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Development of the Nursing Quality Improvement in Practice Tool: Advancing Frontline Nursing Practice
Dana Tschannen1, Catherine Alexander, Elizabeth G Tovar
1School of Nursing, University of Michigan, Ann Arbor (Dr Tschannen); Department of Community & Family Medicine, Dartmouth-Hitchcock, Lebanon, New Hampshire (Dr Alexander); College of Nursing, University of Kentucky, Lexington (Dr Tovar); University of Michigan, Ann Arbor (Ms Ghosh); The Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing & Healthcare, Columbus, Ohio, and The Ohio State University College of Nursing, Columbus (Dr Zellefrow); and Davis & Henley College of Nursing, Sacred Heart University, Fairfield, Connecticut (Dr Milner).
Background:
Frontline nurse engagement in quality improvement (QI) improves nurse-sensitive outcomes; yet research suggests frontline nurses are not engaging in QI.
Purpose:
The purpose of this study was to develop, refine, and psychometrically evaluate the Nursing Quality Improvement in Practice (N-QuIP) tool to measure nurses' competency, engagement, and barriers/facilitators to QI engagement.
Methods:
Item development was guided by an expert panel and literature review. Factor analysis and reliability indices were assessed through 681 surveys completed by nurses at one medical center.
Results:
Cronbach α coefficients were 0.97 (Skill Scale) and 0.90 (Attitude Scale). Kuder-Richardson Formula 20 (KR-20) for knowledge was 0.36. Exploratory factor analysis identified 4 (Skill) and 3 (Attitude) subscales respectively, aligning well with QI competencies.
Conclusions:
Preliminary data suggest that the N-QuIP is a valid and reliable tool for assessing nurse QI competence and engagement. Understanding current knowledge, skills, and attitudes and identified barriers/facilitators can help the development of strategies aimed at increasing QI engagement.
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