Session Title: What Regulatory
Mechanisms Reinforce Accountability
for Quality & Safety Education
Presentation Title:
Baccalaureate Education
Prepares Nurses for Team Play in
Quality & Safety Initiatives
by Patricia. Martin, PhD, RN
Chair, AACN Taskforce for Revision of
Essentials of Baccalaureate Nursing education
Dean & Professor, Wright State University
College of Nursing & Health
Martin-QSEN-June2008
1
Purpose
Consider the knowledge skills &
attitudes associated with the
six QSEN competencies
Would a school of nursing be
held accountable for student
learning related to these
competencies?
Would a school have a choice
whether to address learning in
these content domains?
Martin-QSEN-June2008
2
Timeline
• July 2008 – AACN Board reviews
• October 2008 – AACN
Membership votes
• CCNE (autonomous arm of
AACN) will have a process to
decide about adopting the new
Essentials of Baccalaureate
Nursing Education
Martin-QSEN-June2008
3
AACN Taskforce
Thank you to
all regional
meeting
participants
Martin-QSEN-June2008
Chair - Patricia A. Martin, RN, PhD
Carol Ashton – Idaho State U.
Chip Bailey – Duke U.
Derryl Block – U. of Wisconsin, Green Bay
Daisy Cruz-Richman – SUNY Downstate
Karen Drenkard – INOVA Health Systems
Jean Lange – Fairfield U.
Teri Murray – St. Louis U.
Roxanne Moutafis – U. of Arizona
Linda Niedringhaus – Elmhurst College
Judith Sands – U. of Virginia
Polly Bednash – Executive Director AACN
Kathy McGuinn – Staff Liaison
Joan Stanley – Staff Liaison
Horacio Oliveira – Staff Liaison
4
Framework
Putting the puzzle together
Martin-QSEN-June2008
5
Essential 1
Liberal Education for Baccalaureate
Generalist Nursing Practice
• Recognizes that a solid base in liberal
education (sciences & the arts)
provides the cornerstone for the
practice & education of nurses.
• Sciences
– Physical Sciences (e.g., physics)
– Life Sciences (e.g., biology)
– Social Sciences (e.g., psychology)
• The Arts
– Fine Arts (e.g., painting)
– Performing Arts (e.g., dance)
– Humanities Arts (e.g., theology)
Martin-QSEN-June2008
6
Essential 1
Liberal Education
Martin-QSEN-June2008
•
•
•
•
•
•
Develop intellectual & innovative capacity
Question dominant assumptions
Solve complex problems
Understand the relevance of culture
Understand reasons for policies & standards
Accept responsibility for lifelong learning
•
•
•
•
•
•
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
7
Essential 2
Basic Organizational and Systems
Leadership for Quality Care
• Recognizes that in order to
provide high quality health care,
knowledge & skills in leadership,
communication, quality
improvement, & patient safety
systems are necessary.
Martin-QSEN-June2008
8
Essential 2
Leadership/Quality Care
Martin-QSEN-June2008
•
•
•
•
•
Understand complex organizational systems
Develop leadership KSA
Develop collaboration KSA
Participate in quality & patient safety initiatives
Employ principles of QI, policy, & cost
effectiveness for practice improvements
•
•
•
•
•
•
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
9
Essential 3
Scholarship for
Evidence-Based Practice
• Recognizes that professional
nursing practice is grounded in
the analysis & application of
evidence for practice.
Martin-QSEN-June2008
10
Essential 3
EBP
• Advocate for protection of research subjects
• Evaluate the credibility of information sources
• Collaborate in the collection, documentation, &
dissemination of evidence
• Understand the process for developing,
validating, & endorsing quality standards &
safety measures
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
11
Essential 4
Information Mgmt. & Application of
Patient Care Technology
• Recognizes that knowledge &
skills in information & patient
care technology are critical in
the delivery of quality patient
care.
Martin-QSEN-June2008
12
Essential 4
Information/Patient Care Technology
• Employ a range of technologies to facilitate
patient care, e.g., pt. ed., pt. safety, etc.
• Use databases to retrieve pertinent literature
• Use information technologies in clinical
decision making
• Demonstrate knowledge of regulations that
impact ethical & safe use of technologies
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
13
Essential 5
Health Care Policy, Finance, &
Regulatory Environments
• Recognizes that healthcare
policies, including financial &
regulatory, directly & indirectly
influence the nature &
functioning of the healthcare
system.
Martin-QSEN-June2008
14
Essential 5
Policy/Finance/Regulations
• Demonstrate basic knowledge of
healthcare policy, finance, & regulatory
environments (local, state, national,
global).
• Explore impact of socio-cultural,
economic, legal, & political factors
influencing healthcare delivery & practice.
• Patient Centered Care
• Teamwork & Collaboration
• EBP
• QI
• Safety
• Informatics
Martin-QSEN-June2008
15
Essential 6
Interprofessional Communication &
Collaboration for Improving
Patient Health Outcomes
• Recognizes that collaboration
among healthcare professionals
is critical to delivering high
quality & safe patient care.
Martin-QSEN-June2008
16
Essential 6
Communication & Collaboration
• Compare/contrast roles & perspectives of the
nursing profession with other professionals on
the team
• Incorporate effective communication
techniques to produce positive professional
working relationships
• Advocate for high quality & safe patient care
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
17
Essential 7
Clinical Prevention &
Population Health
• Recognizes that health
promotion & disease prevention
at the individual & population
level are necessary to improve
population health.
