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Quality and Safety in Nursing

A Competency Approach to Improving Outcomes
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Quality and Safety in Nursing: A Competency Approach to Improving Outcomes is the first comprehensive text of its kind devoted to the nursing community's role in improving quality of care and patient safety. Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, the book brings together information from various loci and expertly situates it within the continuum of nursing education and practice. Quality and Safety in Nursing is divided into three sections. The first section links the national initiative for quality and safety to its origins in the IOM report. Section Two defines each of the six QSEN competencies in turn, provides instruction on acquiring the skills needed to achieve each competency, and constructs a framework for implementation. Section Three further defines implementation strategies in formal education as well as transition into practice. A key resource for academics and clinicians alike, Quality and Safety in Nursing is an essential addition to the library of nurse leaders across the globe.
Quality and Safety in Nursing: A Competency Approach to Improving Outcomes is the first comprehensive text of its kind devoted to the nursing community's role in improving quality of care and patient safety. Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, the book brings together information from various loci and expertly situates it within the continuum of nursing education and practice.Quality and Safety in Nursing is divided into three sections. The first section links the national initiative for quality and safety to its origins in the IOM report. Section Two defines each of the six QSEN competencies in turn, provides instruction on acquiring the skills needed to achieve each competency, and constructs a framework for implementation. Section Three further defines implementation strategies in formal education as well as transition into practice.
A key resource for academics and clinicians alike, Quality and Safety in Nursing is an essential addition to the library of nurse leaders across the globe.
Contributors vii
Foreword xi
Paul Batalden
Preface xv
Acknowledgements xvii
SECTION 1: QUALITY AND SAFETY: AN OVERVIEW 1
1 Driving Forces for Quality and Safety: Changing Mindsets toImprove Health Care 3
Gwen Sherwood
2 Policy Implications Driving National Quality and SafetyInitiatives 23
Mary Jean Schumann
3 A National Initiative: Quality and Safety Education forNurses (QSEN) 49
Linda R. Cronenwett
SECTION 2: QUALITY AND SAFETY COMPETENCIES: THE QSEN PROJECT65
4 Patient-Centered Care 67
Mary K. Walton and Jane Barnsteiner
5 Teamwork and Collaboration 91
Joanne Disch
6 Quality Improvement 113
Jean Johnson
7 Evidence-Based Practice 133
Mary Fran Tracy and Jane Barnsteiner
8 Safety 149
Jane Barnsteiner
9 Informatics 171
Judith J. Warren
SECTION 3: STRATEGIES TO BUILD A CULTURE OF QUALITY ANDSAFETY 189
10 The Imperative to Transform Education to TransformPractice 191
Gwen Sherwood
11 Narrative Teaching Strategies to Foster Quality and Safety211
Pamela M. Ironside and Elizabeth Cerbie
12 Integrating Quality and Safety Competencies in Simulation227
Carol F. Durham and Kathryn R. Alden
13 Interprofessional Approaches to Quality and SafetyEducation 251
Shirley M. Moore, Mary A. Dolansky and Mamta K.Singh
14 New Graduate Transition into Practice: Improving Qualityand Safety 267
Nancy Spector, Beth T. Ulrich and Jane Barnsteiner
15 Leadership to Create Change 289
Joanne Disch
16 Creating Cultures of Excellence: TransformingOrganizations 305
Pamela Klauer Triolo
17 Quality and Safety: Global Issues and Strategies 323
Gwen Sherwood
Appendixes 341
Appendix A: Prelicensure Competencies 341
Appendix B: Graduate Competencies 351
Appendix C: Delphi Study Results 363
Glossary 377
Index 397

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