Title

Nurses' Self-Concept and Perceived Quality of Care A Narrative Analysis

Authors

Authors

D. R. Andrews; J. Burr;A. Bushy

Comments

Authors: contact us about adding a copy of your work at STARS@ucf.edu

Abbreviated Journal Title

J. Nurs. Care Qual.

Keywords

effectiveness; empowerment; patient safety; quality; self-concept; PROFESSIONAL PRACTICE ENVIRONMENTS; MAGNET HOSPITAL CHARACTERISTICS; JOB-SATISFACTION; WORK SATISFACTION; EMPOWERMENT; INTENT; EXPERIENCE; RETENTION; HEALTH; STRAIN; Nursing

Abstract

The perceptions of staff nurses on factors affecting patient care quality and safety have received little attention in the literature. Narrative analysis of comments provided by 106 staff nurses working in a medical-surgical setting revealed that nurses experienced contradictions and unmet expectations related to their professional role. The consequence was feelings of powerlessness, isolation, and low self-esteem, which affected nurses' perceived ability to provide quality patient care and ensure patient safety. This perceived inability to act in a professionally autonomous manner on behalf of patients, in turn, influenced nurses' professional self-concept. Recommendations are offered to enhance nurses' professional self-concept through staff development and policy changes.

Journal Title

Journal of Nursing Care Quality

Volume

26

Issue/Number

1

Publication Date

1-1-2011

Document Type

Article

Language

English

First Page

69

Last Page

77

WOS Identifier

WOS:000285137700010

ISSN

1057-3631

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