QSEN Core Competencies: Application
1:
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...
her feverish sucking of a washcloth. I would have promptly called for assistance the moment her eyes rolled back. I would have been aware of my own limitations and those of others working towards Josie’s wellbeing and sought to initiate and sustain better team effort.
Evidence-based practice, amongst other things, calls for the summarization of “current evidence regarding major diagnostic and treatment actions within the practice specialty…” and determination of gaps that exist (QSEN Institute, 2017). In Josie’s case, there was no assessment of the child past the vitals and there was also failure to address the concerns of the mother. There is already solid-research demonstrating the relevance of wholesome patient examination and the need to involve caregivers in every stage of treatment. In one such study, it was found that “because children are dependent on their caregivers, their care must be approved by parents or surrogates during all encounters” (Hughes, 2008). I would have been more attentive to all the issues raised by the Josie’s mother, and crosschecked her claims and concerns more actively.
Informatics has got to do with the utilization of information as well as technology not only in communication, but also in the management of…
Application and Integration of AACN Synergy Care Model In Clinical Practice Application and Integration of AACN Synergy Care model in Clinical Practice Objective of this paper is to discuss the integration and application of AACN Synergy Care model in Clinical Practice. The paper discusses the background of the model, philosophical underpinning the model is based and strategic knowledge used to formulate the model to enhance greater understanding on the application of the model
Nursing Informatics NEW COMPETENCIES Nursing informatics or NI is a field specialty that blends and integrates the nursing, computer and information sciences in managing and transferring information and insights in nursing (Anderson, 2008; Coleman et al., 2010). It is aimed at assisting in the decision-making function of patients, nurses and other participants in patient care through information structures, processes and technology. Nurses who integrate this specialty into their regular practice are called
Nursing Concept Theoretical Background One of the complexities of 21st century medicine is the evolution of nursing care theories in combination with a changing need and expectation of the stakeholder population. Nurses must be advocates and communicators, but must balance these along with an overall philosophy of ethics while still remaining mindful of budgets and the need for the medical institution to be profitable. It seems as if these issues comprise a