To use the findings from QI, articles need to describe the problem that led to the study, context, intervention (with sufficient detail so others could reproduce it), measures used for studying processes and outcomes, results, and implications. Accurate and complete reporting of QI is essential to convey this information to readers. The Standards for QUality Improvement Reporting Excellence (SQUIRE) were developed as guidelines for reporting QI studies. The SQUIRE guidelines were just revised, and we are providing them for readers as an open access article. Don’t stop reading yet: we have other important articles in this issue. AHRQ shares findings from the recent National Healthcare Quality and Disparities Report with implications for nursing. Many settings continue to have issues with discharge delays: the article by Holland et al. describes how they studied their discharge delays as the first step in improving their processes. Lake and colleagues examined the NICU work environment, quality of care, safety, and patient outcomes. Their sample included 1247 NICU staff nurses in 171 hospitals. The results provided strong evidence that environments supportive of professional nursing practice were linked to the well-being of critically ill infants. In another article authors describe how they implemented just-in-time training to keep nurses competent in high risk but low volume therapies. You will like that article because the process they used is transferable to other settings and areas of practice. We also have 2 articles describing innovations for fall prevention: a video that nurses developed for patients and an automated fall risk questionnaire that patients complete themselves when admitted to the hospital. In this issue you also will find good articles on pressure ulcer prevention and studies about missed nursing care and handoff. Make sure you read our online only papers on interrupted time series analysis versus statistical process control for evaluation of QI, and a study on the risk of developing pressure ulcers in long term care.
Marilyn H. Oermann, PhD, RN, ANEF, FAAN