What is quality improvement in nursing?

Written by Adam Sullivan
Academically reviewed by Alice Myers

In today’s rapidly advancing healthcare landscape, the Quality and Safety Education for Nurses (QSEN) initiative plays a crucial role in preparing nurses to provide safe, high-quality patient care. What is quality improvement in nursing? It refers to systematic, data-driven efforts that enhance patient outcomes by refining processes and reducing errors. QSEN focuses on building the essential knowledge, skills, and attitudes that nurses need to improve patient care and reduce risks.

For aspiring nursing students, particularly those returning to school as working adults, QSEN offers a bridge between theory and practice. By mastering QSEN competencies, you can embark on a nursing career that aligns with your dedication to patient safety, quality improvement, and compassionate care.

Table of Contents
Nurse talking with patient

What is QSEN in Nursing?

As healthcare continues to advance, so does the need for nursing professionals who prioritize quality and safety in patient care. Quality and Safety Education for Nurses (QSEN) is an initiative that prepares nurses with the necessary knowledge, skills, and attitudes (KSAs) to enhance patient care quality and ensure safety. This program was developed in response to the Institute of Medicine’s call for improved healthcare quality, recognizing that nurses play an essential role in shaping safe and effective healthcare systems.

For potential nursing students, especially working adults who are returning to school, QSEN is an integral part of nursing education that helps bridge theoretical knowledge and practical application. Understanding QSEN competencies can help you determine whether a nursing career aligns with your passion for healthcare, patient safety, and continuous improvement.

Goals of QSEN

Quality and Safety Education for Nurses instills a culture of both quality and safety in healthcare, during which nursing students learn to tackle a variety of practical medical challenges. The goal of this initiative is to instill six key competencies into nursing education to ensure that tomorrow’s nurses are not just clinically competent but also armed with a mindset that prioritizes safety and patient-centered care.

Through these competencies, QSEN seeks to transform nursing into a field where quality improvement and patient safety are ingrained in every aspect of practice. For nursing students, this means being prepared to handle complex healthcare environments and continuously improve care quality by identifying potential issues and implementing solutions proactively.

Black woman nurse walking down hospital hallway holding hand of White girl in hospital gown

The Six QSEN Competencies

QSEN revolves around six core competencies designed to make nurses more effective and patient-centered in their approach. Let’s dive into each one:

1. Patient-Centered Care

Patient-centered care involves recognizing the patient as the core focus of all healthcare decisions. This competency emphasizes respecting patients’ preferences, needs, and values, and integrating them into every aspect of care. Nurses trained in patient-centered care communicate effectively, listen actively, and advocate for patients, making them essential partners in care.

2. Teamwork and Collaboration

Healthcare is a team effort. The teamwork and collaboration competency underscores the importance of working effectively within interprofessional teams to deliver optimal patient outcomes. It teaches nurses to communicate openly, respect the contributions of other healthcare professionals, and participate in collective problem-solving to ensure seamless patient care.

3. Evidence-Based Practice (EBP)

Evidence-based practice refers to integrating the best current research evidence with clinical expertise and patient values. Nurses with this competency use proven methods and stay up to date with the latest research to make informed decisions. This ensures that patients receive the most effective treatments and care.

4. Quality Improvement (QI)

Quality improvement focuses on continuously analyzing and improving healthcare processes to enhance patient outcomes. Nurses who are skilled in QI can identify inefficiencies in care delivery and implement changes to minimize errors and improve safety. This proactive approach ensures a high standard of care is consistently maintained.

5. Safety

Safety is at the heart of QSEN’s mission, with the goal of minimizing the risk of harm to patients and providers. Nurses trained in safety competencies are adept at identifying potential hazards, adhering to safety protocols, and creating environments where risks are minimized. This focus not only protects patients but also builds trust within the healthcare system.

6. Informatics

The informatics competency emphasizes the importance of using technology and information systems to deliver better care. Nurses equipped with informatics skills can document patient information accurately, analyze data, and leverage technology to enhance patient outcomes and streamline workflows. With healthcare technology constantly evolving, informatics ensures nurses remain adaptable and efficient.

a White male and Asian woman medical professional students smile in lobby of campus

Why is QSEN Important for Nurses?

Enhancing Patient Safety

QSEN competencies play a vital role in advancing patient safety across healthcare environments. These competencies focus on reducing medical errors, enhancing communication, and creating a culture of safety that permeates all levels of healthcare. By prioritizing safety as a core aspect of nursing practice, QSEN equips nurses with the skills to recognize and mitigate potential risks, ensuring a safer experience for patients and a higher quality of care.

Adapting to Modern Healthcare Challenges

The healthcare landscape is continually evolving, with advancements in technology and changes in patient needs adding complexity to care delivery. QSEN helps nurses adapt to these modern challenges by equipping them with skills in patient-centered care, evidence-based practice, and the effective use of new healthcare technologies. Through these competencies, nurses are better prepared to provide high-quality care that meets contemporary standards and improves patient outcomes.

Interdisciplinary Collaboration

Teamwork and communication are at the heart of effective patient care, and QSEN emphasizes the importance of interdisciplinary collaboration. By encouraging nurses to work closely with other healthcare professionals, QSEN fosters a holistic approach to patient care, ensuring that all aspects of a patient’s well-being are addressed. This

collaborative approach enhances patient satisfaction and supports comprehensive, patient-centered care.

Master of Science in Nursing Program Page

How QSEN Safety Competencies Impact Nursing Education

Curriculum Integration

QSEN competencies are integrated into nursing education programs nationwide. By embedding these competencies into nursing curricula, students gain essential knowledge and skills to navigate complex healthcare environments. Nursing schools and continuing education programs incorporate QSEN principles through various instructional methods, such as coursework, hands-on clinical training, and realistic simulations.

These components emphasize core QSEN competencies, including patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics. By practicing these skills in simulated settings, students develop confidence and competence, ensuring they are ready to meet the demands of the healthcare field upon graduation.

Ongoing Professional Development

QSEN’s influence extends beyond initial nursing education, promoting a commitment to lifelong learning. Practicing nurses are encouraged to continuously develop their knowledge and skills in areas like patient safety, healthcare technology, and quality improvement.

Continuing education programs inspired by QSEN principles allow nurses to stay updated with the latest advancements and maintain high standards of care throughout their careers. This ongoing professional development ensures that nurses are equipped to address evolving challenges, meet regulatory standards, and ultimately improve patient outcomes. Through QSEN, nursing professionals are better prepared to deliver safe, high-quality care, benefiting both patients and the broader healthcare system.

Bachelor of Science in Nursing – RN Completion Program Page

What Is Quality Improvement in Nursing? A Commitment to Excellence

Quality and Safety Education for Nurses (QSEN) is more than just a set of skills—it’s a philosophy of care that places quality and safety at the core of nursing practice. For working adults exploring nursing as a second career or an advancement opportunity, QSEN competencies offer a solid foundation for success. Whether it’s through patient-centered care, collaboration, evidence-based practice, quality improvement, safety, or informatics, QSEN prepares you to face the challenges of modern healthcare with confidence and compassion.

As you consider nursing programs, look for those that emphasize QSEN competencies and support a well-rounded approach to learning, such as National University’s Graduate Certificate in Nursing Quality and Safety, which supports the unique needs of adult learners balancing work, family, and school. This commitment to quality and safety in education ensures that you’re not only learning the skills needed to succeed, but developing the mindset needed to make a positive impact in healthcare, as well.

This content has been reviewed and approved by the National University Editorial Advisory Board. Learn more about our editorial process.

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