Quality, philosophy and Riehl's model of nursing.

It is theoretically possible to use Riehl's model of nursing as a vehicle for quality assurance. The individual's view of quality is a critical determinant. Patients should be partners in care, negotiating and instigating outcomes together with nurses whenever possible. A holistic approach and a humanistic philosophy for care in combination are important considerations in determining quality of care. Empowerment of the patient through an internal locus of control should enable care to be individualised. A patient thus empowered may then be able to assume responsibility for his/her health status.