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Teaching a Systems Approach: An Innovative Quality Improvement Project.

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    Curricular changes improved nurse practitioner students' quality improvement (QI) project performance. Faculty revised teaching strategies, leading to better student outcomes in mastering complex healthcare systems and QI skills.

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    Area of Science:

    • Nursing Education
    • Healthcare Systems
    • Quality Improvement Science

    Background:

    • Nurse practitioners (NPs) must navigate complex healthcare systems.
    • Quality improvement (QI) projects offer opportunities for NP students to gain systems knowledge and enhance patient care.
    • A literature gap exists in systematically teaching, applying, and measuring QI objectives at the master's level.

    Purpose of the Study:

    • To systematically teach, apply, and measure QI curricular objectives for psychiatric NP master's students.
    • To enhance NP students' acquisition of QI skills through revised curricula.
    • To address the gap in the literature regarding QI education in NP programs.

    Main Methods:

    • Six faculty members evaluated the QI project within a psychiatric NP master's program.
    • Faculty identified challenging QI concepts for students.
    • Teaching strategies were revised to address identified gaps, and outcomes were retrospectively evaluated by comparing student performance before and after curriculum changes.

    Main Results:

    • A statistically significant difference in QI project performance was observed between the 2014 and 2015 graduating classes.
    • Performance was measured by scores on students' final papers (t[92] = 1.66, p = .05).
    • The effect size indicated a small but significant improvement in student outcomes post-curriculum revision.

    Conclusions:

    • Theoretical principles of adult and cooperative learning informed the curriculum modifications.
    • The revised curriculum successfully enhanced students' acquisition of QI skills.
    • The study provides a model for systematically teaching QI in master's-level NP programs.