Abstract

Maintaining quality and safety has become one of the major problems of healthcare organizations affecting patient satisfaction scores. Nurses are essential in promoting quality and safety. To achieve quality and safety, nurses tend to focus on clinical aspects of care and place personal needs of patients as least priorities. However, literature showed that patients perceive quality care as meeting their personal needs and demands rather than their clinical conditions. There were limited studies that considered nurses' perceptions of quality and safety, most studies were patients' perceptions and satisfactions focused. Conflicting opinions from nurses' and patients' perspectives as well as limited research on nurses' perceptions on quality prompted a need for hermeneutic phenomenological study focusing on the nurses' perception and lived experiences of quality and safety. The purpose of this study was to explore nurses' perceptions and lived experiences of quality and safety in the clinical setting. Virtual one-on-one interviews with 13 RNs were done. Data were collected using in-depth, semistructured interviews, which were audio-recorded, and transcribed verbatim. Manual data analysis was conducted to reveal the essence of the lived experiences of these nurses. Five major themes emerged from the data: "Being with the patient, interacting with the patient", "Awareness of Medication Error Prevention", "Safety requires staffing, adequate staffing", "Not transmitting infections", "Do a fall assessment." Findings from this study may help healthcare administrators and other stakeholders understand and support nurses improve quality and safety in their practice environment and may eventually improve patients' outcomes and satisfaction.

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28719935; ProQuest document ID: 2572567060. The author still retains copyright.

Author Details

Conchita Sunico Freitag, PhD, MSN, CNE, RN

Sigma Membership

Theta Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Phenomenology

Research Approach

Qualitative Research

Keywords:

Patient Safety, Patient Satisfaction, Patient's Personal Needs, Clinical Care

Advisor

Gail Williams

Second Advisor

Donna Taliaferro

Third Advisor

Marcia Hill

Degree

PhD

Degree Grantor

University of Phoenix

Degree Year

2021

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2021-11-29

Full Text of Presentation

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