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Review
. 2022 Jan-Mar;37(1):94-100.
doi: 10.1097/NCQ.0000000000000562.

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting

Catherine C Alexander  1 , Dana Tschannen, Deana Hays, Morgan Clouse, Cindy Zellefrow, Kim Siarkowski Amer, Jacquelyn Lambert-Davis, Tressa Honaas Watson, Elizabeth G Tovar, Kerry A Milner
Affiliations
Review

An Integrative Review of the Barriers and Facilitators to Nurse Engagement in Quality Improvement in the Clinical Practice Setting

Catherine C Alexander et al. J Nurs Care Qual. 2022 Jan-Mar.

Abstract

Background: Nurse engagement in quality improvement (QI) improves health care quality and outcomes but is typically low in clinical settings.

Purpose: An integrative review was conducted to identify facilitators and barriers of nurse engagement in QI.

Methods: This integrative review was conducted using an electronic search of databases with search terms specific to nursing engagement in QI. The Johns Hopkins Nursing Evidence-Based Practice Evidence Level and Quality Guide was used to rate quality and level of evidence.

Results: Nine articles met the criteria for review. Top barriers were leadership, education and training, resource constraints, data, culture, and time. Top facilitators were leadership, education and training, culture, mentors, and champions.

Conclusion: High-quality literature exploring barriers and facilitators of nurse engagement in QI is lacking. Research is needed to examine the degree to which these barriers and facilitators impact engagement and how they can be addressed to increase it.

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Conflict of interest statement

The authors declare no conflicts of interest.

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