考察一线护士和护士长的质量改进知识。
Examining QI Knowledge Among Frontline Nurses and Nurse Leaders.
作者信息
Prochnow Laura, DiClemente Linda, Riley Penny, Tschannen Dana
机构信息
Department of Systems, Populations and Leadership, University of Michigan School of Nursing, Ann Arbor.
出版信息
J Nurs Care Qual. 2023;38(2):152-157. doi: 10.1097/NCQ.0000000000000672. Epub 2022 Oct 10.
BACKGROUND
Frontline nurses deliver direct patient care and by participating in quality improvement (QI) can have an impact on health care quality and safety. Unfortunately, nurses are not participating in QI, which may be due to a lack of QI knowledge.
PURPOSE
The purpose of this study was to evaluate nurses QI knowledge utilizing the revised Quality Improvement Knowledge Application Tool (QIKAT-R), with newly created nursing scenarios, among frontline nurses and nurse leaders.
METHODS
Using a cross-sectional design, this study evaluated nurses QI knowledge utilizing the QIKAT-R.
RESULTS
Overall, QI knowledge among nurses was low. The frontline nurses (n = 44) scored higher than nurse leaders (n = 11) on overall QI knowledge scores, although not significant. Frontline nurses scored higher in QI knowledge related to aim and measure, whereas nurse leaders scored higher in change.
CONCLUSIONS
Understanding frontline nurses QI knowledge, such as with the QIKAT-R with newly created nursing scenarios, can assist with creating targeted strategies for improving overall engagement in QI.
背景
一线护士提供直接的患者护理服务，通过参与质量改进（QI）可对医疗质量和安全产生影响。不幸的是，护士并未参与质量改进，这可能是由于缺乏质量改进知识所致。
目的
本研究的目的是使用修订后的质量改进知识应用工具（QIKAT-R）以及新创建的护理场景，评估一线护士和护士领导者的质量改进知识。
方法
本研究采用横断面设计，使用QIKAT-R评估护士的质量改进知识。
结果
总体而言，护士的质量改进知识水平较低。一线护士（n = 44）在总体质量改进知识得分上高于护士领导者（n = 11），尽管差异不显著。一线护士在与目标和测量相关的质量改进知识方面得分较高，而护士领导者在变革方面得分较高。
结论
了解一线护士的质量改进知识，例如使用带有新创建护理场景的QIKAT-R，有助于制定有针对性的策略，以提高对质量改进总体参与度。
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