“Everything rises and falls with leadership ... We know that errors become visible at the sharp end, but they almost always start with the blunt end” (Milne 2012). This study’s
hands-on, real-world perspectives of the key resource in nursing care delivery may enable nurse leadership to review existing practices to enhance quality in nursing care. Strengthening the critical pillars of clinical competence, a healthy organisational culture and supportive workplace environment will enforce the quality foundation of patient- centred nursing care. Challenges could be addressed meaningfully if we move beyond the visibility of the sharp ends that implicate nursing care as poor, and nurses as uncaring and ignorant. QI strategies can instil change by nurturing the human-focused rationale behind care and caring. Quality nursing care should encompass the essentials of patient- centred, safe basic nursing care that truly adds value to the maintenance and restoration of health and alleviation of pain and suffering.
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