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. Newly Licensed RNs' Characteristics, Work Attitudes, and Intentions to Work
- 2. Addressing the Complexities of Survey Research
- 3. A Comparison of Second-Degree Baccalaureate and Traditional-Baccalaureate New Graduate RNs
- 4. Understanding New Registered Nurses' Intent to Stay at Their Jobs
- 5. The Nursing Career Process from Application Through the First 2 Years of Employment
- 6. What Newly Licensed Registered Nurses Have to Say about Their First Experiences
- 7. Moving on, Up, or Out
- 8. Generational Differences Among Newly Licensed Registered Nurses
- 9. New Nurses Views of Quality Improvement Education
- 10. Newly Licensed RNs Describe What They Like Best about Being a Nurse
- 11. Early Career RNs' Perceptions of Quality Care in the Hospital Setting
- 12. Commuting to Work
- 13. State Mandatory Overtime Regulations and Newly Licensed Nurses' Mandatory and Voluntary Overtime and Total Work Hours
- 14. Work Environment Factors Other Than Staffing Associated with Nurses' Ratings of Patient Care Quality
- 15. The Relative Geographic Immobility of New Registered Nurses Calls for New Strategies to Augment that Workforce
- 16. Predictors of Actual Turnover in a National Sample of Newly Licensed Registered Nurses Employed in Hospitals
- 17. Charting the Course for Nurses' Achievement of Higher Education Levels
- 18. Verbal Abuse From Nurse Colleagues and Work Environment of Early Career Registered Nurses
- 19. Early-Career Registered Nurses' Participation in Hospital Quality Improvement Activities
- 20. Positive Work Environments of Early-Career Registered Nurses and the Correlation with Physician Verbal Abuse
RWJF examines the types of competitive foods - foods and beverages schools offer outside of meal programs - available in our nation's school...
"The light at the end of the tunnel is ... that I carried the struggle further, and that I taught my children correctly, in the way they cho...
In 1990, Dr. Hotz's focus on collaboration led to the creation of another nonprofit organization designed to coordinate public and private h...
To Dr. Cheryl Holder, success lies in "…understanding the needs of my community and how to make solutions happen."
"I remember Ronald's smile and upbeat attitude about everything. No matter how despairing and hopeless I felt (I was clinically depressed) h...
To Dr. Arlene Goldsmith, anyone can become a leader, provided they are driven, have a personality that is open and engaging, and a passionat...
Whatever I learn from those experiences, I pass on to the people around me, so they don't have to go through what I went through in order to...
Since winning the award, Dr. Bonds has expanded her health-related educational programs, particularly through the increased use of technolog...
"Being a volunteer tests you, to see if you really can make a difference and if you really want to do it - because you do have to make sacri...
"Mr. Chatman will always be in my heart and mind. He taught me to love myself and others. He gave me a chance when no one else would."
The way Mr. Lynch looks at it, anyone can be a leader - with mentoring, training, and the right opportunity (the chance to make a living doi...