Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 36
Education: The Bridge to Quality
ОглавлениеThe 2003 IOM report citing health professions education as the bridge to quality (IOM, 2003) ignited significant transformation across all areas of health professions education to prepare graduates in the knowledge, skills, and attitudes (KSA) for six competencies that would enable health care system improvement (Murray et al., 2020). The goal of the competencies is to enable health professionals to deliver patient‐centered care, work as part of interdisciplinary teams, practice evidence‐based health care, implement QI measures and strategies, and use information technology (Greiner and Knebel, 2003). Nursing, however, has been the only profession to establish a comprehensive framework to integrate the six competencies across all educational programs through the QSEN project funded by the Robert Wood Johnson Foundation (Cronenwett et al., 2007; Cronenwett et al., 2009): patient‐centered care, teamwork and collaboration, evidence‐based practice, quality improvement, safety, and informatics.
Table 1.1 Themes Defining Safer Together: A National Safety Plan
| Theme | Attributes |
|---|---|
| Culture, Leadership, and Governance | Leveraging health care leadership and governance to commit to safety as a core value and drive creation of strong organizational cultures is a pillar for improving safety and quality. These are key drivers in hospital quality indicators hardwired across the system (Breyer et al., 2019; Brooks Carthon et al., 2019). |
| Patient and Family Engagement | The goal to commit to fully engaging patients, families, and care partners in all aspects of care at all levels is a priority of twenty‐first‐century health care. Patient and family engagement are key to improving health care outcomes by helping them become active in their care to share in decision‐making (Hatlie et al., 2020). |
| Workforce Safety | Workforce safety is listed separately from patient safety to separate management strategies. Commitment to workforce wellness protects physical, psychological, and emotional safety and builds supportive structures for worker health. |
| Learning Systems | The goal of the learning system recommendations is building commitment to continuous learning in an integrated learning system within organizations by creating and strengthening informatics, transparency, reliability, and network sharing. Organizational learning is the way for hospitals to measure outcomes, reflect on the results, and design purposeful high‐quality patient care within a complex, dynamic health care environment (Lyman, Gunn, and Mendon, 2020). |
