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Perioperative Nurses' Perceptions of the QSEN Competencies.

Adem Cengiz, Linda H Yoder

    AORN Journal
    |November 27, 2023
    PubMed
    Summary

    Practicing nurses feel prepared in patient-centered care and teamwork but lack preparedness in quality improvement. Further support is needed for applying Quality and Safety Education for Nurses competencies in practice.

    Keywords:
    Quality and Safety Education for Nurses (QSEN) competenciesevidence-based practicepatient-centered careperioperative nurse perceptionsquality improvement (QI)

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    Area of Science:

    • Nursing Education
    • Healthcare Quality
    • Patient Safety

    Background:

    • The Quality and Safety Education for Nurses (QSEN) competencies are crucial for nursing practice.
    • Most research focuses on students and faculty, with limited exploration of practicing nurses' perceptions.
    • Understanding practicing perioperative nurses' views on QSEN is essential for bridging education and practice.

    Purpose of the Study:

    • To describe practicing perioperative nurses' perceptions of their knowledge, skills, and attitudes regarding QSEN competencies.
    • To identify specific QSEN competencies where practicing nurses feel more or less prepared.
    • To explore the relationship between preparedness and participation in QSEN-related activities.

    Main Methods:

    • A survey was distributed to 654 practicing perioperative nurses across 49 states.
    • Participants reported their perceptions of preparedness and engagement with QSEN competencies.
    • Data analysis focused on identifying trends in perceived preparedness and activity participation.

    Main Results:

    • Nurses reported high preparedness for patient-centered care and teamwork/collaboration competencies.
    • Nurses reported low preparedness for the quality improvement competency.
    • Lower perceived preparedness correlated with less participation in QSEN-related activities, despite their perceived importance.

    Conclusions:

    • Practicing perioperative nurses have varying levels of preparedness across QSEN competencies, with quality improvement being a notable gap.
    • Hospital leaders must actively support nurses in applying QSEN competencies in clinical settings.
    • Targeted interventions may be needed to enhance preparedness and engagement in quality improvement.