Implementing Quality Improvement in Nursing Homes: Nurse Practitioner Perspectives on Barriers, Facilitators, and Lessons Learned
Year: 2025
Type: article
Abstract: BACKGROUND: Nursing homes (NHs) face persistent challenges implementing evidence-based quality improvement (QI). Many barriers were intensified during the COVID-19 pandemic. PURPOSE: To identify barriers and facilitators to nurse practitioner (NP)-led QI implementation in NHs and share lessons learned. METHODS: Fifty-six NHs in middle Tennessee were each assigned an NP mentor to support QI efforts during the COVID-19 pandemic. Structured qualitative interviews with project NPs identified barriers and facilitators to QI implementation using the Consolidated Framework for Implementation Research. RESULTS: Facilitators included leadership engagement, QI champions, a supportive culture, and evidence strength. Barriers included low prioritization, limited resources, low staff efficacy, and adaptability challenges. CONCLUSIONS: NP-led QI is feasible in NHs but requires leadership support, adequate staffing, and an organizational culture that values improvement.
Source: Journal of Nursing Care Quality
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4416181685