Early-Career Registered Nurses' Participation in Hospital Quality Improvement Activities

Initiatives to strengthen the capacity to provide excellent patient care by increasing quality improvement (QI) practices have grown in the last decade. In this study, the authors examine two cohorts of newly registered nurses, two years apart, to compare participation in QI activities.

The first cohort of registered nurses (RNs) was surveyed from October 2008 through January 2009 (N=115). The second cohort was surveyed from October 2010 through February 2011 (N=424). Respondents were sampled from the same 15 states. Participation in 14 QI activities was measured via survey which included items relating to: QI education and work participation, demographics, work setting, unit type, job title, and Magnet hospital status.

Key Finding:

  • Except for QI practices specific to reducing nosocomial infection rates through the use of hand washing, no significant differences were noted between the two cohorts.

One limitation to this study is that it measured time spent in QI activities based on respondent’s perceptions. A more comprehensive, direct observation study of time spent utilizing QI activities may help fill the gaps in understanding how RN participation in QI relates to quality patient care. The growth of initiatives intended to increase QI practices among RNs early in their career needs further study.

The RN Work Project

  1. 1. Newly Licensed RNs' Characteristics, Work Attitudes, and Intentions to Work
  2. 2. Addressing the Complexities of Survey Research
  3. 3. A Comparison of Second-Degree Baccalaureate and Traditional-Baccalaureate New Graduate RNs
  4. 4. Understanding New Registered Nurses' Intent to Stay at Their Jobs
  5. 5. The Nursing Career Process from Application Through the First 2 Years of Employment
  6. 6. What Newly Licensed Registered Nurses Have to Say about Their First Experiences
  7. 7. Moving on, Up, or Out
  8. 8. Generational Differences Among Newly Licensed Registered Nurses
  9. 9. New Nurses Views of Quality Improvement Education
  10. 10. Newly Licensed RNs Describe What They Like Best about Being a Nurse
  11. 11. Early Career RNs' Perceptions of Quality Care in the Hospital Setting
  12. 12. Commuting to Work
  13. 13. State Mandatory Overtime Regulations and Newly Licensed Nurses' Mandatory and Voluntary Overtime and Total Work Hours
  14. 14. Work Environment Factors Other Than Staffing Associated with Nurses' Ratings of Patient Care Quality
  15. 15. The Relative Geographic Immobility of New Registered Nurses Calls for New Strategies to Augment that Workforce
  16. 16. Predictors of Actual Turnover in a National Sample of Newly Licensed Registered Nurses Employed in Hospitals
  17. 17. Charting the Course for Nurses' Achievement of Higher Education Levels
  18. 18. Verbal Abuse From Nurse Colleagues and Work Environment of Early Career Registered Nurses
  19. 19. Early-Career Registered Nurses' Participation in Hospital Quality Improvement Activities
  20. 20. Positive Work Environments of Early-Career Registered Nurses and the Correlation with Physician Verbal Abuse