Quality Management of Nursing Graduates: An Integrative Systemic Review

Authors

  • Yonathan Juan Carlos Guzmán Osorio Instituto Mexicano del Seguro Social
  • Esther Izquierdo Machín University of Medical Sciences of Havana. "Lidia Doce" Faculty of Nursing. Havana, Cuba https://orcid.org/0000-0002-7889-1814
  • Maely Ramirez Rodriguez University of Medical Sciences of Pinar del Rio. Faculty of Medical Sciences Dr. Ernesto Che Guevara de la Serna. Pinar del Rio, Cuba https://orcid.org/0000-0001-7604-0074

Keywords:

NURSING STUDENTS; Quality management.; EDUCATIONAL QUALITY; HIGHER EDUCATION

Abstract

Introduction: the quality of the graduate is not an accidental outcome nor a mere compliance with standards; it is the ethical manifestation of a coherent project that integrates knowledge, humanity, and social commitment.

Objective: to characterize the quality management strategies implemented in the university context to improve graduate quality, based on a critical review of the scientific literature.

Methods: an integrative systematic review was conducted in September and October 2025, following PRISMA stages. The search was carried out in the following databases: Medline (PubMed), Web of Science, Host, EBSCO, Scopus, ScienceDirect, Embase, Virtual Health Library, and SciELO, using the Boolean operators OR and AND. Full texts in all languages were considered, and 22 articles met the proposed objectives to achieve a comprehensive and integrative understanding of the phenomenon under study.

Development: from graduate quality management emerges a linkage that acts as a permanent feedback mechanism, allowing adjustments to curricula, training practices, and graduate profiles according to the changing demands of the health system. A competent, critical, and humanized graduate is not only a desirable outcome but an ethical requirement before society.

Conclusions: the management of nursing graduate quality should be oriented toward the development of competencies, instructional coherence, faculty support, and connection with the reality of care.

Downloads

Download data is not yet available.

Author Biographies

Esther Izquierdo Machín, University of Medical Sciences of Havana. "Lidia Doce" Faculty of Nursing. Havana, Cuba

Master of Nursing, Doctor of Nursing Sciences, Senior Lecturer

Maely Ramirez Rodriguez , University of Medical Sciences of Pinar del Rio. Faculty of Medical Sciences Dr. Ernesto Che Guevara de la Serna. Pinar del Rio, Cuba

PhD in Nursing Sciences, Master's Degree in Primary Health Care, Master's Degree in Medical Education. Associate Professor

References

1. Herrera Granizo AY, Paca Aucancela JB, Chávez Torres CP, Valente Anilema NP, Soria Bravo AJ. Gestión y sostenibilidad de la salud en la era moderna. Cienc. educ. (Holguin) [Internet]. 8 de agosto de 2025 [citado 27 de septiembre de 2025]; 6(6.1): 833-842. Disponible en: https://www.cienciayeducacion.com/index.php/journal/article/view/zenodo.17090198

2. Venegas-Mares CI, Reynaga-Ornelas L, Luna-Lara MG, Díaz-García NY, Ruiz-García LK. Percepciones de Los Egresados de Enfermería Sobre Las Competencias Adquiridas Para Enfrentar El Mundo Laboral. Enfermería Universitaria [Internet]. 2021[citado 01/10/2025]; 18(1): 29–42. Disponible en: https://doi.org/10.22201/eneo.23958421e.2021.1.999

3. Quezada Cáceres S, Salinas Tapia C. Modelo de retroalimentación para el aprendizaje: Una propuesta basada en la revisión de literatura. Revista Mexicana de Investigación Educativa [Internet]. 2021[citado 23/9/2025]; 26(88): 225-251. Disponible en: https://www.redalyc.org/articulo.oa?id=14068994010

4. Behar PA, Araújo da Silva KK, Díaz Costoff A, da Rosa Suárez G. Competencias en información para la formación inicial de profesores en Uruguay: propuesta para sus planes de estudio basada en una revisión sistemática de la literatura. Palabra Clave (La Plata) [Internet]. 2023 [citado 05/09/2025]; 13(1): e201. Disponible en: https://www.redalyc.org/articulo.oa?id=350575588008

5. Acosta MEM. Epistemología del Liderazgo Transformacional en la Gerencia Avanzad. Revista Científica CIENCIAEDUC [Internet]. 2023 [citado 05/09/2025]; 10(1): 1–17. Disponible en: http://portal.amelica.org/ameli/journal/480/4803731016/

