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Care Bundles, QSEN, and Student Learning.

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T heQuality andSafetyEducation forNurses (QSEN) competencies mirror the Institute of Medicine competencies, established in 2003. While many view QSEN as an initiative of prelicensure or graduate nursing education, the QSEN… Click to show full abstract

T heQuality andSafetyEducation forNurses (QSEN) competencies mirror the Institute of Medicine competencies, established in 2003. While many view QSEN as an initiative of prelicensure or graduate nursing education, the QSEN competencies are actually concepts applicable to all nurses whether a seasoned professional or beginning student. The knowledge, skills, and attitude (KSA) elements clarify interpretations of how each competency is met. Students and nurses meet the competencies with varying degrees of expertise as they progress in their professional development. Just as one's understanding of cultural competence continually evolves, the same could be said of quality and safety competencies—there is always room for growth and evolution of their application to patient care. The value is the clear and focused framework the QSEN competencies provide for quality and safety education that begins during prelicensure education and continues with the lifelong learning mandated by the nursing profession. Nurseeducatorssupport thesuccessful transitionofstudents fromtheacademicsettingtotheworkenvironmentby aligning quality and safety requisites in coursework with quality and safety initiatives in practice. One priority for educators should be the implementation of care bundles as a measure to protect patients from hospital-acquired injury or infection. Care bundles have been around for more than a decade, but there is little evidence in the literature that they are included in prelicensure nursing education. The concept was developed bymultidisciplinary teams from the Institute for Healthcare Improvement (IHI) in 2001 as a quality improvement initiative. Basically, a care bundle is a set of 3 to 5 evidence-based practices that when performed together have been proven to improve patient outcomes. Examples include bundles for prevention of central line–associated bloodstream infection (CLABSI), catheter-associated urinary tract infection (CAUTI), methicillin-resistant Staphylococcus aureus (MRSA), ventilator-associated pneumonia (VAP),

Keywords: care; quality safety; student; care bundles; education

Journal Title: Nurse Educator
Year Published: 2019

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