Find the Full Original Textbook (PDF) in the link
below:
CLICK HERE
The second edition of Quality and Safety in Nursing: A
Competency Approach to Improving Outcomes is a
comprehensive guide that integrates the principles of
quality improvement and patient safety into nursing
practice. Edited by Gwen Sherwood and Jane
Barnsteiner, this book equips nurses with the skills
and competencies required to address the complex
challenges of modern healthcare. It aligns with the
Quality and Safety Education for Nurses (QSEN)
initiative, providing a structured approach to improve
patient care outcomes.
Introduction
• The editors present a framework for integrating
quality and safety into nursing education and
practice, emphasizing patient-centered care.
• Aims to prepare nurses to lead improvement
initiatives and collaborate effectively within
interprofessional teams.
Part I: Foundations of Quality and Safety
Chapter 1: The Evolution of Quality and Safety in Healthcare
• Historical Context: Reviews milestones in
healthcare quality, such as the Institute of
Medicine’s reports (To Err is Human and Crossing
the Quality Chasm).
• QSEN Initiative: Explains the development of the
QSEN project and its six core competencies:
patient-centered care, teamwork and
collaboration, evidence-based practice, quality
improvement, safety, and informatics.
• Cultural Shift: Emphasizes the transition from a
blame culture to a culture of safety.
Chapter 2: The Science of Safety
• Safety Models: Introduces frameworks like
Reason’s Swiss Cheese Model to understand
system vulnerabilities.
• High-Reliability Organizations (HROs):
Discusses how HROs achieve consistent safety
performance despite high-risk environments.
• Error Analysis: Explains root cause analysis
(RCA) and failure mode and effects analysis
(FMEA) for identifying and mitigating risks.
Chapter 3: The Nurse’s Role in Quality and Safety
• Highlights the responsibility of nurses in
advocating for patient safety and leading quality
improvement efforts.
• Discusses the ethical dimensions of safety,
including transparency and accountability.
Part II: Core Competencies in Quality and Safety
Chapter 4: Patient-Centered Care
• Definition and Principles: Focuses on respecting
patients' preferences, values, and needs.
• Communication Strategies: Discusses tools like
SBAR (Situation, Background, Assessment,
Recommendation) and teach-back techniques.
• Shared Decision-Making: Encourages
collaboration with patients and families in care
planning.
Chapter 5: Teamwork and Collaboration
• Interprofessional Collaboration: Explores the
importance of teamwork among healthcare
professionals.
• Barriers to Teamwork: Identifies issues such as
hierarchical structures and communication gaps.
• Team Training: Describes programs like
TeamSTEPPS to improve team functioning and
communication.
Chapter 6: Evidence-Based Practice (EBP)
• Integration of Evidence: Outlines the steps of
EBP, from formulating a clinical question to
evaluating outcomes.
• Barriers to EBP: Discusses resistance to change
and lack of resources as challenges to
implementing evidence-based interventions.
• EBP Tools: Introduces frameworks like the
PICO(T) model for developing focused research
questions.
Chapter 7: Quality Improvement (QI)
• Principles of QI: Describes the Plan-Do-Study-
Act (PDSA) cycle and other methodologies for
testing changes in care processes.
• Measurement and Metrics: Highlights the use of
data to track performance and outcomes.
• Nurse-Led Initiatives: Provides examples of QI
projects spearheaded by nurses, such as
reducing hospital-acquired infections.
Chapter 8: Safety
• Error Prevention: Emphasizes creating systems
that anticipate and prevent errors.
• Safety Culture: Discusses building an
environment where staff feel comfortable
reporting errors without fear of retribution.
• Patient Safety Strategies: Highlights practices
such as medication reconciliation, fall prevention,
and surgical safety checklists.
Chapter 9: Informatics
• Role of Technology: Explores the use of
electronic health records (EHRs), clinical decision
support systems, and telehealth in improving
care.
• Data Management: Discusses how nurses can
use informatics to analyze trends and improve
clinical outcomes.
• Ethical Considerations: Addresses concerns
around data privacy and security.
Part III: Applying Quality and Safety Competencies in Practice
Chapter 10: Quality and Safety Across the Lifespan
• Pediatric and Geriatric Care: Highlights unique
challenges in ensuring safety and quality for
vulnerable populations.
• Transitions of Care: Discusses strategies to
reduce errors during handoffs and care
transitions.
Chapter 11: Leadership for Quality and Safety
• Nurse Leaders as Change Agents: Emphasizes
the role of nurse managers in fostering a culture of
safety and leading QI initiatives.
• Leadership Skills: Explores decision-making,
conflict resolution, and advocacy.
• Building Resilience: Encourages nurse leaders to
support staff well-being and prevent burnout.
Chapter 12: Education for Quality and Safety
• Curriculum Development: Discusses integrating
QSEN competencies into nursing education
programs.
• Simulation and Training: Highlights the use of
simulation labs to teach safety and teamwork
skills.
• Continuing Education: Encourages lifelong
learning to stay updated on best practices.
Chapter 13: Ethical and Legal Issues
• Patient Rights: Explores ethical dilemmas in
maintaining patient autonomy and informed
consent.
• Legal Implications: Reviews laws and regulations
affecting quality and safety, such as HIPAA and
the Affordable Care Act.
• Whistleblowing: Addresses the ethical
responsibilities of nurses to report unsafe
practices.
Part IV: Future Directions in Quality and Safety
Chapter 14: Emerging Trends and Innovations
• Technology-Driven Care: Explores innovations
like artificial intelligence, wearable devices, and
predictive analytics.
• Population Health: Discusses the role of nurses
in addressing social determinants of health and
reducing disparities.
• Global Perspectives: Highlights international
efforts to improve healthcare quality and safety.
Chapter 15: Sustainability in Quality and Safety
• Environmental Sustainability: Examines the
impact of healthcare practices on the
environment.
• Sustaining Improvements: Discusses strategies
to ensure long-term adherence to QI initiatives.
Key Features of the 2nd Edition
1. Case Studies and Scenarios:
a. Real-world examples illustrate the
application of quality and safety
competencies.
2. Focus on Interprofessional Collaboration:
a. Highlights teamwork across disciplines as
critical to improving outcomes.
3. Practical Tools and Resources:
a. Includes templates, checklists, and action
plans for implementing quality and safety
initiatives.
4. Updated Content:
a. Reflects new research, technologies, and
policies affecting nursing practice.
The second edition of Quality and Safety in Nursing
serves as both a textbook and a practical guide for
integrating quality and safety into all aspects of
nursing practice. By emphasizing the QSEN
competencies, the book prepares nurses to lead
improvements, collaborate effectively, and deliver
high-quality, safe care in a complex and evolving
healthcare environment. It is a vital resource for
nursing students, educators, and practitioners
committed to advancing patient care.
Find the Full Original Textbook (PDF) in the link
below:
CLICK HERE
