Quality and Safety in Nursing

Drawing on the universal values in health care, the second edition of Quality and Safety in Nursing continues to devote itself to the nursing community and explores their role in improving quality of care and patient safety.

Edited by key members of the Quality and Safety Education for Nursing (QSEN) steering team, Quality and Safety in Nursing is divided into three sections. Itfirst looks at the national initiative for quality and safety and links it to its origins in the IOM report. The second section defines each of the six QSEN competencies as well as providing teaching and clinical application strategies, resources and current references. The final section now features redesigned chapters on implementing quality and safety across settings.

New to this edition includes:

• Instructional and practice approaches including narrative pedagogy and integrating the competencies in simulation
• A new chapter exploring the application of clinical learning and the critical nature of inter-professional teamwork
• A revised chapter on the mirror of education and practice to better understand teaching approaches

This ground-breaking unique text addresses the challenges of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the health care system in which they practice.

About the Editors

Gwen Sherwood is Professor and Associate Dean for Practice and Global Initiatives, School of Nursing at the University of North Carolina, Chapel Hill, USA.

Jane Barnsteiner is Professor Emerita, School of Nursing at the University of Pennsylvania, and Editor of Translational Research and Quality Improvement at the American Journal of Nursing, USA.

Contributors ix

Foreword xi

Preface xv

Section 1 Quality and Safety: An Overview 1

1 Driving Forces for Quality and Safety: Changing Mindsets to Improve Health Care 3
Gwen Sherwood, PhD, RN, FAAN, ANEF

2 Policy Implications Driving National Quality and Safety Initiatives 21
Mary Jean Schumann, DNP, MBA, RN, CPNP, FAAN

3 A National Initiative: Quality and Safety Education for Nurses 43
Linda R. Cronenwett, PhD, RN, FAAN and Jane Barnsteiner, PhD, RN, FAAN

Section 2 Quality and Safety Competencies: The Quality and Safety Education for Nurses Project 59

4 Patient‐centered Care 61
Mary K. Walton, MSN, MBE, RN and Jane Barnsteiner, PhD, RN, FAAN

5 Teamwork and Collaboration 85
Joanne Disch, PhD, RN, FAAN

6 Quality Improvement 109
Jean Johnson, PhD, RN, FAAN

7 Evidence‐based Practice 131
Mary Fran Tracy, PhD, RN, APRN, CNS, FAAN and Jane Barnsteiner, PhD, RN, FAAN

8 Safety 153
Jane Barnsteiner, PhD, RN, FAAN

9 Informatics 173
Thomas R. Clancy, MBA, PhD, RN, FAAN and Judith J. Warren, PhD, RN, BC, FAAN, FACMI

Section 3 Strategies to Build a Culture of Quality and Safety 197

10 Transforming Education to Transform Practice: Integrating Quality and Safety in Subject‐centered Classrooms using Unfolding Case Studies 199
Lisa Day, PhD, RN, CNE and Gwen Sherwood, PhD, RN, FAAN, ANEF

11 Using Narrative Pedagogy to Foster Quality and Safety 221
Pamela M. Ironside, PhD, RN, FAAN, ANEF, Elizabeth Cerbie Brown, MSN, RN and Amy Hagedorn Wonder, PhD, RN

12 Integrating Quality and Safety Competencies in Simulation 233
Kathryn R. Alden, EdD, MSN, RN, IBCLC and Carol F. Durham, EdD, RN, ANEF, FAAN

13 Quality and Safety Education in Clinical Learning Environments 253
Lisa Day, PhD, RN, CNE and Gwen Sherwood, PhD, RN, FAAN, ANEF

14 Interprofessional Approaches to Quality and Safety Education 265
Mary A. Dolansky, PhD, RN, FAAN, Ellen Luebbers, MD, Mamta Singh, MD, MS and Shirley M. Moore, PhD, RN, FAAN

15 Improving Quality and Safety with Transition‐to‐Practice Programs 281
Nancy Spector, PhD, RN, FAAN, Beth T. Ulrich, EdD, RN, FACHE, FAAN and Jane Barnsteiner, PhD, RN, FAAN

16 Leadership to Create Change 301
Joanne Disch, PhD, RN, FAAN

17 Global Perspectives on Quality and Safety 315
Gwen Sherwood, PhD, RN, FAAN, ANEF

Appendix A Prelicensure Competencies 331

Appendix B Quality and Safety Education for Nurses Graduate/Advanced Practice Nursing Competencies 339

Appendix C Quality and Safety Education for Nurses: Results of a National Delphi Study to Developmentally Level KSAs 347

Glossary 357

Index 371

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