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Strategy Submission

Creating a Climate of Safety in the Clinical Setting


JoAnn Mulready-Shick



Undergraduate Program Director



College of Nursing and Health Sciences University of Massachusetts Boston


Competency Categories:

Evidence-Based Practice, Patient-Centered Care, Safety, Teamwork and Collaboration

Learner Level(s):

Continuing Education

Learner Setting(s):

Clinical Setting

Strategy Type:

Online or Web-based Modules

Learning Objectives:

Professional Development Learning Objectives for new Parttime Clinical or Lab Faculty

Examine a guide for reflection and questioning for use in a setting (clinical or lab) for student learning. Utilize Tanner’s model for clinical judgment in nursing for reflection and questioning. Apply evidence-based teaching practices to a clinical scenario.

related QSEN KSA (Evidence Based Practices, Safety, Pt Centered Care Case Scenario- Spiritual Care QSEN Competency- Patient Centered Care Integrate understanding of multiple dimensions of patient-centered care:patient/family/community preferences, values; information, communication, and education; involvement of family; provide patient-centered care with sensitivity and respect for the diversity of human experience; respect and encourage individual expression of patient values, preferences and expressed needs Case Scenario- Medication Error QSEN Competency- Safety Delineate general categories of errors and hazards in care; describe and demonstrate use of open communication strategies that create a culture of safety; value own role in preventing medication errors through open communication strategies

Strategy Overview:

Provide a three hour faculty development session for part-time clinical faculty (and lab faculty) who are clinical experts but novices to clinical instruction and teaching strategies which promote the practice of questioning for reflection. Title: Creating a Climate of Safety: Enhancing Clinical Judgment Development and Communication
Distribute and discuss Tanner's Model of Clinical Judgment Development (Journal of Nursing Education 2006 vol 45) and Guide for Reflection and Questioning (Nielsen, Stragnell, and Jester article Journal of Nursing Education 2007 vol 46) with permission. Discuss how learning reflection and questioning skills (noticing, interpreting, responding, and reflecting related to QSEN competency development.
In small groups, apply reflection and questioning strategies with an Evidence Based Practices for Teaching Strategies- the University of Portlane OR, Case Scenarios CD-ROM (med. error, spiritual care, EBP teaching strategies) Order via Clinical Faculty Development Scenarios & Teaching Guide Order Form on website Go to News and Events to July 2007 symposium

Submitted Materials:

Additional Materials:

Evaluation Description:

Evaluation form for evaluating learning objectives and providing Continuing Education Units/contact hours included as an attachment.
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