QSEN

• Quality and Safety in Nursing Education
• Focused on transforming basic education for nurses

founded by Robert Wood Johnson Foundation

to alter nursing's professional identity so that when we think of what it means to be a respected nurse, we think not only of caring, knowledge, honesty, and integrity, but also commitment to the development and assessment of quality and safety competencies.

• patient centered care
• teamwork and collaboration
• evidence based practice
• quality improvement
• safety
• informatics

• patient is in control and is a full partner; care is based on respect for patient's preferences, values and needs
• consider patient's cultural preferences
• provide pain relief
• involve families in care

• Situation: what is going on with the patient?
• Background: what is the clinical background or context?
• Assessment: what do i think the problem is?
• Recommendation: what would i recommend?

• invoked when an initial assertion is ignored
• it is your responsibility to assertively voice your concern at least two times to ensure that it has been heard
• the member being challenged must acknowledge
• if the outcome is still not acceptable:
• take a stronger course of action
• use supervisor or chain of command