Joanne Disch is professor ad honorem at the University of Minnesota School of Nursing in Minneapolis and has served on the board of Advocate Aurora Health since 2008. Jane Barnsteiner is a professor emerita at the University of Pennsylvania School of Nursing in Philadelphia and editor of translational research and quality improvement at AJN . Contact author: Jane Barnsteiner,
Am J Nurs. 2021 Mar 1;121(3):40-46. doi: 10.1097/01.NAJ.0000737176.16228.97.
Quality and Safety Education for Nurses (QSEN) was launched in 2005 as a national nursing initiative aimed at preparing nurses with the competencies needed to continuously improve the quality and safety of the health care they provide. The six QSEN competencies-and the knowledge, skills, and attitudes that each entails-have served as a basis for significant curricular revision, more enlightened professional practice, relevant research, and health care system improvements. Since the launch of QSEN, new technologies have emerged, the range of care sites has broadened, new practice roles have emerged, and patients and families have become more active health care consumers. This article highlights these changes, considers Amazon as a powerful contemporary social force, examines the company's core values, and considers their relevancy to the six QSEN competencies. Essential new literacies and cognitive capacities are also identified. Lastly, the authors outline steps nurses can take to incorporate the QSEN competencies, along with the literacies and capacities, into their practice and organizations. Doing so is vital to delivering safe, high-quality care in this rapidly changing health care climate, and will enable nurses to claim their leadership and thrive professionally in an Amazon world.
护士质量与安全教育（QSEN）于 2005 年启动，是一项全国性的护理计划，旨在培养护士具备持续提高护理质量和安全性所需的能力。QSEN 的六大核心能力——以及每项能力所必需的知识、技能和态度——一直是重大课程修订、更明智的专业实践、相关研究和医疗保健系统改进的基础。自 QSEN 启动以来，新技术不断涌现，护理场所的范围扩大，新的实践角色出现，患者和家属成为更积极的医疗保健消费者。本文强调了这些变化，将亚马逊视为一种强大的当代社会力量，考察了该公司的核心价值观，并探讨了它们与 QSEN 六大核心能力的相关性。还确定了新的必要素养和认知能力。最后，作者概述了护士可以采取的步骤，将 QSEN 核心能力以及素养和能力纳入他们的实践和组织中。在这个快速变化的医疗保健环境中，这样做对于提供安全、高质量的护理至关重要，并将使护士能够在亚马逊世界中宣称他们的领导地位并在专业上茁壮成长。
