Quality and Safety Competencies in Undergraduate Nursing Education: Where are we now?

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Abstract

BACKGROUND: Medical errors are the third leading cause of death in the United States. To address this problem, a concerted effort by nurse educators to integrate Quality and Safety Education for Nurses (QSEN) competencies into nursing curricula is relevant. There is a need for innovative educational strategies, faculty development, and implementation approaches to support successful QSEN competency implementation. PURPOSE: The purpose of this research was to evaluate a faculty development course that included QSEN competency education, resources, and support. METHODS: A pretest posttest design was used and 19 nursing faculty from a northeast U.S. public college participated in the program. Participants completed the National QSEN Faculty Survey before and after a 6-part QSEN competency-based training course. Descriptive statistics and the chi-square statistical test were used to compare means of pretest and post-test responses. RESULTS: Results indicated a significant increase of incorporating the QSEN competencies in nursing courses following the faculty development program. The most helpful QSEN resource was found to be the QSEN website followed by the Institute for Healthcare Improvement (IHI) in pre and post-test results. Case studies, lectures, and group projects were the most frequently used teaching strategies, and the classroom was found to be the setting where most faculty integrated QSEN competencies into their courses. IMPLICATIONS: Faculty development programs are an effective method of providing support for the integration of QSEN competencies into the undergraduate nursing curricula. Evaluation of faculty development programs is essential so that effective programs can be shared and sustained. Keywords: QSEN, competencies, faculty development, quality, safety
本科护理教育的质量和安全能力:我们现在在哪里?
背景:医疗事故是美国第三大死亡原因。为了解决这个问题,护士教育工作者齐心协力,将护士质量和安全教育(QSEN)能力整合到护理课程中是相关的。我们需要创新的教育策略、教师发展和实施方法来支持QSEN能力的成功实施。目的:本研究的目的是评估教师发展课程,包括QSEN能力教育,资源和支持。方法:采用前测后测设计,美国东北部一所公立大学的19名护理教师参与了该项目。参与者在QSEN能力培训课程之前和之后完成了全国QSEN教师调查。采用描述性统计和卡方统计检验比较前测和后测反应的均值。结果:结果表明,在教师发展计划之后,在护理课程中纳入QSEN能力的人数显著增加。我们发现最有用的QSEN资源是QSEN网站,其次是医疗保健改善研究所(IHI)的测试前后结果。案例研究、讲座和小组项目是最常用的教学策略,并且发现课堂是大多数教师将QSEN能力融入其课程的场所。启示:教师发展计划是一种有效的方法,为将QSEN能力整合到本科护理课程中提供支持。教师发展计划的评估是必不可少的,这样有效的计划才能共享和维持。关键词:QSEN,胜任力,教师发展,质量,安全
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