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Guillermo R. Valdes, DNP, MSN-HCS, RN-BCRoxana Orta, DNP, MSN; Ed., ARNP-AP-BCBenjamin Leon School of NursingMiami Dade College, Miami, Florida USA
After the presentation participants will be able to : Recognize the value of educating RN-BSN studentsin the IOM/QSEN competencies of knowledge, skillsand attitudes (KSAs) when promotingorganizational high efficiency. Promote Translational Science competencies in RNBSN Programs Utilize resources for linking educational strategiesfor RN-BSN students that promote quality andsafety in their respective organizations. Recognize the importance of academic andprofessional partnerships as a consistent effort topromote excellence in healthcare delivery.
Today, more than 165,000 students attendMiami Dade College, a state-supportedcollege with seven campuses, two centersand numerous outreach centers.We are the largest institution of highereducation in the United States and one of themost highly regarded colleges in the nation.
The Mission of Miami Dade College is to changelives through the opportunity of education.As democracy’s college, MDC provides highquality teaching and learning experiences thatare accessible and affordable to meet the needsof our diverse students andPrepare our students to be responsible globalcitizens and successful lifelong learners.The College embraces its responsibility to serveas an economic, cultural and civic beacon in ourcommunity.
This designation is for institutes of highereducation that lead in social innovationeducation.Miami Dade College is the only publicinstitution in the southeastern United States toreceive the honor, while joining many prestigiousuniversities including Brown, Cornell, Duke,Fordham, George Mason, Johns Hopkins andTulane.Ashoka U is a program of Ashoka, the world’slargest network of social entrepreneurs.Ashoka has a vision in which “Everyone is aChangemaker.”
Offering a variety of in-demand options, theacclaimed School of Nursing has trained morethan 50 percent of Miami-Dade County's nurses.Bachelor of Science in Nursing In this degree program, faculty will build on yournatural compassion with the competency,critical-thinking skills and cultural awarenessneeded to help the nurse be an exemplary healthcare provider.Associate of Science in Nursing The School of Nursing offers a comprehensiveprogram of study leading to an Associate inScience degree in nursing through severaloptions (Generic, Bridge and Accelerated).
“There are some patients whomwe cannot help. There are nonewhom we cannot harm”A. L. Bloomfield
“Learning about patient safety as afundamental quality of patient care, andsystem vulnerabilities need to begin inpre-licensure programs and be an integralpart of learning in all phases of healthcareeducation”Institute of Medicine (2001) Chasm Series.www.iom.edu
“The profession of nursing in the United States isat a significant moment. It must contend withenormous pressures, from the chaotic health caresystem and the economic forces that drive it toprofound changes in science, technology andpatient activism”.(Benner et al.,2009,The Carnegie Foundation)
Nurse executives from premier nursingorganizations including ANCC MagnetHospitals, all recognize the unique value thatBSN prepared nurses bring to the practicesetting (AACN, 2014).The Quality and Safety Education for NursesInstitute (QSEN) developed competencies thatclosely look at nursing knowledge, skills, andattitudes (KSAs) in a quality and service drivenhealthcare environment.
Translational science provides clinical nursesopportunities to integrate theory, research,and evidence-based practice (EBP).(White & Dudley-Brown, 2012)
Transformational competency is the ability ofnurses to analyze and evaluate the empiricaldata for feasibility and applicability in orderto most effectively implement evidence basedpractice for optimal outcomes.(White & Dudley-Brown, 2012)
Translation of evidence includes a thoroughliterature review from the various level ofevidence to support the change in practice,evaluation of the research findings,assessment of the evidence for actualorganizational feasibility and applicabilitysolutions as best practice recommendations.(White & Dudley-Brown, 2012)
Knowledge, Skills and Attitudes (KSAs) Patient Centered Care Team Work and Collaboration Evidence Based Practice Quality Improvement SafetyPCCSEBP InformaticsTWCQIIAmerican Association of Colleges of Nursing QSEN EducationConsortium. www.qsen.org
The long‐range goal of QSEN is to reshapeprofessional identity formation in nursing toinclude commitment to quality and safetycompetencies recommended by the Instituteof Medicine (IOM).Linda Cronenwett in citation
The aim of this educational initiative is tovalidate QSEN competencies significance whengenerating RN-BSN nurses as competitivecandidate applicants in a quality and safetydriven healthcare organizational environment.
Situational Awareness Ownership Accountability Communication Relationship-Based PhilosophyKoloroutis,2004
The Informed Healthcare Professional Explicit Judicious ConscientiousOrganizational Environment Patients, families and community. It is about standards, procedures, protocols andpolicies! Peer and committee driven. Inspirational and motivational.
