Strategy Submission

The QSEN competencies provide an ideal framework to promote opportunities for analysis, reflective thought, and discussion. In the case of this scenario, the lead characters in a primary are setting perceive their performance as competent as they provide appropriate care to a newly-arrived psychotic patient. Despite finding themselves in a low-incidence/high-risk scenario, they engaged in Teamwork/Collaboration to promote safety throughout the initial assessment and subsequent transfer to the Emergency Room. After the transfer, however, it appears that the narrative of safety may have been a fallacy, as a serious breach in safety is observed and the need for rapid-cycle quality improvement. In short, while many nurses are highly clinically competent, opportunities for analytical/critical thinking skills may be evident. This scenario thus focuses on promoting critical thinking and reflective thought to prevent such a highly dangerous scenario from reoccurring. As for tips for educators, the mechanics of this unit thus provide opportunities to review the scenario within the framework of three key QSEN competencies (Teamwork/collaboration, quality improvement, and safety in that: o Questions for group discussion are strategically inserted at the end of the case study and are intended to be discussed—with corresponding instructor/peer feedback—in a synchronous manner. o Whether in the classroom or clinical setting, learners should be granted no prior access to the scenario but given approximately one-half hour to read it independently, with peer interaction followed by instructor-facilitated discussion immediately following. o Following robust discussion, a written Reflective Journal assignment follows the exercise’s conclusion and should be prepared and submitted to the instructor prior to the next classroom/clinical, or staff development session. The Reflective Journal is completed asynchronously and thus gives students a more discrete format to present the thoughts they might not have felt comfortable sharing in a public forum.