Jeannie Couper, MSN, RN-BC Seton Hall University May 2, 2012

1. QSEN in Practice Jeannie Couper, MSN, RN-BC Seton Hall University May 2, 2012

2. QSEN Competency 2: Team Work and CollaborationDefinition: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care (QSEN, 2012). Knowledge Describe own strengths, limitations, and values in functioning as a member of a team Skills Demonstrate awareness of own strengths and limitations as a team member Initiate plan for self-development as a team member Act with integrity, consistency and respect for differing views Attributes Acknowledge own potential to contribute to effective team functioning Appreciate importance of intra- and inter-professional collaboration Cronenwett et al., 2007

3. QSEN Competency 2: Team Work and CollaborationProgram Outcome:Collaborate with members of the health care team in planning, guiding, coordinating and evaluating nursing practice .Course Objective: Utilize the critical thinking process to generate outcome oriented clinical judgment. Knowledge Analyze how personal development is affecting your function as a team member Skills Plan for continued growth thru self-reflection and journaling Evaluate personal growth and development Advocate for patient Actively assist team Delegate to CNA Attitudes Appreciate importance of intra- and inter-professional collaboration: build community and team via mutual respect and shared decision-making Cronenwett et al., 2007; Sherwood & Drenkard, 2007; Zimmerman & Ramirez, 2007; Hall, et al., 2007

4. QSEN Competency 5:Safety Definition: Minimize risk of harm to patients and providers through both system effectiveness and individual performance (QSEN, 2012). Knowledge Skills Attitudes Delineate general categories Communicate observations Value own role of errors and hazards in or concerns related to in preventing care hazards and errors to errors patients, families, and health care team Cronenwett et al. (2007)

5. QSEN Competency 5: Safety Program OutcomeDemonstrate interpersonal, clinical, and technological skills consistent with the standards and guidelines of professional nursing practice. Course Objective: Utilize the SBAR-R approach for communication with healthcare team. Promoting and maintaining safety for patients. Knowledge Skills Attitude Explore categories of Utilize the revised SBAR *Reflect on your errors and potential approach in giving handoff practice; *List 2 hazards in providing communication with staff things learned handoff report from your patient; *Explain where and how nurses intercede to promote safety Cronenwett et al., 2007; Sherwood & Drenkard, 2007; Zimmerman & Ramirez, 2007; Hall, et al., 2007; Grbach & Vincent, 2007)

6. Clinical education: Integration Required! 2. Identify a problem or need that arose during your observation in the PICU. Explain the circumstances of the problem including who, what, when, where, and how urgent the problem was. a. Identify the knowledge required by the staff nurse to solve the problem. b. Analyze steps taken by nurse to solve the problem. c. Evaluate collaborative efforts of health care team members in helping to solve the problem. d. Consider other possible solutions to the problem. 3. Discuss how the staff nurse’s participation in clinical decision making relates to improved patient outcomes and job satisfaction.

7. References Cronenwett, L et al. (2007). Quality and safety education for nurses. Nursing Outlook, 55(3), 122-131. Grbach, W. & Vincent, L. (2008). Reformulating SBAR to “I-SBAR-R”. Accessed at http://www.qsen.org/teachingstrategy.php?id=33 Hall, L., Scott, S. & Cox, K. (2007). Interprofessional curriculum in patient safety and quality improvement. Accessed at http://www.qsen.org/teachingstrategy.php?id=45 Sherwood, G. & Drenkard, K. (2007). Quality and safety curricula in nursing education: Matching practice realities. Nursing Outlook, 55(3), 151-155 Smith, E. L., Cronenwett, L., & Sherwood, G. (2007). Nursing Outlook, 55(3), 132-137. Zimmerman, R. & Ramirez, Y. (2011). A universal template for designing QSEN learning activities: Setting expectations using KSAs. Accessed at http://www.qsen.org/teachingstrategy.php?id=179