Quality & Safety Education for Nurses
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Presented by:
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Julie Ivey
Angel Kinyon
Courtney Olach
Kimberly Reed
Nichole Thurlow
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What is QSEN?
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QSEN stands for Quality and Safety Education for
Nurses.
The implementation of these practice standards
consists of three phases.
The purpose of QSEN is to prepare future nurses with
the knowledge, skills and attitudes needed to improve
the quality and safety of their practice("QSEN quality
and," 2012).
When was it Started?
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It was started in October 2005 with phase I and
phase II.
Dr. Linda Cronenwett led the phase I project.
There are 3 phases to the QSEN project (Brady,
2011).
The Three QSEN Phases
• Phase I-(November 2005)
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Evaluate and enhance current curricula of nursing schools
regarding quality and safety of care.
Phase II-(April 2007)
Continue progress of Phase I in addition to draft proposed
knowledge, skills, and attitude targets for graduate level
education. Fifteen pilot schools will also be implemented.
Phase III- (February 2009)
Develop the faculty expertise needed to teach the QSEN’s six
competencies with attention to instilling the competencies in
textbooks, licensing, accreditation and certification standards; and
promote continued innovation in teaching the competencies
("QSEN quality and," 2012).
Why Was QSEN Created?
In 2003 the Institute of Medicine (IOM) challenged
faculties in the health professions to implement
fundamental changes in their curriculums to
produce professionals who can function effectively
in a reformed health care system focused on quality
and safety (Barnsteiner & Disch, 2009).
Who Created QSEN?
In response to the IOM challenge, the Quality and
Safety Education for Nurses (QSEN) initiative formed
to facilitate the implementation of the needed
curricular changes in nursing education (Barnsteiner &
Disch, 2009).
How is it funded?
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The Robert Wood Johnson Foundation is the sole
source of financial support for QSEN.
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The Robert Wood Johnson Foundation is the
largest philanthropic organization in the U.S that
is committed to improving health and health care
("QSEN quality and," 2012).
Six QSEN Competencies
The six QSEN competencies:
1. Patient -Centered Care
2. Teamwork and Collaboration
3. Evidenced-Based Practice (EBP)
4. Quality Improvement (QI)
5. Safety
6. Informatics
These competencies prepare future nurses to
improve the quality and safety in their work (QSEN,
2012).
QSEN Model
(RN eD, 2011)
How are the Six Competencies Defined
and Implemented?
Patient-Centered Care
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"Recognize the patient or designee as the source of
control and full partner in providing compassionate and
coordinated care based on respect for patient's
preferences, values, and needs" (Quality and Safety
Education for Nurses, 2012)
Teamwork and Collaboration
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"Integrate best current evidence with clinical expertise
and patient/family preferences and values for delivery of
optimal health care." (Quality and Safety Education for
Nurses, 2012)
Definitions Continued...
Evidenced-Based Practice (EBP)
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"Integrate best current evidence with clinical expertise
and patient/family preferences and values for delivery of
optimal health care" (Quality and Safety Education for
Nurses, 2012)
Quality Improvement (QI)
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"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."(Quality and Safety Education for Nurses,
2012)
Definitions Continued...
Safety
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"Minimizes risk of harm to patients and providers
through both system effectiveness and individual
performance" "(Quality and Safety Education for
Nurses, 2012)
Informatic
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"Use information and technology to communicate,
manage knowledge, mitigate error, and support decision
making"(Quality and Safety Education for Nurses, 2012)
What has QSEN Done for
Nursing as a Profession?
By revamping the curriculum and focus of prelicensure nursing programs, the QSEN initiative is
constantly improving the nursing profession through
the development of more competent nurses. The
incorporation of the QSEN competencies and KSA's
encourages the student nurses to be better prepared
to continue the quality and safety improvement
necessary in the ever-evolving field of healthcare
(Cronenwett, Sherwood, & Gelmon, 2009).
Julie's Practice
In my current practice area of ICU in the hospital,
QSEN practice standards influence my nursing
practice by providing knowledge to new nurses that
will minimize risk of harm to patients and providers
through both system effectiveness and individual
performance. The safety standards provided will
ensure safe quality patient care in intensive care
units.
