Advancing the Culture of Competency to Improve Patient Outcomes and Drive Patient Safety

2.50
Hdl Handle:
http://hdl.handle.net/10755/303932
Category:
Full-text
Type:
Presentation
Title:
Advancing the Culture of Competency to Improve Patient Outcomes and Drive Patient Safety
Author(s):
Mearns, Stephanie; Fisher, Anastasia; Orsi, Allen J.
Lead Author STTI Affiliation:
Non-member
Author Details:
Stephanie Mearns, MN, BSN, RN, StephanieMearns@dochs.org; Anastasia Fisher, PhD, MN, BSN; Allen J. Orsi, PhD, RN;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose: Expectations that nurses be competent have always been a part of professional codes and standards, licensing and accreditation requirements and, are a key component of the profession's social contract.'The purpose of this presentation is to describe the preliminary results of our project exploring ways to assess and document professional nursing competencies to assure safe, quality nursing practice.' The QSEN (Quality Safety Education in Nursing) competencies were used as a guiding framework

Methods: Current staff nurse competencies were assessed using two strategies: 1) a written assessment and 2) an observed standardized patient clinical scenario.' 'Both written assessment and observed clinical scenario were developed using QSEN and assessed core knowledge, ability to analyze and synthesize information and make an appropriate clinical judgment. 'The written assessment consisted of 50 questions developed using the QSEN competencies with a possible score of 0-50 and the scenario assessed 63 behaviors and attitudes with a possible score of 0-63.

Results: The mean on the written assessment (37 + 4) and the observed standardized clinical scenario (mean 39 + 3)) was surprisingly low.' Further analyses of the subscales show the lowest scores in quality improvement/safety (mean=24.5 + 2) with the safe medication administration performance lower than the other areas.' Nurses performed better in patient-centered care (mean= 37.5 + 2) and evidence based practice (mean=40+ 3).'''''

Conclusion:

Nurse competencies were below expected level particularly in areas that impact patient safety such as medication administration.' The leadership team has identified the low performers and in collaboration with the advanced practice nurses developed an on-line learning module to increase critical thinking and clinical judgment in medication administration.' Reassessment is currently in progress to ensure patient safety in medication administration.' Individual nurse's results were analyzed and themes related to the nursing interventions are currently being initiated for higher-level competencies.

Keywords:
Education; Quality; Safety
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleAdvancing the Culture of Competency to Improve Patient Outcomes and Drive Patient Safetyen
dc.contributor.authorMearns, Stephanieen
dc.contributor.authorFisher, Anastasiaen
dc.contributor.authorOrsi, Allen J.en
dc.contributor.departmentNon-memberen
dc.author.detailsStephanie Mearns, MN, BSN, RN, StephanieMearns@dochs.org; Anastasia Fisher, PhD, MN, BSN; Allen J. Orsi, PhD, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/303932-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b>Expectations that nurses be competent have always been a part of professional codes and standards, licensing and accreditation requirements and, are a key component of the profession's social contract.'The purpose of this presentation is to describe the preliminary results of our project exploring ways to assess and document professional nursing competencies to assure safe, quality nursing practice.' The QSEN (Quality Safety Education in Nursing) competencies were used as a guiding framework <p><b>Methods: </b>Current staff nurse competencies were assessed using two strategies: 1) a written assessment and 2) an observed standardized patient clinical scenario.' 'Both written assessment and observed clinical scenario were developed using QSEN and assessed core knowledge, ability to analyze and synthesize information and make an appropriate clinical judgment. 'The written assessment consisted of 50 questions developed using the QSEN competencies with a possible score of 0-50 and the scenario assessed 63 behaviors and attitudes with a possible score of 0-63. <p><b>Results: </b>The mean on the written assessment (37 + 4) and the observed standardized clinical scenario (mean 39 + 3)) was surprisingly low.' Further analyses of the subscales show the lowest scores in quality improvement/safety (mean=24.5 + 2) with the safe medication administration performance lower than the other areas.' Nurses performed better in patient-centered care (mean= 37.5 + 2) and evidence based practice (mean=40+ 3).''''' <p><b>Conclusion: </b> <p>Nurse competencies were below expected level particularly in areas that impact patient safety such as medication administration.' The leadership team has identified the low performers and in collaboration with the advanced practice nurses developed an on-line learning module to increase critical thinking and clinical judgment in medication administration.' Reassessment is currently in progress to ensure patient safety in medication administration.' Individual nurse's results were analyzed and themes related to the nursing interventions are currently being initiated for higher-level competencies.en
dc.subjectEducationen
dc.subjectQualityen
dc.subjectSafetyen
dc.date.available2013-10-22T20:26:08Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:26:08Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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