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Margaret A. Wheatley, PhD, RN
Incorporating QSEN Competencies into the
Psychiatric Mental Health Nursing
Evaluation
June 3, 2010
BACKGROUND
Departmental Initiative
Recognition of PMHN* Student’s Needs
Course Coordinator’s Responsibility
*Psychiatric Mental Health Nursing
PURPOSE
To ensure the student’s clinical performance is measured by an evaluation that contains QSEN* competencies within PMHN behavioral parameters.
*http://www.qsen.org/
METHODS
Awarded FPB Internal GrantPMHN_QSEN WorkshopParticipantsContentSummary of QSEN CompetenciesQuality & Safety Issues in the
CommunityBlend PMHN Behaviors with QSENCompetencies*
BEHAVIORS VERSUS COMPETENCIES
BEHAVIORS
• Nursing Process
• Knowledge Application
• Safety and Standards
• Therapeutic Communications
• Professional Attitudes and Behaviors
COMPETENCIES
• Patient-Centered Care
• Teamwork/Collaboration
• Evidence-based Practice
• Quality Improvement
• Safety
• Informatics
Outcome Integrate Evaluation Behaviors & QSEN Competencies
STEPS OF INTEGRATION1. Each Instructor suggested what was missing in
evaluation related to one’s assigned QSEN competency
2. All discussed those missing QSEN competencies3. Two groups (3 Competencies each) discussed
how to integrate the missing QSEN competencies4. All agreed on how to integrate the missing QSEN
competencies into the PMHN evaluation5. New evaluation was given a final review before
implementation in Spring 2010
ANALYSIS
EVALUATION OF SKILLS
10
23
35
312 Nursing Process
Safety/Standards
Knowledge Application
Communications
Professionalism
None
n = 57 Students
IMPROVEMENT OF TOOL
28
93
4
48
n = 57 Students
Unanswered
Don't Know Tool
Give More Feedback
Needs None
Emphasis on Staff Feedback
Can't Say
WHAT DOES QSEN MEAN?
10
40
5
33
12 7
n = 57 Students
Q
S
E
Didn't know
"Not A Clue"
Wild Guesses
No Answer
TALKED WITH STUDENTS ABOUT QSEN
49
5
0
3
n = 57 Students
No
This course
Other Courses
No Answer
QUALITY IMPROVEMENT PROJECTS
43
7
7
n = 57 Students
No
Yes (see bullets below)
No Answer
•Standardized Assessment•Sharps Control•Improving Patient Interaction•Improving Medication Compliance•Better communication between patient and nurse•Taking the patients outside•Improvement of care of LGBT Patients
EVALUATION OF SKILLS
3
3
22
3
1 Nursing Process
Safety/Standards
Knowledge Application
Communications
Professionalism
Skills (deleted)
n = 4 Instructors
IMPROVEMENT OF TOOL
1
11
1
n = 4 Instructors
Unanswered
Sufficient
Not discriminatory enough
Too many expectations
WHAT DOES QSEN MEAN?
1
2
1
n = 4 Instructors
All Correct
Q & S
No Answer
TALKED WITH STUDENTS ABOUT QSEN
2
1
1
n = 4 Instructors
Safety
Too vague to quantify
No
QUALITY IMPROVEMENT PROJECTS
1
1
2
n = 4 Instructors
Seclusion/Restraints
Handwashing
No
CONCLUSION
We’ve got a lot of work to do
NEXT PHASE
Clinical Faculty Education RetreatDidactic Integration of QSENReview evaluation tool with students
2-3 times over semesterAdd self evaluation tool for student Application to clinical practice
Q & A
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