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Dynamics of change.

Angela Stewart1

  • 1Nuffield Institute for Health Service Studies, of which she is an Associate Fellow.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|September 27, 2016
PubMed
Summary

This study examines the initial resistance to quality assurance and nursing standards in the UK healthcare sector during the late 1980s. It highlights the negative perceptions among staff regarding these crucial healthcare quality initiatives.

Area of Science:

  • Healthcare Management
  • Nursing Quality Assurance
  • Professional Standards

Background:

  • In 1989, a move to East Anglia coincided with a period of national apprehension towards 'quality' and 'standards' in healthcare.
  • Previous experience in post-basic education informed the author's perspective on these emerging professional concepts.
  • A prevalent sentiment of apathy and hostility towards quality assurance and nursing standards was observed among healthcare staff.

Purpose of the Study:

  • To document the initial professional climate surrounding the implementation of quality assurance and nursing standards.
  • To explore the early challenges and negative perceptions encountered during the introduction of quality initiatives in nursing.
  • To provide historical context for the evolution of quality and standards in the UK nursing profession.

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Main Methods:

  • Qualitative observation and reflection based on the author's professional experience.
  • Analysis of staff attitudes and reactions to the introduction of quality assurance and nursing standards.
  • Anecdotal evidence collection from professional and support staff in the East Anglian region.

Main Results:

  • Significant negative feelings, including apathy and hostility, were prevalent among professional and support staff.
  • The terms 'quality' and 'standards' evoked widespread negative emotional responses within the healthcare workforce.
  • Resistance to new quality assurance and nursing standards initiatives was a notable characteristic of the period.

Conclusions:

  • The introduction of quality assurance and nursing standards faced considerable initial resistance due to negative staff perceptions.
  • Understanding and addressing staff attitudes is critical for the successful implementation of healthcare quality improvement.
  • The historical context reveals the long-standing challenges in embedding quality and standards within professional practice.