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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Eight Week MIndfulness Program for Nursing Students

Posted by on Mar 5, 2013 in Teaching Strategies |

This is an eight session Mindfulness Program for nursing students. It can be used in clinical setting or small classroom setting. The purpose was to introduce the practice of mindfulness to nursing students in order to prepare them to deliver quality, effective, and safe nursing care with compassion in a non-judgmental manner and to promote professionalism, teamwork, self-awareness, and critical thinking. The program includes weekly topic readings and discussions as well as brief sitting meditation practice. The weekly topics included: Orientation; Being Fully Present; Responding Mindfully Without Judgment; Teamwork, Compassion; Communication; Balanced Life; and Closure. We have used this program in our Mental Health course during clinical. It takes approximately 30 minutes each week. Permission was obtained from the author to play the 10 minute CD Sitting Meditation Guided Mindfulness Meditation CD (Series 2) by Jon Kabat-Zinn. Permission would be the responsibility of anyone interested....

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Geriatric Care in Community: Physical Changes in Older Adults “A Real Life” Simulation

Posted by on Feb 3, 2013 in Teaching Strategies |

This activity provides the learner valuable information about the challenges and safety issues often encountered by physically impaired senior citizens during activities of daily living. Students have an opportunity to experience life as a senior citizen living with physical challenges. The focus of this activity is to educate students about the QSEN competencies as they apply to a geriatric population. Students learn to assist a geriatric patient within a community context. In this activity, students “walk into” a typical day in the life of a physically challenged senior citizen. Nursing support measures go far beyond the hospital setting. Student nurses soon realize nurses support patients in many ways: physically (i.e. medications and treatment), emotionally (i.e. through touch, words of comfort) and spiritually (i.e. supporting their spiritual beliefs and prayer). During this activity students read a case study, then practice the role of a nurse caring for a senior citizen. They also role play using many realistic classroom “props” to simulate life as a physically challenged older person. Lastly they reflect on the learning...

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