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Updated: Apr 20, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Quality improvement or research--deciding which road to take
1Julie M. Stausmire is an academic research coordinator at Mercy St Vincent Medical Center, Toledo, Ohio. julie_stausmire@mercy.com.
Quality improvement (QI) and clinical research both measure patient outcomes but differ significantly. This guide helps critical care nurses distinguish between QI and research for effective practice improvements.
Area of Science:
- Nursing
- Healthcare Management
- Patient Outcomes
Background:
- Critical care nurses face challenges in delivering high-quality, cost-effective care amidst resource limitations.
- Implementing evidence-based practices is crucial for critical care nursing.
- This article is the first in a series on quality improvement for critical care units.
Purpose of the Study:
- To differentiate between quality improvement (QI) and clinical research for measuring patient outcomes.
- To provide a practical guide for critical care nurses undertaking performance improvement projects.
- To clarify the distinct methodologies of QI and clinical research.
Main Methods:
- A broad overview comparing quality improvement and clinical research is presented.
- A new checklist is introduced to differentiate attributes of QI and research.
- Readers can assess their understanding via a quiz featuring studies from Critical Care Nurse.
Main Results:
- The article clarifies the fundamental differences between quality improvement and clinical research.
- A practical tool (checklist) is provided to aid in distinguishing the two methodologies.
- The quiz allows for self-assessment of knowledge regarding QI versus research.
Conclusions:
- Understanding the distinctions between quality improvement and clinical research is essential for critical care nurses.
- The provided resources support nurses in selecting appropriate methods for evaluating patient outcomes.
- This foundational knowledge empowers nurses to effectively implement and measure practice changes.
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