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Strategy Submission

Incorporation of QSEN Competencies in Clinical


Kristen Doughty



Nursing Faculty


Lynda Kopishke DL, MSN, RN; Kristine Gawrych MSN, RN; Kathy Sokola EdD, MSN, RN, CNE


Delaware Technical and Community College


Competency Categories:

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

Learner Level(s):

Pre-Licensure ADN/Diploma

Learner Setting(s):

Clinical Setting

Strategy Type:

Paper Assignments

Learning Objectives:

Examine common barriers to active involvement of patients in their own health care processes Describe strategies to empower patients or families in all aspects of the health care process Describe examples of the impact of team functioning on safety and quality of care Base individualized care plan on patient values, clinical expertise and evidence Recognize that nursing and other health professions students are parts of systems of care and care processes that affect outcomes for patients and families

Strategy Overview:

The QSEN project provides direction for the nursing faculty to transform students’ critical thinking and clinical reasoning. Incorporating QSEN competencies into an ADN clinical project fosters awareness for positive outcomes in safe nursing practice Students are assigned weekly journal questions and challenged to reflect on their clinical observations and experiences (attached). These journal questions link to QSEN Competencies: Patient-Centered Care, Teamwork & Collaboration, Evidence-based Practice, and Safety. In the final clinical week, students are assigned a journal topic and tasked with finding evidence-based literature relative to their topic. Students are placed in groups based on their topic and tasked with the collaboration of resources and experiences in creating a presentation addressing outlined key talking points (attached). Students increased their understanding of the role of the professional nurse and identify necessary behaviors and actions in preparation for the transition to practice.

Submitted Materials:

QSEN-TS-219-Incorporation-of-QSEN-Competencies-in-Clinical2.8.19.docx -

Additional Materials:

Analysis of post project effectiveness demonstrated 75 of 77 (97%) of students found this excellent/great/very effective as a teaching method for QSEN concepts; 2 students were unsure.

Evaluation Description:

Evaluation of objectives was completed through the evaluation of weekly journal submissions and the final presentations. Journal questions and presentation guidelines attached. Weekly journals included key questions for students to address. Guideline provided for final presentations included key talking points. Student’s completed a survey post-presentation, to gather feedback. Students were able to establish professional behaviors that were characteristic of the QSEN competencies and were able to specify how those behaviors would lead to improved patient outcomes.
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