QSEN: It's not just for nursing school


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QSEN: It's not just for nursing school

  1. 1. QSEN: Not just fornursing school
  2. 2. What is QSEN?● Quality and Safety Education in Nursing● Initiative funded by the Robert Wood Johnson Foundation to indoctrinate the fundamentals of patient safety and quality improvement into the professional practice of all nurses, starting with nursing schools● Has been around since 2005 and continues to grow
  3. 3. How does it work (usually)?● QSEN initiative has a most helpful website at http://www.qsen.org● Website contains a list of KSAs (knowledge, skills, attitudes) that all nurses should possess in regards to quality and safety● Teaching strategies, faculty resources, and presentations from conferences are freely available on this webiste● The idea is that nursing faculty will incorporate these resources into their students clinical training
  4. 4. Why should I care?● This is the way that our specialty (quality improvement and patient safety) is being taught to the future generation of nurses● The tools and resources coming out of the QSEN project are perfect for staff development and inservice training● Since quality and safety can be boring parts of orientation, its helpful to have more tools to help get everybody on board
  5. 5. Competencies in Quality and Safety● Based on the Institute for Medicine (IOM – the folks that wrote To Err is Human) competencies for nursing: ● Patient-centered care ● Teamwork and collaboration ● Evidence based practice ● Quality improvement ● Safety ● Informatics
  6. 6. Patient-centered care● Definition: “Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patients preferences, values, and needs”● Resources related to patient-centered care can be found at http://www.qsen.org/definition.php?id=1.
  7. 7. 2 tools for patient-centered care● Clinical assessment tool is a checksheet of what the nurse should assess at the beginning of the shift for each patient. This tool could be modified to incorporate Joint Commission standards: http://www.qsen.org/teachingstrategy.php?id=72● Role playing in health literacy provides exercises on improving communication skills: http://www.qsen.org/teachingstrategy.php?id=81
  8. 8. Teamwork and collaboration● Definition: “Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care”● Resources related to teamwork and collaboration can be found at http://www.qsen.org/definition.php?id=2
  9. 9. 2 tools for teamwork/collaboration● This exercise was designed to teach effective nurse-physician communication: http://www.qsen.org/teachingstrategy.php?id=50● This case study provides a good example of how discussion can be used to guide participants towards the effective use of collaboration: http://www.qsen.org/teachingstrategy.php?id=56
  10. 10. Evidence-based practice● Definition: “Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care”● Resources related to evidence-based practice can be found at http://www.qsen.org/definition.php?id=3
  11. 11. 2 tools for evidence-based practice● This clinical activity teaches the use of intervention bundling: http://www.qsen.org/teachingstrategy.php?id=183● This activity addresses the clinical use of evidence: http://www.qsen.org/teachingstrategy.php?id=55
  12. 12. Quality Improvement● Definition: "Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems● Resources related to quality improvement can be found at http://www.qsen.org/definition.php?id=4
  13. 13. 2 tools for quality improvement● This activity shows how flow charting can be used to improve clinical care: http://www.qsen.org/teachingstrategy.php?id=51● This powerpoint models key content for introducing quality and safety: http://www.qsen.org/teachingstrategy.php?id=75
  14. 14. Safety● Definition: "Minimizes risk of harm to patients and providers through both system effectiveness and individual performance"● Resources related to safety can be found at http://www.qsen.org/definition.php?id=5
  15. 15. 2 tools for safety● A resource on discussion of adverse events can be found at http://www.qsen.org/teachingstrategy.php?id=83● A resource for using fishbone analyses can be found at http://www.qsen.org/teachingstrategy.php?id=171
  16. 16. Informatics● Definition: "Use information and technology to communicate, manage knowledge, mitigate error, and support decision making”● Resources related to informatics can be found at http://www.qsen.org/definition.php?id=6● Instead of borrowing others resources, consider designing your own – utilizing your organizations own EMR
  17. 17. Success stories of QSEN for orientation● Community Memorial Health Systems in Ventura, California: http://www.qsen.org/docs/2012_conference/QSEN_● Nurse residency program at Creighton University Medical Center: http://www.qsen.org/docs/2012_conference/QSEN_
  18. 18. Questions? Send an email toMatthew.ryan.sevier@gmail.com