Does Nursing Care Quality integrated with Clinical Governance relate to Hospital Anxiety and Depression among Elderly Patients with Coronary Heart Diseases?

Abstract

Background : A coronary heart disease (CHD) is one of the causes of frequent elderly hospitalizations that are associated with psychological complications such as "hospital anxiety and depression". Furthermore, there needs to be a paradigm shift beyond routine programs toward innovative approaches such as clinical governance (CG) to improve the quality of care. This study aimed to investigate the association between Nursing Care Quality integrated with CG to Hospital Anxiety and Depression among Elderly Patients. Methods : In this descriptive correlational study, 250 elderly patients with CHD admitted to a large teaching hospital in Tehran, Iran as “Aging Friendly Hospital” selected by consecutive sampling method. The data collection instruments included the Quality Patient Care Scale (QUALPAC) and The Hospital Anxiety and Depression Scale (HADS). Data were collected by face to face interviews. Data were analyzed using descriptive and inferential statistics such as independent t-test, ANOVA and correlation coefficients in SPSS v.16 software . Results : Overall, 91.6 % of the subjects perceived the quality of nursing care integrated with CG desirable. The mean score of HADS in the subscales of anxiety and depression were (1.52 ± 1.14 and 2.18 ± 1.51) respectively which indicates hospital anxiety and depression were less than the average level. There was a negative significant correlation between the subjects’ hospital anxiety and quality nursing care (P< 0.01). Conclusion : The findings showed there is an association between perceived quality of nursing care and hospital anxiety among elderly patients. It is recommended that Managers of healthcare services should take into account CG seriously to paradigm shift beyond routinely care program toward innovative approaches of health policy.