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Updated: Apr 15, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
Educational gaps and solutions for early-career nurse managers' education and participation in quality improvement
Maja Djukic1, Christine T Kovner, Carol S Brewer
1Author Affiliations: Assistant Professor (Dr Djukic) and Professor (Dr Kovner), New York University, New York; Professor and Associate Dean of Academic Affairs (Dr Brewer), University of Buffalo; and Data Analyst (Ms Fatehi), Fatehi Consultancy, Inc; and Research Assistant (Ms Jun), New York University, New York.
Objective:
The objective of this study was to examine early-career frontline nurse managers' (FLNMs') reported educational preparedness and participation in quality improvement (QI).
Background:
Frontline nurse managers are vitally important for leading QI. However, it is not well known if they have adequate knowledge and skills to lead this important function.
Methods:
We examined cross-sectional survey data from 42 FLNMs using descriptive statistics.
Results:
About 30% of FLNMs reported being very prepared across 12 measured QI skills by schools or employers and 35% reported participating in a specific clinical effort to improve patient care on their unit more than once a month. More than 50% reported having good organizational support for QI, but only about 30% reported being rewarded for their contributions to QI.
Conclusion:
Our study highlights opportunities for development in QI for FLNMs and offers some solutions for nurse executives that can bridge the educational gaps.
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