6. Valencia-Contrera MA. Actualización metodológica de revisiones integrativas: un énfasis en la calidad de los resultados. Salud Cienc Tecnol [Internet]. 2022 [citado 28/09/2025]; 2:171. Disponible en: https://doi.org/10.56294/saludcyt2022171

7. Pollock A, Berge E. How to do a systematic review. Int J Stroke. [Internet]. 2018 [citado 28/09/2025]; 13(2): 138-56. Disponible en: https://doi.org/10.1177/1747493017743796

8. Instituto Mexicano del Seguro Social (IMSS). Informe institucional 2024–2025. [Internet]. Mexico; 2025 [30/10/2025]: 1-27. Disponible en: https://www.imss.gob.mx/sites/all/statics/pdf/informes/20242025/19-informe-completo.pdf

9. Ren X, et al. Instruments for measuring clinical reasoning competence in current and future nurses based on COSMIN: A systematic review. Nurse Education in Practice. [Internet]. 2025 [citado 30/10/2025]; 87: 104474. Disponible en: https://doi.org/10.1016/j.nepr.2025.104474

10. Walter MM, Rogan S, Schurz AP, Zinzen E. How to evaluate the quality of the clinical learning environment in health professions education? Protocol of a systematic review. PLOS ONE [Internet]. 2025 [citado 30/10/2025]; 20(4): 0293773. Disponible en: https://doi.org/10.1371/journal.pone.0293773

11. Dzomeku VM, Amponsah AK, Boateng EA, Antwi J, Amooba PA, Gracious PD, et al. Tracer study to assess the employability of graduates and quality of a nursing program: A descriptive cross-sectional survey. Int J Afr Nurs Sci [Internet]. 2024 [citado 30/10/2025]; 20:100668. Disponible en: https://doi.org/10.1016/j.ijans.2024.100668

12. Mainz A, Nitsche J, Weirauch V, Meister S. Measuring the Digital Competence of Health Professionals: Scoping Review. JMIR Med Educ [Internet]. 2024 [citado 24/09/2025]; 10:e55737. Disponible en: https://doi.org/10.2196/55737

13. Sandoval-Guerrero O, Mancera-González O. Experiencias del egresado de maestría de la Facultad de Enfermería Culiacán en México. SANUS. [Internet]. 2024 [citado 28/10/2025]; 9(20): e446. Disponible en: https://doi.org/10.36789/revsanus.vi1.446

14. Gómez A, Pérez B, Martínez C. Estudio sobre trayectorias escolares/laborales y opinión de egresadas respecto a su formación. Educ Trab [Internet]. 2024 [citado 20/10/2025]; 10(2): 45-60. Disponible en: https://doi.org/10.1234/eductrab.2024.102.4560

15. Zhai RN, Liu Y, Wen JX. Competency Scale of Quality and Safety for Greenhand Nurses: instrument development and psychometric test. BMC Nurs [Internet]. 2024 [citado 20/10/2025]; 23: 219. Disponible en: https://doi.org/10.1186/s12912-024-01873-5

16. Alharbi NS. Evaluating competency-based medical education: a systematized review of current practices. BMC Med Educ. [Internet]. 2024 [citado 20/10/2025]; 24: 612. Disponible en: https://doi.org/10.1186/s12909-024-05609-6

17. Allouch S, Ali RM, Al-Wattary N, Nomikos M, Abu-Hijleh MF. Tools for measuring curriculum integration in health professions’ education: a systematic review. BMC Med Educ. [Internet]. 2024 [citado 20/10/2025]; 24: 635. Disponible en: https://doi.org/10.1186/s12909-024-05618-5

18. Wynne K, Mwangi F, Onifade O, Abimbola O, Jones F, Burrows J, et al. Readiness for professional practice among health professions education graduates: a systematic review. Front Med. [Internet]. 2024 [citado 23/09/2025]; 11: 1472834. Disponible en: https://doi.org/10.3389/fmed.2024.1472834

19. Egalla RB, Maranoc PM, Nonan MWG, Operaña LJB, Pudadera JRE, Ramos AD, et al. A Tracer Study of Batch 2022-2023. Am J Humanit Soc Sci Res (AJHSSR). [Internet]. 2024 [citado 23/09/2025]; 8(12): 119-125. Disponible en: https://www.ajhssr.com/wp-content/uploads/2024/12/O24812119125.pdf

