Improving health care quality is the responsibility of nurses at all levels of the organization. This article describes a study that examined frontline staff nurses' professional practice characteristics to advance leadership through the understanding of relationships among practice environment, quality improvement, and outcomes. The study design was a descriptive quantitative design at 2 time points. Findings support the use of research and quality processes to build leadership capacity required for positive resolution of interdisciplinary operational failures.
Community Mental Health Nursing (Dr Riley) and Adult Health Nursing (Drs Dearmon and Buckner), College of Nursing, University of South Alabama, Mobile; and Nursing Administration, University of South Alabama Medical Center, Mobile (Ms Mestas).
Correspondence: Bettina H. Riley, PhD, RN, Community Mental Health Nursing, College of Nursing, University of South Alabama, 161 North Section St, Ste C, Fairhope, AL 36532 (firstname.lastname@example.org).
The authors acknowledge the following for support of this study: University of South Alabama (USA) College of Nursing Dean's grant, USA Faculty Development Council grant, the USA Medical Center Administration, and chief nursing officer for support of frontline staff development activities, and the numerous faculty, staff nurses, and administrators who supported these activities financially, professionally, and enthusiastically! They also acknowledge Linda Roussel, PhD, RN, CNL, CCRN, NEA-BC, FAAN, for her passion and support in the development of this academic partnership. Finally, the authors especially acknowledge the champions for the STAR-2 study implementation, Valerie Heinl, RN, MSN, CNL; Sheri Salas, RN, MSN, CNL; and Kacey York, RN, MSN, who worked directly on the data collection and entry.
The authors declare no conflict of interest.