Experienced nurse managers' perceptions about their role in quality improvement and patient safety

Date of Award


Document Type


Degree Name

Master of Science in Nursing (MScN)


School of Nursing and Midwifery, Pakistan


env ironment to promote the well-being of nurse managers as well. Background: Hospital nurse managers play a: vital role in meeting patients' needs of quality and safety. However, nurse managers have a limited understanding of quality improvement conce pts and of their applications in practice. Little is known about the nurse managers' perce )lions regarding their role in quality improvement and patient safety in the Pakistani conte Kt. Therefore, the aim of this study was to explore the Pakistani nurse managers' perce ptions, and the promoting and resisting factors in their work for quality improvement and p atient safety. Med odology: An exploratory qualitative study design was used. Data was collected from 14 nurse managers, from different services lines of the Aga Khan University Hospital (A KUM), in Karachi. Pakistan, by using a semi-structured interview guide. Find ings: Two main themes, perceptions, and the promoting and the resisting factors emelt ged from a thematic analysis. Nurse managers recognized the significance of their role in qu ality improvement and patient safety. The perceived promoting factors identified were self- motivation and satisfaction, patient satisfaction and appreciations, management support, team work, and ongoing training sessions. The resisting factors were staffs' incompetency, lack of support and cooperation from senior doctors and supervisors, physical settings of the sery ce line in the hospital, and the challenging work experience. Con elusion: There is a need to organize ongoing nursing education sessions, pertaining to If qual ity improvement and patient safety for managers and staff nurses, and include content rela :ed to quality improvement and patient safety in the curriculum of the schools of nursing. Also; there is a need, by higher management, to adopt some strategies sensitive to th

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