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Expanding Focus

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The QSEN work under the leadership of Mary Dolansky has expanded from an essentially educational focus to one that seeks to improve the quality and safety of care by promoting stronger academic–practice partnerships. The expanded network includes nurses from academia and practice, other health care professionals, nursing professional organizations (American Nurses Association [ANA], Association of Operating Room Nurses [AORN], American Nurses Credentialing Center, National Council of State Boards of Nursing [NCSBN], AACN, Association of Nurse Executives [AONE]), and interprofessional organizations (IHI, American Association of Medical Colleges [AAMC], and VA).

These networks are enabling clinicians to apply the latest evidence and best practices. One example is the QSEN partnership with ANA. A QSEN pre‐conference, QSEN Quality Competencies: Connecting Academic and Nursing Practice, was held at the 2016 annual ANA staffing conference and also at the 2015 AONE. Examples of application in clinical settings include the use of the QSEN framework for orientation at the Children’s Hospital of Denver, the University of Pennsylvania Health System, the University of Alabama Birmingham hospital, and the ProMedica Health System. The University of Pennsylvania Health System and Denver Children’s Hospital are also using the QSEN framework for their clinical advancement programs.

Numerous statewide initiatives have been developed. Two examples are the Florida Statewide Initiative Integrating QSEN through Academic/Clinical Partnerships to Improve Health Outcomes; and the Michigan Academic Practice Partnership. In Ohio, Dr. Dolansky worked with the Ohio Organization of Nurse Executives to develop a white paper calling for the QSEN framework to be used in all nursing education programs and in the practice arena. In the Michigan example, former Dean Mary Mundt worked with deans and chief nursing executives to foster academic–clinical partnerships based on the QSEN competencies.

The direction is also spreading from a largely nursing focus to an interprofessional one that is influencing how all health professions’ students are improving quality and safety together. Successful examples include the collaborative partnership among health professions’ schools, IPEC, which was spearheaded by the AACN to offer annual quality and safety workshops to develop interprofessional academic/clinical teams doing safety and quality improvement work. The VAQS Fellowship Program brings together researchers to work together through interprofessional learning and scholarly inquiry about quality and safety.

The work of QSEN has also moved into the international arena. In addition to numerous international publications, partnerships have been developed between the QSEN Institute and the Swedish Society of Nursing and collaborators in Canada, Japan, and China. QSEN experts have been working with colleagues in Sweden, Saudi Arabia, Spain, the United Kingdom, Finland, Japan, France, China, and Thailand. These partnerships are assisting faculty and clinicians in countries other than the United States to learn the competencies and integrate them into nursing education and practice.

Moving forward there is a need to continue to stay focused on QSEN’s purpose; that is, ensuring that nurses and other health care professionals have the requisite knowledge to provide the highest‐quality, safest care by delivering person‐ and family‐centered care as members of an interprofessional team, emphasizing evidence‐based practice, safety, quality improvement approaches, and informatics.

Quality and Safety in Nursing

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