QSEN In Nursing

I will summarize each outcome for the Nursing Informatics specialty. For the intent of this paper I will use outcome and competency interchangeably. The first outcome means the ability to gather healthcare information across the continuum of care; combine and utilize the information gathered to develop a process. Finally execution of that process to evaluate its ability to improve the quality of the healthcare environment. Healthcare managers are constantly assessing patients and collecting information.

In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.

Demonstrate effective use of technology to navigate the electronic health record, communicate with inter/intraprofessional teams, and be involved with decision making in the delivery of quality and safe patient care. (Ivy Tech Community College, 2016). Rationale In nursing, the use of technology is vital in providing high quality of care and complete understanding of the patient.

Role of Graduate Nurse in Informatics are: 1) computer generated nursing care plan for each patient. 2) reminder and prompts that appear during documentation to ensure comprehensive charting. 3) help as a communication aid to other health care professionals taking care of the same patient. For example, Electronic Health Record. The role of Advanced Practice Nurses and Registered Nurses are same in Informatics regarding accessing, protecting and documenting patients Electronic Health Record(EHR).

Introduction The scope of the nursing practice is changing with the improvement of technology. Computer and information technology is just as important to nurses as their stethoscopes, so implementing and using Medical Information Technology (MEDITECH) an Electronic Health Records (EHR) is vital in improving patient care. The importance and knowledge of the possibilities and limitations of EHR systems is brought up throughout this paper. Chilton Hospital and Fairmont General Hospital review their possibilities and limitations about using MEDITECH.

The National Organization of Nurse Practitioner Faculties (2014), outlines the quality competency as continued improvement of practice through the use of the best evidence, evaluation of the influence of safety, access, cost, and quality of health care. Also, the application of skills to encourage a culture of excellence, and the ability to implement interventions

The QSEN was developed in order to improve the quality, safety, and education of individuals in the nursing field. My QSEN competency is related to the quality improvement initiative. We have recognized that the quality of students that were previously admitted to the nursing program are proving to be less successful in the classroom, clinical setting, and on their NCLEX. My initiative is to develop and implement a screening tool in order to select a higher quality students prior to admission, that will prove to be successful in both the program and on their NCLEX, (QSEN,

The Health Insurance Portability and Accountability Act (HIPAA) sets security standards for safeguarding important patient health information that is being stored and maintained in analog and digital forms. As new technologies continue to facilitate the healthcare industry’s transition to paperless processes, health care providers, insurance companies, and other institutions are also growing increasingly dependent on electronic information systems to manage their HIPAA compliance programs. As a result, the safety and security of sensitive health data has become a major concern across the board. Security Risks and Challenges Today, health care professionals are using technology extensively in almost every aspect of the practice.

The resources above expanded on knowledge concerning the definition, evolution, proposed outcomes, research and the technology of meaningful use of the electronic health record. Nursing administrators, staff nurses, and nursing informaticists all perform an essential role in achieving meaningful use of the electronic medical record to improve patient care. Certain authors referenced other authors proving that the health information technology field is indeed a tightknit community. The resources were well written from highly credentialed authors and were, for the most part, easy to comprehend. All of these articles were written for the nursing professional with the exception of resource

They are in the key position to introduce interventions and strategies related to patient safety. Once of the critical impact on patient safety by nurses in all settings is the capability to coordinate and integrate the numerous aspects of patient care provided by all involved. The five criteria to define ‘quality nursing care’ would be: • Sufficient number of nurses • Suitable mix of skillset (eg. registered nurses, nursing assistants etc…) • Nurses with clinical experience and education for the task at hand • Practical workload for nurses • Adequate resources to enable nurses to deliver the best possible care.

QSEN Competency of Safety A major push for the improvement of quality and safety outcomes was in 2000 when the Institute of Medicine published, To Err Is Human: Building a Safer Health System. In 2003 the Institute of Medicine (IOM) laid out the six core competencies for healthcare workers. In 2007, the Quality and Safety Education for Nurses (QSEN) project redefined the competencies to fit the care of nurses (Jones, 2013). Two of the competencies laid out in this project are quality and safety.

The HITECH Act was developed so encourage the dissemination of health information technology, which was believed to facilitate improved patient and decrease the cost of healthcare for patients. Yet, even though hospitals are receiving incentives and are adhering to requirements placed on them, nursing staff are struggling due to interruption in workflow and loss in productivity due to time spent learning to use an electronic health record. Nurses are also challenged with technical issues that arise, while providing patient care, which limits their access to patient information. Nevertheless, advantages due to exist to utilizing electronic health record, which include less medical errors, and an improvement in the overall health of populations.

According to Case Western Reserve University (2014) the QSEN project was launched in pilot nursing schools in 2007 in an effort to continuously improve the quality and safety of the healthcare system. It was recognized that in order to affect dramatic change within the field of nursing, it had to start with nursing education, and brand new nurses. Basically, initiating change at the source. Therefore, I do believe that the QSEN project was initially aimed solely at new nurses.

Healthcare professionals play a role in quality management process by taking accurate patient information using the electronic health record system. Technology with professional knowledge of nursing improves quality of patient care and general quality management process in the healthcare. The baccalaureate nurse involves an integration of nursing knowledge, skills, and attitudes that are fundamental to improving quality and safety of patients in the healthcare

HEALTH INFORMATION TECHNOLOGY Health information technology makes it easy for the nurse to the treatment they carry out patient, patient’s response and progress toward the health care goal on coming in contact with the patient. It makes monitoring easy for the nurse and easily accessible by other team members. It improves the quality of health care the nurse gives to the patient, increases administrative efficiencies, and decreases the nurse’s paperwork. Reduces malpractices in nursing work. 4.