John Hopkins Nursing Evidence and Non-Research Evidence appraisal tools. Thematic analysis was used.

Results

Nine strategies on optimising quality nursing care under two themes were identified from 17 articles: “Daily nursing care-related strategies” and “Organizational-related strategies”. Five daily nursing care strategies relate to quality practice, interprofessional collaboration, cultural sensitivity, therapeutic communication, and family involvement. Five organizational strategies relate to culture and policy, work-life environment and technology, infrastructure and human resources, continuous education, and management support.

Conclusion

This review identifies strategies to optimize nursing care quality and provides insights for public hospital management to improve programs and interventions. Effective implementation can enhance patient outcomes and strengthen healthcare systems in LMICs, but requires systemic reforms, targeted investments, context-specific solutions, and further research to address gaps and explore innovations.

查看原文本刊更多论文

优化中低收入国家公立医院护理质量：综合文献综述

高质量的护理对患者的积极结果和满意度至关重要。了解低收入和中等收入国家公立医院的护理质量对于制定旨在优化护理服务提供的情境化战略是非常宝贵的。目的总结中低收入国家公立医院优化护理质量的相关文献。方法根据Whittemore和Knafl的分期进行文献综述。通过Web of Science、PubMed、Scopus、EBSCOhost （Academic search Complete、CINAHL和MEDLINE）对2014年1月1日至2025年3月31日的文献进行深度检索，然后在谷歌上进行人工检索和引文检索。使用约翰霍普金斯护理证据和非研究证据评估工具对已确定的文献进行批判性评估。采用专题分析。结果从“日常护理相关策略”和“组织相关策略”17篇文章中确定了两个主题下的优化护理质量策略。五种日常护理策略涉及质量实践、跨专业合作、文化敏感性、治疗沟通和家庭参与。五个组织战略涉及文化和政策、工作-生活环境和技术、基础设施和人力资源、继续教育和管理支持。结论本综述明确了优化护理质量的策略，为公立医院管理改进护理方案和干预措施提供参考。有效的实施可以提高患者的治疗效果，并加强中低收入国家的医疗保健系统，但需要系统性改革、有针对性的投资、针对具体情况的解决方案，以及进一步研究以解决差距和探索创新。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.