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

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

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

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.

Original languageEnglish
Pages (from-to)94-100
Number of pages7
JournalJournal of Nursing Care Quality
Volume37
Issue number1
DOIs
StatePublished - 2022

Bibliographical note

Publisher Copyright:
© 2022 Lippincott Williams and Wilkins. All rights reserved.

Keywords

  • barriers
  • facilitators
  • nurse engagement
  • quality improvement

ASJC Scopus subject areas

  • Nursing (all)

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