Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross-sectional study

Claudia Leoni-Scheiber*, Hanna Mayer, Maria Müller-Staub

*Corresponding author for this work

Research output: Journal article (peer-reviewed)Journal article

15 Citations (Scopus)


Aim: This study aimed to assess (a) nurses' knowledge and their attitude towards the Advanced Nursing Process—nursing assessment, diagnoses, interventions, outcomes, (b) the quality of the Advanced Nursing Process and (c) relationships with patient characteristics. Design: A cross-sectional, descriptive correlational study was performed. Methods: Ninety-two registered nurses and ninety nursing records of six hospital wards were included. In January 2016, a knowledge test, a self-assessment tool for measuring nurses' attitude (PND) and the Quality of Diagnoses, Interventions and Outcomes Revised instrument (Q-DIO R) were applied. The correlations between nurses' knowledge, attitude, patient characteristics, organizational factors and the Advanced Nursing Process quality were investigated. Results: Nurses demonstrated low levels of knowledge, positive attitudes and an average Advanced Nursing Process quality. Accurate nursing diagnoses were strong and highly significantly related to effective nursing interventions and better nursing-sensitive patient outcomes. A higher proportion of registered nurses was related to better nursing outcomes.

Original languageEnglish
Pages (from-to)419-429
Number of pages11
JournalNursing Open
Issue number1
Publication statusPublished - 01 Jan 2020
Externally publishedYes


  • advanced nursing process
  • correlation
  • cross-sectional study
  • instrument quality of nursing diagnoses
  • interventions and outcomes (q-dio)
  • nurse attitudes
  • nursing knowledge
  • nursing records
  • organizational factors
  • positions on nursing diagnoses scale (pnd)
  • record review
  • Clinical Competence
  • Cross-Sectional Studies
  • Nursing Process
  • Humans
  • Nurses
  • Nursing Records

ASJC Scopus subject areas

  • General Nursing


Dive into the research topics of 'Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross-sectional study'. Together they form a unique fingerprint.

Cite this