Quality and Safety in Nursing: A Competency Approach to Improving Outcomes

First published in 2012, Quality and Safety in Nursing was the first volume of its kind to explore the role of the nursing community in improving quality of care and patient safety. Now in its third edition, this comprehensive resource remains essential reading for all those involved in equipping current and future nurses with the knowledge, skills, and attitudes (KSAs) needed to deliver exceptional care.

The new edition begins with an overview of the Quality and Safety Education for Nurses (QSEN) initiative and its origins in the Future of Nursing report published in 2010, before defining each of the six QSEN competencies: patient-centered care, teamwork and collaboration, evidence based practice, quality improvement, safety and informatics. The content incorporates the 2020-2030 Future of Nursing recommendations, as well as the 2021 AACN Essentials for Education competencies. Finally, the text presents both teaching and clinical application strategies for building and implementing a culture of quality and safety across settings.

• Integrates QSEN competencies in simulation and provides new instructional and practice approaches
• Features redesigned chapters for reimagining classroom and clinical learning, applying reflective practices and transforming education and practice through inter-professional teamwork
• Provides new case studies and personal accounts highlighting key principles and their application in real-world scenarios
• Contains new and expanded material on assessment and evaluation, transition to practice, leadership and management, and primary, outpatient, and ambulatory care
• Offers a new discussion of future research directions and global perspectives on quality and safety

Quality and Safety in Nursing, Third Edition is required reading for graduate students in nursing education programs, faculty in nursing schools, nursing and healthcare educators, clinical nurse specialists, clinical administrators, and those working in professional development and quality improvement.

Gwen Sherwood, PhD, RN, FAAN, is Professor Emeritus at the University of North Carolina at Chapel Hill, NC, USA.

Jane Barnsteiner, PhD, RN, FAAN, is Professor Emeritus of Pediatric Nursing at the University of Pennsylvania School of Nursing, Philadelphia, PA, USA, and Editor of Translational Research and QI, American Journal of Nursing. 

Contributors

Foreword

Preface

Section 1 Quality and Safety: An Overview

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

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

3 A National Initiative: Quality and Safety Education for Nurses
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

4 Patient/Family‐Centered Care
Margo A. Halm, PhD, RN, NEA-BC and Jane Barnsteiner, PhD, RN, FAAN

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

6 Quality Improvement
Jean Johnson, PhD, RN, FAAN

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

8 Safety
Jane Barnsteiner, PhD, RN, FAAN

9 Informatics
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

10 Transforming Education to Transform Practice: Integrating Quality and Safety in Interactive Classrooms Using Unfolding Case Studies
Lisa Day, PhD, RN, CNE, ANEF, FAAN and Gwen Sherwood, PhD, RN, FAAN, ANEF

11 Reflective Practice: Using Narrative Pedagogy to Foster Quality and Safety
Gail Armstrong, PhD, DNP, ACNS-BC, CNE, Gwen Sherwood, PhD, RN, FAAN, ANEF, Pamela M. Ironside, PhD, RN, FAAN, ANEF, Elizabeth Cerbie Brown, MSN, RN and Amy Hagedorn Wonder, PhD, RN

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

13 Integrating Quality and Safety Competencies in Simulation
Jennifer T. Alderman, PhD, MSN, RN, CNL, CNE, CHSE and Carol F. Durham, EdD, RN, ANEF, FSSH, FAAN

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

15 Improving Quality and Safety with Transition‐to‐Practice Programs
Bethany Robertson, DNP, CNM, FNAP, Nancy Spector, PhD, RN, FAAN, Joan Kavanagh, PhD, RN, NEA-BC, Jane Barnsteiner, PhD, RN, FAAN, and Joanne Disch, PhD, RN, FAAN

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

Appendix A Prelicensure Competencies

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

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

Appendix D Simulation Development Template

Glossary

Index

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