Quality and Safety in Nursing: A Competency Approach to Improving Outcomes CONTENTS Contributors Foreword by Paul Batalden, The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School Preface Acknowledgements SECTION 1: QUALITY AND SAFETY: AN OVERVIEW 1 Driving Forces for Quality and Safety: Changing Mindsets to Improve Health Care Gwen Sherwood 2 Policy Implications Driving National Quality and Safety Initiatives Mary Jean Schumann, Nursing Alliance for Quality Care and George Washington University School of Nursing 3 A National Initiative: Quality and Safety Education for Nurses (QSEN) Linda R. Cronenwett, School of Nursing, University of North Carolina at Chapel Hill SECTION 2: QUALITY AND SAFETY COMPETENCIES: THE QSEN PROJECT 4 Patient-Centered Care Mary K. Walton, Hospital of the University of Pennsylvania and University of Pennsylvania Center for Bioethics, and Jane Barnsteiner 5 Teamwork and Collaboration Joanne Disch, University of Minnesota School of Nursing 6 Quality Improvement Jean Johnson, School of Nursing, George Washington University 7 Evidence-Based Practice Mary Fran Tracy, University of Minnesota Medical Center and Jane Barnsteiner 8 Safety Jane Barnsteiner 9 Informatics Judith J. Warren, University of Kansas School of Nursing and University of Kansas Center for Health Informatics SECTION 3: STRATEGIES TO BUILD A CULTURE OF QUALITY AND SAFETY 189 10 The Imperative to Transform Education to Transform Practice Gwen Sherwood 11 Narrative Teaching Strategies to Foster Quality and Safety Pamela M. Ironside, Indiana University School of Nursing and Elizabeth Cerbie, Indiana University Health 12 Integrating Quality and Safety Competencies in Simulation Carol F. Durtham and Kathryn R. Alden, School of Nursing, University of North Carolina at Chapel Hill 13 Interprofessional Approaches to Quality and Safety Education Shirley M. Moore and Mary A. Dolansky, Frances Payne Bolton School of Nursing, Case Western Reserve University, and Mamta K. Singh, Case Western Reserve University School of Medicine 14 New Graduate Transition into Practice: Improving Quality and Safety Nancy Spector, National Council of State Boards of Nursing, Beth T. Ulrich, CAE Healthcare, and Jane Barnsteiner 15 Leadership to Create Change Joanne Disch, University of Minnesota School of Nursing 16 Creating Cultures of Excellence: Transforming Organizations Pamela Klauer Triolo, Principled Leadership Solutions 17 Quality and Safety: Global Issues and Strategies Gwen Sherwood Appendixes Appendix A: Prelicensure Competencies Appendix B: Graduate Competencies Appendix C: Delphi Study Results Glossary Index