Practice Standards

1. Quality & Safety Education for Nurses (QSEN) The American Nurses Association (ANA) The Institutes of Medicine (IOM) Health Work Environment (HWE) The Joint Commission (JCAHO) Practice Standards Colthorp, Niccole Gaultney, Sherri Hernandez, Rosa Hilliard, Nicole Main, Justin

2. Quality and Safety Education For Nurses (QSEN) • Goal of the project is to prepare future nurses to have the knowledge, skills and attitudes (KSAs) necessary to improve the quality and safety of the healthcare systems that they work in • Consists of three phases that began development in October 2005 • Funded by The Robert Wood Johnson Foundation (RWJF) for all three phases

3. Competency KSAs • Six competencies defined for nursing under the Institute of Medicine: • Patient Centered Care • Teamwork and Collaboration • Evidence-Based Practice • Quality Improvement • Informatics • Safety • These competencies “serve as guides to the curricular development for formal academic programs, transition to practice and continuing education programs”(www.qsen.org)

4. Personal Impacts of QSENNiccole Colthorp • Patient-Centered Care has set standards for nurses so that we will advocate for our patients to ensure that their needs are being met. • Teamwork and Collaboration helps us to develop teams that we can respectfully communicate with to decide on the best plan of care for our patients. • Evidence-Based Practice gives us guidelines to “integrate best current evidence with clinical expertise” to provide great nursing care (www.qsen.org). Things such as the CAUTI (catheter associated urinary tract infections) bundle were put into practice because of this.

5. Personal Impacts Continued • Quality Improvement is the use of research and its outcomes to improve the “quality and safety of health care systems (www.qsen.org). Nursing research studies are ongoing and as a result, nursing care will continue to improve. • Informatics is part of continuously educating ourselves on attaining new skills and the use of new equipment and technology to prevent the risk of errors. We use computers on a daily basis at our jobs and technology continues to advance. • Safety standards are set so that we reduce the risk of harm to our patients by being competent in all areas of nursing. Effectively communication and documentation help to reduce the risk of harm to our patients.

6. American Nursing Association (ANA) • There was a convention in 1896 of a group of nurses that evolved into the ANA organization in 1911. • The ANA is a professional organization designed to represent all nurses in the United States. • The organization was developed before it was required for nurses to be licensed and registered.

7. ANA continued… • “ANA advances the nursing profession by fostering high standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the general public.” www.nursingworld.org

8. Personal Impacts of ANASherri Gaultney • The ANA organization has encouraged all nurses to improve themselves through education. As a result of this encouragement many facilities have also encouraged further education for nurses. I am pursuing my Bachelor’s degree partially because of this interaction between organizations. I always wanted to be further educated, but the encouragement of the organization has increased my ambition. -Sherri

9. Personal Impacts of ANA continued… • The Code of Nurses is an intricate part of the nursing organization. The Code of Nurses has a lot of the same values and ethics that are a part of my life. By using the Code of Nurses I am able to ensure that my patients receive the best care and professional conduct possible. The nurses are able to show that they are a professional career and that they will follow a conduct and protocol. This protocol has helped me offer better care for my patients. - Sherri

10. Institute of Medicine (IOM) • President Lincoln signed a congressional charter forming the National Academy of Sciences in 1863 • National Academy of Sciences eventually expanded to include the National Research Council in 1916, the National Academy of Engineering in 1964, and the Institute of Medicine in 1970.(www.nationalacademies.org) • Independent, non profit organization • IOM aims to provide health informed decisions for the government and private sectors • Advices congress on important medical decisions “The IOM asks and answers the nation’s most pressing questions about health and health care” www.iom.edu

11. Institute of Medicinecontinued • Mission: to advance the nations health • Report on issues ranging from child obesity to influenza vaccinations • IOM “provide information to decision makers so that they can change regulation or policy and to other influential groups who can change behavior, all aimed eventually at improving health” (IOM, 2012) • Also provide reports for the public • All reports are peer reviewed from an external independent reviewer in order to eliminate bias • Members are nominated by peers in recognition of outstanding accomplishments in their respective fields “Advising the Nation. Improving Health.” www.iom.edu

