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Quality of Care: A Comparison of Perceptions of Health Professionals in Clinical Areas in the United Kingdom and the United States

McKenna, Hugh P. PhD, RN; Keeney, Sinead MRes; Currie, Lynne BSc (Hons); Harvey, Gill PhD, RN; West, Elizabeth PhD, RN; Richey, Roberta H. MRes, RN


A tool was developed, using the nominal group and Delphi techniques, to explore healthcare staff's perceptions of the quality of hospital care provided in the United Kingdom compared with a tool from the United States. Similarities were identified in many core areas; however, there were several differences between the UK and US tools. This article identifies the process and findings and discusses possible reasons for similarities and differences between the tools.

Faculty of Life & Health Sciences (Dr McKenna), and the Institute of Nursing Research, School of Nursing (Mss Keeney and Richey), University of Ulster, Northern Ireland, UK; the Royal College of Nursing Institute, Oxford, UK (Ms Currie); the Manchester Centre for Healthcare Management, University of Manchester, UK (Dr Harvey); and the London School of Hygiene, UK (Dr West).

Corresponding author: Sinead Keeney, MRes, Institute of Nursing Research, School of Nursing, University of Ulster, Shore Rd, Newtownabbey, Co. Antrim BT37 0QB, Northern Ireland, UK (e-mail:

US Perceptions of Unit Quality scale reproduced by permission of Professor Linda Cronenwett, Dean of Nursing, University of North Carolina at Chapel Hill.

Accepted for publication: February 16, 2006

© 2006 Lippincott Williams & Wilkins, Inc.