How-to Guide: Rolling Out Nursing Standards to Health Facilities Using a Quality Improvement Approach

In collaboration with Malawi’s Ministry of Health, Directorate of Nursing and Midwifery and with technical support from HP+, the Nurses and Midwives Council of Malawi developed priority nursing standards that include a quality improvement component to enhance effective implementation. This guide was developed based on the lessons learned during a pilot rollout of the nursing standards to help district and health facility leaders and service providers successfully use its associated tools to implement the new standards. This guide and accompanying orientation on quality improvement will enable a health facility team to plan the implementation of the standards, organize a facility-level quality improvement team, conduct assessments at routine intervals as the standards are implemented, and effectively use the standards to improve the quality of nursing care and services. Using a quality improvement approach for implementation will assist facilities to rapidly identify service delivery gaps and to develop and implement solutions informed by real-time data.

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