Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 109

As I write this update for the third edition, the planet is in the throes of the COVID‐19 pandemic, while the United States is also grappling with how to come to terms with systemic racism that touches every area of health care. Both cataclysmic events have significantly affected the incorporation of the six QSEN competencies into education and practice. How do health care professionals deliver person/family‐centered care when people are quarantined at home, and hospitals and long‐term care facilities are closed to family members? How do health care providers stay current with the latest evidence for a virus that is not fully understood and for which new interventions are being trialed daily; a form of building the bridge as we walk on it? How do front‐line providers practice safety for themselves and their patients in the face of insufficient personal protective equipment, intensive care unit beds, and ventilators? What are the barriers to and outcomes from the significant use of telehealth? How are big data being used as an informatics lever to understand the COVID‐19 virus and assess progress during the pandemic? And how do we continue quality improvement and measuring the outcomes of our work even as nurses and other health professionals are stretched to the limits? How do health care providers begin to recognize implicit biases and recognize the disparities in health care? How do we provide equitable health care to populations that have been historically marginalized? These are but a few of the challenges we face as we attempt to educate nurses and other health care providers to deliver high‐quality, safe care to individuals and their families.

In spite of these challenging circumstances, nurses were often reported as leaders in redesigning care to accommodate people with COVID‐19. Safety and quality became even more important in this crisis time, with daily leadership rounds to touch base, modeling teamwork and collaboration outside silos and hierarchies, leading evidence‐based practice synthesis panels, and demonstrating patient‐centered care despite widespread no‐visitors policies.