{"title":"当质量改进成为漏洞：培养护理伦理和学术探究的能力。","authors":"Kimberly A Lewis, Jessica Phillips","doi":"10.1097/NNA.0000000000001723","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the \"Quality Improvement (QI) loophole,\" a workaround that enables nurses to conduct research-like projects outside formal oversight, and to propose governance and capacity-building solutions that enhance rigor and ethical accountability in scholarly inquiry.</p><p><strong>Background: </strong>Nurses frequently lead QI and evidence-based practice projects but often lack institutional pathways or sufficient training to function as independent principal investigators, creating regulatory ambiguity and inconsistent rigor.</p><p><strong>Methods: </strong>This expert commentary draws upon the authors' combined leadership experience in scholarly nursing inquiry, innovation, education, and Magnet® program administration across diverse institutions and settings. The analysis integrates current policy directives, practice standards, and recent scholarship.</p><p><strong>Results: </strong>Proposed innovative models include digital research determination hubs, competency-tiered investigator credentialing, simulation, virtual reality, and nursing inquiry sandbox environments, and institutional award realignment to advance ethical integrity, rigor, and scholarly autonomy in nursing inquiry.</p><p><strong>Conclusions: </strong>Closing the QI loophole through structured governance and competency development is essential to sustain nursing's scientific credibility.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"56 5","pages":"256-259"},"PeriodicalIF":1.9000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry.\",\"authors\":\"Kimberly A Lewis, Jessica Phillips\",\"doi\":\"10.1097/NNA.0000000000001723\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the \\\"Quality Improvement (QI) loophole,\\\" a workaround that enables nurses to conduct research-like projects outside formal oversight, and to propose governance and capacity-building solutions that enhance rigor and ethical accountability in scholarly inquiry.</p><p><strong>Background: </strong>Nurses frequently lead QI and evidence-based practice projects but often lack institutional pathways or sufficient training to function as independent principal investigators, creating regulatory ambiguity and inconsistent rigor.</p><p><strong>Methods: </strong>This expert commentary draws upon the authors' combined leadership experience in scholarly nursing inquiry, innovation, education, and Magnet® program administration across diverse institutions and settings. The analysis integrates current policy directives, practice standards, and recent scholarship.</p><p><strong>Results: </strong>Proposed innovative models include digital research determination hubs, competency-tiered investigator credentialing, simulation, virtual reality, and nursing inquiry sandbox environments, and institutional award realignment to advance ethical integrity, rigor, and scholarly autonomy in nursing inquiry.</p><p><strong>Conclusions: </strong>Closing the QI loophole through structured governance and competency development is essential to sustain nursing's scientific credibility.</p>\",\"PeriodicalId\":50108,\"journal\":{\"name\":\"Journal of Nursing Administration\",\"volume\":\"56 5\",\"pages\":\"256-259\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2026-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Administration\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NNA.0000000000001723\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2026/4/20 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Administration","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NNA.0000000000001723","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/20 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
When Quality Improvement Becomes a Loophole: Building Capacity for Ethical and Scholarly Nursing Inquiry.
Objective: To describe the "Quality Improvement (QI) loophole," a workaround that enables nurses to conduct research-like projects outside formal oversight, and to propose governance and capacity-building solutions that enhance rigor and ethical accountability in scholarly inquiry.
Background: Nurses frequently lead QI and evidence-based practice projects but often lack institutional pathways or sufficient training to function as independent principal investigators, creating regulatory ambiguity and inconsistent rigor.
Methods: This expert commentary draws upon the authors' combined leadership experience in scholarly nursing inquiry, innovation, education, and Magnet® program administration across diverse institutions and settings. The analysis integrates current policy directives, practice standards, and recent scholarship.
Results: Proposed innovative models include digital research determination hubs, competency-tiered investigator credentialing, simulation, virtual reality, and nursing inquiry sandbox environments, and institutional award realignment to advance ethical integrity, rigor, and scholarly autonomy in nursing inquiry.
Conclusions: Closing the QI loophole through structured governance and competency development is essential to sustain nursing's scientific credibility.
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