San Francisco VA Health Care System, San Francisco, California (Dr Alexander); University of Michigan, School of Nursing, Ann Arbor (Dr Tschannen); Oakland University School of Nursing, Rochester, Michigan (Dr Hays); Tennessee Valley Healthcare System, GRECC, Nashville (Dr Clouse); National Institute for Evidence Based Practice in Nursing and Healthcare, The Ohio State University College of Nursing, Columbus (Dr Zellefrow); School of Nursing, DePaul University, Chicago, Illinois (Dr Amer); Southeast HEALTH College of Nursing and Health Sciences, Cape Girardeau County, Missouri (Dr Watson); University of Kentucky College of Nursing, Lexington (Dr Tovar); and Davis & Henley College of Nursing Sacred Heart University, Fairfield, Connecticut (Dr Milner). Dr Lambert-Davis is a certified peer reviewer and an independent scholar, Montgomery, Alabama.
J Nurs Care Qual. 2022;37(1):94-100. doi: 10.1097/NCQ.0000000000000562.
Nurse engagement in quality improvement (QI) improves health care quality and outcomes but is typically low in clinical settings.
An integrative review was conducted to identify facilitators and barriers of nurse engagement in QI.
This integrative review was conducted using an electronic search of databases with search terms specific to nursing engagement in QI. The Johns Hopkins Nursing Evidence-Based Practice Evidence Level and Quality Guide was used to rate quality and level of evidence.
Nine articles met the criteria for review. Top barriers were leadership, education and training, resource constraints, data, culture, and time. Top facilitators were leadership, education and training, culture, mentors, and champions.
High-quality literature exploring barriers and facilitators of nurse engagement in QI is lacking. Research is needed to examine the degree to which these barriers and facilitators impact engagement and how they can be addressed to increase it.
护士参与质量改进（QI）可以提高医疗保健质量和结果，但在临床环境中通常较低。
进行综合审查以确定护士参与 QI 的促进因素和障碍。
使用特定于护理参与 QI 的电子数据库搜索词进行综合审查。使用约翰霍普金斯护理循证实践证据水平和质量指南来评估质量和证据水平。
符合审查标准的有九篇文章。主要障碍是领导力、教育和培训、资源限制、数据、文化和时间。主要促进因素是领导力、教育和培训、文化、导师和拥护者。
缺乏探索护士参与 QI 的障碍和促进因素的高质量文献。需要研究这些障碍和促进因素对参与度的影响程度以及如何解决这些障碍以提高参与度。
