What is it about?
This article provides a practical guide for nurses to help them implement quality improvement (QI) changes in their clinical settings that are not only effective but also sustainable. It explains how to plan, carry out, and measure changes in a way that ensures they continue to benefit patients over time. The authors introduce ten key strategies nurses can use, such as involving the team, planning carefully, and making changes gradually, to make sure improvements last.
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Why is it important?
In healthcare, many improvement projects are short-lived and don’t have a lasting impact. This article is timely because it highlights the need to shift from simply introducing changes to making those changes long lasting. It equips nurses, who are often the drivers of change, with clear steps and tools to create improvements that are realistic, measurable, and resilient. The work fills a gap between theory and practice by showing how sustainability can be built into everyday quality improvement initiatives.
Perspectives
Writing this article felt important because, as a nurse and educator, I’ve seen how easily good changes can fade without the right support or planning. I hope this piece encourages other nurses to feel confident in leading change, while also thinking long-term. It’s a reminder that sustainable improvement isn’t about doing more—it’s about doing things in a smarter, more thoughtful way. I also hope it contributes to a culture where nurses feel empowered not only to improve care but to shape the future of healthcare delivery.
Melanconia Duval Pazzaglia
University of West London
Read the Original
This page is a summary of: Achieving sustainable quality improvement in nursing practice, British Journal of Nursing, April 2025, Mark Allen Group,
DOI: 10.12968/bjon.2024.0461.
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