QSEN Case Western Frances Payne Bolton School of Nursing

Quality and Safety Education for Nurses

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Problem-Based Learning Scenarios

Posted by on Mar 5, 2013 in Teaching Strategies |

QSEN competencies are utilized daily in the clinical setting. Each decision the clinician makes in the clinic setting utilizes the competencies of safety and patient centered care. Informatics is integral in the clinic setting to document and share pertinent patient information. Each clinician works as a member of the healthcare team and needs to understand group dynamics and communication styles. It is a challenge to educate future clinicians on these important concepts as they learn by working with real patients in real clinical settings. By providing assignments that utilizes these concepts so the students are able to practice in a safe environment prior to real patients, nurse faculty are able to promote safe and effective care. Approach: Problem based learning scenarios (PBLs) were developed to be utilized in two consecutive semesters in a Nurse Practitioner program. QSEN competencies were interwoven throughout the PBLs with increasing complexities as the student progressed through the program. A patient scenario based in a “real life” setting was presented to the students. In the first semester, the history and physical of the patient were supplied to the students. In the second semester, the students interviewed a “patient” for the history and physical exam. The students in both semesters were responsible for ordering diagnostic testing for this patient. To accomplish this, they utilized informatics to work as a team and collaborate on necessary and patient centered diagnostics through a discussion board. Each student contributed ideas to the group discussion. Then, individually each student would apply evidence based guidelines and research to recommend a treatment plan for the patient. Each student needed to script the dialogue they would use in the clinic setting to educate the patient to accomplish mutual goals. Patient centered care was utilized as the patient may have additional medical history, have religious beliefs that limit treatment options, be from another culture, or have low education or socioeconomic resources. Safety was interwoven as the students needed to order appropriate diagnostics as well as treatment plan and evaluate the patient for adverse effects. Please see attachments for an example.  The first attachment is an example of the patient’s chart that would be supplied to...

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Obstetrical Simulation: Unfolding Case Study on Postpartum Hemorrhage

Posted by on Mar 5, 2013 in Teaching Strategies |

This simulation can take place in a Learning Resource Center or classroom setting at mid-semester or during the final weeks of a Nursing Care of Women and the Childbearing Family course. The goal of the simulation is to teach neophyte students about applying the QSEN KSA competencies to the care of a critically ill postpartum mother, by presenting them with an unexpected clinical situation. The earning objectives, equipment, and case study of a new mother with a postpartum complication are given. Students demonstrate skills on a manikin as the case study progresses. Questions about the situation are posed during the debriefing, to encourage critical thinking and...

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Problem-Based Learning Scenarios

Posted by on Mar 5, 2013 in Teaching Strategies |

QSEN competencies are utilized daily in the clinical setting. Each decision the clinician makes in the clinic setting utilizes the competencies of safety and patient centered care. Informatics is integral in the clinic setting to document and share pertinent patient information. Each clinician works as a member of the healthcare team and needs to understand group dynamics and communication styles. It is a challenge to educate future clinicians on these important concepts as they learn by working with real patients in real clinical settings. By providing assignments that utilizes these concepts so the students are able to practice in a safe environment prior to real patients, nurse faculty are able to promote safe and effective care. Approach: Problem based learning scenarios (PBLs) were developed to be utilized in two consecutive semesters in a Nurse Practitioner program. QSEN competencies were interwoven throughout the PBLs with increasing complexities as the student progressed through the program. A patient scenario based in a “real life” setting was presented to the students. In the first semester, the history and physical of the patient were supplied to the students. In the second semester, the students interviewed a “patient” for the history and physical exam. The students in both semesters were responsible for ordering diagnostic testing for this patient. To accomplish this, they utilized informatics to work as a team and collaborate on necessary and patient centered diagnostics through a discussion board. Each student contributed ideas to the group discussion. Then, individually each student would apply evidence based guidelines and research to recommend a treatment plan for the patient. Each student needed to script the dialogue they would use in the clinic setting to educate the patient to accomplish mutual goals. Patient centered care was utilized as the patient may have additional medical history, have religious beliefs that limit treatment options, be from another culture, or have low education or socioeconomic resources. Safety was interwoven as the students needed to order appropriate diagnostics as well as treatment plan and evaluate the patient for adverse effects. Please see attachments for an example.  The first attachment is an example of the patient’s chart that would be supplied to...

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Perinatal Unfolding Case Study

Posted by on Mar 5, 2013 in News |

This unfolding perinatal case study takes the learner from the initial prenatal visit of a patient with many risk factors and complications through the perinatal period. Through this exercise, the pre-licensure learner can describe and apply safe and quality care to the patient whcih can lead to a positive outcome. This exercise can be used in a variety of ways. It can be used as an alternative to the traditional lecture. The scenario can be broken down and used in segments based on the material to be covered. This teaching strategy can also be used as an out of class assignment and reviewed in class. Alternatively, it can be used as a review exercise in its entirety at the end of the semester to prepare for the final exam. Upon completion of the pre-licensure nursing program, the case study can be used to review maternity material in preparation for the NCLEX exam. NCLEX style questions are...

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A Conceptual Model of QSEN

Posted by on Mar 5, 2013 in News |

A copy of the conceptual model of qsen is attached as Strategy Material: File 1.  The use of a visual conceptualization of QSEN can be especially important by allowing students to see the relationship of the QSEN elements. Such a visual model is so important to help in the learning process. This model is offered to facilitate and constantly reinforce quality & safety education for pre-licensure nursing students, demystifying the QSEN initiative while enabling the student to understand the competency domains quite quickly. It is not a process reserved for intellectuals, but rather a cognitive process that puts together all the pieces to form the concept of...

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