Angel's Practice
QSEN impacts my future practice as a Psychiatric
Mental Health Nurse Practitioner (PMHNP) directly
as the education requirements are currently being
revamped to incorporate the six QSEN
competencies (Weber, Delaney, McCoy, Snow,
Scharf, & Brackley, 2012). This will better prepare
me to be a competent PMHNP and ensure I will
have a high quality and safe practice through my
knowledge, skills, and attitudes.
Courtney's Practice
In my hoped for practice area of wound/ostomy
care,QSEN practice standards influence my nursing
practice by helping to establish or further define
safety standards that must be meet as well as
providing resources to aid in the implementation of
these safety standards. This allows wound/ostomy
care professionals to provide the best patient
centered care available.
Kimberly's Practice
QSEN standards directly affect my practice as a nurse in the
Emergency Department by influencing the performance
standards of our hospital. We focus on providing excellent
patient care and aim to be a national healthcare leader.
QSEN allows us to focus on safety for both patients and
healthcare workers in areas such as infection control,
workplace violence, and effective treatment. Studies show
that education and knowledge of effective recovery
strategies in the emergency department can ultimately be
used to develop interventions for reducing medical error and
improving patient safety (PubMed, 2012).
Nichole's Practice
Practice standards influence nursing practice in my
area of nursing in many ways. I work on a surgical
floor that is fast pace with high acuity patients. As a
nurse on the floor you are always delegating,
collaborating, assessing situations, and ensuring
your patients care is being delivered in the most
ethical and safe way. QSEN practice influences
nursing practice by preparing future nurses to have
the knowledge, skills, and attitudes to improve the
quality and safety of the healthcare systems
(Cronenwett, 2012).
Nichole Continued
There are five core areas that are hoped nurses will
maintain proficiency. These areas are patientcentered care, interdisciplinary teams, evidence
based practice, quality improvement, and
information technology (Hunt, 2012). QSEN helps
positively impact patient outcomes. We as nurses
can help integrate this into our current practice and
serve as role models for future nurses and new
nurses (Barnsteiner, 2012).
Conclusion
QSEN helps to better prepare future and current
nurses in providing quality patient safety and care.
The six competencies set a concrete model to
exemplify important aspects of nursing care.
Facilities are able to incorporate the QSEN
standards into their own policies and procedures to
provide a parallel level of care in accordance to
national standards.
References
Barnsteiner, J., Disch, J. (2009). Defining Patient Safety and Quality Care: QSEN Competencies.
Retrieved from http://www.aacn.org:88/WD/NTI/NTI2009/nti_cd/data/papers/main/43292.pdf
Barnsteiner, J. (2012). About QSEN. Retreived from http://www.aacn.nche.edu
Brady, D.S. (2011). Using Quality and Safety Education for Nurses (QSEN) as a Pedagogical Structure
for Course Redesign and Content. International Journal of Nursing Education Scholarship, Vol. 8,
1(5).
Cronenwett, L. (2012). About QSEN. Retrieved from http://www.qsen.org
Cronenwett, L., Sherwood, G., & Gelmon, S. (2009). Improving quality and safety education: The QSEN
learning collaborative. Nursing Outlook, 57(6), 304-312. doi:10.1016/j.outlook.2009.09.004
Henneman,E. A., Blank,F. S., Gawlinski,A., Henneman,P. L. (2006). Strategies used by nurses to recover
medical errors in an academic emergency department setting. Applied Nursing Research: ANR, 19
(2), 70-77.
References
Hunt, D. (2012). Nursing made incredibly easy: QSEN competencies: A bridge to practice.
doi:10.1097/01.ONE.0000418040.92006.70
RN eD. (2011). QSEN, dedicated education units, and driving change. Retrieved from
http://www.nurseacademia.com/2011/09/qsen-dedicated-education-units-and.html
Qsen quality and safety education for nurses. (2012). Retrieved from
http://www.qsen.org/overview.php
UNC School of Nursing Joins AACN in Helping Nursing Faculty Improve Quality and Safety
Education (2009). American association of College of Nursing. Retrieved from
http://www.aacn.nche.edu/news/articles/2009/qsen
Weber, M., Delaney, K. R., McCoy, K. T., Snow, D., Scharf, M., & Brackley, M. H. (2012). Quality
and Safety Graduate Competencies in Psychiatric Mental Health Nurse Practitioner Education.
Archives Of Psychiatric Nursing, 26(5), 350-357. doi:10.1016/j.apnu.2012.06.005