Nurses+QI=better hospital performance? A critical review of the literature
Intended for healthcare professionals
Evidence and practice    

Nurses+QI=better hospital performance? A critical review of the literature

Jane Robinson Clinical improvement project lead, Nursing Directorate, NHS England and NHS Improvement, London, England
Leslie Gelling Reader in research ethics, Faculty of Health Social Care and Education, Anglia Ruskin University, Cambridge, England

NHS regulators, such as NHS Improvement and the Care Quality Commission, promote staff involvement in quality improvement (QI), while national nursing leaders and the Nursing and Midwifery Council advocate nurses’ involvement in improving services. This article critically explores the evidence base for a national nursing strategy to involve nurses in QI using a literature review. A thematic analysis shows that nurse involvement in QI has several positive outcomes, which are also included in the NHS Improvement’s Single Oversight Framework for NHS Providers. The article concludes that nurse involvement in QI helps improve hospital performance.

Nursing Management. 26, 4, 22-28. doi: 10.7748/nm.2019.e1858


Peer review

This article has been subject to external double-blind peer review and has been checked for plagiarism using automated software

Conflict of interest

None declared


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