Embedding Quality Improvement Change into Nursing Practice
نویسندگان
چکیده
Kai Tiaki Nursing Research September 2012 vol 3 no 1 24 Patricia Mitchell Involving clinicians, especially nurses, is critical to improving quality in health care. In this paper, we report on a study that explored nurses’ perceptions of quality improvement (QI) change. Health care organisations and governments, both in New Zealand and other developed countries, are striving to reduce escalating health care costs and improve patient outcomes, to meet the growing demand for health care. The nursing sector is integral to the success of QI change and plays an important role in improving patient outcomes and reducing costs. The aims of this master of nursing study were to explore how nurses perceive QI change, to determine what is needed for nursing to contribute more to QI change and to identify the potential disconnect between the two. A mixed research methodology used a cohort of registered nurses and senior nurses at an inpatient hospital in Auckland, Aotearoa New Zealand.Findings suggested nurses understood the value of QI change and acknowledged they had a role to play in leading and implementing it. However, this was not seen as a core part of the nurses’ role and various barriers to full engagement in QI change were identified. The research‘s limitation was that it was undertaken in one large New Zealand hospital. Ensuring QI is part of the nursing sector’s identity, with specific responsibility, accountability and the authority to act, is essential for nurses to lead and implement QI change. While the nursing profession is well-placed to initiate, lead and implement QI change, ambivalence to change is evident. Providing nurses with the responsibility, accountability and authority to act is essential for nursing to encompass QI change within their role.
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