University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Virginia Commonwealth University, Richmond, VA, United States.
West J Nurs Res. 2022 Feb;44(2):159-168. doi: 10.1177/0193945921994158. Epub 2021 Mar 20.
Quality improvement is paramount for patient safety. Leading change for quality improvement requires nurses with knowledge and skills beyond the clinical management of patients. In this study, staff nurses working in hospitals throughout Alabama were asked via an online survey to rate their quality improvement knowledge and skills using the new 10-item Quality Improvement Self-Efficacy Inventory (QISEI) and their perceptions of the nursing work environment using the Practice Environment Scale of the Nursing Work Index. Nurses ( = 886) rated the basic quality improvement items higher than the more advanced items. Several nurse characteristics and the nursing work environment were associated with nurses' ratings of their quality improvement knowledge and skills. Educators and administrators in health care organizations can use QISEI to gauge their nurses' knowledge and skills and then develop continuous professional development opportunities aimed at improving quality and safety competencies.
质量改进对于患者安全至关重要。引领质量改进的变革需要护士具备超越患者临床管理的知识和技能。在这项研究中，通过在线调查，要求阿拉巴马州各地医院的在职护士使用新的 10 项质量改进自我效能量表（QISEI）来评估他们的质量改进知识和技能，并使用护理工作指数的实践环境量表来评估他们对护理工作环境的看法。护士（=886）对基本质量改进项目的评分高于更高级的项目。一些护士的特征和护理工作环境与护士对其质量改进知识和技能的评价有关。医疗保健组织的教育者和管理者可以使用 QISEI 来评估他们的护士的知识和技能，然后制定持续的专业发展机会，旨在提高质量和安全能力。
