Welcome to the NQuIRE website. NQuIRE is a database of quality indicators designed for BPSO®s to systematically monitor the progress and evaluate the outcomes of implementing the RNAO Best Practice Guidelines (BPGs) in their organizations. NQuIRE is the first international quality improvement initiative of its kind, and involves development and measurement of structural, process and outcome indicators related to each of the RNAO BPGs.
How Will BPSO®S be Involved?
All BPSO®s will join NQuIRE using a two-phase approach that begins in August, 2012 with the 2012-2015 cohort, followed by all other BPSO cohorts joining NQuIRE in January 2013.
For more information about the Best Practice Spotlight Organization (BPSO) please visit http://rnao.ca/bpg/bpso
Why Is NQuIRE Important?
The utilization of NQuIRE will provide a number of benefits for patients, nurses, organizations and health systems, including:
Nursing-Sensitive Indicators: NQuIRE will result in BPSO®-validated and endorsed nursing-sensitive indicators. These will include existing nursing-sensitive process and outcome clinical indicators such as those for pain, falls, and pressure ulcers; as well as new nursing-sensitive process and outcome clinical indicators derived from the wide range of clinical conditions addressed in RNAO’s BPGs. NQuIRE will also include existing and new nursing sensitive structural indicators. In collaboration with the BPSO®s and other researchers, RNAO expects to advance the understanding of the interrelationships between structural factors and clinical processes that influence patient/client/resident outcomes. Our collective work will enable nursing to actively contribute to the safety and quality agendas and promote evidence-based policy decisions at the organizational and health system levels.
Comparative Reporting: NQuIRE will enable data comparisons within the BPSO® program for specific clinical populations, health sectors, organizations, and geographic regions, as well as promote meaningful data sharing and benchmarking. With NQuIRE data, BPSO®s can monitor their own progress in improving structural and clinical processes, quality of nursing care, and patient as well as organizational outcomes. NQuIRE will provide internal reports enabling participating BPSO®s to compare their indicator performance data with that of other units/programs/services/teams within their own organization. BPSO®s that wish to share their aggregate data will be part of the cross-BPSO® comparative results analysis with other like BPSO®s at the local, national and/or international levels that have also chosen to share their data. They will be provided with performance reports of local, national, and international BPSO® percentile distributions for indicators of interest in like organizations.
Evidence-Based Decision Making: NQuIRE data will inform where and how RNAO’s BPGs are enhancing nursing practice and patient outcomes, as well as organizational and health system performance. Such data will guide the RNAO BPG Program and facilitate evidence-based decision making to promote effective utilization of nursing resources and highlight practical areas for further investments in nursing best practices.
Research Opportunities: Through formal authorization, researchers will be provided with opportunities to use NQuIRE to test nursing-sensitive indicators, develop/refine reliable and valid measurement tools, and identify trends in nursing practice, patient/organizational/system outcomes.