This study examines how the characteristics of nurses, working communities and leadership affect the prerequisites for quality improvement in nursing.Background
Knowledge of the phenomena affecting nurses' action is needed, since quality of care is seen as a result of an individual carer's professional skills, work motivation and commitment to work.Methods
Material for the study was collected using a questionnaire. The respondents were 723 nursing practitioners from two special level hospitals. The main instrument used was the Managerial Abilities instrument developed by the researchers.Findings
The results of the statistical analyses showed that exhaustion experienced by the nurses is the most important obstacle to quality improvement in nursing. The education of nurses, good team work and the ward sister's managerial abilities have a positive influence on quality improvement in nursing.Conclusion
Nurses' exhaustion should be reduced in order to improve quality of care.