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    Area of Science:

    • Nursing Education
    • Healthcare Quality and Safety

    Background:

    • The integration of the six Quality and Safety Education for Nurses (QSEN) competencies into baccalaureate nursing curricula is essential for preparing competent nurses.
    • High-fidelity simulation is increasingly used as a pedagogical tool in nursing education.

    Purpose of the Study:

    • To identify deficits in Quality and Safety Education for Nurses (QSEN)-related clinical learning opportunities for pre-licensure Bachelor of Science in Nursing (BSN) students.
    • To assess the time spent by nursing students on QSEN competencies in both traditional clinical and simulation-based settings.

    Main Methods:

    • Direct observation of pre-licensure BSN students during a sophomore-level medical-surgical rotation, which included 25% simulation.
    • Time-on-task for each Quality and Safety Education for Nurses (QSEN) competency was recorded and tabulated.

    Main Results:

    • Students dedicated minimal time to several of the six Quality and Safety Education for Nurses (QSEN) competency areas.
    • These time deficits were observed in both the clinical and simulation components of the course.

    Conclusions:

    • Current educational approaches may not provide sufficient opportunities for nursing students to develop all essential Quality and Safety Education for Nurses (QSEN) competencies.
    • A fully integrated approach combining classroom, simulation, and clinical experiences is recommended to ensure comprehensive QSEN knowledge and skill development for pre-licensure nursing students.