Describe strategies to empower patients or families in all aspects of the health care process.


(Attachment 6)

Journal Assignment Linking Clinical Objectives to the QSEN Competencies

The Quality and Safety Education for Nurses (QSEN) project’s goal is to prepare future nurses to have the knowledge, skills and attitudes (KSAs) needed to continuously improve the quality and safety of healthcare within their workplace.

Throughout the clinical rotation, the student will reflect on their personal abilities to demonstrate the knowledge, skills, and attitudes (KSAs) necessary to provide safe, culturally competent, family-centered care which is described by the QSEN Competencies.

Students are encouraged to visit

Weekly Assignment Directions:
I. The QSEN Competencies are divided into six areas:

  1. Patient-Centered Care
  2. Teamwork and Collaboration
  3. Evidenced-based Practice
  4. Quality Improvement
  5. Safety
  6. Informatics

II. Each week, the student will select competency areas to guide their personal reflective journaling. The student is required to discuss each area at least once a quarter.

III. The student is to refer to the statements listed under each competency for guidance. If need, additional statements related to competencies can be found at

IV. The student will link QSEN competencies to clinical experience in their reflective journaling.

V. The clinical faculty will review weekly journal content and provide feedback to further assist the student in meeting clinical objectives and to promote awareness of the QSEN competencies.

You will write an entry into your journals each day you are at the clinical site. Keep the clinical rotations separate, including all the assignments. Journals are a window into how you use critical thinking, learn, and develop as a student nurse, plus much more. Journals are also a very good way to communicate to the instructor but be very careful what you write: some things may be confidential and should come right to the instructor in a conference. When you mention clients, use their initials, not names.
Do not give me an itemized detail of your day. This is a reflection of your experiences and how you relate them to the information you have learned or are learning
Example of QSEN Journal for Patient Centered Care
NSG 260

Dr. McCullough

Journal Entry


QSEN Competency Area: Patient Centered Care

The Transitional Care Unit staff that interact daily with the pediatric residents are comprised of CNAs, LPNs, RNs, Environmental Services, Respiratory Therapists and Unit Secretaries. The consistent direct care staff are the nurses, CNAs and respiratory therapists. Patient centered care in the pediatric setting must be taken with knowledge of normal growth and developmental milestones. It can be tricky getting children to cooperate with care. The staff that work with the children are not the parents of the children by blood but inadvertently assume that role in an unspoken way. Daily care to include dressing the children, getting them off to school, and tending to their medical needs requires patience and the building of trusting patient-staff relationships in order for tasks to get accomplished in a timely fashion.

Patient centered care occurs in tasks as simple as allowing the patients to choose their outfits they will wear for the day. A task like that is simpler than convincing the child that they have to go to school and it really is not an option if they are medically stable. Providing patient centered care is a balancing act for the staff who are often working with time constraints. Understanding developmental milestones help staff develop bargaining tactics to get tasks accomplished without taking away a child’s sense of autonomy.

Journals are due per the Clinical packet date and time on the same week as your clinical to allow for adequate time to provide feedback prior to the next clinical experience. Failure to turn in your journal on time will lead to unsatisfactory grade for the given week. Do not get into the habit of submitting late work, this will not be tolerated.

The Clinical Instructor will look at your journals as quickly as possible and return to you – Don’t wait until the last possible moment to send your journal. Submitting it on time is part of time management, even when there are glitches.

Everyone has a different style of writing and conveying information in the journals. Don’t compare yours to others; just complete the required information in your style. I’ll let you know if I have questions for you to address. You should be focusing not only on what you did, but critically thinking about what you are learning which will apply to your studies and your career and where you want to improve.

QSEN Competencies for Nurses


Definition: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’ preferences, values, and needs.

Select one of the following statements to discuss Patient-Centered Care:

  1. Describe how diverse cultural, ethnic and social background function as sources of patient family, and community values.
  2. Describe how you demonstrated comprehensive understanding of the concepts of pain and suffering, including physiologic models of pain and comfort?
  3. Describe strategies to empower patients or families in all aspects of the health care process.


Definition: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect and shared decision-making to achieve quality patient care.

Select one of the following statements to discuss Teamwork and Collaboration:

  1. Describe own strengths, limitations, and values in functioning as a member of a team.
  2. Recognize contributions of other individuals and groups in helping patient/family achieve health goals.
  3. Describe examples of the impact of team functioning on safety and quality of care.


Definition: Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care.

Select one of the following statements to discuss Evidenced-based practice :

  1. Base individualized care plan on patient values, clinical expertise and evidence.
  2. Question rationale for routine approaches to care that result in less-than-desired outcomes or adverse events.
  3. Differentiate clinical opinion from research and evidence summaries.


Definition: Use data to monitor the outcomes of care processes and use improvement methods to design and establish changes to continuously improve the quality and safety of health care systems.

Select one of the following statements to discuss Quality Improvement:

  1. Describe approaches for changing processes of care.
  2. Appreciate that continuous quality improvement is an essential part of the daily work of all health professionals.
  3. Recognize that nursing and other health professions students are parts of systems of care and care processes that affect outcomes for patients and families.


Definition: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.

Select one of the following statements to discuss Safety:

  1. Value own role in preventing errors.
  2. Describe the benefits and limitations of selected safety-enhancing technologies (such as, barcodes, computer provider order entry, medication pumps, and automatic alerts/alarms.)
  3. Discuss effective strategies to reduce reliance on memory.


Definition: Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

Select one of the following statements to discuss Informatics :

  1. Explain why information and technology skills are essential for safe patient care.
  2. Appreciate the necessity for all health professionals to seek lifelong, continuous learning of information technology skills.
  3. Describe examples of how technology and information management are related to the quality and safety of patient care.

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