What does QSEN stand for?

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Maslow's definition of self-actualization?

The need to be the best one can morally, creatively, spontaneity, problem solving, lack of prejudice, acceptance of facts.

Why is QSEN important in nursing?

The purpose of quality and safety for nurses (QSEN) is for nursing graduates to have the intelligence and ability to consistently enhance the quality and safety of the environment in their workplace.

What is autonomy?

The state of being independent and self-directed without outside control. The right to make one's own decisions.

•Therapy

Therapy - Focuses on the treatment

•BRONCH

broncus (part of the respiratory system)

CXR

chest x-ray

•THROMB

clot (cardiovascular system, lymphatic system)

ISM

condition of

C&S

culture and sensitivity

-otomy

cutting into

What is nonmaleficence?

duty to do no harm

HYPER

excessive

tachy

fast, rapid

QUAD

four

gastrostomy tube

HEMI

half

•CARD

heart

ITIS

inflammation

•ENTER

intestine (gastrological system)

intravenous

IVF

intravenous fluids

IVPB

intravenous piggyback

IVP

intravenous push

•ATHR

joint

•NEPHR, NEPHRO

kidneys (urinary tract and endocrine system)

MACRO

large

•HEPAT, HEPATIC

liver

POLY

many

•MY

muscle (muscular system)

•OX

oxygen (respiratory system)

pelgia

paralysis

PLT

platelets

-logist

practitioner of

•DERMA

skin

brady-

slow

MICRO

small

•GASTR

stomach (gastrological system)

-ology

study of

•GLYC

sugar (glycemic)

surgery

-ectomy

surgical removal

-plasty

surgical repair

TRI

three

-scopy

to look at with a scope

two

•VEN

• VEN - vein, venous (cardiovascular system) •

Qualitative Data

(Qualitative think quality) Investigates a question through narrative data from interviews, storytelling, and description of observation to provide a better understanding of the patient's perspective.

Quantitative Research

(Quantitative think quantity) Uses precise measurements for data collection and employs statistical analysis to provide specific and objective data about a topic.

DMAIC system

* Define • Measure • Analyze • Improve • Control

What is an explanation?

**To show the logical development or relationships of. To make plain or understandable. to give the reason for or cause of. What information have I got to justify/substantiate my understanding of what is happening here? Have I examined/considered this thoroughly? Gathered/reviewed all evidence? Considered all concepts? Reviewed all methodologies? Given adequate contextual considerations?

What is the 3rd step of EBP?

*Acquire the evidence *Select the appropriate resources and conduct a search

What is the 2nd step of EBP?

*Ask the question *Construct a well-built clinical question derived from the case.

What is the 1st step of EBP?

*Assess the patient *Start with the patient, a clinical problem or the patient question arises from the care of the patient.

What are the 3 parts of evidenced based practice?

*Best research evidence *Clinical expertise *Patient values and preferences

What is analysis?

*Examine, Organize, Validate, Categorize, Prioritize *A detailed examination of anything complex in order to understand its nature or to determine its essential features: a thorough study. doing a careful analysis of the problem.

Case Series

Also known as a clinical series, is a type of medical research study that tracks subjects with known exposure, such as patients who have received similar TX, or examines their medical records for exposure and outcome.

How doe QSEN research expand the knowledge that health professionals utilize to improve nursing practice?

*Identify gaps between local and best practice. *Value, measurement and its role in good patient care *Describes approach for changing processes of care *Recognizing that nursing and in other health professions, students are part of systems of care and care processes that affect outcomes for patients and families. *Use quality measures to understand performance *Seek information about quality improvement projects in the care setting *Appreciate that continuous quality improvement is an essential part of the daily work of all health professionals. *Use tools such as flow charts and cause effect diagrams to make processes of care explicit. *Recognize that nursing and other health professional students are parts of systems of care and care processes that effect outcomes for patients and families.

What is interpretation?

*Recognize, Understand, Describe The act or the result of interpreting

What is the 5th step in EBP?

*Return to the patient. *Integrate that evidence with clinical expertise, patient preferences, and apply it to practice. *Apply talk with the patient

What areas should nurses focus on for safety?

*Safe medication administration *Falls precautions *Hob elevated *Call lights in reach *Beds low/Locked *Room free of clutter *Check armbands *Verify patient information *HIPPA *No extension cords *Clean up spills on floor *Be aware of surroundings/hazards *Stranger Danger!!!!! *See something/say something *Beware of angry visitors *Double check order *Read back orders *Ask questions *Report issues/errors/mistakes *Be mindful at all times *Only using engineering approved equipment *No smoking

What are the 3 components of QSEN?

