Factors Predicting Quality of Nursing Care Among Registered Nurses in Myanmar: A Cross-sectional Study

Abstract

 High-quality healthcare is essential for community well-being and positive health outcomes. Healthcare settings, therefore, should deliver timely, equitable, integrated, efficient, effective, safe, and people-centered service. As in other countries, the COVID-19 pandemic and the nursing shortage crisis have impacted Myanmar’s nursing care quality. A cross-sectional study was conducted to examine the predictability of nurse staffing, educational levels, work experience, nurse work environment, and job satisfaction on the quality of nursing care among 218 registered nurses from five general hospitals in the Republic of the Union of Myanmar during July and September 2022. Data were collected using the Demographic and Nurse Staffing Data Form, the Practice Environment Scale of the Nursing Work Index, the Job Satisfaction Survey, and the Good Nursing Care Scale. The data were examined using descriptive statistics and a stepwise multiple regression analysis. Results revealed that the overall quality of nursing care as perceived by nurses was high. The significant predictors of the quality of nursing care from the highest to the lowest were nurse work environment, nurse staffing, work experience, and job satisfaction, explaining 56% of the variance in the quality of nursing care. This study provides vital evidence for creating strategies to enrich and sustain the quality of nursing care in Myanmar and possibly other countries. Nursing directors should work with the government to produce and recruit more nurses, allocate budgets for care, and create a supportive work environment for nurses to improve healthcare quality.