Research-Article| Volume 4, ISSUE 2, P15-21, July 2013

Improvements in Educational Preparedness for Quality and Safety

      Ongoing assessments of nurses’ preparedness in quality and safety competencies are absent from prelicensure education programs. Yet acquiring knowledge and skills in these areas is critical for nurses to meet the recommendations of key health care stakeholders. The study presented in this article used a cross-sectional, comparative design to examine differences in reported preparedness between two cohorts of entry-level registered nurses licensed to practice in 2004–05 and 2007–08 across 15 U.S. states. The results showed that the 2007–08 cohort reported improvements (p<.05) in four items: evidence-based practice, data analysis, project implementation, and helpfulness of quality improvement training. These findings warrant continued assessments of quality and safety education in prelicensure nursing curricula to ensure optimal readiness of the nursing workforce.
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        • Agency for Healthcare Research and Quality
        National healthcare quality report.
        2012 (AHRQ Publication No. 12–0005), Retrieved from
        • American Association of Colleges of Nursing
        The essentials of baccalaureate education for professional nursing practice.
        2008 (Retrieved from)
        • American Association for Public Opinion Research
        Standard definitions: Final dispositions of cases, codes, and outcome rates for surveys.
        3rd ed. Author, Lexena, KS2004
        • Berwick D.M.
        • Hackbarth A.D.
        Eliminating waste in US health care.
        Journal of American Medical Association. 2012; 307: 1513-1516
        • Brewer C.S.
        • Kovner C.T.
        • Yingrengreung S.
        • Djukic M.
        New nurses: Has the recession increased their commitment to their jobs?.
        American Journal of Nursing. 2012; 112: 34-44
        • Commission on Collegiate Nursing Education
        Standards for accreditation of baccalaureate and graduate degree nursing programs.
        2009 (Retrieved from)
        • Cronenwett L.
        • Sherwood G.
        • Barnsteiner J.
        • Disch J.
        • Johnson J.
        • Mitchell P.
        • Warren J.
        Quality and safety education for nurses.
        Nursing Outlook. 2007; 55: 122-131
        • Cronenwett L.
        • Sherwood G.
        • Gelman S.B.
        Improving quality and safety education: The QSEN learning collaborative.
        Nursing Outlook. 2009; 57: 304-312
        • Dillman D.A.
        Mail and internet surveys: The tailored design method.
        Wiley, New York, NY2000
        • Djukic M.
        • Kovner C.T.
        • Brewer C.S.
        • Fatehi F.
        • Seltzer J.
        A multi-state assessment of employer-sponsored quality improvement education for early career registered nurses.
        The Journal of Continuing Education in Nursing. 2013; 44: 12-19
        • Headrick L.A.
        • Barton A.J.
        • Ogrinc G.
        • Strang C.
        • Aboumatar H.J.
        • Aud M.A.
        • Patterson J.E.
        Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning.
        Health Affairs. 2012; 31: 2669-2680
        • Institute for Healthcare Improvement
        2013 (Retrieved from)
        • Institute of Medicine
        To err is human: Building a safer health system.
        Executive summary. The National Academies Press, Washington, D.C1999 (Retrieved from)
        • Institute of Medicine
        Crossing the quality chasm: A new health system for the 21st Century.
        Executive summary. The National Academies Press, Washington, D.C2001 (Retrieved from)
        • Institute of Medicine
        Health professions education: A bridge to quality.
        Executive Summary. The National Academies Press, Washington, D.C2003 (Retrieved from)
        • Institute of Medicine
        The future of nursing: Leading change, advancing health.
        The National Academies Press, Washington, D.C.2011
        • Kovner C.K.
        • Brewer C.S.
        • Fairchild S.
        • Shakti P.
        • Kim H.
        • Djukic M.
        Newly licensed RNs’ characteristics, work attitudes, and intentions to work.
        American Journal of Nursing. 2007; 107: 58-71
        • Kovner C.K.
        • Brewer C.S.
        • Yingrengreung S.
        • Fairchild S.
        New nurses’ views of quality improvement education.
        The Joint Commission Journal on Quality and Patient Safety. 2010; 36: 29-35
        • National Council of State Boards of Nursing
        About NCSBN.
        2010 (Retrieved from)
        • National Council of State Boards of Nursing
        2011 RN practice analysis: Linking the NCLEX-RN® examination to practice.
        in: NCSBN Research Brief. Vol. 53. 2012, January (Retrieved from)
        • National League for Nursing
        NLN Educational Competencies Model.
        2009 (Retrieved from)
      1. Quality and Safety Education for Nurses. (n.d.). About QSEN. Retrieved from

        • Smith E.L.
        • Cronenwett L.
        • Sherwood G.
        Current assessments of quality and safety education in nursing.
        Nursing Outlook. 2007; 55: 132-137
        • Spector N.
        • Echternacht M.
        A regulatory model for transitioning newly licensed nurses to practice.
        Journal of Nursing Regulation. 2010; 1: 18-25
        • Sullivan D.T.
        • Hirst D.
        • Cronenwett L.
        Assessing quality and safety competencies of graduating prelicensure nursing students.
        Nursing Outlook. 2009; 57: 323-331
        • Wachter R.M.
        Patient safety at ten: Unmistakable progress, troubling gaps.
        Health Affairs. 2010; 29: 165-173