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QSEN: Curriculum Integration and Bridging the Gap to Practice.
Nursing students showed improved quality and safety competency after curriculum revision. While initial results showed no overall change, significant differences emerged between student and faculty perceptions and over time for students.
Area of Science:
- Nursing Education
- Healthcare Quality Improvement
- Patient Safety
Background:
- The Quality and Safety Education for Nurses (QSEN) initiative mandates enhanced quality and safety competencies in nursing education.
- Diploma nursing programs require curriculum adaptation to integrate QSEN principles effectively.
Purpose of the Study:
- To revise a diploma nursing curriculum to align with QSEN competencies.
- To evaluate the impact of curriculum changes on student and faculty perceptions of quality and safety.
Main Methods:
- Curriculum objectives were updated and QSEN principles integrated into didactic, clinical, and simulation learning experiences.
- The Healthcare Professionals Patient Safety Assessment Curriculum Survey was administered to students and faculty.
- Preceptors assessed student competency in meeting QSEN standards.
Main Results:
- No statistically significant difference in perceived competency was found immediately post-implementation.
- Significant differences were identified between student and faculty survey responses.
- Statistically significant improvements were observed in student self-assessment from the program's start to one year later.
Conclusions:
- Curriculum revision integrating QSEN principles shows promise in enhancing nursing students' quality and safety competencies over time.
- Addressing the gap between student and faculty perceptions of safety competency is crucial.
- Ongoing evaluation is necessary to fully realize the impact of curriculum changes on patient safety outcomes.
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