Despite nurse faculty efforts to cultivate attitudes related to safety and quality, practicing nurses often do not report errors or risk, suggesting the competency is underdeveloped. During a longitudinal, prospective study of four baccalaureate cohorts, students completed the Institute for Healthcare Improvement’s Basic Certificate in Quality and Safety Course (BCQSC). BCQSC modules were embedded across the five-semester program. Quality improvement attitudes were measured using the Quality Improvement Nursing Attitude Survey in Semesters 1 and 5. A significant, positive relationship was observed between the BCQSC and student attitudes. The BCQSC fosters development of positive attitudes and student competency in quality and safety.