References

Alexander CC, Tschannen D, Hays D An integrative review of the barriers and facilitators to nurse engagement in quality improvement in the clinical practice setting. J Nurs Care Qual. 2022; 37:(1)94-100 https://doi.org/10.1097/NCQ.0000000000000562

American Association of Colleges of Nursing. AACN position statement on the practice doctorate in nursing. 2004. http://aacnnursing.org/Portals/0/PDFs/Position-Statements/DNP.pdf (accessed 27 March 2025)

American Association of Colleges of Nursing. The essentials of doctoral education for advanced nursing practice. 2006. http://www.aacn.nche.edu/DNP/pdf/Essentials.pdf (accessed 27 March 2025)

American Association of Colleges of Nursing. The state of doctor of nursing practice education in 2022. 2022. http://www.aacnnursing.org/Portals/42/News/Surveys-Data/State-of-the-DNP-Summary-Report-June-2022.pdf (accessed 27 March 2025)

Anderson JE, Robert G, Nunes F Translating research on quality improvement in five European countries into a reflective guide for hospital leaders: the ‘QUASER Hospital Guide’. Int J Qual Health Care. 2019; 31:(8)G87-G96 https://doi.org/10.1093/intqhc/mzz055

Armstrong N, Herbert G, Aveling EL Optimizing patient involvement in quality improvement. Health Expect. 2013; 16:(3)36-47 https://doi.org/10.1111/hex.12039

Backhouse A, Ogunlayi F Quality improvement into practice. BMJ. 2020; 368 https://doi.org/10.1136/bmj.m865

Braithwaite J Changing how we think about healthcare improvement. BMJ. 2018; 17:(361) https://doi.org/10.1136/bmj.k2014

Carbonell C, Adegbulugbe A, Cheung W, Ruff P Barriers and challenges to implementing a quality improvement program: political and administrative challenges. JCO Glob Oncol. 2024; 10:(10) https://doi.org/10.1200/GO.23.00455

Carrick-Sen D, Moore A, Davidson P International perspectives of nurses, midwives and allied health professionals clinical academic roles: are we at tipping point?. Int J Pract-Based Learn Health Soc Care. 2019; 7:(2)1-15 https://doi.org/10.18552/ijpblhsc.v7i2.639

Chen LYA, Fawcett TN Service evaluation: a grey area of research?. Nurs Ethics. 2019; 26:(4)1172-1185 https://doi.org/10.1177/0969733017742961

Development of a nutrition program at a rural addiction medicine clinic: a quality improvement project. 2024. https://collections.lib.utah.edu/ark:/87278/s66qyz76 (accessed 4 April 2025)

Cowie J, Nicoll A, Dimova ED, Campbell P, Duncan EA The barriers and facilitators influencing the sustainability of hospital-based interventions: a systematic review. BMC Health Serv Res. 2020; 20:(1)1-27 https://doi.org/10.1186/s12913-020-05434-9

Davidoff F, Batalden P Toward stronger evidence on quality improvement. Draft publication guidelines: the beginning of a consensus project. Qual Saf Health Care. 2005; 14:(5)319-325 https://doi.org/10.1136/qshc.2005.014787

Endalamaw A, Khatri RB, Mengistu TS A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact. BMC Health Serv Res. 2024; 24:(1) https://doi.org/10.1186/s12913-024-10828-0

Ford JH, Gilson A Influence of participation in a quality improvement collaborative on staff perceptions of organizational sustainability. BMC Health Serv Res. 2021; 21:(1) https://doi.org/10.1186/s12913-020-06026-3

Gask L Improving the quality of mental health care in primary care settings: a view from the United Kingdom. Eur J Psychiatry. 2007; 21:(1)17-24 https://doi.org/10.4321/S0213-61632007000100003

Green S, Beveridge E, Evans L Implementing guidelines on physical health in the acute mental health setting: a quality improvement approach. Int J Ment Health Syst. 2018; 12:(1) https://doi.org/10.1186/s13033-018-0179-1

Hibbert P, Basedow M, Braithwaite J How to sustainably build capacity in quality improvement within a healthcare organisation: a deep-dive, focused qualitative analysis. BMC Health Serv Res. 2021; 18;21:(1) https://doi.org/10.1186/s12913-021-06598-8

Hughes RG Tools and strategies for quality improvement and patient safety. Chapter 44. In: Hughes RG (ed). : Agency for Healthcare Research and Quality (US); 2008

Ige JJ, Hunt DF Quality improvement project to improve the standardisation and efficiency of occupational therapy initial contact and assessment within a mental health inpatient service. BMJ Open Qual. 2022; 11:(4) https://doi.org/10.1136/bmjoq-2022-001932

Johns Hopkins Medicine. Johns Hopkins Nursing Center for Nursing Inquiry – Quality improvement. 2024. https://hopkinsmedicine.org/nursing/center-nursing-inquiry/nursing-inquiry/quality-improvement#1 (accessed 27 March 2025)

Jones S, Bradbury A, Shortland S Clinical academic careers for general practice nurses: a qualitative exploration of associated barriers and enablers. J Res Nurs. 2021; 26:(7)704-715 https://doi.org/10.1177/17449871211024323

Leatherman S, Ferris TG, Berwick D The role of quality improvement in strengthening health systems in developing countries. Int J Qual Health Care. 2010; 22:(4)237-243 https://doi.org/10.1093/intqhc/mzq028

Development and implementation of an interim coping skills module for waitlisted patients seeking mental health therapy. 2022. https://collections.lib.utah.edu/ark:/87278/s6pd6ag8 (accessed 4 April 2025)

