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Quality improvement: the divergent views of managers and clinicians


Price, M and Fitzgerald, L and Kinsman, L, Quality improvement: the divergent views of managers and clinicians, Journal of Nursing Management, 15 pp. 43-50. ISSN 0966-0429 (2007) [Refereed Article]

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Copyright 2007 Blackwell Publishing Ltd

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Aim: The aim of this study was to identify and explore nurse managers and clinical nurses perceptions of quality improvement as related to their practice.

Background: The quality improvement process has become an integral component of health care service delivery. The pivotal role that nurse managers and clinical nurses play in the success of quality improvement initiatives is consistently reported throughout the literature. Published evidence has primarily focused on nurses perceptions of quality and the importance of the nurse’s role. However, the literature fails to provide evidence that nurse managers and clinical nurses agree with this.

Method: Research was conducted at one large regional hospital in Australia in the year 2000 and used a descriptive qualitative research methodology. Data were collected using semi-structured interviews with six nurse managers and six clinical nurses on two consecutive occasions and analysed using constant comparative analysis.

Results: Nurse managers and clinical nurses understanding of the concept of quality improvement and how it applies to the practice of nursing differed. Each group identified that quality improvement can be beneficial to nursing practice, but blamed each other for potential benefits not being realized. Both nurse managers and clinical nurses offered similar solutions with varied emphasis on how quality improvement could improve nursing practice and patient outcomes.

Conclusion: The quality improvement process requires review. Nurse managers and clinical nurses offered divergent views of the identified deficiencies in the way quality improvement is implemented that reduce its clinical impact. Integral to the success of any quality improvement process is the inclusion of views of both nurse managers and clinical nurses.

Item Details

Item Type:Refereed Article
Keywords:nurse managers; quality improvement; quality management
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Health care administration
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Nursing
UTAS Author:Kinsman, L (Professor Leigh Kinsman)
ID Code:97785
Year Published:2007
Deposited By:Health Sciences B
Deposited On:2015-01-13
Last Modified:2015-03-05

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