Duval Pazzaglia, Melanconia and Ivany, Elena (2025) Ten simple rules for achieving sustainable Quality Improvement in nursing practice. British Journal of Nursing, 34 (8). pp. 1-13. ISSN 0966-0461

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Abstract

The implementation of sustainable quality improvement (QI) initiatives remains a
significant challenge in nursing practice. This paper presents an evidence-based guide
comprising ten systematic steps designed to facilitate the development and
maintenance of sustainable QI projects within healthcare settings. The guide integrates
established methodological approaches, including the Plan-Do-Study-Act cycle, with practice-oriented strategies for stakeholder engagement and resource optimization. This structured approach addresses key elements of sustainable QI through four core components: preliminary capability assessment, project-specific sustainability planning, systematic implementation and outcome measurement. The methodology draws from current healthcare guidelines and recent research across multiple healthcare settings, validated through pilot implementations in diverse clinical environments. The findings demonstrate that sustainable QI initiatives require systematic planning, continuous stakeholder engagement, and incremental implementation strategies. This evidence based guide provides healthcare practitioners practical, actionable steps for implementing and maintaining quality improvements in clinical practice, offering a bridge between theoretical QI models and real-world application.

Item Type:	Article
Identifier:	https://www.magonlinelibrary.com/doi/full/10.12968/bjon.2024.0461
Additional Information:	This document is the Accepted Manuscript version of a Published Work that appeared in final form in British Journal of Nursing, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/doi/full/10.12968/bjon.2024.0461
Keywords:	Sustainability, Quality Improvement (QI), Nurses, Clinical protocol,Nursing practice
Subjects:	Medicine and health > Nursing
Depositing User:	Melanconia Duval Pazzaglia
Date Deposited:	12 May 2025 14:39
Last Modified:	12 May 2025 14:45
URI:	https://repository.uwl.ac.uk/id/eprint/13538

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