An urge for Quality and Quality Assurance of basic nurse
education, Pakistan: The Leadership perspective
International Journal of Collaborative Research on
Internal Medicine & Public Health, 2011 - Vol.
3 No. 9
Author(s): Anwar Aziz *
State School and College of
Nursing, Mirpur, Azad State of Jammu and Kashmir,
* Corresponding author
Quality assurance has become absolutely
crucial in nurse education to ensure its quality for the
delivery of safe and high quality nursing care. The need
further propelled by market forces which demand
competent nurses for dynamic complex health care
delivery systems, policies, regulations and
professionalisms. However, until now, there is a little
evidence to support the existence of a comprehensive,
agreed by all stakeholders and regularly applied quality
assurance (QA) system to ensure quality of basic nurse
education (BNE) in Pakistan.
This paper describes the experience and
beliefs of a group of nurse leaders in relation to the
quality and quality assurance in the BNE and their
desire to establish an appropriate system to ensure
quality of nurse education.
The data drawn from a qualitative case
study conducted in 2004. Among a sample of 71 nurses
from various level of nursing, a group of eleven nurse-
leaders from all over the country were interviewed on
one-to-one basis. A semi-structured, open-ended
questionnaire concerning concepts of quality of
education, on-going QA system, its effectiveness along
with suggestions for improvement was used. Hermeneutic
approach to do thematic analysis of verbatim transcripts
of interviews was applied.
First time this study initiated
discussion and studied the experiences and beliefs of
nurse leaders on quality and quality assurance in the
BNE. The findings reveal a unanimous desire of the nurse
leaders to gauge quality of nurse education through
efficient and effective quality assurance system.
The findings provide initial insights into the existence
situation and discern the need for an appropriate system
in place to ensure quality of education. A continuous
quality improvement (CQI) framework based on
Plan-Do-Check-Act (PDCA) cycle or certain aspects of it
can be used to determine `what to establish` and `how to
implement` a desired QA system.