Buy Safety Education For Nurses Competencies

Buy Safety Education For Nurses Competencies
· Read National Council of State Boards of Nursing. Nursing Pathways for Patient Safety 1st ed. St. Louis: MO: Elsevier Saunders. 9780323065177. · Chapter 1 Pages 1-29
· Research the Institute of Medicine Competencies http://qsen.org/competencydomains/teamwork-and-collaboration/
· Select and discuss one of the 5 QSEN(Quality and Safety Education for Nurses competencies;)
Rubric:
· Minimum: 300 words minimum and 500 words maximum excluding bibliography
· APA format
· 0%plagiarism!!!!
Please see the chapter 1 below :
Buy Safety Education For Nurses Competencies
1 Overview: NCSBN Practice Breakdown Initiative
Kathy Malloch
Patricia Benner
Vickie Sheets
Kevin Kenward
Marie Farrell
Everyone can recall lessons learned from experience. Often the best remembered lessons are the ones that were hardest learned—gleaned from making mistakes and dealing with the fallout from those mistakes. By studying situations where nursing practice breaks down, nurses can learn from the experiences of their colleagues. This is far better than learning from reliving the same difficult experiences (Author Unknown).
Each day, in most health care settings in the United States, nurses monitor and manage the health care patients receive. The goal of these efforts is to ensure that the health care team delivers high-quality and safe patient care. Despite these efforts, missteps occur as do undetected changes in patients’ conditions. These missteps and undetected changes are cause for great concern, and they challenge caregivers to examine their practices, and to create safer practices and ultimately better patient outcomes. The traditional, punitive, blame-placing practices that are found in most health care organizations also give cause for great concern, as those involved in these missteps are often reluctant to report them.
For these reasons (and others described below), the National Council of State Boards of Nursing (NCSBN) launched a national initiative in 1999 entitled the Practice Breakdown Advisory Panel (PBAP). The objective of the PBAP was to study nursing practice breakdown, to identify common themes related to those events, and most importantly, to recommend strategies to individuals, teams, and organizations to correct unsafe conditions and practices. This work would then assist boards of nursing to shift the focus from blame and punishment to prevention, remediation, and correction. Punishment would be limited to those cases of willful negligence and misconduct.
Since its inception, the PBAB has worked with representatives from its 60 member boards and with its consultant, Dr. Patricia Benner, to develop an initial minimum data set on practice breakdown reported to state boards of nursing. The goal was to develop an instrument that can distinguish human and system errors from willful negligence and intentional misconduct, while identifying the area of actual nursing practice breakdown in relation to core goals and standards of good nursing practice. An additional and equally important aim was to serve as a guide to increase the skills and competence of regulatory professionals in addressing practice breakdowns.
GOALS OF THE INITIATIVE
Buy Safety Education For Nurses Competencies
The goals of studying practice breakdown are to develop a consistent approach to assessing patient safety and reporting errors that will increase knowledge and incentives for error detection, reporting, and prevention while fulfilling the duty to protect the public from unsafe practices. These goals constitute a paradigm shift that reframes the focus from the individual, the nurse, to one that emphasizes prevention and the implications for the health care system, the health care team, and the individual nurse. The mechanism for achieving these goals was to create a standardized data collection instrument for investigators throughout the United States who carry responsibility for examining incidents of practice breakdown. The instrument, described below, is entitled Taxonomy of Error, Root Cause Analysis, and Practice Responsibility, or “TERCAP®.” The PBAP also created additional products and initiatives that are discussed in this chapter.
FOCUS OF THE BOOK
This book presents an overview of the work that the NCSBN has undertaken to assist others committed to improving patient safety. The elements of this initiative include a framework for analyzing practice breakdown, the data collection instrument TERCAP, and selected tools and practices to implement its use.
This framework and ways of thinking about practice breakdown are useful not only for boards of nursing but also for nursing students, faculty, nurses in practice, hospital and other health care administrators, and other accrediting and regulatory agencies that oversee and support the practice of nursing. It is expected that this framework and way of thinking will also be useful to policy makers and those developing, refining, and reframing nurse practice acts. Finally, this work provides the evidence and creates an infrastructure for a major change in the way nurses conceptualize and manage practice breakdown.
PATIENT SAFETY: A DEFINITION
Cooper et al. (2000) describe patient safety as “… the avoidance, prevention, and improvement of adverse outcomes or injuries stemming from the processes of health care (errors, deviations, accidents) …” ( National Patient Safety Foundation, 1999, pp. 1–2 ) and suggest that improving safety depends on learning the ways in which safety emerges from interactions of the components. Woods calls for “… research that matters … to identify critical success factors by moving beyond morbidity and mortality (dedicating a) larger role to functional status, caregiver burden, satisfaction with care, costs of care and cost-effectiveness” ( Woods, 2004 ).

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