Management Department of Nursing College

Running head: PROPOSAL 1
MSN Thesis Proposal
Master of Science in Nursing
Major in
Leadership and Management
Department of Nursing
College of Applied Medical Sciences
Majmaah University

PROPOSAL 2
Table of Contents
List of tables and figures............................................................................................................4
Chapter 1: Introduction..............................................................................................................5
Background of the study........................................................................................................5
Aims and Objectives..............................................................................................................5
Hypothesis..............................................................................................................................6
Significance of the study........................................................................................................6
Definition of terms.................................................................................................................8
Chapter 2: Literature Review and Framework.......................................................................8
Theoretical or conceptual framework................................................................................8
Related studies.................................................................................................................10
Chapter 3: Methods..............................................................................................................13
Research design................................................................................................................13
Sample of the study..........................................................................................................14
Sample size.......................................................................................................................14
Inclusion and exclusion criteria.......................................................................................15
Research instruments.......................................................................................................15
Data collection.................................................................................................................16
Data analysis....................................................................................................................17
Ethical consideration........................................................................................................17
Limitations of the study...................................................................................................17
References................................................................................................................................19

PROPOSAL 3
Appendices...............................................................................................................................23
Appendix 1...........................................................................................................................23
Appendix 2...........................................................................................................................24
Appendix 3...........................................................................................................................25
Appendix 4...........................................................................................................................26

PROPOSAL 4
List of tables and figures
Table 1- Eligibility criteria for selection (page 15)
Table 2- Summary table using same instruments (page 26)
Figure 1- Sample size calculation formula (page 14)
Figure 2- CSAS questionnaire (page 23)
Figure 3- QUALPAC questionnaire (page 24)
Figure 4- MMSS domains (page 25)

PROPOSAL 5
Chapter 1: Introduction
Background of the study
Nursing as a specialty of health and social care places an emphasis on serving the
requirements of consumers as a spiritual and biopsychosocial being. Not only does the
practice require adequate scientific knowledge and expertise but also necessitates the
demonstration of interpersonal, technical, and intellectual skills. Communication has been
identified as a core component of nursing, particularly in the domains of treatment,
prevention, rehabilitation, therapy, health promotion, and patient education (Riley, 2015).
Nurse Managers have the capability of fostering communication by increasing their
accessibility and laying the foundation of a structure for collaboration with the healthcare
personnel (Suhonen et al., 2019). They are also entitled with the role of establishing an open
door policy, which in turn creates a comfortable environment for the nurses and allows them
to put forth their concerns and apprehensions.
Aims and Objectives
The research is based on the fact that some core communication skills that nursing staff
and managers are expected to have are namely, non-verbal communication, active listening,
cultural awareness, written communication, compassion, empathy, and trust. The primary aim
of the research proposal is to evaluate the effect of communication between nursing manager
and nursing staff working in Riyadh region. The research objectives are given below:
 To evaluate the impact of communication on quality of care and medication errors by
using the Quality Patient Care Scale (QUALPAC) scale and conducting a clinical
audit
 To assess impacts of communication on compliance to hospital standards by using the
Communication Skills Attitudes Scale (CSAS)

PROPOSAL 6
 To explore influence of communication on job satisfaction of nursing staff by using
the McCloskey/Mueller Satisfaction Scale (MMSS).
Hypothesis
H1- Effective communication between nursing staff and managers will improve
patient outcome, medication error, enhance quality of care and increase job satisfaction of
nurses.
H0- Communication will not create any influence on patient outcome, medication
error, quality of care, and job satisfaction.
Significance of the study
Competing demands, background noise, and lack of privacy are some of the most
potential barriers that impede communication between nursing staff and managers, thus
creating a negative impact on patient care delivery. Taking into consideration the fact that the
role of a nurse manager is multidimensional, fast paced and requires extensive critical
thinking, lack of communication with the nursing staff result in failure in meeting the
expectations of the patients, thereby worsening their health outcomes (Phillips et al., 2018).
Poor communication between managers and staff are also responsible for the occurrence of
medical errors, long waiting time, workload and subsequent burn out, incomplete follow-up
of patients, and poor decision making and treatment recommendations (Vogelaers, 2015).
Communication plays a significant role in establishment of health-promoting association
between providers and patients. Despite lack of adequate evidence for communication
between nursing staff and managers, communication skills training has been identified as a
core component of numerous clinical and theoretical courses that are a part of nursing
curricula (Theander et al., 2016). There are a plethora of theories related to nursing
communication that describe the strategies that must be adopted by nursing staff for