QSEN competencies are progressively embedded allthroughout the RN-BSN curriculum in three courses(AACN,2014). Transition ResearchProfessional Nursing Course (Entry).and Evidence Practice Course (Middle). Leadershipand Management Course (Culminating).Miami Dade College RN-BSN curriculum(Benner,2009)
CaringCultural SensitivityClinicianCultural InquiringScholarLeaderExecutiveEvidence DrivenPracticeEthical, Legal andRegulatory IssuesProfessionalIndicatorsNear MissesSentinel EventsNational PatientSafety GoalsCore MeasuresNurse SensitiveIndicators NDNQIService Excellenceand Recovery
isal ofEvidenceFeasibility andApplicabilityTranslation ofEvidence inPracticePICO MethodInformaticsPatient-orientedevidence thatmatters (POEMs)Safety, ServiceandOrganizationalInterprofessionalCulture
icianDecision Makingfor ChangeScholarHealthcare ityService ExcellenceData Driven PDSA or PICOLevel e:OrganizationalDivisionalUnit BasedProfessionalAdvancementMentoring
Three cohorts have successfully completed theRN-BSN program with QSEN centered educationby developing EBP knowledge and skills,acquiring situational awareness while facilitatingpatient and family-centered positive attitudes.Area hospitals have collaborated with MDC torecruit RN-BSN students for employment.Graduates of the RN-BSN program continue to becompetitively hired by regional healthcareorganizations during and after graduation.Benjamin Leon School of Nursing at Miami DadeCollege has been asked to consultant fororganizational RN-BSN Programs at academicInstitutions specifically to educate their RN’s.
MDC RN-BSN program students havepresented in regional and national quality andEBP research forums.MDC RN-BSN program graduates holdleadership positions in quality clinical andservice position at primary and tertiaryinstitutions.MDC RN-BSN graduates are competitive asapplicants to graduate nursing programs,regionally and nationally.
Evidence based curriculum for the future.Teaching idealism with realism.Moving these concepts beyond the tertiarysystem.Cost and benefits.Avoiding “Silos of Excellence”!“Highly Accomplished Multifaceted NurseProfessionals”
A Literature Review Clinical Update: Early Defibrillation without CPR Interruption whenEffectively Treating Ventricular Fibrillation2015 Florida Nurses Association, St Augustine, Florida, USA2015 HANA Convention, Miami Dade College, Miami, Florida, USA2015 Baptist Health System Research Conference, Miami, Florida, USAA Literature Review Clinical Update: Valsalva Maneuvers for the StableSupraventricular Tachycardia Patient Population2014 HANA Convention, Miami Dade College2014 Baptist Health System Research ConferenceA Literature Review Clinical Update: Importance of Identifying the Causes of AsystoleDuring a Code2013 HANA Convention, Miami Dade College2013 Baptist Health System Research ConferenceA Literature Review Clinical Update for Safe Practice: Recognizing the AppropriateSequence to Effective Treatment in Wide Complex Tachycardia.2014 HANA Convention Miami Dade College.
You have to decide if you are going tosupport these ideas consistently in yourpractice.Do you want to reinforce these ideas in yourorganizations?Where do you want to start?
American Association of Colleges of Nursing AACN.(2014). Essentials.Retrieved from ial-seriesBenner, P., Sutphen, M., Leonard, V., & Day, L. (2009). Educating nurses:A call for radical transformation (Vol. 15). John Wiley & Sons.Cronenwett, L., Sherwood, G., & Gelmon, S. B. (2009). Improving qualityand safety education: The QSEN Learning Collaborative. NursingOutlook, 57(6), 304-312.Institute of Medicine (2001) Chasm Series. www.iom.eduKoloroutis, M. (Ed.). (2004). Relationship-based care: A model fortransforming practice. Creative Health Care Management.Miami Dade College. Benjamin Leon School of Nursing. RN-BSNcurriculum.Quality and Safety Education for Nurses Institute QSEN (2014). TheEvolution of the Quality and Safety Education for Nurses (QSEN)Initiative. Retrieved from ttp://qsen.org/about-qsen/projectoverview/.White, K., & Dudley-Brown, S. (2012). Translation of evidence intonursing and health care practice. New York, NY: Springer PublishingCompany
MDC RN-BSN program students have presented in regional and national quality and EBP research forums. MDC RN-BSN program graduates hold leadership positions in quality clinical and service position at primary and tertiary institutions. MDC RN-BSN graduates are competitive as applicants to graduate nursing programs, regionally and nationally.
