Share this article on:

Introduction: The Interdisciplinary Nursing Quality Research Initiative

Naylor, Mary D. PhD*; Lustig, Adam MSc; Kelley, Heather J. MA; Volpe, Ellen M. PhD; Melichar, Lori PhD§; Pauly, Mark V. PhD

doi: 10.1097/MLR.0b013e31827dc3ab

Background: The Robert Wood Johnson Foundation launched the Interdisciplinary Nursing Quality Research Initiative (INQRI) program in 2005 to generate, disseminate, and translate research to understand how nurses contribute to and can improve patient care quality. This special edition of Medical Care provides an overview of the program’s strategy, goals, and impact, highlighting cross-cutting issues addressed by the initiative.

Methods: INQRI’s leadership and select grantees discuss the implications of a collection of studies on the following: advances in the science of nursing’s contribution to quality, measurement of quality, interdisciplinary collaboration, implementation methodology, dissemination and translation of findings, and the business case for nursing.

Results: A comprehensive review of the scholarly literature published in 2004 and 2009 found that the evidence linking nursing to quality of care has grown. The second paper discusses INQRI’s work on measurement of quality of care, revealing the need for additional comprehensive measures. The third paper examines INQRI’s focus on interdisciplinary collaboration, finding that it can enhance methodological approaches and result in substantive changes in health delivery systems. The fourth paper presents methodological challenges faced in health care implementation, emphasizing the need for standardized terms and research designs. The fifth paper addresses INQRI’s commitment to translating research into practice, illustrating dissemination strategies and lessons learned. The final paper discusses how the INQRI program has contributed to the current evidence regarding the business case for nursing.

Discussion: This supplement describes the accomplishments of the INQRI program, discusses current issues in research design and implementation, and places INQRI research within the larger context regarding advances in nursing science.

*New Courtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA

National Pharmaceutical Council, Washington DC

University of Pennsylvania School of Nursing, Philadelphia, PA

§Robert Wood Johnson Foundation, Princeton, NJ

Wharton School of Business, University of Pennsylvania, Philadelphia, PA

The authors declare no conflict of interest.

Reprints: Heather J. Kelley, MA, 3615 Chestnut Street, Office 326, Philadelphia, PA 19104. E-mail:

© 2013 Lippincott Williams & Wilkins, Inc.