Development of the Nursing Quality Improvement in Practice Tool: Advancing Frontline Nursing Practice.

Abstract:

BACKGROUND:Frontline nurse engagement in quality improvement (QI) improves nurse-sensitive outcomes; yet research suggests frontline nurses are not engaging in QI. PURPOSE:The purpose of this study was to develop, refine, and psychometrically evaluate the Nursing Quality Improvement in Practice (N-QuIP) tool to measure nurses' competency, engagement, and barriers/facilitators to QI engagement. METHODS:Item development was guided by an expert panel and literature review. Factor analysis and reliability indices were assessed through 681 surveys completed by nurses at one medical center. RESULTS:Cronbach α coefficients were 0.97 (Skill Scale) and 0.90 (Attitude Scale). Kuder-Richardson Formula 20 (KR-20) for knowledge was 0.36. Exploratory factor analysis identified 4 (Skill) and 3 (Attitude) subscales respectively, aligning well with QI competencies. CONCLUSIONS:Preliminary data suggest that the N-QuIP is a valid and reliable tool for assessing nurse QI competence and engagement. Understanding current knowledge, skills, and attitudes and identified barriers/facilitators can help the development of strategies aimed at increasing QI engagement.

journal_name

J Nurs Care Qual

authors

Tschannen D,Alexander C,Tovar EG,Ghosh B,Zellefrow C,Milner KA

doi

10.1097/NCQ.0000000000000457

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

372-379

issue

4

eissn

1057-3631

issn

1550-5065

pii

00001786-202010000-00015

journal_volume

35

pub_type

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