Engaging clinical nurses in quality and performance improvement activities

Nurs Adm Q. 2010 Jul-Sep;34(3):226-45. doi: 10.1097/NAQ.0b013e3181e702ca.


Nursing performance measures are an integral part of quality initiatives in acute care; however, organizations face numerous challenges in developing infrastructures to support quality improvement processes and timely dissemination of outcomes data. At the Hospital of the University of Pennsylvania, a Magnet-designated organization, extensive work has been conducted to incorporate nursing-related outcomes in the organization's quality plan and to integrate roles for clinical nurses into the Department of Nursing and organization's core performance-based programs. Content and strategies that promote active involvement of nurses and prepare them to be competent and confident stakeholders in quality initiatives are presented. Engaging clinical nurses in the work of quality and performance improvement is essential to achieving excellence in clinical care. It is important to have structures and processes in place to bring meaningful data to the bedside; however, it is equally important to incorporate outcomes into practice. When nurses are educated about performance and quality measures, are engaged in identifying outcomes and collecting meaningful data, are active participants in disseminating quality reports, and are able to recognize the value of these activities, data become one with practice.

MeSH terms

  • Benchmarking / organization & administration
  • Clinical Competence*
  • Data Collection
  • Diffusion of Innovation
  • Hospitals, University
  • Humans
  • Information Dissemination
  • Leadership
  • Models, Nursing
  • Nurse Administrators / organization & administration
  • Nurse's Role* / psychology
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / organization & administration*
  • Nursing Staff, Hospital / psychology
  • Outcome and Process Assessment, Health Care / organization & administration*
  • Patient Care Team / organization & administration
  • Philadelphia
  • Professional Staff Committees
  • Quality Assurance, Health Care / organization & administration*
  • Quality Indicators, Health Care / organization & administration
  • Research Design
  • Total Quality Management / organization & administration*