Evaluating the Impact of a Healthcare Quality Course on Nursing Students' Knowledge: A Pre-Post Intervention Study from Jordan
DOI:
https://doi.org/10.54133/ajms.v9i2.2504Keywords:
Accreditation, Medical education, Nursing, Patient safety, Quality improvementAbstract
Background: The evolving demands of modern healthcare necessitate that nursing education extend beyond clinical skills to include systems-based practices such as healthcare quality improvement, accreditation, and patient safety. While healthcare quality courses are increasingly integrated into nursing curricula globally, their effectiveness in improving student knowledge—particularly in low- and middle-income settings like Jordan—remains understudied. Objectives: To assess improvements in knowledge of healthcare quality, accreditation, and patient safety among nursing students at Jerash University, Jordan, following a 14-week course. Methods: A one-group pretest-posttest design was employed. After obtaining the ethical permission, a 30-item multiple-choice exam (10 items per domain: healthcare quality improvement, accreditation, and patient safety) and 10 demographic items were administered online via Google Forms as a pretest (5–12 March 2023) and post-test (22–29 June 2023) to 53 nursing bachelor students enrolled in an elective course, primarily targeting final-year students but open to students from other years. Results: Paired t-tests revealed significant improvements in mean scores from pretest to post-test across all domains: healthcare quality (4.08-6.67, p<0.001), accreditation (3.36-6.26, p<0.001), and patient safety (3.67 to 6.83, p<0.001). Conclusions: The course's effectiveness in enhancing students' knowledge offers evidence-based insights for curriculum development and ensuring nursing graduates are well-prepared for contemporary healthcare challenges.
Downloads
References
Gonzalo JD, Wolpaw DR, Cooney R, Mazotti L, Reilly JB, Wolpaw T. Evolving the systems-based practice competency in graduate medical education to meet patient needs in the 21st-century health care system. Acad Med. 2022;97. doi: 10.1097/ACM.0000000000004598. DOI: https://doi.org/10.1097/ACM.0000000000004598
World Health Organization. Patient safety curriculum guide. Multi-Professional Edition. 2011. Available at: https://www.who.int/publications/i/item/9789241501958
Canever BP, Gomes DC, de Jesus BH, Spillere LB, do Prado ML, Backes VMS. Process of training and insertion in the labor market: a vision of nursing graduates. Rev Gaucha Enferm. 2014;35. doi: 10.1590/1983-1447.2014.01.43279. DOI: https://doi.org/10.1590/1983-1447.2014.01.43279
IOM. Health Professions Education: A Bridge to Quality. Washington, DC: The National Academies Press; 2003. doi: 10.17226/10681. DOI: https://doi.org/10.17226/10681
Sherwood G, Barnsteiner J. Quality and safety in nursing: A competency approach to improving outcomes. J Nurs Regul. 2013;3. doi: 10.1016/s2155-8256(15)30190-3. DOI: https://doi.org/10.1016/S2155-8256(15)30190-3
Sherwood G, Jones CB, Conklin JL, Dodd A. Quality and safety education for nurses: A bibliometric analysis. J Nurs Scholarship. 2023;55. doi: 10.1111/jnu.12876. DOI: https://doi.org/10.1111/jnu.12876
AlRatrout S, Abu Khader I, ALBashtawy M, Asia M, Alkhawaldeh A, Bani Hani S. The impact of the quality and safety education (QSEN) program on the knowledge, skills, and attitudes of junior nurses. PLoS One. 2025;20. doi: 10.1371/journal.pone.0317448. DOI: https://doi.org/10.1371/journal.pone.0317448
Mansour W, Boyd A, Walshe K. The development of hospital accreditation in low- And middle-income countries: A literature review. Health Policy Plan. 2020;35. doi: 10.1093/heapol/czaa011. DOI: https://doi.org/10.1093/heapol/czaa011
Tomblin BT. Title page effect of joint commission international accreditation on hospital performance: A systematic literature review. University of Pittsburgh, 2021. Available at: https://d-scholarship.pitt.edu/40782/
Colenci R, Berti HW. Professional development and entering the labor market: The perceptions of nursing graduates. Revista Da Escola de Enfermagem. 2012;46. doi: 10.1590/S0080-62342012000100022. DOI: https://doi.org/10.1590/S0080-62342012000100022
El-Jardali F, Fadlallah R. A review of national policies and strategies to improve quality of health care and patient safety: A case study from Lebanon and Jordan. BMC Health Serv Res. 2017;17. doi: 10.1186/s12913-017-2528-1. DOI: https://doi.org/10.1186/s12913-017-2528-1
Araj SJ, Chappy E. Jordan: Health care accreditation council of Jordan: Driving system reform, patient safety, and quality. Health Systems Improvement Across the Globe: Success Stories from 60 Countries, 2017, p. 47–54. Available at: https://ebrary.net/99856/health/jordan_health_care_accreditation_council_jordan_driving_system_reform_patient_safety_quality DOI: https://doi.org/10.1201/9781315586359-47
Püschel VA de A, Costa D, Reis PP, Oliveira LB de, Carbogim F da C. Nurses in the labor market: professional insertion, competencies and skills. Rev Bras Enferm. 2017;70. doi: 10.1590/0034-7167-2016-0061. DOI: https://doi.org/10.1590/0034-7167-2016-0061
Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. Int J Surg. 2014;12:1495–1499. doi: 10.1016/j.ijsu.2014.07.013. DOI: https://doi.org/10.1016/j.ijsu.2014.07.013
Kim YM, Yoon YS, Hong HC, Min A. Effects of a patient safety course using a flipped classroom approach among undergraduate nursing students: A quasi-experimental study. Nurse Educ Today. 2019;79. doi: 10.1016/j.nedt.2019.05.033. DOI: https://doi.org/10.1016/j.nedt.2019.05.033
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 )
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Published by Al-Rafidain University College. This is an open access journal issued under the CC BY-NC-SA 4.0 license (https://creativecommons.org/licenses/by-nc-sa/4.0/).
