The University of Texas at Austin School of Nursing, Austin, TX 78712, USA.
Mil Med. 2023 Nov 10;189(Suppl 1):45-50. doi: 10.1093/milmed/usad097.
The QSEN Institute developed the quality and safety education for nurses (QSEN) competencies for both undergraduate and graduate-prepared nurses to support their development of the knowledge, skills, and attitudes needed to deliver safe, quality care. The purpose of this scoping review was to (1) determine the extent of evidence about the current use of QSEN competencies in graduate nursing curricula and (2) determine the application of the QSEN competencies among graduate-prepared nurses in clinical practice.
Arksey and O'Malley's methodological framework for scoping reviews was used to explore the literature about the use of the QSEN competencies in graduate nursing education and practice available in PubMed, Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online, and Web of Science. Quality was assessed using Melnyk, Gallagher-Ford, and Fineout-Overholt's critical appraisal tools.
In total, 423 articles were reviewed, 10 of which met inclusion criteria; five described quality improvement projects, two addressed curricular design, and three were program evaluations. Only one article described the use of QSEN competencies in practice. Overall, the amount of literature was scant and of low quality. All the articles described the use of QSEN competencies in graduate education except one, which also described them in practice in a graduate nurse residency program.
Although the QSEN competencies were adopted for use in graduate curricula and practice settings, there is a wide variation in the actual use and application with limited reporting of outcomes. The graduate QSEN competencies can be leveraged to equip nurses with the knowledge, skills, and attitudes to address quality and safety challenges in any nursing environment including the operational environment in deployed and austere settings. This review provides recommendations to address gaps in research, graduate nursing education, and clinical practice.
QSEN 研究所为本科和研究生护士制定了质量和安全护理教育（QSEN）的能力，以支持他们发展提供安全、优质护理所需的知识、技能和态度。本范围综述的目的是：（1）确定目前在研究生护理课程中使用 QSEN 能力的证据程度；（2）确定 QSEN 能力在临床实践中的研究生护士中的应用。
采用 Arksey 和 O'Malley 的范围综述方法框架，探讨了在 PubMed、Cumulative Index to Nursing and Allied Health Literature、Medical Literature Analysis and Retrieval System Online 和 Web of Science 中可获得的关于研究生护理教育和实践中使用 QSEN 能力的文献。使用 Melnyk、Gallagher-Ford 和 Fineout-Overholt 的批判性评价工具评估质量。
共审查了 423 篇文章，其中 10 篇符合纳入标准；其中 5 篇描述了质量改进项目，2 篇涉及课程设计，3 篇是方案评估。只有一篇文章描述了 QSEN 能力在实践中的应用。总体而言，文献数量稀少且质量较低。除一篇文章外，所有文章都描述了 QSEN 能力在研究生教育中的使用，该文章还描述了在研究生护士住院医师计划中的实践应用。
尽管 QSEN 能力已被用于研究生课程和实践环境，但实际使用和应用存在很大差异，结果报告有限。研究生 QSEN 能力可以用来使护士具备知识、技能和态度，以应对任何护理环境中的质量和安全挑战，包括部署和艰苦环境中的运营环境。本综述提供了针对研究、研究生护理教育和临床实践中差距的建议。
