Nephrology Nursing Journal January-February 2014 Vol. 41, No. 1 15

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Nephrology Nursing Journal January-February 2014 Vol. 41, No. 1 15

Nephrology Nursing Journal January-February 2014 Vol. 41, No. 1 15
Nephrology Nursing Journal January-February 2014 Vol. 41, No. 1 15

A New Mindset for Quality and Safety: The QSEN Competencies Redefine Nurses’ Roles in Practice

I mproving the quality and safety of our healthcare system is the most pressing issue of our time. Since the Institute of Medicine (IOM) reveal –

ed the magnitude of quality and safe- ty outcomes in its report, To Err Is Human: Building a Safer Health System (IOM, 2000), there has been a grow- ing series of efforts for improvements, including changes to health profes- sions education. In 2003, the IOM called for a new framework that would prepare all health professionals with six core competencies to be able to deliver patient-centered care through teamwork and collaboration, with evidence-based care from continuous quality improvement, with a mindset for safety and employing informatics. These competencies are the founda- tion to develop and work in cultures of quality and safety, and change the mindset from a focus on individual provider to a system perspective to improve outcomes. While the compe- tencies are familiar terms, they were redefined for nurses in 2007 by the Quality and Safety Education for Nurses (QSEN) project with a new set of knowledge, skills, and attitudes that change how nurses work (Cronenwett et al., 2007).

Gwen Sherwood Meg Zomorodi

Continuing Nursing Education

Gwen Sherwood, PhD, RN, FAAN, is Professor and Associate Dean for Academic Affairs, University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC, and Co- Investigator, Quality and Safety Education for Nursing (QSEN). She may be contacted directly via email at Gwen.sherwood@unc.edu

Meg Zomorodi, PhD, RN, CNL, is a Clinical Associate Professor, University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, NC.

Statement of Disclosure: The authors reported no actual or potential conflict of interest in rela- tion to this continuing nursing education activity.

Note: Additional statements of disclosure and instructions for CNE evaluation can be found on page 23.

This offering for 1.4 contact hours is provided by the American Nephrology Nurses’ Association (ANNA).

American Nephrology Nurses’ Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center Commission on Accreditation.

ANNA is a provider approved by the California Board of Registered Nursing, provider number CEP 00910.

This CNE article meets the Nephrology Nursing Certification Commission’s (NNCC’s) continu- ing nursing education requirements for certification and recertification.

Copyright 2014 American Nephrology Nurses’ Association

Sherwood, G., & Zomorodi, M. (2014). A new mindset for quality and safety: The QSEN competencies redefine nurses’ roles in practice. Nephrology Nursing Journal, 41(1), 15- 22, 72. Retrieved from http://www.prolibraries.com/anna/?select=session& sessionID=2965

Preventable errors are a major issue in health care. The complexity of health care requires interactions among numerous providers for any patient multiple times a day. Nurses are the constant presence with patients and have an important role in coordi- nating the contributions of the myriad of caregivers. Nurses are also the last line of defense. Increasingly, it is recognized that nurses need to be better prepared with quality and safety competencies to have a leading role in making our healthcare system safer. This article presents evidence related to quality and safety, describes the six core compe- tencies from the Quality and Safety Education for Nurses (QSEN) project for integration in nursing practice, describes a practice based on inquiry and engagement, and presents a toolkit for developing a new mindset based on new quality and safety science.

Key Words: Quality and Safety Education for Nurses (QSEN), quality improve- ment, patient safety.

Goal To provide an overview of the role quality and safety competencies have in making our healthcare system safer via the Quality and Safety Education for Nurses project.

Objectives 1. Identify the evidence driving the imperative to improve healthcare outcomes. 2. Describe applications in practice of the knowledge, skills, and attitudes for the six com-

petencies defined by the Quality and Safety Education for Nurses (QSEN) project. 3. Discuss the changes in roles and responsibilities for nurses when applying the six

QSEN competencies.

This article highlights the evi- dence driving the imperative to im – prove healthcare outcomes; describes applications in practice of the knowl- edge, skills, and attitudes for the six competencies defined by the QSEN project; and discusses the changes in

roles and responsibilities for nurses. The article also includes strategies for developing a new mindset to achieve the competencies, with embedded clinical situations and a case study related to nephrology nursing to illus- trate integration of the competencies.

Nephrology Nursing Journal January-February 2014 Vol. 41, No. 116

A New Mindset for Quality and Safety: The QSEN Competencies Redefine Nurses’ Roles in Practice