*Skills-Demonstrates strategies that reduce risk of harm to self and others. Communicate concerns related to PT safety. Use national PT safety goals in care settings. *Knowledge- Examine human and organizational practices that lead to unsafe practices. Describe benefits and limitations of safety goals, initiatives, and regulations. *Attitude-Value your own role in preventing errors. Value monitoring needs. Value a relationship by way of national safety goals and practice settings.

What is the objective of collaborative care?

*The objective is to.....Provide high quality client care and client satisfaction. *Care becomes patient centered and patient directed (with patient input!) Improve client outcomes *Avoid duplication of efforts

What is Informatics?

*The use of information and technology to communicate, manage knowledge, mitigate errors, and support decision making. *Electronic medical records help assist nurses to gather and share needed information. *Bedside computer charting and barcodes prevent errors and assist in keeping information up to date and real in time.

•URETER - Urether (urinary tract system)

- Urether (urinary tract system)

•URETHR - Urethra (urinary tract system)

- Urethra (urinary tract system)

•PNEUM

- air, lung (respiratory system)

•PECTOR

- chest (respiratory system, cardiac, cardiovascular system)

•REN, RENAL

- kidney (urinary tract)

•PULMON - lung (respiratory system)

- lung (respiratory system)

NEUR, NEURO

- nerves (nervous system)

•MYEL

- spinal cord (nervous system)

What is Evaluation?

-Determination of the value, nature, character, or quality of something or someone. ****Ask yourself......Is this information (aka evidence) Credible? Relevant? Significant? Have value? Applicable to this situation?

What are critical thinking components?

1. Experience 2. Problem solving 3. Knowledge application 4. Clinical Decision Making

The Joint Commission's "Do not use medical abbreviations list"

Do not use U-Write UNIT Do Not use IU-Write INTERNATIONAL UNIT Do not not use-QD-Every day Do not use-QOD-Every other day Do not use a trailing zero/ Lack of a leading zero Do not use MS-write Morphine Sulfate Do not use MgSo4-Write Magnesium Sulfate

What are the 6 competencies of QSEN?

1. Patient-centered care-recognizing the PT is in full control of the care. Respect PT's needs, beliefs, and values. 2. Teamwork and collaboration-Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision making to achieve quality patient care. 3. Evidence-based practice-Clinical decision making that integrates the best available research with clinical expertise and patient characteristics and preferences. 4. Quality improvement-Uses outcome data to monitor the outcomes of care processes and uses improvement methods to design and test changes to continuously improve the quality and safety of health care systems. 5. Safety-Minimizes risk of harm to patients and providers through both system effectiveness and individual performance. 6. Informatics-The use of information and technology to communicate, manage knowledge, mitigate errors, and support decision making.

QID

4 times a day

-pathy

: disease or disorder

Variable

A factor that can change in an experiment

What is Holistic Care?

A health care that takes into account the whole person interacting in the environment.

Medical vs. Nursing Diagnosis

A nursing diagnosis is a clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. A nursing diagnosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability. A medical diagnosis is the identification of a disease process or condition based on an evaluation of physical signs, symptoms, history and diagnostic tests and procedures. Physicians and certified advanced practice nurses make medical diagnosis, not RN's.

Case Study

A process of record of research in which detailed consideration is given to the development of a particular person, group, or situation over a period of time.

Short term Vs. long Term Nursing Goals

A short-term goal is an objective behavior or response that you expect a client to achieve in a short time. (EX.end of shift)A FEW HOURS/A FEW DAYS A long-term goal is an objective behavior or response that you expect a client to achieve over a longer period. LONGER THAN A WEEK

Cross sectional study

A study in which a representative cross section of the population is tested or surveyed at one specific time.

What is the 4th step of EBP?

Appraise the evidence for its validity, closeness to the truth, and applicability or usefulness in clinical practice.

What is the nursing process?

Assessment Diagnosis Planning Implementation Evaluation

At bedtime, hour of sleep

What is opinion?

Beliefs formed over time; may include judgments that may fit facts or be in error. EX: Nursing intervention can assist in maintaining the clients blood pressure within normal limits.

•OSTE-

Bone (skeletal system)

What is Maslow's definition of Physiological need?

Breathing, food, water, sex, sleep, homeostasis, excretion

What is the definition of a fact and be able to identify in a scenario.

