Quality Improvement in Nursing

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Coordination"> Care Coordination </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="https://jobs.ana.org/" target="_blank" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="A-E : Career Center"> Career Center </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/clinical-practice-material/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="A-E : Clinical Practice Material"> Clinical Practice Material </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="A-E : Coronavirus Update"> Coronavirus Update </a> </li> <li 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e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/health-policy/health-it/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Health IT"> Health IT </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/health-policy/health-system-reform/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Health System Transformation"> Health System Transformation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="https://www.healthynursehealthynation.org/" target="_blank" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Healthy Nurse, Healthy Nation"> Healthy Nurse, Healthy Nation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/health-safety/immunize/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Immunize"> Immunize </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/improving-your-practice/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Improving Your Practice"> Improving Your Practice </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/innovation/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Innovation"> Innovation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/innovation/events/awards/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Innovation Awards"> Innovation Awards </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/minority-fellowship-program/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="H-M : Minority Fellowship Program"> Minority Fellowship Program </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R"> N-R </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/naqc/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Nursing Alliance for Quality Care"> Nursing Alliance for Quality Care </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/nursing-excellence/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Nursing Excellence"> Nursing Excellence </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/ancc/nursing-research/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Nursing Research"> Nursing Research </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/nurse-suicide-prevention/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Nurse Suicide Prevention/Resilience"> Nurse Suicide Prevention/Resilience </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/nursing-excellence/official-position-statements/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Position Statements"> Position Statements </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/nursing-excellence/official-position-statements/ana-principles/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Principles"> Principles </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/project-firstline/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Project Firstline"> Project Firstline </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/public-health-nursing/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Public Health"> Public Health </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/health-policy/health-system-reform/quality/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Quality"> Quality </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/racism-in-nursing/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : Racism in Nursing"> Racism in Nursing </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://www.rnaction.org/" target="_blank" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="N-R : RN Action"> RN Action </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W"> S-W </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/health-safety/safe-patient-handling/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Safe Patient Handling & Mobility"> Safe Patient Handling & Mobility </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/scope-of-practice/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Scope of Practice"> Scope of Practice </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/health-safety/safe-needles/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Sharps"> Sharps </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/nurse-staffing/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Staffing"> Staffing </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/archive/practice-advocacy/telehealth/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Telehealth"> Telehealth </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/health-safety/tobacco-free-nurses/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Tobacco Use Cessation"> Tobacco Use Cessation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/end-nurse-abuse/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Violence, Incivility & Bullying"> Violence, Incivility & Bullying </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/what-is-nursing/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : What is Nursing"> What is Nursing </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/work-environment/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Work Environment"> Work Environment </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/workforce/" data-primary-nav-link data-gtm-event-action="Practice & Advocacy" data-gtm-event-label="S-W : Workforce"> Workforce </a> </li> </ul> </div> </li> </ul> </div> </div> </li> <li class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="1"> <a