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Published on: April 23, 2014
Development and Testing of the Quality Improvement Self-efficacy Inventory
Marianne Baernholdt1, Terry L Jones2, Colleen V Anusiewicz3
1University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Staff nurses possess basic quality improvement knowledge but need development in advanced skills. The nursing work environment impacts these competencies, highlighting the need for targeted professional development to enhance patient safety.
Area of Science:
- Healthcare Quality
- Nursing Professional Development
- Patient Safety
Background:
- Quality improvement (QI) is essential for patient safety.
- Leading QI initiatives requires specialized nursing knowledge and skills beyond clinical care.
- Assessing nurses' QI competencies is crucial for effective professional development.
Purpose of the Study:
- To evaluate staff nurses' self-perceived quality improvement knowledge and skills.
- To examine the relationship between the nursing work environment and QI competencies.
- To introduce the Quality Improvement Self-Efficacy Inventory (QISEI) for assessing nurses' QI skills.
Main Methods:
- An online survey was distributed to 886 staff nurses in Alabama hospitals.
- Nurses completed the 10-item Quality Improvement Self-Efficacy Inventory (QISEI).
- Nurses also completed the Practice Environment Scale of the Nursing Work Index.
Main Results:
- Nurses reported higher self-efficacy in basic QI items compared to advanced QI items.
- Specific nurse characteristics were associated with QI knowledge and skill ratings.
- The nursing work environment significantly correlated with nurses' QI self-efficacy.
Conclusions:
- Healthcare organizations can utilize QISEI to identify QI competency gaps in nursing staff.
- Continuous professional development programs should be tailored to enhance advanced QI knowledge and skills.
- Improving QI competencies among nurses is vital for advancing healthcare quality and patient safety.
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