Document

Report
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.
Knowledge
Skills
Attitudes
Integrate
Elicit patient values
understanding if
, preferences, and
multiple
expressed needs as
dimensions
of
part of clinical
Patient-Centered
Care
patient centered
interview
care
Value seeing health
care situations
“through patient's
eyes”
Describe how
diverse cultural,
ethnic, and social
backgrounds
function as sources
of patient, family,
and community
values
Respect and
encourage the
individual
expression of
patient values,
preferences, and
expressed needs
Communicate
patient values,
preferences, and
expressed needs to
other members of
the health care
team
Sources: http://qsen.org/competencies/prelicensure-ksas/
Cherry, B. (2014). Contemporary Nursing (6th
ed.). St. Louis, MO: Elsevier
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 patientcentered 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 nonpharmacological 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).
Knowledge
Skills
Attitudes
Describe impact of Clarify roles and
own
accountabilities
communication
under conditions of
style
on others.
potential overlap in
Patient-Centered
Care
team member
functioning.
Respect the
centrality of the
patient/family as
core members of
any health care
team.
Recognize
contributions of
other individuals
and groups in
helping
patient/family
achieve health
goals.
Appreciate the risks
associated with
handoffs among
providers and
across transitions in
care.
Solicit input from
other team
members to
improve individual,
as well as team,
performance.
Sources:
http://qsen.org/competencies/prelicensure-ksas/
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.
Knowledge
Skills
Attitudes
Differentiate
Participate in
clinical opinion
structuring the
from research and work environment
evidence
to facilitate
Patient-Centered Care
summaries.
integration of new
evidence into
standards of
practice.
Value the concept
of EBP as integral
to determining best
clinical practice
Explain the role of
evidence in
determining best
clinical practice
Appreciate the
importance of
regularly reading
relevant
professional
journals
Question rationale
for routine
approaches to care
that result in lessthan-desired
outcomes or
adverse events
Sources:
http://qsen.org/competencies/prelicensure-ksas/
http://www.asatonline.org/treatm
ent/articles/evidencebasedpractice
Evidence-based practice means that clinicians use
evaluation and treatment procedures for
particular disorders and populations. Evidencebased 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).
Knowledge
Skills
Attitudes
Describe
Practice aligning
approaches for
the aims, measures
changing processes and changes
of
care.
involved in
Patient-Centered
Care
improving care.
Appreciate the
value of what
individuals and
teams can to do to
improve care.
Explain the
importance of
variation and
measurement in
assessing quality of
care.
Appreciate how
unwanted variation
affects care.
Use tools (such as
control charts and
run charts) that are
helpful for
understanding
variation.
Sources:
Qsen.org/competencies/2013
www.hschange.com/CONTENT/972
/2006
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
:
Knowledge
Skills
Discuss potential
Use national
and actual impact
patient safety
of national patient resources for own
safety
resources, Care
professional
Patient-Centered
initiatives and
development and
regulations
to focus attention
on safety in care
settings
Delineate general
categories of errors
and hazards in care
Attitudes
Value relationship
between national
safety campaigns
and
implementation in
local practices and
practice settings
Communicate
Value own role in
observations or
preventing errors
concerns related to
hazards and errors
to patients, families
and the health care
team
Sources:
Qsen.org/competencies/2013
www.hschange.com/CONTENT/972
/2006
• 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.
Knowledge
Skills
Attitudes
Identify essential
Navigate the
information that
electronic health
must be available in record
aPatient-Centered
common
Care
database to
support patient
care.
Value technologies
that support clinical
decision making,
error prevention,
and care
coordination
Describe examples
of how technology
and information
management are
related to the
quality and safety
of patient care
Value nurses’
involvement in
design, selection,
implementation,
and evaluation of
information
technologies to
support patient
care
Respond
appropriately to
clinical decisionmaking supports
and alerts
Cherry Page 402 Table 22-6
Go to jeannieeden.com to see this PowerPoint presentation and
another time.
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

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