Quality improvement (QI) is a focus of hospital managers and policy-makers. The role of registered nurses (RNs) in QI in hospitals is vital because most hospital-based RNs provide direct care to patients. QI skills are necessary to identify gaps between current care and best practice and to design, implement, test and evaluate changes, and are essential for RNs to participate effectively in QI. Newly licensed registered nurses’ (new nurses’) positions as direct caregivers could have an impact on QI if nurses lack sufficient knowledge, concepts, and tools required for QI.
Data came from the 436 respondents (69.4% response rate) to a 2008 eight-page mailed survey to participants in a nationally representative panel survey of new nurses who graduated between August 1, 2004 and July 31, 2005.
Overall, 159 (38.6%) of new nurses thought that they were “poorly” or “very poorly” prepared about or had “never heard of ” QI. Their perceptions of preparation varied widely by the specific topic. Baccalaureate (B.S.) graduates reported significantly higher levels of preparation than associate degree (A.D.) graduates in evidence-based practice; assessing gaps in practice, teamwork, and collaboration; and many of the research-type skills such as data collection, analysis, measurement and measuring resulting changes.
RN educational programs need to improve education about and application of QI concepts and to consider focusing QI content into a separate course to have some confidence that faculty will teach it. Despite the strong focus on QI in hospitals, new nurses do not see the connection between QI education and successfully performing their hospital jobs. Both nursing programs and hospitals should help new nurses make the connection.
- 1. A Comparison of Second-Degree Baccalaureate and Traditional-Baccalaureate New Graduate RNs
- 2. Understanding New Registered Nurses' Intent to Stay at Their Jobs
- 3. The Nursing Career Process from Application Through the First 2 Years of Employment
- 4. What Newly Licensed Registered Nurses Have to Say about Their First Experiences
- 5. Moving on, Up, or Out
- 6. New Nurses Views of Quality Improvement Education
- 7. Early Career RNs' Perceptions of Quality Care in the Hospital Setting
- 8. Commuting to Work
- 9. The Relative Geographic Immobility of New Registered Nurses Calls for New Strategies to Augment that Workforce
- 10. Charting the Course for Nurses' Achievement of Higher Education Levels
- 11. Verbal Abuse From Nurse Colleagues and Work Environment of Early Career Registered Nurses
- 12. Early-Career Registered Nurses' Participation in Hospital Quality Improvement Activities
- 13. Positive Work Environments of Early-Career Registered Nurses and the Correlation with Physician Verbal Abuse