12. IOM Personal ImpactRosie Hernandez • Patients rely on health care professionals for their well being and safety • IOM addresses issues pertaining to quality and patient safety • IOM releases reports that addresses national health information • Patient Safety: Achieving a New Standard for Care – this report addresses standards of care that focuses on improving the quality care of patients in America

13. IOM Personal ImpactContinued • The Institute of Medicine affects nursing practice by setting standards on improving patient safety and outcomes. • The institutes recommendations should be used to improve nursing practice • IOM’s reports are evidence based and peer reviewed to ensure quality work

14. What is HWE? • Healthy Work Environment • Recognized in 2001 by American Association of Critical Care Nurses • Goal: promote excellence in patient care • Provide optimal patient care in clinical setting • Composed of six quality standards

15. Standards of HWE • Skilled communication: proficient nursing communication, clinical skills • True collaboration: relentless nursing commitment in pursuing and fostering true collaboration • Effective decision-making: value, commitment in policy-making, directing, evaluation, and clinical care, leadership in organizational operations • Appropriate staffing: effective matching of patient needs and nurse competencies • Meaningful recognition: acknowledgement of nurses, all others values in organization’s work • Authentic leadership: nurse leader embracing importance of HWE, practice it, engagement of others in achieving HWE

16. How HWE Impacts My NursingProfession Nicole Hilliard • Impact Among Staff Members • Promotes team work • Cohesiveness among staff • Willingness to work together • Boosts morale of office • Allows for better nursing care • Decreases employee turnover rate • Decreases stress

17. Personal Impact • Encourages love of my job • Don’t dread going to work • Less stress • More likely to stay with company long term • Dedication to company • Respect for co-workers • Likely to recommend agency to others • Makes ability to achieve work/life/balance easier

18. Founded in 1951 • Evaluates and approves those health care originations that meet their highest standards • Independent and non-profit • Formed by the American College of Physicians (ACP), the American Hospital Association (AHA), the American Medical Association (AMA), the Canadian Medical Association (CMA), and the American College of Surgeons (ACS) JCAHO- Joint Commission on Accreditation of Healthcare Organizations “Our Mission:  To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.” (The Joint Commission, 2012).

19. JCAHO • Today, JCAHO approves over 19,000 health care organizations and programs in the United States • To hold the Joint’s Gold Seal of Approval an on-site survey must be held every three years to fulfill and maintain their exceptional standards • “Vision Statement:  All people always experience the safest, highest quality, best-value health care across all settings.” ("The Joint Commission," 2012).

20. JACHO InfluenceJustin Main • By being JCAHO certified it means that requirements have been met by that program to the highest standards. • This means that the care provided to our patients and clients is the best we can provide and has been proven to be most effective

21. JCAHO Influence: • In the field of nursing JCAHO provides most standards of practice that many institutions follow. • For example: It provides guidelines that protocols must meet during procedures such as an PICC line dressing change. In homecare, PICC line care is provided all the time and JCAHO gives guidelines and requirements to our procedures.

22. Resources • American Nurses Association. (2012). Retrieved from nursingworld.org • http://www.aacn.org/WD/HWE/Docs/HWEStandards.pdf • http://www.lakeviewcol.edu/au_ethics.asp • Institute of Medicine [IOM]. (2012). About the IOM. Retrieved from www.iom.edu/About-IOM.aspx • The Joint Commission. (2012). Retrieved November 26, 2012, from The Joint Commission website: www.jointcommison.org • National Academies, The. (2012). Who we are. Retrieved from www.nationalacademies.org/about/whoweare/index.html • Quality and Safety Education for Nurses. (2012). Retrieved from www.qsen.org