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Strategy Submission

Focusing on QSEN competencies during high-fidelity simulation The role of the observers


Connie L. Miller



Assistant Professor


Dr. Louise LaFramboise


University of Nebraska Medical Center


Competency Categories:

Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s):

Pre-Licensure BSN

Learner Setting(s):

Clinical Setting

Strategy Type:

General Strategy

Learning Objectives:

  • Critique simulation for examples of QSEN KSAs
  • Communicate results of critique during debriefing displaying professional collegiality
  • Strategize interventions that would better meet QSEN KSAs
  • Discuss impact of QSEN KSAs on patient outcome

Strategy Overview:

Students enrolled in a complex adult health and illness course participate in a minimum of two high-fidelity simulations during their clinical rotations.  Each clinical group of 8-9 students rotates through the simulation with 4 actively participating in the simulation while the remaining 4-5 students function as observers.  The scenarios are based on: (1) patient on a cardiac floor who experiences chest pain with signs & symptoms of a myocardial infarction and (2) patient who experiences a spontaneous pneumothorax requiring chest tube insertion. Half of the observers are assigned to critique the performance of QSEN competencies.  Competencies to be identified are patient-centered care, teamwork & collaboration, safety, and informatics.  A critique form was developed based on the format of the Mayo High Performance Teamwork (MHPT) Scale.  The form is attached and could be modified to include any or all of the QSEN competencies depending on the scenario.

Submitted Materials:

Additional Materials:

Evaluation Description:

No formal evaluation.  This is structured as a formative educational experience.
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