Cheap essays, research papers, dissertations.QSEN Competencies John Larsen Shadow health
QSEN Competencies
The Quality and Safety Education for Nurses (QSEN) Institute works to prepare future nurses in the competencies of Patient-centered Care, Teamwork and Collaboration, Evidence-based Practice, Quality Improvement, Safety, and Informatics. Additional information about the QSEN competencies is available from qsen.org.
In this assignment you demonstrated QSEN competencies through the actions of interviewing the patient to collect subjective data, assessing the patient to collect objective data, and responding to opportunities to empathize with and educate the patient.
Using the tabs above you can view the QSEN competencies demonstrated by each of your actions. This unscored feedback is provided to illustrate the knowledge, skills, and attitudes you have demonstrated that will contribute to the quality and safety of your work as a nurse and your capacity to continuously improve the quality and safety of health care.
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Subjective Data Collection
Skills
Attitudes
Established chief complaint
Patient Centered Care
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Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Quality Improvement
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about onset and duration of symptoms
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about aggravating factors of symptoms
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about relieving factors of symptoms
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about existing health conditions
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Followed up on history of mental health
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the EHR. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Followed up on hypertension diagnosis
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Followed up on high cholesterol diagnosis
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Followed up on osteoarthritis diagnosis
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the EHR. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about allergies
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Asked specifically about medication allergies
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Followed up on codeine allergy
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Differentiate clinical opinion from research and evidence summaries.
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Asked about home medications
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Followed up on last dose of home medications
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Differentiate clinical opinion from research and evidence summaries.
Value the concept of EBP as integral to determining best clinical practice.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Followed up on medication for cholesterol
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database.
Navigate the EHR.
Followed up on medication for hypertension
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about substance use
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Avoid judgment, communicate wisely and maintain confidentiality.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Followed up on alcohol use
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Avoid judgment, communicate wisely and maintain confidentiality.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about caffeine use
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Avoid judgment, communicate wisely and maintain confidentiality.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about family, support system, and living situation
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Avoid judgment, communicate wisely and maintain confidentiality.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record. Navigate the EHR.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about relevant family history
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Avoid judgment, communicate wisely and maintain confidentiality.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about general symptoms
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know..
Asked about review of systems for HEENT
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for respiratory
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for cardiovascular
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for skin, hair, and nails
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for gastrointestinal
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for musculoskeletal
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for neurological
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked about review of systems for psychological
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Informatics
Identify essential information that must be available in a common database to support patient care.
Apply technology and information management tools to support safe processes of care. Navigate the electronic health record. Document and plan patient care in an electronic health record.
Protect confidentiality of protected health information in electronic health records. Access patients records only when there is a need to know.
Asked “Are you troubled by the following things?”
Patient Centered Care
Demonstrate comprehensive understanding in sign in symptoms of anxiety disorder in general, and in particular to the case presented. Consider patient thoughts, feelings, family involvement, and demographics.
Provide care with sensitivity and respect for the diversity of human experience. Assess patient needs, and values. Evaluate patient’s diagnostic measures to rule out physical conditions, psychological conditions that mimic physiological issues, or any co-morbid conditions.
Evidence Based Practice
Differentiate clinical opinion from research and evidence summaries.
Value the concept of EBP as integral to determining best clinical practice.
In
