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

    Authors

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

    Comments

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    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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