全国性德尔菲法研究确定护理教育中质量和安全能力的发展进程。

A national Delphi to determine developmental progression of quality and safety competencies in nursing education.

机构信息

Clinical and Community Affairs, University of Colorado Denver, College of Nursing, Denver, CO, USA.

出版信息

Nurs Outlook. 2009 Nov-Dec;57(6):313-22. doi: 10.1016/j.outlook.2009.08.003.

DOI:10.1016/j.outlook.2009.08.003

PMID:19942032

Abstract

Quality and Safety Education for Nurses (QSEN) faculty outlined 6 competency domains: patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. In this study, 18 subject matter experts participated in a web-based modified Delphi survey between October 2008 and February 2009 to determine whether there was consensus on the developmental progression of knowledge, skill, and attitude elements within the QSEN competencies. Support for creation of curricular threads to facilitate student progressive achievement of the QSEN competencies was validated. Competency development related to the individual patient was emphasized early in the curriculum, whereas teams and systems were emphasized later. Complex concepts such as teamwork and collaboration, evidence-based practice, quality improvement, and informatics were emphasized in advanced courses. Experts outlined a developmental approach in curriculum design, which would potentially encourage practice, reinforcement of learning, and recognition of context of care.

摘要

质量和安全教育护士（QSEN）教师概述了 6 个能力领域：以患者为中心的护理、团队合作、循证实践、质量改进、安全和信息学。在这项研究中，18 名主题专家于 2008 年 10 月至 2009 年 2 月之间参与了基于网络的修改后的德尔菲调查，以确定是否在 QSEN 能力范围内的知识、技能和态度要素的发展进展方面存在共识。还验证了创建课程线程以促进学生逐步实现 QSEN 能力的支持。与个体患者相关的能力发展在课程早期就得到强调，而团队和系统则在后期得到强调。团队合作、循证实践、质量改进和信息学等复杂概念在高级课程中得到强调。专家们概述了课程设计中的发展方法，这可能会鼓励实践、加强学习并认识到护理环境。