Developing and sustaining nurses' service improvement capability: a phenomenological study

Craig, Lynn and Machin, Alison (2020) Developing and sustaining nurses' service improvement capability: a phenomenological study. British Journal of Nursing, 29 (11). pp. 618-626. ISSN 0966-0461

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Background: Service improvement to enhance care quality is a key nursing responsibility. Developing sustainable skills and knowledge to become confident, capable service improvement practitioners is important for nurses in order to continually improve practice. How this happens is under researched. Aim and research design: A hermeneutic pas, longitudinal study in Northern England aimed to better understand service improvement lived experiences of participants as they progressed from undergraduate adult nursing students to registrants. Method: Twenty, year 3, student adult nurses were purposively selected to participate in individual semi-structured interviews just prior to graduation and up to 12 months post-registration. Hermeneutic circle data analysis was used. Findings: Themes identified were (1) service improvement learning in nursing; (2) socialisation in nursing practice; (3) power and powerlessness in the clinical setting; and (4) overcoming service improvement challenges. At the end of the study, participants developed seven positive adaptive behaviours to support their service improvement practice and the ‘Model of Self-efficacy in Service Improvement Enablement’ was developed. Conclusion: This study provides a model to use to enable student and registered nurses to develop and sustain service improvement capability.

Item Type: Article
Uncontrolled Keywords: Service improvement, Quality improvement, Nurse education, Transition to practice, Phenomenology
Subjects: B100 Anatomy, Physiology and Pathology
B700 Nursing
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Rachel Branson
Date Deposited: 16 Jun 2020 15:05
Last Modified: 31 Jul 2021 14:04

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