href="/our-certifications/" class="e-nav-primary__link" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification"> <span class="e-nav-primary__link-text">Certification</span> <div class="jhtest" data-model-sectionlink="/link/7d7b5a26712c4422a0757a73ccccc020.aspx" data-model-sectionname="Certification"></div> </a> <div class="e-nav-primary__panel" data-primary-nav-tray data-primary-nav-panel> <div class="e-nav-primary__grid-constraint"> <ul class="e-nav-primary__list e-nav-primary__list--secondary"> <li class="e-nav-primary__col"> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/our-certifications/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Initial Certifications"> Initial Certifications </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/renewals/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Renewal requirements"> Renewal requirements </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/our-certifications/verification/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Verification"> Verification </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/success-pays/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Success Pays"> Success Pays </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/retired-recognition/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Retired Recognition"> Retired Recognition </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/readiness-tests/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Readiness Tests"> Readiness Tests </a> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/certification-policies/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies"> Certification Policies </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/certification-policies/scores-retest-application/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies : Scores & Retest Application"> Scores & Retest Application </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/certification-policies/expedited-review-procedure/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies : Expedited Review Procedure"> Expedited Review Procedure </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/certification-policies/special-accommodations/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies : Special Accommodations"> Special Accommodations </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/certification-policies/international-applicants/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies : International Applicants"> International Applicants </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/certification-policies/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Policies : See All Policies"> See All Policies </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/ANCC-content-expert-opportunities/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="ANCC Volunteer Opportunities"> ANCC Volunteer Opportunities </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/ANCC-content-expert-opportunities/current-volunteer-opportunities/" data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="ANCC Volunteer Opportunities : Current Volunteer Opportunities"> Current Volunteer Opportunities </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/education-events/ana-continuing-education/test-certification-review/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Certification Preparation"> Certification Preparation </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="https://www.prometric.com/en-us/clients/ancc/Pages/landing.aspx" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Find a Test Center" target="_blank"> Find a Test Center </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/faqs/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="FAQs"> FAQs </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/aprn-consensus-model/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="APRN Consensus Model"> APRN Consensus Model </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="https://www.shopana.org/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="Shop ANCC Promo Items" target="_blank"> Shop ANCC Promo Items </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/certification/aprn-faculty-toolkit/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Certification" data-gtm-event-label="APRN Faculty Toolkit"> APRN Faculty Toolkit </a> </div> </li> </ul> </div> </div> </li> <li class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="1"> <a href="/advanced-practice/" class="e-nav-primary__link" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Advanced Practice"> <span class="e-nav-primary__link-text">Advanced Practice</span> <div class="jhtest" data-model-sectionlink="/link/b257bff3771746fd98e3455a59cbc001.aspx" data-model-sectionname="Advanced Practice"></div> </a> <div class="e-nav-primary__panel" data-primary-nav-tray data-primary-nav-panel> <div class="e-nav-primary__grid-constraint"> <ul class="e-nav-primary__list e-nav-primary__list--secondary"> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Professional Development"> Professional Development </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/advanced-practice/certification-verification--renewal/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Professional Development : Certification Verification & Renewal"> Certification Verification & Renewal </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/advanced-practice/2nd-certification/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Professional Development : Add an Additional Certification"> Add an Additional Certification </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Practice & Advocacy"> Practice & Advocacy </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/advanced-practice/ana-supports-aprn/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Practice & Advocacy : ANA Supports Advanced Practice"> ANA Supports Advanced Practice </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/advocacy/ana-advocacy/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Practice & Advocacy : Member-Only