Advanced Nursing Practice Latest 2022
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Root Cause Analysis ✔✔Examining and learning from a single event, often catastrophic. Using
flowcharts and fishbone diagrams. Flow charts can also help the team design new processes.
QSEN stands for ✔✔Quality and Safety Education for Nurses
QSEN and Systems thinking objective ✔✔To move away from blaming individuals for adverse
events and work to correct our systems and processes.
QSEN indicates that MSNs should promote systems that ✔✔reduce reliance on memory to make
care safer. Examples: Checklists, worksheets, standard order sets, standardized timeliness, adding
fields for documentation in records. These are reminders or prompts.
Psychological Safety or Culture of Safety ✔✔By reducing the emphasis on blame and shame, staff
feel safe to report errors. Increased incident reports should result in more opportunities for
organization learning.
An increased number of incident reports do not mean increased number of incidences. ✔✔This
may be an indicator of psychological safety.
Advanced Practice Role Key ideas: ✔✔Support engagement of team members: Participate,
Facilitate, Collaborate and Negotiate. Effective communication and leadership. Conflict
resolution, shared decision making with patients. Shared governance with nurses and other staff.
Patient centered care. Culture of safety and to think big.
Culture of safety ✔✔learn about human error and create better systems.
, Think BIG ✔✔process from start to finish. Not just your part. Improving care for all, not just those
in your department or hospital.
Essentials of Masters Ed in Nursing ✔✔Key Standard. Used to design MSN curriculum. Used by
university surveyors to determine whether accreditation standards have been met.
MSN ✔✔Should have a deeper understanding of nursing or an expanded range of nursing
knowledge compared to BSN or associate prepared nurses.
Inter-Professional Collaboration ✔✔Health professionals work together in small groups providing
care. Examples: oncology, OR, end of life or primary care.
Inter-Professional Collaboration team ✔✔Although most patient care is done by the team of
people, training is often focused on individual responsibilities and does not prepare for the complex
settings. Team members are education in their health profession solo and likely have little
knowledge of their team members' skill sets.
Act of collaboration in an inter-professional team might be best exemplified by ✔✔defining
patient goals individually and then coming together as a team to select the most important ones.
Care is too complex today for a single discipline to direct all caregivers represented on the team.
The advanced nursing role centers on acting with high level of integrity by ✔✔giving power and
respect to each team member's voice. Integrating individual differences. Resolving competing
interests in order to safeguard each person's contribution.
2000 IOM report, To Err is Human ✔✔Suggested that health professionals should be educated in
teams using evidenced-based methods such as simulation and checklists.