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Augmenting nursing care quality and implementing change management in I ndia: an amalgamated approach
Author(s) -
Rinkoo Arvind Vashishta,
Singh Garima,
Kaur Ramanjeet,
Chandra Vidha,
Masih Leela,
Chandra Hem
Publication year - 2013
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12077
Subject(s) - nursing , nursing management , delphi method , medicine , grading (engineering) , nursing care , quality (philosophy) , nursing outcomes classification , health care , quality management , primary nursing , nurse education , management system , operations management , computer science , philosophy , civil engineering , epistemology , economics , engineering , economic growth , artificial intelligence
Background and aim High dependency on nursing care in healthcare delivery systems in recent times has made the quality appraisal of nursing care even more imperative for nursing administrators. This study demonstrates the utility of a two‐phase technique to identify the most significant shortcomings pertaining to nursing care delivery in general wards of a tertiary care hospital. The same could be used to set priorities. Methods The first phase involved the use of the D elphi technique facilitating the experts to identify the major problems. The mean rank score was used for grading the problems. The second phase of the study involved getting direct feedback from the ward nurses. The sample size was 147 at a level of significance of 5%. Results Consensus was reached among experts on four problems that should galvanize nursing administration vis‐à‐vis quality improvement. The responses of ward nurses in the second phase gave a better insight into these problems. Conclusion and implications for nursing management Identifying the existing problems and fostering a team spirit among all stakeholders hold the key in strategizing quality improvement in nursing care. Nursing administrators worldwide, after making suitable situation‐specific customizations, may use this approach to realize both these objectives.