Resources"> Member-Only Resources </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/advocacy/state/aprn-state-law-and-regulation/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Practice & Advocacy : APRN State Law and Regulation"> APRN State Law and Regulation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/practice-policy/scope-of-practice/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Practice & Advocacy : Scope of Practice"> Scope of Practice </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="ANA Membership"> ANA Membership </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/joinANA/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="ANA Membership : Join ANA and Your State Nurses Association"> Join ANA and Your State Nurses Association </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/my-account/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="ANA Membership : My Account"> My Account </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Certification"> Certification </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/our-certifications/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Certification : Initial Certifications"> Initial Certifications </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/our-certifications/verification/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Certification : Verification"> Verification </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/certification/renewals/" data-primary-nav-link data-gtm-event-action="Advanced Practice" data-gtm-event-label="Certification : Renewal Requirements"> Renewal Requirements </a> </li> </ul> </div> </li> </ul> </div> </div> </li> <li class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="1"> <a href="/membership/" class="e-nav-primary__link" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Membership"> <span class="e-nav-primary__link-text">Membership</span> <div class="jhtest" data-model-sectionlink="/link/ead8d35c490f438c92b06c0397cdde09.aspx" data-model-sectionname="Membership"></div> </a> <div class="e-nav-primary__panel" data-primary-nav-tray data-primary-nav-panel> <div class="e-nav-primary__grid-constraint"> <ul class="e-nav-primary__list e-nav-primary__list--secondary"> <li class="e-nav-primary__col"> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/my-account/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="My Account"> My Account </a> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/member-benefits/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits"> Member Benefits </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/member-benefits/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : Member Benefits"> Member Benefits </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/member-benefits/personal-benefits/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : Personal Benefits"> Personal Benefits </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/welcome/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : New Member Welcome Center"> New Member Welcome Center </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/career-stages/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : Career Stages"> Career Stages </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/member-benefits/professional-development-resources/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : Professional Development Resources"> Professional Development Resources </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://community.ana.org/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : ANA Community"> ANA Community </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="https://jobs.ana.org/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Member Benefits : ANA Career Center"> ANA Career Center </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/ana-periodicals/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="ANA Journals"> ANA Journals </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/membership/ana-periodicals/americannurse/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="ANA Journals : American Nurse"> American Nurse </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://ojin.nursingworld.org/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="ANA Journals : Online Journal of Issues in Nursing (OJIN)"> Online Journal of Issues in Nursing (OJIN) </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://anacapitolbeat.org/" data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="ANA Journals : Capitol Beat"> Capitol Beat </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/joinANA/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Join ANA"> Join ANA </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/find-my-state/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Find Your State Association"> Find Your State Association </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/student-nurses/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Student Nurses"> Student Nurses </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/membership/individual-member-division-imd/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Individual Member Division"> Individual Member Division </a> </div> <div class="e-nav-primary__item " data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/ana/leadership-and-governance/membership-assembly/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Membership" data-gtm-event-label="Membership Assembly"> Membership Assembly </a> </div> </li> </ul> </div> </div> </li> <li class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="1"> <a href="/organizational-programs/" class="e-nav-primary__link" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet | Pathway | Accreditation"> <span class="e-nav-primary__link-text">Magnet | Pathway | Accreditation</span> <div class="jhtest" data-model-sectionlink="/link/d425f3fb1ebc442aad6fb641aa90c3db.aspx" data-model-sectionname="Magnet | Pathway | Accreditation"></div> </a> <div class="e-nav-primary__panel" data-primary-nav-tray