The nurse key informants described themselves
as the clinical leaders most highly engaged in
leading obstetric QI efforts at their hospitals.
Three main policy implications of this finding
include the following: (a) obstetric nurses need to
be recognized as essential leaders of QI efforts at
hospital and national levels; (b) the perspectives
of obstetric nurses are needed during discus- sions regarding how to improve obstetric out- comes; and (c) hospitals with fewer nursing resources may be more challenged to implement
QI initiatives. These policy implications are consistent with the report The Future of Nursing