Which initiative is known for integrating knowledge, skills, and attitudes to improve safety and quality in nursing informatics?

• A. TIGER
• B. NDNQI
• C. NMMDS
• D. QSEN

Answer: (D)

QSEN embodies integrating knowledge, skills, and attitudes to improve safety and quality in nursing informatics. It explicitly frames competencies that require applying what nurses know, performing the right skills, and adopting professional attitudes to enhance patient safety and care quality, with informatics as one of those integrated areas. This means curricula and practice are designed to blend information science, evidence-based practice, and safety principles so nurses can use data and technology to support safe, high-quality care. While TIGER also promotes informatics involvement, QSEN uniquely centers the integration of knowledge, skills, and attitudes around safety and quality in nursing education and practice. The other options focus more on measurement or broader informatics initiatives rather than this integrated competency framework.