QSEN Education Project

By Connie Rose July 2013

Why Program is Needed

Alarming number of preventable deaths in hospitals (IOM, 1999) QSEN is designed to help nursing students improve quality and safety of care (Docksai & Sherwood, 2012)
QSEN Competencies Patient-centered care Evidence-based practice Teamwork & collaboration Quality improvement Informatics Safety

Why Program is Needed

U.S. accrediting bodies encouraging use of QSEN
National League of Nursing (NLN) American Association of Colleges of Nursing (AACN)
(Docksai & Sherwood, 2012)

Goal
Nursing faculty at Cincinnati State Technical & Community College will implement at least one teaching strategy found on the QSEN website or IHI Open School in each nursing course
(IHI, 2013; QSEN Institute, 2013)

Objectives
1. Nursing faculty at the project institution will attend an inservice providing an overview of QSEN and available resources

Objectives
2. Nursing faculty at the project institution will voice the importance of increasing the emphasis on QSEN competencies in each nursing course

Objectives
3. Faculty from each nursing course will review teaching resources on the QSEN website or IHI Open School and determine which one(s) will be most appropriate for the course

Objectives
4. Faculty from all courses will share which teaching strategies were chosen to ensure all QSEN competencies have been addressed

Delivery
A Power point presentation will guide the presentation.
Strengths and Weaknesses of PowerPoint Presentation STRENGTHS WEAKNESSES Lots of text slides can make presentation Can use charts, images, multimedia boring content, sound, etc... Computers can crash and networks can go Keep students motivated by adding down interrupting presentation or losing animations or funny slides to describe presentation topic Too easy to create too many slides Brief and to the point Not helpful with discussions Helps students to understand and make connections between concepts
(Fppt.com, 2013)

Program Outline
I. Overview of importance of expanding use of QSEN competencies in nursing program
A. The Lewis Blackman Story video
B. Discuss IOM reports 1. To Err in Human
2. 3.
(IOM, 1999)

Crossing the Quality Chasm (IOM, 2001) Educating Nurses: A call for Radical Transformation (Benner, Sutphen, Leonard, & Day,
2010)

Program Outline
II. Examine how QSEN competencies are currently part of each course
III.Present available resources
A. QSEN website (QSEN Institute, 2013)
1. Review competencies 2. Faculty resources
a. b. Learning modules Videos

B. Institute for Healthcare Improvement (IHI) Open School online assignments (IHI, 2013)

Program Outline
IV.Break into faculty course groups
A. Assist faculty in accessing learning modules on QSEN website B. Discuss which type of learning strategy would be best for each course (e.g. learning lab, simulation, clinical setting, classroom setting)

Program Outline
V. Bring faculty back together
A. Have each course group present the teaching strategy that will be used in their course B. Determine how the QSEN competencies can build from one course to the next C. Make sure all QSEN competencies have been covered in the curriculum

Evaluation of Program
Program: QSEN Education Project Logic Model

Inputs (Resources)
QSEN activities IHI Open School modules Conference room Computers Faculty Faculty time Faculty attitude Administrative support

Activities QSEN education class for faculty Power point presentation Video Discussion Faculty breakout sessions

Outputs
Faculty will choose an additional QSEN activity or IHI module to be incorporated in course

Outcomes
Faculty knowledge of QSEN will increase Faculty will expand the use of QSEN activities in each course

Impact
Students knowledge, skills, and attitude of QSEN competencies will increase as they progress through the nursing program

(W.K. Kellogg Foundation, 2004)

Tools for QSEN Project

QSEN Faculty Survey Please rate the following statements using a scale of 1 5. Place an X in the appropriate box. 4 strongly agree 3 somewhat agree 2 somewhat disagree 1 strongly disagree

4 1. QSEN competencies should be incorporated in every nursing course in the nursing curriculum 2. QSEN competencies should mainly be covered in NUR 202 along with the leadership/management material 3. I feel that I have a good understanding of the QSEN competencies 4. I incorporate one or more QSEN activities in the theory course I am currently teaching 5. I incorporate one or more of the IHI Open School modules in the theory course I am currently teaching 6. I routinely discuss QSEN competencies with my clinical group 7. One or more QSEN competencies are included in the simulation experience for the course I am currently teaching

1 n/a

QSEN Survey for Students

Please circle the six QSEN competencies from the list below. A. B. C. D. E. F. G. H. I. J. effective care efficient care equitable care evidence-based practice informatics patient-centered care quality improvement safety teamwork and collaboration timely care

4 strong 3 somewhat strong 2 somewhat weak 1 weak 4 3 2 1 n/a

Rate your ability to do the following.

1(se). Base individualized care plan on patient values, clinical expertise, and evidence 2(st). Function competently within own scope of practice as a member of the health care team 3(kp). Examine how the safety, quality, and cost effectiveness of health care can be improved through the active involvement of patients and families 4(si). Navigate the electronic health record 5(ap). Appreciate shared decision-making with empowered patients and families, even when conflicts occur 6(at). Value the perspective and expertise of all health team members 7(sq). Seek information about quality improvement projects in the care setting 8(ks). Discuss potential and actual impact of national patient safety resources, initiatives, and regulations 9(ki). Explain why information and technology skills are essential for safe patient care 10(sp). Assess levels of physical and emotional comfort 11(kt). Discuss effective strategies for communicating and resolving conflict 12(ke). Describe reliable sources for locating evidence reports and clinical practice guidelines 13(ss). Engage in root cause analysis rather than blaming when errors or near misses occur 14(ai). Value nurses involvement in design, selection, implementation, and evaluation of information technologies to support patient care 15(as). Value own role in preventing errors 16(kq). Explain the importance of variation and measurement in assessing quality of care 17(ae). Value the need for continuous improvement in clinical practice based on new knowledge 18(aq). Appreciate the value of what individuals and teams can do to improve care

Cronenwett et al. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-

References
Benner, P., Sutphen, M., Leonard, V., & Day, L. (2010). Educating nurses: A call for radical transformation. Standford, CA: Jossey-Bass. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., Sullivan, D., & Warren, J. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131. Docksai, R. & Sherwood, G. (2012). QSEN: Training nurses to be innovative leaders. Retrieved from http://www.nursingschool-degrees.com/Nursing-Articles-Interviews/qsen.html Fppt.com (2013). Pros and cons teaching via PowerPoint. Retrieved from http://www.free-power-pointtemplates.com/articles/pros-and- cons-teaching-viapowerpoint/

References
IHI (2013). Open school. Retrieved from http://www.ihi.org/offerings/IHIOpenSchool/overview/Pages/defau lt.aspx IOM (1999). To error is human: Building a safer health system. Retrieved from http://www.iom.edu/~/media/files/report%20files/1999/to-err-ishuman/to%20err%20is%20human%201999%20%20report%20brief.p df IOM (2001). Crossing the quality chasm: A new health system for the 21st Century. Retrieved from http://www.nap.edu/openbook.php?record_id=10027&page=R1 QSEN Institute (2013). Teaching strategies. Retrieved from http://qsen.org/teaching-strategies/ W.K. Kellogg Foundation (2004). Logic Model development guide. Retrieved from http://www.wkkf.org/knowledgecenter/resources/2006/02/wk-kellogg-foundation-logic-modeldevelopment-guide.aspx