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Strategy Submission

Reflective Clinical Journaling: Using QSEN Competencies to Promote Student Self-Awareness of Quality and Safety in Nursing Practice


Kathleen S. Fries



Assistant Professor & UG Program Director


Eileen Yost, MSN


Sacred Heart University


Competency Categories:

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

Learner Level(s):

Pre-Licensure ADN/Diploma, Pre-Licensure BSN

Learner Setting(s):

Classroom, Clinical Setting

Strategy Type:

Case Studies

Learning Objectives:

The reflective written assignment is designed to develop student awareness of the QSEN competencies and how they relate to a clinical experience in maternal-child health nursing.  

The assignment also evalutes student confidence level in meeting selected competencies using survey methodology that is administered prior to and following the clinical reflective written assignment. 

Strategy Overview:

Historically, nursing students have been evaluated on their ability to demonstrate the knowledge, skills, and attitudes necessary to provide safe patient-centered care.  In order to educate students about the QSEN competencies and their relationship to support excellent clinical practice, students were provided a document that referenced the QSEN Website and listed ten (instructor identified) KSA's that were relevant to the clinical experience and course content.
Through weekly clinical journaling between the student and the clinical instructor, students described exemplar clinical experiences that reflected an understanding and demonstration of each of the ten listed KSA's.  Qualitative data from the written journal assignment as well as pre-and post descriptive quantative data reflected a gain in student awareness and confidence in meeting the QSEN competencies.
The Power Point attachment reflects on-going research and evaluation of the described Teaching-Learning strategy using survey methodology to measure student confidence in meeting selected QSEN competencies.

Submitted Materials:

Additional Materials:

File one contains the journal assignment. File two contains Qualitative Data (to illustrate student learning), and Survey Methodology results. Faculty are encouraged to contact me directly if they have additional questions.

Kathleen S Fries, Phd

UG Director, Sacred Heart University

Evaluation Description:

Survey methodolgoy was used to measure change in student confidence levels (self-reported) and was collected at week one of clinical, and then when the clinical rotation ended (and the journal assignment was submitted).  Students reported higher levels of confidence in their ability to demonstrate the KSA's to support the QSEN competencies identified in the written clinical journal assignment. 
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