Quality and Safety Education for Nurses Clinical Evaluation Tool

Abstract

An efficient evaluation tool is essential when measuring the clinical performance of undergraduate nursing students. It is also important that this evaluation tool accurately assess the critical competencies that students must demonstrate in the clinical setting. The tool should be unambiguous, succinct, and adaptable to a wide variety of clinical experiences and faculty. As part of a curriculum improvement initiative for their baccalaureate nursing program, the nursing faculty teaching in a 4-year undergraduate program identified the need for the development of a new clinical performance evaluation tool for the evaluation of undergraduate nursing students in each clinical placement. The resultant tool more accurately appraised clinical capabilities by focusing on quality and safety in health care, and it permitted the evaluation of critical thinking skills and team communication.

A Valid and Reliable Tool to Assess Nursing Students` Clinical Performance

“…In a study as part of a curriculum improvement for their baccalaureate nursing program, the nursing faculty, teaching in a 4-year undergraduate program identified the need for the development of a new clinical performance evaluation tool for the evaluating of undergraduate nursing students. The resultant tool more accurately appraised clinical capabilities by focusing on quality and safety in health care, and it permitted the evaluation of critical thinking skills and team communication [11]. Also the challenge of determining psychometric properties remains a major problem.…”

“…Some studies have focused on designing tools for nursing students` clinical evaluation [1,11] but it seems the problem still remained a major challenge. Many studies have mentioned this problem and emphasized on the necessity of appropriate tools.…”

“…It is also important that the evaluation tool accurately assess the critical competencies which students must demonstrate in clinical settings. The tool should be unambiguous, succinct and adaptable to a wide variety of clinical experiences, and inform students and educators of students' progress [1,11]. Despite the importance of valid, reliable and objective assessment tools, studies showed there are still many challenges in this area.…”

Povezave med razjedo zaradi pritiska in ohranjanjem integritete kože pacienta v intenzivni zdravstveni obravnavi: pregled literature

“…Različni dokumenti poudarjajo skupno priznavanje akademskih krogov, regulativnih organov in glavnih interesnih skupin v zdravstvu, da je razvoj kompetenc, povezanih s kakovostjo in varnostjo zdravstvene nege pacientov, nekaj, kar je bistvenega pomena v kliničnem izobraževalnem procesu (Walsh, et al, 2010).…”

“…Slika 2 prikazuje potek raziskave; ključne besede iskanja, identifikacijo, vključitev in izključitev zadetkov ter izbor ustreznih raziskav za zbiranje relevantnih podatkov. Sočasno delujoči -grožnja integriteti kože -stres in fiziološka ogroženost -odpoved organov in vnetni procesi -edemi in tekočinska obremenitev -nezmožnost spreminjanja lege-inkontinenca in nezmožnost samonege in higiene -zaprtje/tekoče blato/telesni izločki -higienski režim -popolna odvisnost -prisotnost različnih naprav -nepravilni postopki zdravstvene nege -znižan krvni tlak -čezmerno potenje -hiper-/hipotermijaslaba prehranjenost -opioidi in antibiotiki -imobilizacija in ortopedske naprave -varnost in zdravstvena politika -multidisciplinarnost tima in komunikacija -kadrovska popolnjenost in timsko delo -izobraževanje in razvoj strokovnjakovmenedžment in organizacijska kultura -kultura varnosti in osredotočenost na pacienta Sammer, et al, 2010;Walsh, et al, 2010;Elliott, 2011;Thompson, 2011;Stephen-Haynes, 2011;Bosch, et al, 2011;Chamanga, 2011;Cox, 2011;Zurc, 2011;Foster, 2012;Estilo, et al, 2012;Wilczweski, et al, 2012 Kategorija 2 -Čas bivanja v enoti IT prvi teden je najverjetnejše obdobje povečane ranljivosti zaradi kritičnosti zdravstvenega stanja -povečano tveganje za nastanek RZP -hemodinamska nestabilnost -daljše obdobje hipotenzije-nepričakovano podaljšanje bivanja -uporaba tehnologijezagotavljanje hemodinamske stabilnosti fizioloških parametrov ves čas bivanja v enotismernice in na dokazih podprto delovanje -kazalniki kakovosti -standardi in nadzor -preprečevanje RZP -nasprotni učinki -odločitve -reševanje -dokumentiranje in zanesljive informacije -odgovornost -raziskovanje in strategije izboljšav…”