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 Qualjournal_title
Journal of nursing care qualityauthors
Tschannen D,Alexander C,Tovar EG,Ghosh B,Zellefrow C,Milner KAdoi
10.1097/NCQ.0000000000000457subject
Has Abstractpub_date
2020-10-01 00:00:00pages
372-379issue
4eissn
1057-3631issn
1550-5065pii
00001786-202010000-00015journal_volume
35pub_type
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