Strategies to Grow and Sustain a Competency Assessment Model Utilizing the Quality Safety Education for Nurses (QSEN) in the Clinical Setting

16.00
Hdl Handle:
http://hdl.handle.net/10755/602433
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Strategies to Grow and Sustain a Competency Assessment Model Utilizing the Quality Safety Education for Nurses (QSEN) in the Clinical Setting
Other Titles:
QSENizing the Practice Setting: A Three-Part Presentation, Applying the QSEN Framework to Practice [Symposium]
Author(s):
Culhane, Ciara
Lead Author STTI Affiliation:
Alpha Kappa-at-Large
Author Details:
Ciara Culhane, RN-BC, CPN, ciara.culhane@childrenscolorado.org
Abstract:
Session presented on Tuesday, November 10, 2015: In the practice setting, a comprehensive measurement of competency assessment is essential in initial orientation and ongoing education of clinical staff. This presentation will describe how a large academic healthcare system integrated, expanded, and sustained a clinical competency assessment model utilizing the Quality Safety Education for Nurses (QSEN) framework. As the Institute of Medicine (IOM) identified criteria for nursing to provide safe quality patient care, it became apparent the use of a traditional skills checklist was not an accurate measurement of competency.  This shifted the thought process from measuring skills to a more comprehensive approach including knowledge, skills and attitudes.  A review of the literature was completed and QSEN provided the framework for the competency assessment model. In 2011, the basic competency assessment tool utilizing the six Institute of Medicine (IOM) criteria was developed.  The new competency assessment tool included sections for learner self-assessment, method of instruction and validation of competency. This became the basic nursing competency assessment for all newly hired nurses.  Phase two was the development of what is now a three tiered comprehensive competency assessment process that includes knowledge, skills and attitudes specific to patient populations.  A formative evaluation was conducted with preceptors and new hires, which identified a knowledge gap about QSEN, as well as utilization of the new competency assessment tool.  Phase three introduced the expansion of the competency tool to disciplines outside of nursing. Phase four was the creation of the sustainability process including a three year revision cycle. The introduction of this innovative competency assessment process was a significant cultural change for the organization and presented many challenges including educational deficits.  Ongoing education continues on QSEN, defining competency, and standardizing criteria across all three competency tiers to build on strengths of this model. Over the past four years this competency assessment work has flourished from a basic nursing assessment tool into an inter-professional framework. This work will continue to expand as we explore new opportunities.
Keywords:
competency; clinical practice; evaluation
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15G05
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleStrategies to Grow and Sustain a Competency Assessment Model Utilizing the Quality Safety Education for Nurses (QSEN) in the Clinical Settingen
dc.title.alternativeQSENizing the Practice Setting: A Three-Part Presentation, Applying the QSEN Framework to Practice [Symposium]en
dc.contributor.authorCulhane, Ciaraen
dc.contributor.departmentAlpha Kappa-at-Largeen
dc.author.detailsCiara Culhane, RN-BC, CPN, ciara.culhane@childrenscolorado.orgen
dc.identifier.urihttp://hdl.handle.net/10755/602433en
dc.description.abstractSession presented on Tuesday, November 10, 2015: In the practice setting, a comprehensive measurement of competency assessment is essential in initial orientation and ongoing education of clinical staff. This presentation will describe how a large academic healthcare system integrated, expanded, and sustained a clinical competency assessment model utilizing the Quality Safety Education for Nurses (QSEN) framework. As the Institute of Medicine (IOM) identified criteria for nursing to provide safe quality patient care, it became apparent the use of a traditional skills checklist was not an accurate measurement of competency.  This shifted the thought process from measuring skills to a more comprehensive approach including knowledge, skills and attitudes.  A review of the literature was completed and QSEN provided the framework for the competency assessment model. In 2011, the basic competency assessment tool utilizing the six Institute of Medicine (IOM) criteria was developed.  The new competency assessment tool included sections for learner self-assessment, method of instruction and validation of competency. This became the basic nursing competency assessment for all newly hired nurses.  Phase two was the development of what is now a three tiered comprehensive competency assessment process that includes knowledge, skills and attitudes specific to patient populations.  A formative evaluation was conducted with preceptors and new hires, which identified a knowledge gap about QSEN, as well as utilization of the new competency assessment tool.  Phase three introduced the expansion of the competency tool to disciplines outside of nursing. Phase four was the creation of the sustainability process including a three year revision cycle. The introduction of this innovative competency assessment process was a significant cultural change for the organization and presented many challenges including educational deficits.  Ongoing education continues on QSEN, defining competency, and standardizing criteria across all three competency tiers to build on strengths of this model. Over the past four years this competency assessment work has flourished from a basic nursing assessment tool into an inter-professional framework. This work will continue to expand as we explore new opportunities.en
dc.subjectcompetencyen
dc.subjectclinical practiceen
dc.subjectevaluationen
dc.date.available2016-03-21T16:28:48Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:28:48Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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