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Learning from failure: An exploratory study of what makes a successful nursing service

Andrews-Evans, Marion Shirley 2012. Learning from failure: An exploratory study of what makes a successful nursing service. DHS Thesis, Cardiff University.
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Abstract

The research study aspired to ascertain what, if any key factors can be identified by the Senior Nurses in Wales to improve the quality and safety of the service delivered by the nursing service. Numerous reports with recommendations for improvement have been published following significant service failures in the nursing service. Despite these reports, failures continue. This thesis details the methodology and findings of a research study undertaken with Senior Nurses in Wales, to ascertain their views on what factors are needed to have a successful nursing service. It explores what needs to be in place in the nursing service to prevent failure and deliver high quality, safe care to patients. A mixed-method research approach was used which comprised three stages. Stage one analysed secondary qualitative data in the form of case study inquiry reports into service failures. The second stage comprised semi-structured elite interviews with nine Senior Nurses in Wales. The final stage, which was used to prioritise and validate the results from stage two, was a questionnaire sent to 65 Senior Nurses in Wales, with 41 returned. From the analysis of the above research, a Senior Nurses’ Framework covering 6 main themes and containing 35 key factors was developed, which if implemented could potentially lead to a successful nursing service. In addition the thesis explores why Senior Nurses find it difficult to implement such actions, their lack of empowerment and how it is important for their voices to be heard if failure is to be prevented in the future.

Item Type: Thesis (DHS)
Status: Unpublished
Schools: Social Sciences (Includes Criminology and Education)
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RT Nursing
Date of First Compliant Deposit: 30 March 2016
Last Modified: 14 Oct 2019 14:54
URI: http://orca.cf.ac.uk/id/eprint/42980

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