data-primary-nav-panel> <div class="e-nav-primary__grid-constraint"> <ul class="e-nav-primary__list e-nav-primary__list--secondary"> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/organizational-programs/magnet/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet"> Magnet </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/ancc/awards/ancc-magnet-prize-program/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : || Magnet Prize® ||"> || Magnet Prize® || </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/ancc/awards/mnoy/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : || Magnet Nurse of the Year ||"> || Magnet Nurse of the Year || </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/about-magnet/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : About Magnet"> About Magnet </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/magnet-model/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Magnet Model"> Magnet Model </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/program-tools/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Program Tools"> Program Tools </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/journey-to-magnet-excellence/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Journey to Magnet Excellence"> Journey to Magnet Excellence </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/international/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : International"> International </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/magnet-manual-updates-and-faqs/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Magnet Application Manual Updates and FAQs"> Magnet Application Manual Updates and FAQs </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/apply/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Apply"> Apply </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/public-comment/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Public Comment"> Public Comment </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/globalassets/organizational-programs/magnet/imr/interim-report-imr.pdf" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Interim Monitoring Requirements"> Interim Monitoring Requirements </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/find-a-magnet-organization/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Find a Magnet Organization"> Find a Magnet Organization </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/new-magnet-organizations/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : New/Redesignated Organizations"> New/Redesignated Organizations </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/adamplus/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : ADAM/ADAMplus"> ADAM/ADAMplus </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/magnet/contact-magnet-staff/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Magnet : Contact Magnet Staff"> Contact Magnet Staff </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/organizational-programs/pathway/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway"> Pathway </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/overview/pathway-award/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : || Pathway Award ||"> || Pathway Award || </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/overview/pathway-nurse-of-the-year-award/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : || Pathway Nurse of the Year Award ||"> || Pathway Nurse of the Year Award || </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/overview/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Overview"> Overview </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/overview/the-application-process/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Before You Apply"> Before You Apply </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/apply/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Apply"> Apply </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/pte-renewal/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Pathway Redesignation"> Pathway Redesignation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/find-a-pathway-organization/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Find A Pathway Organization"> Find A Pathway Organization </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/pathway/new-pathway-organizations/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : New Pathway Organizations"> New Pathway Organizations </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://www.pathwaylearningcommunity.org/home" target="_blank" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Pathway Learning Community"> Pathway Learning Community </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/continuing-education/ce-subcategories/pathway/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Pathway : Publications and Products"> Publications and Products </a> </li> </ul> </div> </li> <li class="e-nav-primary__col"> <div class="e-nav-primary__item e-nav-primary__item--has-children" data-primary-nav-item data-nav-level="2"> <a class="e-nav-primary__link e-nav-primary__link--arrow" href="/organizational-programs/accreditation/" data-primary-nav-trigger data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Accreditation"> Accreditation </a> <ul class="e-nav-primary__list e-nav-primary__list--tertiary" data-primary-nav-tray> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/accreditation/ncpd/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Accreditation : Nursing Continuing Professional Development"> Nursing Continuing Professional Development </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="http://www.jointaccreditation.org/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Accreditation : Joint Accreditation"> Joint Accreditation </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/accreditation/appfa/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Accreditation : Advanced Practice Provider Fellowship Accreditation™ (APPFA)"> Advanced Practice Provider Fellowship Accreditation™ (APPFA) </a> </li> <li class="e-nav-primary__item" data-primary-nav-item data-nav-level="3"> <a class="e-nav-primary__link" href="/organizational-programs/accreditation/ptap/" data-primary-nav-link data-gtm-event-action="Magnet | Pathway | Accreditation" data-gtm-event-label="Accreditation : Practice Transition Accreditation Program"> Practice Transition Accreditation Program </a> </li> <li 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class="grid"> <div class="grid__item one-whole large--two-thirds pad--large--one-third"> <h1 class="t-type-h2" >Nursing Quality</h1> </div> <div class="grid__item one-whole large--one-quarter zero-height"> <nav class="c-subnav" data-require="./src/views/sub-nav-view"> <a href="#" class="c-subnav__open" data-show-subnav>Pages in this section</a> <div class="c-subnav__wrap" data-subnav-wrap> <h2 class="c-subnav__heading"> <a class="c-subnav__heading-link" href="/practice-policy/" target="">Practice & Advocacy</a> </h2> <ul class="c-subnav__list c-subnav__list--lv1"> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/nursing-excellence/" class="c-subnav__link" target=""> Nursing Excellence </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/nurse-staffing/" class="c-subnav__link" target=""> Nurse Staffing </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/work-environment/" class="c-subnav__link" target=""> Work Environment </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/health-policy/" class="c-subnav__link c-subnav__link--ancestor" target=""> Health Policy </a> <ul class="c-subnav__list c-subnav__list--lv2"> <li class="c-subnav__item c-subnav__item--lv2"> <a href="/practice-policy/health-policy/health-system-reform/" class="c-subnav__link c-subnav__link--ancestor" target=""> Health System Transformation </a> <ul class="c-subnav__list c-subnav__list--lv3"> <li class="c-subnav__item c-subnav__item--lv3"> <a href="/practice-policy/health-policy/health-system-reform/quality/" class="c-subnav__link c-subnav__link--current" target=""> Quality </a> <ul class="c-subnav__list c-subnav__list--lv4"> <li class="c-subnav__item c-subnav__item--lv4"> <a href="/practice-policy/health-policy/health-system-reform/quality/collaborative-activity/" class="c-subnav__link" target=""> Collaborative Activity </a> </li> </ul> </li> <li class="c-subnav__item c-subnav__item--lv3"> <a href="/practice-policy/health-policy/health-system-reform/macra-what-is-it/" class="c-subnav__link" target=""> MACRA-What Is It? </a> </li> <li class="c-subnav__item c-subnav__item--lv3"> <a href="/practice-policy/health-policy/health-system-reform/resources/" class="c-subnav__link" target=""> Health System Reform Resources </a> </li> </ul> </li> <li class="c-subnav__item c-subnav__item--lv2"> <a href="/practice-policy/health-policy/health-it/" class="c-subnav__link" target=""> Health IT </a> </li> <li class="c-subnav__item c-subnav__item--lv2"> <a href="/practice-policy/health-policy/care-coordination/" class="c-subnav__link" target=""> Care Coordination </a> </li> </ul> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/workforce/" class="c-subnav__link" target=""> Workforce </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/hnhn/" class="c-subnav__link" target=""> Healthy Nurse </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/aprn/" class="c-subnav__link" target=""> APRN </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/scope-of-practice/" class="c-subnav__link" target=""> Scope of Practice </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/community-paramedics/" class="c-subnav__link" target=""> Community Paramedics </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/state-law-and-regulation/" class="c-subnav__link" target=""> State Law and Regulation </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/barriers-to-rn-scope-of-practice-panel/" class="c-subnav__link" target=""> Barriers to RN Scope of Practice Panel </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/medication-aides--assistants--technicians/" class="c-subnav__link" target=""> Medication Aides, Assistants, Technicians </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/naqc/" class="c-subnav__link" target=""> NAQC </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/project-firstline/" class="c-subnav__link" target=""> Project Firstline </a> </li> <li class="c-subnav__item c-subnav__item--lv1"> <a href="/practice-policy/innovation/" class="c-subnav__link" target=""> Innovation </a> </li> </ul> </div> </nav> </div> <div class="grid__item one-whole large--two-thirds pad--large--one-third"> <div class="e-richtext"> <p><span>For more than 100 years, the American Nurses Association (ANA) has worked to improve patient safety by promoting quality in nursing care and nurses’ work lives. ANA advocates for nursing quality through quality measurement, research collaborative learning, and using quality data to change practice. On this page, you will find an overview of ANA’s work on nursing quality and useful related resources, including:</span></p> <ul> <li><span>Quality organizations;</span></li> <li><span>Collaborative activity;</span></li> <li><span>Research and measurement;</span></li> <li><span>Advocacy; and</span></li> <li><span>Education on quality. </span></li> </ul> <p><span>Examples of ANA’s efforts to improve patient safety using quality data include translating traditional quality measurements into eMeasures, and the development of a streamlined tool to prevent catheter-associated urinary tract infections (CAUTIs).