Cardiovascular Medical/ Surgical Nursing:

Quality and Safety Initiative and Healthcare Change Simulation

TAMMY SELLECK, MSN, RN

FERRIS STATE UNIVERSITY

Presentation Overview

▪ Overall Goal: Prepare students for simulation assignment▪ 1. Provide foundation/background on the quality and safety

initiative (QSI) and healthcare change (HC)▪ How do these impact nursing?

▪ 2. Review basic assignment structure and contents

www.clinical-innovation.com

Quality and Safety Initiative

▪ Quality and Safety Education for Nurses (QSEN)▪ “Continuously improve patient outcomes by providing pre-

licensed and graduate nursing students with the knowledge, skills, and attitudes (KSA) needed to provide safe and effective quality care” (RWJF, 2013, para. 2)

▪ Six Undergraduate/Pre-Licensure Competencies▪ Patient-Centered Care, Quality Improvement, Teamwork and

Collaboration, Safety, Evidence-Based Practice, and Informatics

▪ Impacts on Nursing▪ Improve practice by improving education to improve

student knowledge, skills, and attitudes

(AACN, 2011; Armstrong, 2010; Croenwett et al., 2010; Dolanksy & Moore, 2013; Hunt, 2013; Manning & Frisby, 2011, Pohl et al., 2010; RWJF, 2013 )

www.aacn.nche.edu

Healthcare Change

▪ Changes to healthcare delivery and technology

▪ Telehealth/Telemedicine▪ Amplifying at-home healthcare for patients ▪ Uses internet and cell phone applications ▪ Provides real-time nursing and medical consultations

▪ Impacts on Nursing▪ Recent changes in healthcare affect patient care delivery methods

(Armstrong, 2010; Grabowski & O’Malley, 2014; Kveder et al., 2014; Lazarou, 2012; Nagel, 2013; Peck, 2011; Pohl et al., 2010; Reed, 2010; Rueuch et al, 2012; Schwamm, 2014)

www.eweek.com

Simulation Basics

▪ Simulation goals: Understand how triage, Virtually assess, Make nursing judgements, Understand associated challenges of virtual healthcare, Collaborate among multiple disciplines, and Connect patients to appropriate care

▪ Patient-centered care, safety, quality improvement,

teamwork and collaboration, and

evidence-based practices will be promoted

(Baltas, et al, 2014; Browning & Pont, 2014; Cant & Cooper, 2010; Chan, 2013; Friesth, 2012; Jefferies & Clochsey, 2012; Laiw, et al., 2014; Ozekin, et al., 2015; Vinales, 2015)

p20.education.uky.edu

Simulation Specifics

▪ Understand concepts from class and integrate into simulation.

▪ Use Adobe online meeting room via webcam computers. Each student pairs takes a turn being a nurse/patient. ▪ Student 1=Patient: Act out situation▪ Student 2=Nurse: Assess and guide patient while

developing and implementing a care plan; Answers questions and provides education

www.vnahealthathome.org

Simulation Example

www.ecnmag.com

References for HC and QSI

▪ American Association of Colleges of Nursing [AACN]. (2011). About QSEN. Retrieved from http://www.aacn.nche.edu/qsen/about-qsen

▪ Armstrong, G. (2010). Leader to leader: Quality and safety education for nurses. Retrieved from https://www.ncsbn.org/L2L_Fall2010.pdf

▪ Croenwett, L., Sherwood, G., Barsteiner, J., Disch, J., Sullivan, D., & Warren, J. (2010). Quality and Safety education for nurses. Nursing Outlook, 55(3), 122-131.

▪ Dolansky, M., & Moore, S. (2013). Quality and safety education for nurses (QSEN): The key is systems thinking. Online Journal of Issues in Nursing, 18(3), 1-11.

▪ Grabowski, D., & O’Malley. (2014). Use of telemedicine can reduce hospitalizations of nursing home residents and generate savings for Medicare. Journal of Health Affairs, 33(2), 244-250.

▪ Hunt, D. (2012). QSEN competencies: A bridge to practice. Retrieved from http://journals.lww.com/nursingmadeincrediblyeasy/Fulltext /2012/09000/QSEN_competencies__A_bridge_to_practice.1.aspx

▪ Kvedar, J., Coye, M., & Everett, W. (2014). Connected health: A review of technologies and strategies to improve patient care with telemedicine and telehealth. Journal of Health Affairs, 33(2), 194-199.

