Patients and health care professionals view quality nursing care from
different perspectives. health care professionals view competent nursi
ng care as quality nursing care. Patients perceive quality nursing car
e as caring, interpersonal interactions. Institutions measure quality
care through satisfaction surveys that exclude components of nurse car
ing behaviors. In three studies utilizing the Holistic Caring Inventor
y (HCI), patients perceived nurse caring behaviors and attitudes that
indicated quality nursing care. The way to bridge the gap between inst
itutions' and patients' perceptions of quality care lies in valuing th
e interactions that patients consider quality care and including these
interactions in measures of quality care, Key words: measures of qual
ity care, patients' perceptions of caring satisfaction.