McCauley LA, Broome ME, Frazier L Doctor of nursing practice (DNP) degree in the US: reflecting, readjusting, and getting back on track. Nursing Outlook. 2020; 68:(4)494-503 https://doi.org/10.1016/j.outlook.2020.03.008

Mersey Care NHS Foundation. Clinical audit registration form. 2024. https://yourspace.merseycare.nhs.uk/application/files/1117/2906/8817/CA_Reg_Form_V3_.pdf (accessed 27 March 2025)

Newington L, Alexander CM, Wells M Impacts of clinical academic activity: qualitative interviews with healthcare managers and research-active nurses, midwives, allied health professionals and pharmacists. BMJ Open. 2021; 11:(10) https://doi.org/10.1136/bmjopen-2021-050679

NHS England. Multi-professional practice-based research capabilities framework. 2024. https://advanced-practice.hee.nhs.uk/our-work/research/multi-professional-practice-based-research-capabilities-framework/ (accessed 27 March 2025)

Ogrinc G, Mooney SE, Estrada C The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration. Qual Saf Health Care. 2008; 17:i13-32 https://doi.org/10.1136/qshc.2008.029058

Ogrinc G, Davies L, Goodman D SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. BMJ Qual Saf. 2016; 25:(12)986-992 https://doi.org/10.1136/bmjqs-2015-004411

Peckham S, Zhang W, Eid T Research engagement and research capacity building: a priority for healthcare organisations in the UK. J Health Organ Manag. 2023; https://doi.org/10.1108/JHOM-12-2021-0436

Rubin R It takes an average of 17 years for evidence to change practice—the burgeoning field of implementation science seeks to speed things up. JAMA. 2023; 329:(16)1333-1336 https://doi.org/10.1001/jama.2023.4387

Sabey A, Bray I, Gray S Building capacity to use and undertake applied health research: establishing a training programme for the health workforce in the West of England. Public Health. 2019; 167:62-69 https://doi.org/10.1016/j.puhe.2018.11.001

Sacco TL, Kelly MM Nursing faculty experiences during the COVID-19 pandemic response. Nurs Educ Perspect. 2021; 42:(5)285-290 https://doi.org/10.1097/01.NEP000000000000843

Sarff L, O'Brien R Evidence-based quality improvement training programs: building staff capability and organizational capacity. J Nurs Care Qual. 2020; 35:(2)95-101 https://doi.org/10.1097/NCQ.0000000000000416

Sheldon T Promoting health care quality: what role performance indicators?. Qual Health Care. 1998; 7:S45-50

SQUIRE. Explanation and elaboration of SQUIRE 2.0 guidelines. 2020. https://www.squire-statement.org/index.cfm?fuseaction=page.viewpage&pageid=504 (accessed 4 April 2025)

SQUIRE. SQUIRE Friendly Journals. 2024. https://www.squire-statement.org/index.cfm?fuseaction=Page.ViewPage&pageId=513 (accessed 4 April 2025)

Teasdale GM Quality in healthcare and the quest for improvement. Scott Med J. 2008; 53:(2)3-6 https://doi.org/10.1258/rsmsmj.53.2.3

Whitehouse CL, Copping J, Morris P An organisational approach to building research capacity among nurses, midwives and allied health professionals (NMAHPs) in clinical practice. International Practice Development Journal. 2022; 12:(2) https://doi.org/10.19043/ipdj.122.009

Williams S, Best S What does a systems approach to quality improvement look like in practice?. Int J Environ Res Public Health. 2022; 10;19:(2) https://doi.org/10.3390/ijerph19020747

Empowering clinical staff in research: advancing patient care through quality improvement and research

17 April 2025
Volume 34 · Issue 8

Abstract

Quality improvement (QI) plays a critical role in bridging the gap between research and practice in health care, particularly for disciplines that have historically been underrepresented in research, such as nursing and allied health professions. By focusing on real-world challenges and applying evidence-based solutions, QI allows health professionals to engage in research without the extensive time and resource demands of traditional studies. This article explores the value of QI initiatives in enhancing clinical practice, emphasising the importance of systematic approaches incorporating validated QI models. It highlights key barriers to QI adoption, including resource limitations, educational gaps, and inconsistent implementation, while offering strategies to overcome these obstacles. Case study discussion illustrates the potential of QI to improve patient outcomes and streamline healthcare processes, while the discussion of the integration of QI into nursing education and practice in the USA explores ideas that could be implemented here in the UK. Ultimately, embedding QI within healthcare systems fosters a culture of continuous improvement and research engagement, empowering nurses and allied health professionals to contribute to evidence-based care and the advancement of clinical research.

Research capacity in health care is vital as it underpins evidence-based practice that directly influences patient care outcomes. In today's healthcare environment, a robust research foundation is crucial for developing effective interventions, improving policies and creating care models that address the increasingly complex needs of diverse populations. Building research capacity enables healthcare professionals to generate and apply scientific knowledge, leading to better health services, innovation and overall healthcare improvements (Sabey et al, 2019).

Despite the critical role that health professionals such as nurses, midwives and allied health professionals (AHPs) play in direct patient care, they remain underrepresented in healthcare research in the UK (Peckham et al, 2023). The multi-professional practice-based research capabilities framework (NHS England, 2024) addresses this gap by outlining structured activities for research skill development across different levels of practice, from entry level to consultant. This approach is designed to promote engagement, strengthen research capabilities and empower these professionals to support, deliver and lead practice-based research. The framework aligns with national strategies to create a research-active healthcare environment, aiming to overcome existing barriers and promote equitable research opportunities.

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