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