Quality Practice Environment Initiative

We recognize the importance of quality practice environments in which nurses work to deliver expert health care services to Manitobans. Research has shown a direct correlation between the quality of nurses’ practice environments and productivity, recruitment and retention, job satisfaction, sick time usage and most importantly, the quality of patient care and patient outcomes. In order to assist nurses in working together with stakeholders to advocate for, and achieve quality practice environments, we have implemented a quality practice initiative called the Quality Practice Environment Initiative (QPEI). 

This initiative is based on the Registered Nurses Association of Ontario (RNAO) best practice guidelines as well as other evidence-based research findings in the area of quality practice environments. The QPEI initiative consists of five guidelines that will establish benchmarks for nurses and their employers to use in creating quality practice environments in their workplace. The guidelines are broad in scope so they may be applied in all domains and to all settings. Each of the QPEI guidelines provides a functional yardstick for performance and development of individuals, units, and organizations. Our intent is for RNs and other stakeholders to explore each guideline and accompanying indicators for relevance to their own environment and develop ways to identify and implement the improvements required to create a quality practice environment.

The five guidelines of the QPEI are:

  1. Leadership
  2. Collaborative Practice & Communication
  3. Professional Nursing
  4. Workplace Health, Safety, and Well-being of the Nurse
  5. Control Over Practice

Each of the five guidelines aims to improve the work environment of RNs. A healthy work environment directly impacts RNs’ experiences and subsequent behaviors. These experiences and behaviors then impact on the patient/client. This interplay directly relates to patient/client outcomes, staff outcomes, and organization outcomes. The framework used for the QPEI is the Standards of Practice for Registered Nurses, a practice expectation for all RNs in Manitoba. 


Practice & Standards Consultants

Telephone: 204-774-3477 ext. 301
Toll-free: 1-800-665-2027 ext. 301 (Manitoba only)
Fax: 204-775-6052