Primary Learning Outcomes

After completing this lesson, the student will be able to:

• Summarize the elements of the TeamSTEPPS STEP situation awareness tool.
• Describe how situation awareness can be maintained by consistent use of the STEP tool.
• Plan how to consistently use and practice applying the STEP tool on the unit.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 
As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, the student will be able to:

• Describe the process patients go through when they sit down to fill out a survey of patient satisfaction.
• Generate a list of things a unit could do that, if implemented, would increase the unit’s ability to create satisfied patients.
• Adopt a plan to work toward eliminating dis-satisfiers of patient safety and increase the use of practices that lead to increase patient satisfaction.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, you will be able to:

• Explain the negative effect that unnecessary noise has on patients and their satisfaction with their hospital experience.
• Be able to define noise and list possible sources of noise affecting patients.
• Create a plan for conducting regular noise audits and awareness-raising sessions for fellow staff members.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, you will be able to:

• Explain the role effective pain management has in overall patient satisfaction.
• Compare effective and ineffective approaches to communicating with patients about their pain and its management.
• Adopt a pain management strategy that includes and emphasizes complete and compassionate communication with patients.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, you will be able to:

• Describe ways you can engage patients to make an emotional connection.
• Adopt strategies that focus on the emotional needs of patients and families, not just clinical or administrative requirements.
• Demonstrate empathic, caring response to patients during episodes of indecision, anxiety, and concerns about the direction of their care.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, you will be able to:

• Apply strategies and methods to ensure safe and timely closed-loop hand-offs between care providers.
• Apply assertive statements or signal phrases to express safety concerns among team members regardless of hierarchy.
• Adopt new communication methods and strategies for improving team decision making during emergent situations that include the patient and family.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, the student will be able to:

• Define the DESC tool from TeamSTEPPS and identify how it can be used to correct incidents and patterns of unprofessional conduct.
• Arrange the debrief process to set up DESC discussions between the participants when disruptive interpersonal conflict affects the functioning of the team.
• Adopt the TeamSTEPPS DESC tool as the primary problem-resolution strategy for handling interpersonal conflict.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 
As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, the student will be able to:

• Define the DESC tool from TeamSTEPPS and identify how it can be used to correct incidents and patterns of unprofessional conduct.
• Arrange the debrief process to set up DESC discussions between the participants when disruptive interpersonal conflict affects the functioning of the team.
• Adopt the TeamSTEPPS DESC tool as the primary problem-resolution strategy for handling interpersonal conflict.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Safety: Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 
As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, you will be able to:

• Recognize the importance of patient perspective in hostile situations.
• Describe how empathy can be used to diffuse patient/family anger.
• Adopt a huddle as a communication tool to support team members and enable them to manage patient/family expectations in hostile situations.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.

Primary Learning Outcomes

After completing this lesson, the student will be able to:

• Identify your attitude to conflict.
• Use empathy in situations charged with conflict to convey that you hear and understand what patients are saying.
• Establish a common goal through collaboration.

QSEN Pre-Licensure Competencies

The following QSEN competencies are addressed in this lesson:

• Patient-Centered Care: Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.
• Teamwork and Collaboration: Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care.

Story Directions: 

As you listen to and read the story, think about the things that you think the team members did well, and the things you think could lead to errors. Also, consider the questions below as you listen.