</span></p> </div> <div class="dynamic-ad-container dynamic-ad-container-leaderboard"> <div id="ROS-728" class="dynamic-ad dynamic-ad-leaderboard" style="margin: 20px auto; height: 90px; width: 728px;"> <script type="text/javascript"> // <![CDATA[ googletag.cmd.push(function() { googletag.display('ROS-728'); }); // ]]></script> </div> </div> </div> </div> </div> <div class="content-area"><div class="block c-container-block"><div class="grid-constraint"><div class="grid"><div class="c-container-block__content"><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="Nursing quality resources and tools" > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">Nursing quality resources and tools</h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <ul> <li><a href="/globalassets/practiceandpolicy/innovation--evidence/anarelease_newrnstaffingmeasures_ndnqi.pdf">Connection between Nurse Staffing and Patient Outcomes Can Be Made in All Hospital Clinical Areas with Expanded Measures (4/16/14)</a></li> <li><a href="/globalassets/practiceandpolicy/innovation--evidence/partnership-for-patients-4-12-11-final.pdf" target="_blank">ANA Joins Partnership for Patients (4/12/11) Coalition supports safer, more reliable, less costly care.</a></li> <li><a title="http://test.nursingworld.org/practice-policy/innovation-evidence/quality/" href="http://anaqiconference.org/" target="_blank">ANA Quality and Innovation Conference</a></li> </ul> </div> </div> </section></div></div></div></div></div><div class="block editorialblock hasnav"> <section class="grid-constraint"> <div class="grid"> <div class="grid__item large--two-thirds pad--large--one-third"> <h2 > Quality organizations </h2> <div class="e-richtext"> <p><span>Many government agencies and nonprofit or educational organizations are working to promote patient safety by improving health care quality.</span></p> </div> </div> </div> </section> </div><div class="block c-container-block"><div class="grid-constraint"><div class="grid"><div class="c-container-block__content"><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="List of organizations" > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">List of organizations</h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <p><strong><a href="http://www.ahrq.gov/">Agency for Healthcare Research and Quality</a></strong></p> <p>Agency for Healthcare Research and Quality's (AHRQ) mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. An agency within the Department of Health and Human Services, AHRQ supports research that improves the quality of healthcare services.</p> <p><strong><a href="/organizational-programs/magnet/">ANCC Magnet Recognition Program ®</a></strong></p> <p>The Magnet Recognition Program designates organizations worldwide where nursing leaders successfully align their nursing strategic goals to improve the organization’s patient outcomes. Magnet provides a roadmap to nursing excellence, which benefits the whole of an organization.</p> <p><strong><a href="https://www.cms.gov/">Centers for Medicare and Medicaid Services</a></strong></p> <p>Centers for Medicare and Medicaid Services (CMS)is a branch of the U.S. Department of Health and Human Services. CMS is the federal agency that administers the Medicare program and monitors the Medicaid programs offered by each state.</p> <p><strong><a href="https://www.medicare.gov/hospitalcompare/search.html">Hospital Compare</a></strong></p> <p>Hospital Compare, a project of the Hospital Quality Alliance (HQA), is a web tool developed to publicly report credible and user-friendly information about the quality of care delivered in the nation's hospitals. Hospital Compare enables healthcare providers and patients to compare the quality of care provided in the hospitals that agree to submit data. This quality information helps patients make good decisions about care and encourages hospitals to improve the quality care they provide.</p> <p><strong><a href="http://www.hospitalqualityalliance.org/">Hospital Quality Alliance</a></strong></p> <p>Hospital Quality Alliance (HQA)is a public-private collaboration committed to making meaningful, relevant, and easily understood information about hospital performance accessible to the public and to informing and encouraging efforts to improve quality. ANA is an HQA Principal. We participate in HQA subgroups focused on improving Hospital Compare by including nurse-sensitive measures; revising the Hospital Compare display, and expanding membership.</p> <p><strong><a href="https://www.ihi.org/">Institute for Healthcare Improvement</a></strong></p> <p>Institute for Healthcare Improvement (IHI)is a nonprofit organization focused on motivating and building the will for change, partnering with patients and healthcare professionals to test new models of care, and ensuring the broadest adoption of best practices and effective innovations.</p> <p><strong><a href="http://www.nccmerp.org/">National Coordinating Council for Medication Error Reporting and Prevention</a></strong></p> <p>National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP)is an independent body comprised of 27 national organizations, including ANA, cooperating to address the interdisciplinary causes of errors and to promote the safe use of medications.</p> <p><strong><a href="http://www.qualityforum.org/Home.aspx">National Quality Forum</a></strong></p> <p>National Quality Forum (NQF) is a nonprofit organization with a three-part mission to improve the quality of American health care: building consensus on national priorities and goals for performance; endorsing national consensus standards for measuring and reporting on performance, and promoting the attainment of national goals through education programs.</p> <p><strong><a href="http://www.naqc.org/">Nursing Alliance for Quality Care</a></strong></p> <p>Nursing Alliance for Quality Care (NAQC)is a partnership among the nation’s leading nursing organizations (including ANA), consumers, and other stakeholders to advance the highest quality safety and the value of consumer-centered health care for patients, their families, and their communities.</p> <p><strong><a href="https://www.ama-assn.org/" target="_blank" rel="noopener">Physician Consortium for Performance Improvement</a></strong></p> <p>The American Medical Association (AMA)-convened Physician Consortium for Performance Improvement® (PCPI) is committed to enhancing the quality of care and patient safety by taking the lead in the development, testing, and maintenance of evidence-based clinical performance measures and measurement resources for physicians. ANA is a healthcare professional organization member of PCPI.