Application QSEN Core Competencies Essay

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QSEN Core Competencies: Application

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The story of Josie King is sad and very compelling. It reminds us of the relevance of our role when it comes to the improvement of outcomes in a healthcare setting. Despite having healed well, and due to be released from the hospital in a few weeks’ time, Josie died of severe dehydration and central line infection.

One of the QSEN competencies, patient-centered care, calls for the analysis of all the dimensions of patient centered care; with “involvement of family and friends” being one of the competency’s rallying calls (QSEN Institute, 2017). As one of the nurses attending to Josie, I should have taken the mother’s concerns more seriously – especially given that they were raised multiple times. Those who spend most time with the patient (i.e. family members) are able to notice even minuscule details regarding change of behavior. They must not be ignored.

Next, teamwork and collaboration calls for nurses to “function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care” (QSEN Institute, 2017). Teamwork was clearly lacking in the case of Josie. As a nurse caring for Josie, I would have discussed some of her behaviors with my team or with superiors – i.e. her feverish sucking of a washcloth.

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I would have promptly called for assistance the moment her eyes rolled back. I would have been aware of my own limitations and those of others working towards Josie’s wellbeing and sought to initiate and sustain better team effort.

Evidence-based practice, amongst other things, calls for the summarization of “current evidence regarding major diagnostic and treatment actions within the practice specialty…” and determination of gaps that exist (QSEN Institute, 2017). In Josie’s case, there was no assessment of the child past the vitals and there was also failure to address the concerns of the mother. There is already solid-research demonstrating the relevance of wholesome patient examination and the need to involve caregivers in every stage of treatment. In one such study, it was found that “because children are dependent on their caregivers, their care must be approved by parents or surrogates during all encounters” (Hughes, 2008). I would have been more attentive to all the issues raised by the Josie’s mother, and crosschecked her claims and concerns more actively.

Informatics has got to do with the utilization of information as well as technology not only in communication,….....

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