Quality and safety in nursing: a competency approach to improving outcomes (paperback)
A Competency Approach to Improving Outcomes

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 four 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. The final section of the book looks toward the future of public policy and global initiatives in improving health care outcomes.

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 to Improve Health Care 3
Gwen Sherwood

2 Policy Implications Driving National Quality and Safety Initiatives 23
Mary Jean Schumann

3 A National Initiative: Quality and Safety Education for Nurses (QSEN) 49
Linda R. Cronenwett

SECTION 2: QUALITY AND SAFETY COMPETENCIES: THE QSEN PROJECT 65

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 AND SAFETY 189

10 The Imperative to Transform Education to Transform Practice 191
Gwen Sherwood

11 Narrative Teaching Strategies to Foster Quality and Safety 211
Pamela M. Ironside and Elizabeth Cerbie

12 Integrating Quality and Safety Competencies in Simulation 227
Carol F. Durham and Kathryn R. Alden

13 Interprofessional Approaches to Quality and Safety Education 251
Shirley M. Moore, Mary A. Dolansky and Mamta K. Singh

14 New Graduate Transition into Practice: Improving Quality and Safety 267
Nancy Spector, Beth T. Ulrich and Jane Barnsteiner

15 Leadership to Create Change 289
Joanne Disch

16 Creating Cultures of Excellence: Transforming Organizations 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