QSEN Presented by Jean Eden, Kristi Evans, Morrehea Hardman, Valerie McGouldrick, Ashton Merchant, Katelyn Peper
QSEN: Quality and Safety Education for Nurses
Includes: Patient Centered Care Teamwork and Collaboration Evidence-based Practice Quality Improvement Safety Informatics
Patient Centered Care: Recognizing the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preference, values, and needs. In patient centered care, patient and families participate in nursing and medical decision making and in care coordination with all members of the health care team.
Patient Centered Care requires nurses to seek out and apply interventions learned from the abundance of information to the individual patient receiving the care. A nurse has to have the knowledge, skills, and attitude to properly care for a patient.
Example: A 28 year old female was admitted to the hospital. During her assessment with the nurse, the patient stated, “ I would like to try more holistic methods in treating my pain before taking any pain medication.” The nurse noted as such in the patient's chart. Later in the day, the patient was complaining of pain. The nurse immediately administers pain medication before asking patient if she wanted to try any holistic methods first. Is this an example of patient-centered care? Why?
No, the patient specifically stated she wanted to try holistic methods before any pain medication was administered. The nurse should have asked the patient if she had tried or wanted to try some deep breathing exercises, meditation, distraction, or other non-pharmacological treatments first. The ultimate goal in patient-centered care is to involve the patient in the care for themselves.
Competency of Teamwork and Collaboration Nursing personnel must be able to competently interact with physicians, pharmacists, respiratory care therapists, dieticians, physical and occupational therapists, nurse practitioners, clinical nurse specialists, physician assistants, social workers and care managers, licensed practical nurses and unlicensed assistants. Effective teamwork and positive interdisciplinary collaboration among and between healthcare providers are seen as important contributors to improved patient outcomes (http://scholarworks.gvsu.edu, 2012).
The QSEN project contributes to this competency by offering a database of educational strategies that have been submitted to the project on the merits of being helpful to healthcare educators on the baccalaureate program and associate degree level as well as for continuing education and staff development.
Evidence-Based Practice Definition: Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.
Evidence-based practice means that clinicians use evaluation and treatment procedures for particular disorders and populations. Evidence-based practice also takes into account current understanding of the patho-physiology of the disorder(s) being treated, clinical expertise, and the client’s preferences for treatment. -- Jeri A. Logemann
Quality improvement: Nurses are in a greater demand for increasing the quality improvement according to a new study by the Center of Studying Health System Change (HSC). There are tools used to help with the competencies being completed and improved in the hospital setting. These tools would include flowcharts, cause-effect diagrams, control charts and run chart. These tools help to analyze events and understand the different variations of why the negative events occurred and their root cause. Hospitals need supportive leadership, a philosophy of quality as everyone’s responsibility, individual accountability, and effective feedback that would offer greater promise for successful improvement activities.
Quality improvement Nurses are in a greater demand for increasing the quality improvement according to a new study by the Center of Studying Health System Change (HSC).
There are tools used to help with the competencies being completed and improved in the hospital setting. These tools would include flowcharts, cause-effect diagrams, control charts and run chart. These tools help to analyze events and understand the different variations of why the negative events occurred and their root cause. Hospitals need supportive leadership, a philosophy of quality as everyone’s responsibility, individual accountability, and effective feedback that would offer greater promise for successful improvement activities.
Safety: Definition: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
In 2000 there was an alarming report by the institute of medicine (IOM) titled To Err Is Human: Building a safer Health System, authors extrapolated and summarized data from two major studies and concluded that up to 98,000 patients are killed each year from medical errors, confirming that poor quality of care is a major problem in the United States. Contributing factors: Overuse of expensive invasive technology Underuse of inexpensive care services Error-prone implantation of care that could harm patients and waste money :
2012 National Patient Safety Goals Improve the accuracy of patient identification. Improve the effectiveness of communication among caregivers Improve the safety of using medications. Reduce the risk of health-care association Reduce the risk of patient harm resulting in from falls. Prevent health-care associated pressure ulcers The organization identifies safety risks inherent in its patient population Universal protocol for preventing wrong site, wrong procedure, wrong person surgery. :
Informatics: the use of information and technology to communicate, manage knowledge, mitigate error, and support decision making.
“Current nursing students may present with more advanced knowledge of informatics, be it a social networking skill, word processing skill, surfing the internet and so on than faculty or staff.” --Cherry. Page 401.
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Works Cited Cherry, B. (2014). Contemporary nursing: issues, trends, & management (6th ed.). St. Louis, Mo.: Elsevier. Qsen.org/competencies/2013 www.hschange.com/CONTENT/972/2006 http://qsen.org/competencies/pre-licensure-ksas/ http://scholarworks.gvsu.edu, 2012