</p> <p><strong><a href="http://www.jointcommission.org/">The Joint Commission</a></strong></p> <p>The Joint Commission accredits thousands of health care organizations and programs nationwide. The Joint Commission focuses on making sure facilities provide quality care and uphold high standards of patient safety. The accreditation is a well-known symbol of quality, awarded by a Board of Commissioners, which includes 29 members with diverse experience in medicine, business, and policy.</p> </div> </div> </section></div><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="Activities " > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">Activities </h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <ul> <li><a href="/globalassets/practiceandpolicy/innovation--evidence/anarelease_qualitymeasuresappvd_030513.pdf" target="_blank" rel="noopener">National Quality Organization Endorses Performance Measures Used by ANA to Assess Nursing Care in Hospitals (March 2013)</a></li> <li><a href="/get-involved/share-your-expertise/pro-issues-panel/">Steering Committee and Technical Advisory Panel Nominations</a></li> <li><strong>Nursing Feedback on New Measure Sets</strong><br /> <p>ANA regularly provides comment with input from the greater nursing community on measures under consideration for endorsement. Staff monitors the work of the Steering Committees and TAPS. ANA meets quarterly with representatives of the NQF Nursing Organizational Members and more frequently with those of the American Academy of Nursing to develop strategies to increase nursing visibility in the work of the greater quality enterprise.</p> <p>The process for soliciting input on measures/standards is as follows:</p> <ol> <li>A call for comments is received</li> <li>Staff disseminates the call to:</li> <ul> <li>ANA Board of Directors</li> <li>CMAs</li> <li>Organizational Affiliates</li> <li>AAN Expert Panel on Quality</li> <li>Selected Reviewers</li> </ul> <li>Comments received are synthesized by staff</li> <li>Formal comments are reviewed and signed by the ANA President and CEO</li> <li>Staff advances the comments on behalf of ANA</li> </ol> </li> <li><strong>Hospital Compare</strong><a title="http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Collaborative-Activity/HQA.html" href="#"><br /></a>The goal of The Hospital Quality Alliance (HQA) is to identify a robust set of standardized and easy-to-understand hospital quality measures. An important element of the collaboration, <em>Hospital Compare</em>, is a website/web-tool developed to publicly report credible and user-friendly information about the quality of care delivered in the nation's hospitals. HQA facilitates continuous improvement in patient care through:<br /> <ul> <li>Implementing measures that portray the quality, cost, and value of hospital care;</li> <li>Developing and using measure reporting in the nation’s hospitals; and</li> <li>Sharing useful hospital performance information with the public.</li> </ul> ANA is an HQA Principal and actively participates in a number of HQA subgroups focused on the inclusion of additional measures into <em>Hospital Compare</em>, including the nurse-sensitive measures; revision of the <em>Hospital Compare</em> display; and, membership expansion.<a title="http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Collaborative-Activity/HQA.html" href="#"><br /></a></li> </ul> </div> </div> </section></div></div></div></div></div><div class="block editorialblock hasnav"> <section class="grid-constraint"> <div class="grid"> <div class="grid__item large--two-thirds pad--large--one-third"> <h2 > Research & Measurement </h2> <div class="e-richtext"> <p>Through research and measurement, ANA is proving the direct impact of nursing quality and patient care and encouraging policymakers to take action.</p> <p>Research projects have explored the relationship between nurse staffing and outcomes of patient care, leading to insight that health care centers use to make informed staffing decisions and improve patient outcomes. </p> </div> </div> </div> </section> </div><div class="block c-container-block"><div class="grid-constraint"><div class="grid"><div class="c-container-block__content"><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="Nurse Quality Research Studies" > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">Nurse Quality Research Studies</h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <p style="text-align: left;">The National Database of Nursing Quality Indicators® (NDNQI®), a Press Ganey solution, has research efforts that cover several directions. First and foremost is the generation of new knowledge regarding the relationship between nurse staffing and nursing practice and outcomes of patient care. Secondly, NDNQI® is committed to allowing reputable researchers to engage in research using certain aspects of the database. These researchers’ projects must contribute to the nursing knowledge base. Thirdly, NDNQI® evaluates existing “nursing-sensitive” indicators for their utility and validity for nursing. In addition, nursing-sensitive indicators are developed, pilot tested and implemented by NDNQI®.</p> <p><strong>The Economic Contributions of Nursing Care</strong></p> <p>The economic aspects of healthcare are a major national issue. In 2005, health care consumed 15% of the Gross National Product (GNP), which reflects continuing growth of healthcare consumption. ANA works with independent researchers and contracts with organizations to develop a portfolio of research in this area.