They need to have the knowledge and skills to improve both the safety and quality skills - that they will learn in nursing school. "The mission of QSEN is to address the challenge of assuring that nurses have the knowledge, skills, and attitudes (KSA) necessary to continuously improve the quality and safety of the healthcare systems in which they work (Tolansky & Moore, 2013)." QSEN is making sure that the nurses provide high quality, safe care and it helps them to meet the challenges of healthcare - that is improving - as they move from applying the six QSEN competencies. "The major QSEN contribution to healthcare education was the creation of six QSEN competencies (modeled after the IOM reports) and the pre-licensure and graduate-level knowledge, skills, and attitude (KSA) statements for each competency (Cronenwett et al., 2007)." The six competencies of the QSEN is patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and
The importance for the nursing community to be involved in patients safety encompasses the method from health policy legislation to local system policy. We discussed in earlier chapter nurses must become familiar with the legislative process that dictates nurses work environment, safety, and ultimately affects patient care and outcomes (Wallace, & Ivanov, 2014). Therefore nurses must commit to patient safety by creating a healthy work environment in which teamwork and communication are utilized as an essential daily task as outlined in the American Association of Critical Care Nurses Healthy Work Environment Standards of Care (Wallace, & Ivanov,
Quality Improvement In nursing, patient care and safety is the main goal. Quality improvement is one way to help ensure that patient care and safety remain the number one goal in healthcare. Quality improvement (QI) is the process in which quality of patient care is continuously monitored for effectiveness. All disciplines of the healthcare team should be involved in QI to ensure the best outcome. “The major premises of QI are as follows: focus on organizational mission, continuous improvement, customer orientation, leadership commitment, empowerment, and collaboration/crossing boundaries, focus on process, and focus on data and statistical thinking” (TAYLOR 334).
This would seem to indicate that any nurse is potentially at risk for making a medication error (Mayo et al. 2004). Prevention of medication errors is linked to accurate reporting of medication errors. Reporting medication errors is dependent on individual nurse’s decision making. Medication errors are typically reported through institutional reporting systems such as incident reports (Wakefield et al.1996).
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
Medication error is not something new in healthcare service. Researchers had identified medication error is the high numbers of incidents involving nursing practice. Thus, a proper and well designed organizational system should be in place for the process of administration of medication to minimize and prevent errors. Medication happens when there is a failure in the system. To my surprise when I did the write up for this paper I had came across many clinical practice guidelines on medication safety.
The Nurse of the Future (NOF) Core Competencies Models were choosing to achieve one optimal goal of providing quality of care to patients and their families. The NOF Nursing Core Competency provides a normal structured of approach to nursing and patient care, and they are all equally important in their unique ways. However, out of the 10 Nurse of the Future Core Competencies, I have chosen Healthcare professionalism and quality improvement which in my opinion are two main core outstanding competencies. Professionalism in any profession dictates the conduct, purpose, or qualities that define a profession. In nursing, a significant amount of professionalism is required when working with patients and their families.
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach. Secondly, I used safety during medication administration.
Both American Association of Colleges of Nursing and Quality and Safety Education developed nursing competencies for Nurses. In The Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health, this report requesting advanced education for nursing, and improvement in nursing education process. Nurses today are being asked to participate in quality, to further education, and to develop skills and abilities to lead. As nurses we need to be competent in many varied areas, information technology, patient centered care, and inter-professional collaboration to mention a few. Leadership skills must encompass providing high quality improvement initiatives, team coordination, culturally responsive oversight and accountability.
CONCEPT 7- QUALITY ASSURANCE 7 This concept is taken from module 8:2 entitled, quality assurance model, documentation, recording and reports. Quality assurance is a systematic and comprehensive assessment health care service rendered to the consumer that is continuous regardless of place person or time through continuous monitoring and evaluation of all aspect of the services It is use interchangeable with quality control, quality control is the set standard as indicator of quality, regular collection and analysis of data and supervision Quality nursing care; it is offering greatest nursing benefit with the least health risk to the greatest number of health consumers given the available resources It entails prompt provision of holistic