1 Martin-QSEN-June2008 1 Session Title: What Regulatory Mechanisms Reinforce Accountability for...

1 Martin-QSEN-June2008 1Martin-QSEN-June2008

Session Title: What Regulatory Mechanisms Reinforce Accountability for

Quality & Safety Education

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

Presentation Title: Baccalaureate Education Prepares Nurses for Team Play in Quality &

Safety Initiatives


PurposeConsider 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?

3 Martin-QSEN-June2008

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


Chair - Patricia A. Martin, RN, PhD Carol Ashton – Idaho State U.Chip Bailey – Duke U.Chip Bailey – Duke U.Derryl Block – U. of Wisconsin, Green BayDaisy Cruz-Richman – SUNY DownstateDaisy Cruz-Richman – SUNY DownstateKaren Drenkard Karen Drenkard – INOVA Health SystemsJean Lange – Fairfield U.Teri Murray – St. Louis U. Roxanne Moutafis – U. of ArizonaRoxanne Moutafis – U. of ArizonaLinda Niedringhaus – Elmhurst CollegeJudith Sands – U. of VirginiaPolly BednashPolly Bednash – Executive Director AACNKathy McGuinnKathy McGuinn – Staff LiaisonJoan StanleyJoan Stanley – Staff LiaisonHoracio OliveiraHoracio Oliveira – Staff Liaison

AACN Taskforce

Thank you to all regional

meetingparticipants


Framework

Putting the puzzle together


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)


Essential 1Liberal Education

• Patient Centered Care• Teamwork & Collaboration• EBP• QI• Safety• Informatics

• 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


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.


Essential 2Leadership/Quality Care


• 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


Essential 3

Scholarship for Evidence-Based Practice

• Recognizes that professional nursing practice is grounded in the analysis & application of evidence for practice.


Essential 3EBP


• 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


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.


Essential 4Information/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


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.


Essential 5Policy/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.


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.


Essential 6Communication & 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


Essential 7

Clinical Prevention & Population Health

• Recognizes that health promotion & disease prevention at the individual & population level are necessary to improve population health.


Essential 7Clinical 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


Essential 8

Professionalism & Professional Values

• Recognizes that professionalism is fundamental to the discipline of nursing. Professionalism is the consistent demonstration of core values of:– Altruism– Autonomy– Human Dignity– Integrity– Social Justice


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


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.


Essential 9Nursing Practice


• Implement holistic evidenced-based patient-centered 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


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.


QSEN 1 Patient-centered Care

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


QSEN 2 Teamwork & Collaboration

• Definition: Function effectively within nursing & inter-professional teams, fostering open communication, mutual respect, & shared decision-making to achieve quality patient care.


QSEN 2 Teamwork & Collaboration

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


QSEN 3 Evidence-based Practice (EBP)

• Definition: Integrate best current evidence with clinical expertise & patient/family preferences & values for delivery of optimal health care.


QSEN 3 EBP

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


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.


QSEN 4 QI

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


QSEN 5 Safety

• Definition: Minimize risk of harm to patients & providers through both system effectiveness & individual performance.


QSEN 5 Safety

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


QSEN 6 Informatics

• Definition: Use information & technology to communicate, manage knowledge, mitigate error, & support decision-making.


QSEN 6 Informatics

1 LibEd

2Lead

3EBP

4Tech-

nology

5Policy

Financ

Regs

6Comm

&

Collab

7Pop

Health

8Values

9Pract ice

X X X X X X X X X


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

37 Martin-QSEN-June2008

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


Better Patient Outcomes

The ChallengeLeaders in education & practice must collaborate to assure life-long learning regarding the knowledge, shills, & attitudes essential to safe high quality health care.


• Dayton

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1 Martin-QSEN-June2008 1 Session Title: What Regulatory Mechanisms Reinforce Accountability for...

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