</p> <h4>Literature Reviews</h4> <ul> <li><strong>Relationship Between Nurse Staffing and Patient Outcomes</strong> <br />An extensive review of the empirical literature regarding the relationship between nurse staffing and patient outcomes was undertaken to ascertain the nature of the body of evidence. Although over 300 studies were identified, only 61 had quantified measures of nurse staffing and patient outcomes. The review found that research designs, indicator definitions, variety of indicators used, and sample size varied greatly among the studies. To ascertain the value of the 61studies with consistent findings, further evaluation of the individual studies is needed. The studies must be reviewed for the appropriateness of research methods, indicator definitions, risk adjustment, and all aspects of statistical analyses. Understanding the implications of design and analyses decisions should help to advance research in the area of nurse staffing and patient outcomes. (Unpublished as of July, 2004).</li> <li><strong>Patient Classification Systems</strong> <br />An extensive review of the literature was done to determine the state of the science on patient classification systems. The literature demonstrated that a myriad of approaches were taken. The most literature came from Europe where systems focusing on the nursing burden each patient presented were the core of the assessments. Most studies were case studies or limited to one or two facilities. Many articles contained sparse details on the approach used to test the systems. This research approach severely limited the generalizability of any of the studies. (Unpublished as of July, 2004).</li> </ul> <h4>Research Studies by ANA</h4> <p>ANA has conducted several data based studies (1997, 2000), as well as, several literature reviews (patient classification systems, relationship between nurse staffing and patient outcomes, etc.). The conduct of empirical studies is based upon the needs of the Association as related to emerging nursing issues. Literature reviews are conducted when the Association needs a better understanding of the extent of an issue, the breadth of opinion on an issue and/or the state of science in an area. Much of this research is conducted to support policy development.</p> </div> </div> </section></div><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="Related resources " > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">Related resources </h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <ul> <li><a href="/globalassets/practiceandpolicy/innovation--evidence/impant-of-nursing-care.pdf" target="_blank" rel="noopener">The Impact of Nursing Care on Quality</a></li> </ul> </div> </div> </section></div></div></div></div></div><div class="block editorialblock hasnav"> <section class="grid-constraint"> <div class="grid"> <div class="grid__item large--two-thirds pad--large--one-third"> <h2 > Advocacy </h2> <div class="e-richtext"> <p>Advocacy is a vital tool for ANA to protect patient safety and improve nurse quality. By creating dedicated initiatives that raise awareness both among legislators and the general public, ANA is able to encourage legislation on important issues such as safe patient handling and patients' rights. </p> </div> </div> </div> </section> </div><div class="block c-container-block"><div class="grid-constraint"><div class="grid"><div class="c-container-block__content"><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label="Advocacy resources" > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title">Advocacy resources</h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <ul> <li><a title="Advocacy" href="/practice-policy/advocacy/">ANA Advocacy Page</a></li> <li><a title="http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/NurseStaffing" href="/practice-policy/nurse-staffing/">Nurse Staffing</a></li> </ul> </div> </div> </section></div></div></div></div></div><div class="block editorialblock hasnav"> <section class="grid-constraint"> <div class="grid"> <div class="grid__item large--two-thirds pad--large--one-third"> <h2 > Education on Quality </h2> <div class="e-richtext"> <p>ANA empowers nurses to improve patient outcomes, through continuing education on nursing quality. With on-demand and live webinars, conferences, books, collaborative learning, and more; nurses will find the style of leaning to suit them.</p> <p>ANA's Continuing Education (CE) provides easy access to online courses on the topic of quality. ANA members and non-members can enroll in CE quality courses; ANA members pay a discounted tuition fee.</p> </div> </div> </div> </section> </div><div class="block c-container-block"><div class="grid-constraint"><div class="grid"><div class="c-container-block__content"><div class="block accordionitemblock grid__item one-whole large--two-thirds pad--large--one-third hasnav"> <section class="e-accordion__item" data-require="./src/views/accordion-item-view" data-collapse-panel="true" data-gtm-event-action="/practice-policy/health-policy/health-system-reform/quality/" data-gtm-event-label=" Quality education resources" > <a class="e-accordion__toggle" href="#" data-accordion-toggle> <h2 class="e-accordion__toggle-title"> Quality education resources</h2> </a> <div class="e-accordion__item-content" data-accordion-content> <div class="e-richtext"> <ul> <li><a title="https://www.nursingworld.org/continuing-education/?q=%22quality%22&ResultPage=12&SortBy=Relevance#FilterForm" href="/continuing-education/">Browse all of ANA’s Continuing Education offerings on Quality</a></li> <li>National Database of Nursing Quality Indicators<sup>®</sup> (NDNQI<sup>®</sup>) </li> <li><a href="http://www.qsen.org/" target="_blank" rel="noopener">Quality and Safety Education for Nurses (QSEN) website</a></li> <li>"<a href="http://ojin.nursingworld.org/quality-and-safety-education-for-nurses.html" target="_blank" rel="noopener">Quality and Safety Education for Nurses (QSEN): The Key is Systems Thinking</a>"<br />Article in <em>The Online Journal of Issues in Nursing (OJIN)</em></li> </ul> </div> </div> </section></div></div></div></div></div><div class="block testimonialblock hasnav"> <div class="grid-constraint"> <div class="grid"> <div class="grid__item one-whole large--two-thirds pad--large--one-third"> <div class="c-testimonial"> <div class="thumb"> </div> <div class="details"> <blockquote> <cite> </cite> <div class="quote"> For over 100 years, ANA has worked to improve 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