Experiences of Newly Qualified Nurses' Engagement with Quality Improvement in Practice: A Qualitative Follow-Up Study.

Background: Nurse education plays an essential role in preparing future nurses to engage with quality improvement (QI) initiatives in their organisations and improve patient care. However, frontline nurses continue to report that a lack of QI knowledge hinders their abilities to engage in improvemen...

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Publicado en:Nursing Reports Vol. 14; no. 4; pp. 2990 - 3007
Autores principales: Armstrong, Lorraine, Shepherd, Ashley, Harris, Fiona
Formato: research tables/charts Journal Article
Publicado: MDPI Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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      pub: MDPI
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        atl: Experiences of Newly Qualified Nurses' Engagement with Quality Improvement in Practice: A Qualitative Follow-Up Study.
      aug:
        au:
          Armstrong, Lorraine
          Shepherd, Ashley
          Harris, Fiona
        affil: Faculty of Health Sciences, University of Stirling, Stirling FK9 4LA, UK
      sug:
        subj:
          Novice Nurses Psychosocial Factors
          Nurse Attitudes
          Quality Improvement
          Nursing Practice
          Work Engagement Evaluation
          Human United Kingdom
          United Kingdom
          Male
          Female
          Adult
          Middle Age
          Qualitative Studies
          Checklists
          Leadership
          Preceptorship
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background: Nurse education plays an essential role in preparing future nurses to engage with quality improvement (QI) initiatives in their organisations and improve patient care. However, frontline nurses continue to report that a lack of QI knowledge hinders their abilities to engage in improvement work. In the UK, student nurses are now trained in QI within their degree to enable them to contribute to improvements once qualified. Objectives: This qualitative follow-up study investigated the sustainability of QI engagement in nurses who undertook QI training and a QI project during their degree and explored the factors influencing their engagement in QI once qualified. Methods: This paper followed the COREQ criteria to report upon 10 semi-structured interviews undertaken with registered nurses and focuses on their experiences of QI engagement post-registration. The data were investigated using an inductive thematic analysis and Nvivo 14. Findings: Five themes emerged: transition to a newly qualified nurse, QI knowledge decline, influencing factors (hierarchy, leadership, COVID-19 pandemic, data access and location), and skill transferability. Conclusions: This study showed that qualified nurses can sustain their QI knowledge and remain engaged with QI where they experience positive QI leadership and were exposed to ongoing QI activity in their preceptorship year. However, a lack of QI opportunities and a culture which does not consider QI a responsibility of new nurses is seen to hinder engagement. Educational institutions and practice partners require careful collaboration to assess and develop ongoing QI learning activities that support new nurses to engage in QI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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