{"id":234,"date":"2021-09-10T18:14:44","date_gmt":"2021-09-10T18:14:44","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/10-7-qsen-advocating-for-patient-safety-and-quality-care-in-nursing-education\/"},"modified":"2025-02-18T18:43:03","modified_gmt":"2025-02-18T18:43:03","slug":"10-7-qsen-advocating-for-patient-safety-and-quality-care-in-nursing-education","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/accnursing2030\/chapter\/10-7-qsen-advocating-for-patient-safety-and-quality-care-in-nursing-education\/","title":{"raw":"10.7 QSEN: Advocating for Patient Safety and Quality Care in Nursing Education","rendered":"10.7 QSEN: Advocating for Patient Safety and Quality Care in Nursing Education"},"content":{"raw":"The Quality and Safety Education for Nurses (QSEN) project began advocating for safe, quality client care in 2005 by defining six competencies for nursing graduates. This initiative was created after a decade of review and investigation into the high number and high cost of medical errors in the United States. The goal of the QSEN initiative was to prepare future nurses with the knowledge, skills, and attitudes needed to improve the quality and safety of the health care system. Historically, nursing education focused on knowledge and skill acquisition, but did not address the attitudes and values of the nurse. The QSEN competencies are designed to train nursing students in prelicensure nursing programs. The six QSEN competencies, as shown in Figure 10.6,[footnote]\u201cQSEN Competencies.png\u201d by Chippewa Valley Technical College<\/a> is licensed under CC BY 4.0<\/a>[\/footnote]<\/sup> are Patient-Centered Care, Teamwork and Collaboration, Evidence-Based Practice, Quality Improvement, Safety, and Informatics.[footnote]QSEN. (n.d.). About. <\/em>https:\/\/qsen.org\/about-qsen\/<\/a>[\/footnote]<\/sup>\n
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Read the QSEN Prelicensure Table of Competencies<\/a>.<\/p>\n\n<\/div>\n\n[caption id=\"attachment_233\" align=\"aligncenter\" width=\"1024\"]\"Image Figure 10.6 QSEN Competencies[\/caption]\n

Patient-Centered Care<\/h2>\nThe [pb_glossary id=\"468\"]Patient-Centered Care[\/pb_glossary]<\/strong> QSEN competency advocates for the client as \u201cthe source of control and full partner in providing compassionate and coordinated care based on respect for client\u2019s preferences, values, and needs.\u201d[footnote]QSEN. (n.d.). About.<\/em> https:\/\/qsen.org\/about-qsen\/<\/a>[\/footnote]<\/sup> This competency encourages nurses to consider clients\u2019 cultural traditions and personal beliefs while providing compassionate care. Client-centered care also includes the family in the care team. The goal of client-centered care is to improve the individual\u2019s health outcomes. Integration of this competency has led to improved client satisfaction scores, reduced expenses, and a positive care environment.[footnote]Roseman, D., Osborne-Stafsnes, J., Amy, C. H., Boslaugh, S., & Slate-Miller, K. (2013). Early lessons from four 'aligning forces for quality' communities bolster the case for patient-centered care. Health Aff (Millwood), 32<\/em>(2), 232-241. https:\/\/doi.org\/10.1377\/hlthaff.2012.1085<\/a>[\/footnote]<\/sup>\n

Teamwork and Collaboration<\/h2>\nThe [pb_glossary id=\"467\"]Teamwork and Collaboration[\/pb_glossary]<\/strong> QSEN competency focuses on functioning effectively within nursing and interprofessional teams and fostering open communication, mutual respect, and shared decision-making to achieve quality client care.[footnote]QSEN. (n.d.). About.<\/em> https:\/\/qsen.org\/about-qsen\/<\/a>[\/footnote]<\/sup> Effective communication has been proven to reduce errors and improve client safety.[footnote]Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 39<\/em>(3), 128-132. https:\/\/doi.org\/10.1097\/hcm.0000000000000298<\/a>[\/footnote]<\/sup>\u00a0The Joint Commission also includes improved communication as one of the National Patient Safety Goals, aligning with this QSEN competency. Collaboration requires information sharing across disciplines with respect for the knowledge, skills, and experience of each team member. Two examples of tools used to promote effective teamwork and collaboration are ISBARR and TeamSTEPPS\u00ae. Additionally, \u201cprinciples of collaboration\u201d have been established by the ANA.\n

ISBARR<\/h3>\nSeveral communication tools have been developed to improve communication in various health care settings. ISBARR is an example of a well-established communication tool. As previously discussed in the \"Collaboration Within the Interprofessional Team<\/a>\" chapter, [pb_glossary id=\"466\"]ISBARR[\/pb_glossary]<\/strong> is a mnemonic for the components to include when communicating with other health care team members: I<\/strong>ntroduction, S<\/strong>ituation, B<\/strong>ackground, A<\/strong>ssessment, R<\/strong>equest\/R<\/strong>ecommendations, and R<\/strong>epeat back.[footnote]Enlow, M., Shanks, L., Guhde, J., & Perkins, M. (2010). Incorporating interprofessional communication skills (ISBARR) into an undergraduate nursing curriculum. Nurse Educator, 35<\/em>(4), 176-180. https:\/\/doi.org\/10.1097\/nne.0b013e3181e339ac<\/a>[\/footnote]<\/sup>\n

TeamSTEPPS\u00ae<\/h3>\nAs previously discussed in the \"Collaboration Within the Interprofessional Team<\/a>\" chapter, TeamSTEPPS\u00ae (Team Strategies and Tools to Enhance Performance and Patient Safety) is a well-established framework to improve client safety through effective communication in health care environments. It consists of four core competencies: communication, leadership, situation monitoring, and mutual support.\n

Principles of Collaboration<\/h3>\nThe American Nurses Association (ANA) and the American Organization of Nurse Executives (AONE) jointly created the \u201cPrinciples of Collaboration\u201d to guide nurses in creating, enhancing, and sustaining collaborative relationships. These principles include effective communication, authentic relationships, and a learning environment and culture. The principle of authentic relationships includes the following guidelines[footnote]American Nurses Association & American Organization of Nurses Executives. (n.d.). ANA\/AONE principles for collaborative relationships between clinical nurses and nurse managers.<\/em> https:\/\/www.nursingworld.org\/~4af4f2\/globalassets\/docs\/ana\/ethics\/principles-of-collaborative-relationships.pdf<\/a>[\/footnote]<\/sup>:\n