This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory© (NQSSI©) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. Once QSEN gaps were identified, the knowledge, attitudes and skills where the greatest gaps existed were analyzed. The emphasis of this project were two QSEN competency gaps that have a significant impact on nursing quality and safe practice; evidence based practice and quality improvement. Evidence based teaching/learning strategies were developed and implemented. A resurvey of the participants was accomplished using the same NQSSI© survey tool as with the initial survey. Data revealed the new graduate RN scores improved by the largest percentage in those QSEN competencies where the evidence based teaching/learning interventions had been focused. Even though a small sample size was involved, the results indicate that the attainment of QSEN core competencies by new graduate RNs can be accelerated with targeted intervention and ultimately improve new graduate RN competence and confidence, job satisfaction, retention, and patient safety and quality patient care.
","abstract_html":"<p>This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory<sup>©</sup> (NQSSI<sup>©</sup>) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. Once QSEN gaps were identified, the knowledge, attitudes and skills where the greatest gaps existed were analyzed. The emphasis of this project were two QSEN competency gaps that have a significant impact on nursing quality and safe practice; evidence based practice and quality improvement. Evidence based teaching/learning strategies were developed and implemented. A resurvey of the participants was accomplished using the same NQSSI<sup>©</sup> survey tool as with the initial survey. Data revealed the new graduate RN scores improved by the largest percentage in those QSEN competencies where the evidence based teaching/learning interventions had been focused. Even though a small sample size was involved, the results indicate that the attainment of QSEN core competencies by new graduate RNs can be accelerated with targeted intervention and ultimately improve new graduate RN competence and confidence, job satisfaction, retention, and patient safety and quality patient care.</p>","abstract_has_math":false,"creators":["Mayhew, Marty"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Dr. Marjorie Barter","Dr. Wanda Borges","Dr. Sally Doshier"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2014,"date_issued":"2014-12-12T08:00:00Z","date_published":"2014-12-12T08:00:00Z","updated_at":"2026-07-24T05:42:56Z","subjects":["Quality and Safety Education for Nurses","Quality Improvement","Theory-Practice Gaps","Competency","Other Nursing"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/35","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Dr. Marjorie Barter","Dr. Wanda Borges","Dr. Sally Doshier"]},{"key":"dc:creator","label":"Author","values":["Mayhew, Marty"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2014-11-18T08:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Quality and Safety Education for Nurses","Quality Improvement","Theory-Practice Gaps","Competency","Other Nursing"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/35"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory© (NQSSI©) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. Once QSEN gaps were identified, the knowledge, attitudes and skills where the greatest gaps existed were analyzed. The emphasis of this project were two QSEN competency gaps that have a significant impact on nursing quality and safe practice; evidence based practice and quality improvement. Evidence based teaching/learning strategies were developed and implemented. A resurvey of the participants was accomplished using the same NQSSI© survey tool as with the initial survey. Data revealed the new graduate RN scores improved by the largest percentage in those QSEN competencies where the evidence based teaching/learning interventions had been focused. Even though a small sample size was involved, the results indicate that the attainment of QSEN core competencies by new graduate RNs can be accelerated with targeted intervention and ultimately improve new graduate RN competence and confidence, job satisfaction, retention, and patient safety and quality patient care.
"]},{"key":"dc:title","label":"Title","values":["Narrowing the QSEN Competency Gap in New Graduate Registered Nurses"]}]}],"canonical_facts":{"dc:contributor":["Dr. Marjorie Barter","Dr. Wanda Borges","Dr. Sally Doshier"],"dc:creator":["Mayhew, Marty"],"dc:date.available":["2014-11-18T08:00:00Z"],"dc:description.abstract":["This intervention is an evidence based, change of practice, quality improvement project that evaluates achievement of the six Quality and Safety Education for Nurses (QSEN) competencies of new registered nurse graduates. No intervention with a similar focus was found in an extensive review of the literature. The participants included 16 new graduate registered nurse hires enrolled in a new graduate RN residency program at Tucson Medical Center located in southern Arizona. The Nursing Quality and Safety Self Inventory© (NQSSI©) was used to identify practice gaps perceived by the new RN graduates related to the six QSEN competencies. Once QSEN gaps were identified, the knowledge, attitudes and skills where the greatest gaps existed were analyzed. The emphasis of this project were two QSEN competency gaps that have a significant impact on nursing quality and safe practice; evidence based practice and quality improvement. Evidence based teaching/learning strategies were developed and implemented. A resurvey of the participants was accomplished using the same NQSSI© survey tool as with the initial survey. Data revealed the new graduate RN scores improved by the largest percentage in those QSEN competencies where the evidence based teaching/learning interventions had been focused. Even though a small sample size was involved, the results indicate that the attainment of QSEN core competencies by new graduate RNs can be accelerated with targeted intervention and ultimately improve new graduate RN competence and confidence, job satisfaction, retention, and patient safety and quality patient care.
"],"dc:identifier":["https://repository.usfca.edu/dnp/35"],"dc:subject":["Quality and Safety Education for Nurses","Quality Improvement","Theory-Practice Gaps","Competency","Other Nursing"],"dc:title":["Narrowing the QSEN Competency Gap in New Graduate Registered Nurses"],"thesis:degree_discipline":["Nursing"],"thesis:degree_level":["Project"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T05:42:56Z"}