Table 3 Practical solutions to improve the quality of clinical nursing services
Solution | Significance | |
|---|---|---|
Mean (SD) | Frequency (Percent) | |
Category 1: Enhancing Qualifications | ||
 1. Revise the way of attracting students | 4.62 (0.83) | 92.4% |
 2. Revision of nursing education curriculum | 4.15 (0.80) | 83% |
 3. Comprehensive exam | 4.75 (0.50) | 95% |
 4. Conducting registered nurse program | 4.53 (0.76) | 90.6% |
 5. Strengthen strategies to absorb nurses | 4.40 (0.72) | 88% |
Mean | 4.52 (0.33) | 90.4% |
Category 2: Enhancing Competency | ||
 1. Empowering of nursing staff | 4.53 (0.56) | 90.6% |
 2. Short courses in accordance with the new requirements | 4.28 (0.81) | 85.6% |
 3. Change the type of assessments | 4.37 (0.60) | 87.4% |
 4. Change the organizational climate | 4.56 (0.54) | 93% |
 5. More serious attention to mentorship method | 4.18 (0.78) | 83.6% |
Mean | 4.40 (0.46) | 88% |
Category 3: Improvement of organizational communication | ||
 1. Develop communication policy and procedure | 3.96 (0.73) | 79.2% |
 2. Create a culture of teamwork | 4.46 (0.50) | 89.2% |
 3. Joint educational and research training courses | 4.09 (0.73) | 81.8% |
 4. Modification of the method of work shifts change | 4.06 (0.71) | 81.2% |
Mean | 4.14 (0.46) | 82.8% |
Category 4: Enhancing Performance | ||
 1. Strengthen the holistic care | 4.53 (0.46) | 90.6% |
 2. Emphasis on the elimination of irrelevant duties | 4.46 (0.71) | 89.2% |
 3. Strengthen patient education | 4.31 (0.69) | 86.2% |
Mean | 4.13 (0.43) | 88.6% |
Category 5: The use of protocols, guidelines and policies | ||
 1. Update record and report instructions in nursing | 4.40 (0.71) | 88% |
 2. Provide a valid international checklist to assess, prevent and improve complications of treatment | 4.12 (0.83) | 82.4% |
 3. Create protocols on patient assessment | 4.15 (1.01) | 83% |
 4. Create policy for patients decision making and self-care | 4.34 (0.78) | 86.8% |
 5. Create assessment tools for monitoring documents | 4.15 (0.76) | 83% |
 6. Design of applicable protocols for patient admission | 4.09 (0.92) | 81.8% |
Mean | 4.21 (0.59) | 84.2% |
Category 6: Creating a safety culture | ||
 1. Enhancing skills of nursing staff regarding risk management and patient safety | 4.18 (0.64) | 83.6% |
 2. Creating a culture of medical errors reporting | 4.53 (0.62) | 90.6% |
 3. Designing an operational protocol for risk recording | 4.37 (0.94) | 87.4% |
Mean | 4.36 (0.51) | 87.2% |
Category 7: Promoting cultural and supportive factors | ||
 1. Enhancing motivation among nurses | 4.68 (0.59) | 93.6% |
 2. Improving knowledge and attitudes of nursing managers to provide professional nursing services | 4.65 (0.48) | 93% |
 3. Holistic View health system strengthening | 4.59 (0.49) | 91.8% |
 4. Creating an appropriate context for the supportive role of nurses | 4.43 (0.61) | 88.6% |
 5. Strengthening the patient-centered culture | 4.31 (0.85) | 82.6% |
 6. Infrastructuring for patients rights as well as follow-up process of created problems | 4.56 (0.71) | 91.2% |
 7. Real implementation of the provisions of the Charter of Patients’ Rights | 4.43 (0.71) | 88.6% |
 8. Applying professional codes of ethics | 4.56 (0.61) | 91.2% |
Mean | 4.53 (0.42) | 90.6% |
Category 8: Improving the organizational structure | ||
 1. Efficient and continious monitoring system for nursing | 4.71 (0.63) | 94.2% |
 2. Staffing according to workload | 4.75 (0.43) | 95% |
 3. Moralists and specialization in the selection of nursing managers | 4.81 (0.38) | 96.2% |
Mean | 4.76 (0.30) | 95.2% |