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Instruments for Assessing Nursing Care Quality: A Scoping Review

Patrícia Correia, Rafael A. Bernardes, Sílvia Caldeira · Nursing Reports · 2025

Background/Objectives. Quality of nursing care (QNC) is a central concept in healthcare systems worldwide, with growing emphasis on developing reliable and contextually appropriate instruments for its assessment. Over recent decades, there has been a shift from outcome-based evaluation toward more holistic, patient-centered frameworks that consider both clinical indicators and interpersonal dimensions of care. This scoping review aimed to map the range, nature, and characteristics of self-report instruments used to assess the quality of nursing care, including their psychometric properties and contextual applications across different clinical settings. Methods. A systematic search was conducted in CINAHL Complete, MEDLINE (via PubMed), Scopus, Web of Science, and ProQuest Dissertations & Theses, alongside gray literature sources, following the Joanna Briggs Institute (JBI) methodology and PRISMA-ScR guidelines. Studies were included if they reported on the development, validation, adaptation, or application of QNC assessment tools in hospital or community nursing contexts, and were published in English, Portuguese, or Spanish. Results. Fifty-nine studies were included, spanning

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