Can be verified through investigation. A thing that is known or proved to be true. EX.-Blood pressure is affected by blood volume.

What is an inference?

Conclusion drawn from facts; going beyond facts to make a statement about something not currently known. The act of passing from statistical sample data to generalizations. EX: If blood volume is decreased (In hemorrhage shock), The blood pressure will drop. EX:Based on the evidence provided, what do I believe is the situation? Is this a concrete understanding (conclusion) or a thought/idea/hunch (hypothesis)? Am I missing something? (information, evidence, answers)? What does this information mean?

What is Evidence based practice?

EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. *The evidence alone does not make a decision for you, however, it can help support the patient care process. *Evidenced Based Practice require skills of the health care professional, including effective literature searching and the use of formal rules of evidence in evaluating the literature.

What is a judgment?

Evaluation of facts or information that reflect values or other criteria; a type of opinion. The ability to make considered decisions or come to sensible conclusions. EX. It is harmful to the client's health if the blood pressure drops too low.

•According to Sigma Theta Tau

Evidence-based nursing is "an integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families and communities who are served" 2.Who or what is Sigma Theta Tau?? •The Honor Society of Nursing, Sigma Theta Tau International •2nd largest nursing organization worldwide and has a worldwide membership •The founders' vision for the new honorary society was to advance the nursing profession as a science, support nursing scholarship, and to recognize nursing leaders.

What is veracity?

Facts, accuracy, and telling the truth and expecting it of others (trustfulness; integrity, determination)

What is justice?

Fairness, impartiality, equal treatment, fighting for what is right

What is Fidelity?

Faithful to the promises you made as a professional to provide competent care

Maslow's defintion of love and belonging?

Friendship, family, sexual intimacy

What are goals Vs. objectives?

Goals are general guidelines that explain what you want to achieve in your community. ... Objectives define strategies or implementation steps to attain the identified goals. Unlike goals, objectives are specific, measurable, and have a defined completion date.Some management academics would say that the difference between goals and objectives is that a goal is a description of a destination, and an objective is a measure of the progress that is needed to get to the destination. In this context goals are the long term outcomes you (or the organization) want/ need to achieve.Sep 29, 2011

Experimental studies

Includes interventions such as educational, TX's and support. Randomization (Random Selection or Assignment) Control Manipulation

1.Institute of Medicine-what did they say about health care systems

Institute of Medicine (IOM) report To Err Is Human: Building a Safer Health System Errors account for 98,000 deaths in hospitals each year IOM follow-up report Crossing the Quality Chasm Current healthcare system fragmented and poorly organized Six aims from Institute of Medicine (IOM) Healthcare system should be Safe Effective Patient-centered Timely Efficient Equitable -fair/Just

Maslow's definition of self esteem?

Liking and respecting yourself, feeling important and useful. Self esteem, confidence, achievement, Respect of other, respect by others.

Non-experimental research

No interventions/Descriptive studies are observational, exploratory, survey, case controlled, cohort, and correlation

Who are collaborative members of the health care system?

Nurse, UAP or CNA, Case manager, Dentist, Dietitian, IT Expert, Nurse Practitioner (NP), Physical therapist, Occupational therapists, Speech therapist, Paramedic technologist, Pharmacist, Physician, Physician Assistant, Respiratory therapist, Social worker.

•OXY

Oxygen•(cardiac, cardiovascular system)

ous, -ic, -ac

Pertaining to (about)

What is teamwork and collaboration?

The delivery of client care in partnership with multidisciplinary members of the health care team to achieve continuity of care and positive client outcomes.

What are Maslow's hierarchy of needs?

Psychological needs-Breathing, food, water, sex, sleep, homeostasis, excretion Safety and security needs-Security of body, employment, resources, morality, family, health and property, protection. Love and Belonging-The need to love and be loved, to belong and be accepted; need to avoid loneliness and separation. Friendship, family, and sexual intimacy. Self-esteem needs-Liking and respecting yourself, feeling important and useful. Self esteem, confidence, achievement, Respect of other, respect by others. Self-actualization-The need to be the best one can morally, creatively, spontaneity, problem solving, lack of prejudice, acceptance of facts.

What are quality improvement standards?

QSEN standards for Quality Improvement give health care professionals a rule of measurement against which we can judge our acquirement of knowledge and how we choose to put that knowledge to use . A continuous process of self review with the purpose of identifying and correcting aspects of the system that require improvement.