▪ Lazarou, J. (2012). Johns Hopkins’ Hospital at home program improves patient outcomes while lowering health care costs. Retrieved from http://www.hopkinsmedicine.org/news/media/releases/johns_hopkins_hospital_at_home_program_improves_patient_outcomes_while_lowering_health_care_costs

References for HC/QSI (Cont.)

▪ Leff, B., Burton, L., Mader, S., Naughton, B., Frick, K. (2010). Home is where the hospital is. Retrieved from http://www.jhsph.edu/news/news- releases/2010/burton-hospital-home.html

▪ Manning, M., & Frisby, A. (2011). Multi-method teaching strategies to integrate selected QSEN competencies in a DNP distance education program. Nursing Outlook, 59(3), 166-173.

▪ Nagel, D., Pomerleau, S., & Penner, J. (2013). Knowing, caring, and telehealth technology. Journal of Holistic Nursing, 31(2), 104-111.

▪ Peck, A. (2011). Changing the face of standard nursing practice through telehealth and telenursing. Nursing Administration and Quality, 29(4), 339-343.

▪ Reed, K. (2010). Telemedicine: Benefits to advanced practice nursing and the communities they serve. Journal of the American Academy of Nurse Practitioners, 17(3), 176-180.

▪ Robert Wood Johnson Foundation [RWJF]. (2013). Diffusing QSEN competencies across schools of nursing. Retrieved from http://www.rwjf.org/en/library/research/2013/04/diffusing-qsen-competencies-across-schools-of-nursing.html

▪ Rueuch, C., Mossakowski, J., Forrest, J., Hayes, M., Jahrsdoerfer, M., Comeau, E, … Singleton, M. (2012). Using nursing expertise and telemedicine to increase nursing collaboration and improve patient outcomes. Telemedicine Journal of Health, 18(8), 591-595.

▪ Pohl, J., Savrin, C., Flandt, K., Beauchesne, M., Drayton-Brooks, S., & Werner, K. (2010). Quality and safety in graduate nursing education: Cross-mapping QSEN graduate competencies with NONPF’s NP core and practice doctorate competencies Nursing Outlook, 57, 349-354.

▪ Schwamm, L. (2014). Telehelath: Seven strategies to successfully implement disruptive technology and transform health care. Journal of Health Affairs, 33(2), 200-205.

References for Simulation Teaching Method

▪ Baltas, M., Hassler, M., Ercole, P., & Rea, G. (2014). Effectiveness of high fidelity simulation for pediatric staff nursing education. Journal of Pediatric Nursing, 40(1), 27-32.

▪ Browning, L., & Pont, J. (2014). Supporting nursing student supervision: An assessment of an innovative approach to supervisor support. Nursing Education Today, 25(2), 73-79.

▪ Cant, R., & Cooper, S. (2010). Simulation-based learning in nursing education. Journal of Advanced Nursing Practice, 66(1), 3-15.

▪ Chan, Z. (2013). Critical thinking strategies in nursing education. Nursing Education Today, 33(5), 558-563.

▪ Friesth, R. (2012). Teaching and learning from a distance. In D. Billings, & J. Halstead (Eds.), Teaching in Nursing: A guide for faculty, (pp. 386-400). St. Louis, MS: Elsevier.

▪ Jefferies, P., & Clochsey, J. (2012). Clinical Simulations: A student centered pedagogical approach. In D. Billings, & J. Halstead (Eds.), Teaching in Nursing: A guide for faculty, (pp. 352-367). St. Louis, MS: Elsevier.

▪ Laiw, S., Siau, C., & Lau, T. (2014). Interprofessional simulation-based education program. Applied Nursing Research, 27(4), 258-268.

▪ Ozekin, L., Tiute, P, Willner, K., & Hranick, M. (2015). Simulation education: Early identification of patient physiologic deterioration by acute care nurses. Clinical Nursing Specialty, 29(3), 166-173.

▪ Vinales, J. (2015). Exploring the differences in nursing education environments. British Journal of Nursing, 25(5), 284-288.