质量改进的参与和能力：一线护士与护理领导者之间的比较。
Quality improvement engagement and competence: A comparison between frontline nurses and nurse leaders.
机构信息
University of Michigan, School of Nursing, Ann Arbor, MI.
San Francisco VA Medical Center, San Francisco, CA.
出版信息
Nurs Outlook. 2021 Sep-Oct;69(5):836-847. doi: 10.1016/j.outlook.2021.02.008. Epub 2021 May 11.
BACKGROUND
Nurses play a pivotal role in improving patient care. To maximize nurses' impact on quality, nurses must have quality improvement (QI) competence and engage fully in QI initiatives.
PURPOSE
To describe QI competence (knowledge, skills, and attitudes) among frontline nurses and leaders; and compare variations in competence among nursing roles, experience, and specialty areas.
METHODS
A total of 681 nurses at one heath system fully completed the Nursing Quality Improvement Practice tool electronically.
FINDINGS
Half of the respondents reported QI engagement (53.6%). Mean knowledge scores were 5.08 (SD 1.16, 7 items). Skill proficiency was low (M = 2.82, SD = 1.03; range 1-6) although QI attitudes were favorable (M = 3.76, SD = 0.63; range 1-5). Significant differences in skills and attitudes were identified by role. QI competence among nurses employed in various specialty areas were similar.
DISCUSSION
Strategies for increasing QI competence and engagement of nurses must be created and deployed in order to improve quality and safety.
背景
护士在改善患者护理方面发挥着关键作用。为了最大限度地提高护士对质量的影响，护士必须具备质量改进（QI）能力，并充分参与 QI 计划。
目的
描述一线护士和领导者的 QI 能力（知识、技能和态度）；并比较护理角色、经验和专业领域之间的能力差异。
方法
共有 681 名卫生系统的护士完全电子填写了《护理质量改进实践工具》。
结果
一半的受访者报告了 QI 参与度（53.6%）。知识得分的平均值为 5.08（SD 1.16，7 项）。技能熟练程度较低（M=2.82，SD=1.03；范围 1-6），尽管 QI 态度良好（M=3.76，SD=0.63；范围 1-5）。角色差异明显。从事不同专业领域的护士的 QI 能力相似。
讨论
必须制定和实施提高护士 QI 能力和参与度的策略，以提高质量和安全性。
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