QSEN Core Competencies: Application
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The story of Josie King is sad and very compelling. It reminds us of the relevance of our role when it comes to the improvement of outcomes in a healthcare setting. Despite having healed well, and due to be released from the hospital in a few weeks’ time, Josie died of severe dehydration and central line infection.
One of the QSEN competencies, patient-centered care, calls for the analysis of all the dimensions of patient centered care; with “involvement of family and friends” being one of the competency’s rallying calls (QSEN Institute, 2017). As one of the nurses attending to Josie, I should have taken the mother’s concerns more seriously – especially given that they were raised multiple times. Those who spend most time with the patient (i.e. family members) are able to notice even minuscule details regarding change of behavior. They must not be ignored.
Next, teamwork and collaboration calls for nurses to “function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care” (QSEN Institute, 2017). Teamwork was clearly lacking in the case of Josie. As a nurse caring for Josie, I would have discussed some of her behaviors with...
References
Hughes, R.G. (Ed.). (2008). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. New York, NY: Agency for Healthcare Research and Quality
Nicolle, L.E. (2001). Infection Control in Acute Care Facilities: Evidence-based Patient Safety. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2094816/
QSEN Institute. (2017). Graduate QSEN Competencies. Retrieved from http://qsen.org/competencies/graduate-ksas/#patient-centered_care
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