The Pan American Health Organization (PAHO) and World Health Organization (WHO) designated the University of North Carolina at Chapel Hill School of Nursing a Collaborating Center in Quality and Safety Education in Nursing and Midwifery.

As one of 45 WHO Collaborating Centers worldwide focused on nursing and midwifery, Carolina nursing will develop online nurse leadership and training programs and conduct research to improve health care quality and safety in the American region. The focus aligns with the School’s distinction as the birthplace of the Quality and Safety Education for Nurses (QSEN) International Institute.

TERMS OF REFERENCE (2021 – 2025)


  1. Develop training modules in quality improvement and simulation guided by the Quality and Safety Education in Nursing (QSEN) six competencies in English and Spanish.
  2. Develop a training proposal in Nursing, Leadership and Administration
  3. Conduct research focused on quality healthcare including research capacity and training in the Caribbean region.
  4. Conduct evaluations and guidance on implementation of undergraduate and advanced practice nursing programs.
  5. Develop a nursing workforce report about nursing and midwifery capacity in Ecuador.