Attainment of Quality and Safety Education for Nurses Competencies Utilizing a Video-Based Online Discussion Board in Undergraduate Nursing Courses

Monday, 22 July 2013

Mary E. Mckay, DNP, ARNP
School of Nursing, University of Miami School of Nursing and Health Studies, Coral Gables, FL

Learning Objective 1: The learner will be able to discuss the significance of the quality and safety education for nurses competencies.

Learning Objective 2: The learner will be able to describe the potential uses of technology based teaching methods in the content area of patient safety.

Nurses play a critical role in ensuring quality safe patient care.  The Institute of Medicine (IOM) (2003) proposed essential core competencies for health care professionals to meet the needs of patients in complex health care systems. This IOM finding prompted the initiation of the Quality and Safety Education for Nurses (QSEN) project. The overall goal for the QSEN project (2005) is to meet the challenges of preparing nurses to obtain the knowledge, skills, and attitudes needed to improve quality and safety. The QSEN project defines competencies for nursing students that include: patient centered care, teamwork/collaboration, evidence based practice, quality improvement, safety and informatics. Nurse educators use a variety of strategies to teach QSEN competencies including lecture, readings, case studies, return demonstration and simulation( Smith, Cronenwett and Sherwood, 2009). Students identify clinical experiences with a higher perceived level of opportunities for attainment of QSEN competencies( Sullivan, Hirst and Cronenwett, 2009). However, clinical experieces vary and do not provide a uniform method to measure QSEN competencies. This presentation will describe a research project conducted to investigate the use of video based discussion board forum assignments as an effective instructional method in the attainment of critical QSEN competencies in an undergraduate nursing adult health course.  This project utilized short video vignettes which depicted clinical scenarios involving a series of errors and near misses as the basis for a asynchronous online discussion forum.  The students were asked to identify root causes, evidence based strategies to prevent future occurrences and the proper actions to be taken following the incident.  The students completed a pre/post survey regarding perceived information, communication and technology (ICT) literacy competencies and were evaluated using a discussion board grading rubric.  The results of qualitative analysis will be presented and implications for nursing education will be discussed.