Nursing Leadership for Surgical Excellence

Building leadership skills in perioperative nurses for safer surgical patient care

Nurses play a critical role in patient care before, during, and after surgery. But in low-resource settings, they often lack access to high-quality training, leadership opportunities, and quality improvement initiatives. This gap can contribute to poor surgical outcomes.

A Lifebox survey conducted with perioperative nurses and surgical teams highlighted that nurses want to be more confident and competent in the areas of leadership, research, communication and advocacy.

LIfebox Nursing Leadership for Surgical Excellence Fellows, Mentors, and team, Addis Ababa, Ethiopia

“Doctors cannot operate without a nurse. Anesthetists cannot intubate without assistance from a nurse. Cleaners cannot ensure that the hospital is clean and infection free without the guidance of nurses. After a surgeon or the anesthetist is done [in the operating room], they will leave the care of the patient to the nurse. Even before surgery, preparation for the patients is handled by the nurse. Nursing is the core foundation when it comes to health.”
Belinda Karimi, Nurse Fellow, Nursing Leadership for Surgical Excellence Program, Lifebox

About the Nursing Leadership for Surgical Excellence (NLSE) program

The Nursing Leadership for Surgical Excellence (NLSE) program  is designed to improve perioperative nursing care and patient outcomes in low- and middle-income countries, through fellowships that build clinical leadership and quality-improvement skills.

Each NLSE Fellow completes evidence-based training with mentorship. They then lead a quality improvement project by identifying existing care gaps in their health facilities at the surgical ward, operating room, or post-anesthesia care unit (PACU). They address the gaps by applying current and evidence based interventions

The NLSE fellowship runs over nine months

Where we work

We have implemented the NLSE project in 4 facilities in 2 countries, Ethiopia & Rwanda:

  • Tikur Anbessa Specialized Hospital, Ethiopia
  • St. Paul’s Hospital Millennium Medical College, Ethiopia
  • St. Peter’s Specialized Hospital, Ethiopia
  • Butaro Level Two Teaching Hospital, Rwanda
"I see a lack of communication and collaboration among doctors and nurses and this impacts patients. I believe Lifebox’s NLSE program will start closing those gaps. The project indicates the importance of ensuring patient safety by all - cleaners, laundry staff, nurses, and physicians . All have to team up to ensure this. Most importantly nurses are advocates for patients.”
Sr. Asselefech Negewo, Tikur Anbessa Specialized Hospital, Nursing and Midwifery Service Directorate Director, Ethiopia

OR Manager, Lorba Tulay, using the WHO Surgical Safety Checklist during surgery at C.B. Dunbar Hospital in Gbarnga, Liberia ©Lifebox/Ahmed Jallanzo

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