Martin-QSEN-June2008
18
Essential 7
Clinical Prevention & Population Health
• Assess protective & predictive factors which
influence the health of individuals, families, …
• Assess health/illness beliefs, values, attitudes, &
practices of … groups, communities, populations
• Collaborate to provide spiritually & culturally
appropriate health promotion plus disease &
injury preventions & interventions
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
19
Essential 8
Professionalism &
Professional Values
• Recognizes that professionalism
is fundamental to the discipline
of nursing. Professionalism is the
consistent demonstration of core
values of:
–
–
–
–
–
Martin-QSEN-June2008
Altruism
Autonomy
Human Dignity
Integrity
Social Justice
20
Essential 8
Professionalism & Values
• Demonstrate professional standards of moral,
ethical, & legal conduct
• Recognize the impact of attitudes, values &
expectations on vulnerable population care
• Recognize the relationship between personal
health, self renewal, & the ability to deliver
sustained quality care
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
21
Essential 9
Baccalaureate Generalist
Nursing Practice
• This essential is the
culmination/integration of the
preceding 8 essentials
• Recognizes that the integration of
knowledge & skills is critical to
practice. Practice occurs across the
lifespan & in the continuum of
healthcare environments. The
baccalaureate graduate demonstrates
clinical reasoning within the context of
patient-centered care to form the basis
for nursing practice that reflects
ethical values.
Martin-QSEN-June2008
22
Essential 9
Nursing Practice
• Implement holistic evidenced-based patientcentered care
• Communicate effectively with all of the
healthcare team, including patent & family
• Facilitate patent-centered transitions of care
• Create a safe environment that results in high
quality patient outcomes
•
•
•
•
•
•
Martin-QSEN-June2008
Patient Centered Care
Teamwork & Collaboration
EBP
QI
Safety
Informatics
23
QSEN 1
Patient-centered Care
• Definition: Recognize the
patient or designee as the
source of control & full
partner in providing
compassionate &
coordinated care based on
respect for patient’s
preferences, values, &
needs.
Martin-QSEN-June2008
24
QSEN 1
Patient-centered Care
Martin-QSEN-June2008
1
2
3
4
5
6
7
Lib
Ed
Lead
EBP
Technology
Policy
Financ
Regs
Comm
&
Collab
Pop
Health
X
X
X
X
X
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
25
QSEN 2
Teamwork & Collaboration
• Definition: Function
effectively within nursing &
inter-professional teams,
fostering open
communication, mutual
respect, & shared decisionmaking to achieve quality
patient care.
Martin-QSEN-June2008
26
QSEN 2
Teamwork & Collaboration
1
2
3
4
Lib Lead EBP TechEd
nology
X
Martin-QSEN-June2008
X
X
X
5
Policy
Financ
Regs
X
6
7
Comm Pop
&
Health
Collab
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
27
QSEN 3
Evidence-based Practice (EBP)
• Definition: Integrate best
current evidence with
clinical expertise &
patient/family preferences &
values for delivery of
optimal health care.
Martin-QSEN-June2008
28
QSEN 3
EBP
Martin-QSEN-June2008
1
2
3
4
5
6
7
Lib
Ed
Lead
EBP
Technology
Policy
Financ
Regs
Comm
&
Collab
Pop
Health
X
X
X
X
X
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
29
QSEN 4
Quality Improvement (QI)
• Definition: Use data to
monitor the outcomes of
care processes & use
improvement methods to
design & test changes to
continuously improve the
quality & safety of health
care systems.
Martin-QSEN-June2008
30
QSEN 4
QI
Martin-QSEN-June2008
1
2
3
4
5
6
7
Lib
Ed
Lead
EBP
Technology
Policy
Financ
Regs
Comm
&
Collab
Pop
Health
X
X
X
X
X
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
31
QSEN 5
Safety
• Definition: Minimize risk of
harm to patients & providers
through both system
effectiveness & individual
performance.
Martin-QSEN-June2008
32
QSEN 5
Safety
Martin-QSEN-June2008
1
2
3
4
5
Lib
Ed
Lead
EBP
Technology
Policy
Financ
Regs
X
X
X
X
X
6
7
Comm
Pop
&
Health
Collab
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
33
QSEN 6
Informatics
• Definition: Use information &
technology to communicate,
manage knowledge, mitigate
error, & support decisionmaking.
Martin-QSEN-June2008
34
QSEN 6
Informatics
Martin-QSEN-June2008
1
2
3
4
5
Lib
Ed
Lead
EBP
Technology
Policy
Financ
Regs
X
X
X
X
X
6
7
Comm
Pop
&
Health
Collab
X
X
8
9
Values P
r
a
c
t
i
c
e
X
X
35
Implications
If CCNE adopts the new
Essentials, baccalaureate
programs would find the QSEN
work very helpful in the curriculum
Safety & quality are purposively
integrated into the rationale &
outcomes of the Essentials
Martin-QSEN-June2008
36
Timeline
• July 2008 – AACN Board reviews
• October 2008 – AACN
Membership votes
• CCNE (autonomous arm of
AACN) will have a process to
decide about adopting the new
Essentials of Baccalaureate
Nursing Education
Martin-QSEN-June2008
37
The Challenge
Leaders in education & practice
must collaborate to assure life-long
learning regarding the knowledge,
shills, & attitudes essential to safe
high quality health care.
Better Patient Outcomes
Martin-QSEN-June2008
38
• Dayton
Martin-QSEN-June2008
39