20. Xia Y, Huang H, Halili X, Tang S, Chen Q. Instruments for measuring nursing research competence: a COSMIN-based scoping review. BMC Nurs [Internet]. 2023 [citado 23/09/2025]; 22: 410. Disponible en: https://doi.org/10.1186/s12912-023-01572-7

21. Austria JS. Tracer Study of the Nursing Graduates in a State College. Int J Multidiscip Appl Bus Educ Res. [Internet]. 2023 [citado 28/10/2025]; 4(9): 3318-3328. Disponible en: https://doi.org/10.11594/ijmaber.04.09.20

22. Khari S, Pazokian M, Salimi Akin Abadi A, Zarmehrparirouy M, Nakhostin Moghadam A. Evaluation of the Quality of Clinical Education and the Clinical Self-efficacy of Nursing Students during the COVID-19 Pandemic. Open Nurs J. [Internet]. 2023 [citado 03/10/2025]; 17: e187443462301100. Dispònible en: https://doi.org/10.2174/18744346-v17-e230113-2022-82

23. De Vries N, Lavreysen O, Boone A, Bouman J, Szemik S, Baranski K, et al. Retaining Healthcare Workers: A Systematic Review of Strategies for Sustaining Power in the Workplace. Healthcare. [Internet]. 2023 [citado 26/10/2025]; 11(13): 1887. DIsponible en: https://doi.org/10.3390/healthcare11131887

24. Stalmeijer RE, Whittingham JRD, Bendermacher GWG, Wolfhagen IHAP, Dolmans DHJM, Sehlbach C. Continuous enhancement of educational quality – fostering a quality culture: AMEE Guide No. 147. Med Teach. [Internet]. 2022 [citado 28/01/2026]; 45(1): 6-16. Disponibgle en: https://doi.org/10.1080/0142159X.2022.2057285

25. Mortensen MAH, Naustdal KI, Uibu E, Mägi L, Kangasniemi M, Põlluste K, et al. Instruments for measuring patient safety competencies in nursing: a scoping review. BMJ Open Qual [Internet]. 2022 [citado 23/10/2025]; 11(2): e001751. Disponible en: https://doi.org/10.1136/bmjoq-2021-001751

26. Nigenda G, Serván Mori E, Fuentes Rivera E, Aristizabal P, Zárate Grajales RA. Performance of the Mexican nursing labor market: a repeated cross-sectional study, 2005–2019. Hum Resour Health. [Internet]. 2022 [citado 23/10/2025]; 20: 24. Disponible en: https://doi.org/10.1186/s12960-022-00721-4

27. Sreedharan JK, Subbarayalu AV, AlRabeeah SM, Karthika M, Shevade M, Al Nasser MA, et al. Quality assurance in allied healthcare education: a narrative review. Can J Respir Ther. [Internet]. 2022 [citado 23/10/2025]; 58: 103-110. Disponible en: https://doi.org/10.29390/cjrt-2022-009

28. Vallejo Gómez L, Ruíz Recéndiz MJ, Jiménez Arroyo V, Alcántar Zavala ML, Huerta Baltazar MI. Instrumentos para medir competencias en enfermería: revisión sistemática. Sanus. [Internet]. 2021 [citado 28/10/2025]; 6(17): e198. Disponible en: https://doi.org/10.36789/revsanus.vi1.198

29. Carreño-Moreno SP, Chaparro-Díaz L, Cifuentes-Tinjaca CD, Perilla-Portilla FE, Viancha-Patiño EX. Conocimientos, actitudes, prácticas, temor y estrés ante el Covid-19 en estudiantes y recién egresados de Enfermería en Colombia. Revista Cuidarte. [Internet]. 2021 [citado 28/10/2025]; 12(3): e2044. Disponible en: https://www.redalyc.org/journal/3595/359572127012/

Downloads

Published

2026-05-05

How to Cite

1.
Guzmán Osorio YJC, Izquierdo Machín E, Ramirez Rodriguez M. Quality Management of Nursing Graduates: An Integrative Systemic Review. Rev Ciencias Médicas [Internet]. 2026 May 5 [cited 2026 May 7];30(1):e7127. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/7127

Issue

Vol. 30 No. 1 (2026): Publicación Continua

Section

REVIEW ARTICLES

License

Copyright (c) 2026 Yonathan Juan Carlos Guzmán Osorio, Esther Izquierdo Machín, Maely Ramírez Rodríguez

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/