The PSCF 9 Domains Flashcards
What does PSCF stand for?
The Patient Safety Competency Framework
What are the 9 domains of the PSCF?
- Person-centered care
- Therapeutic communication
- Cultural competence
- Teamwork and collaborative practice
- Clinical reasoning
- Evidence-based practice
- Preventing, minimising and responding to adverse effects
- Infection prevention and control
- Medication safety
What is ‘person-centered care’?
Is the central tenet underpinning the delivery of safe and effective nursing care. It is a holistic approach that is grounded in a philosophy of personhood. Person-centred care means treating each person as an individual, protecting their dignity, respecting their rights and preferences, and developing a therapeutic relationship that is built on mutual trust and empathic understandings.
What is ‘therapeutic communication’?
Occurs when nurses use verbal and nonverbal communication techniques in a goal-directed way, ensuring that the healthcare needs of the person remain the central focus. Therapeutic communication is built on trust, authenticity, empathy and self-awareness. Nurses who communicate therapeutically listen to understand, maintain a non-judgmental stance, and are ‘fully present’ with the person.
What is ‘cultural competence’?
Is integral to safe and effective clinical practice. The term cultural competence refers to behaviours and attitudes that enable systems, organisations, professions and individuals to work effectively in cross-cultural situations. Cultural competence refers to the willingness to adapt practice to meet the needs of people from diverse cultures, and the ability to interact with persons from cultures and/or belief systems different to one’s own. Cultural safety is as important to quality care as clinical safety; however, the presence or absence of cultural safety is determined by the recipient of care, rather than the caregiver.
What is ‘teamwork and collaborative practice’?
Refers to healthcare professionals working together using complementary knowledge and skills to provide patient care, based on trust, respect and understanding of each other’s expertise. Collaborative practice prioritises the patient’s needs, requires well developed intra and interprofessional communication skills, and the ability to speak up if one has concerns.
What is ‘clinical reasoning’?
Is a cyclical process by which nurses collect cues, interpret the information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process. Clinical reasoning requires a critical thinking disposition and is influenced by the nurse’s assumptions, attitudes and cognitive biases.
What is ‘evidence-based practice’?
Is the conscientious and explicit use of contemporary research, current evidence, clinical expertise and patient values to make decisions about patient care. Evidence-based practice requires the ability to search for, critically appraise, utilise and translate research into practice.
What is ‘preventing, minimising and responding to adverse events’?
Refers to the ability to anticipate and effectively manage human and systems factors that have the potential to impact patient safety. Responding appropriately to adverse events encompasses the ability to recognise and manage patient deterioration, to participate in analysis of the events in order to identify system failures and appropriate solutions, and to provide honest and timely communication about the facts of the adverse event.
What is ‘infection prevention and control’?
Refers to the use of effective, evidence-based strategies to prevent and manage healthcare-associated infections. It also focuses on minimising the risk of transmission by effectively using standard and transmission-based precautions and reducing the development of resistant organisms.
What is ‘medication safety’?
Refers to the safe use of medicines to achieve therapeutic outcomes and improve people’s quality of life, while minimising risks and responding to errors. Medication safety is dependent upon the nurses’ ability to manage the human and systems factors that have the potential to adversely impact the accuracy of medication prescribing, dispensing and administration, and to educate patients to self-manage medications appropriately.
What is patient safety defined as according to the World Health Organisation (WHO)?
Patient safety is defined as “the prevention of errors and adverse events to patients associated with healthcare” (WHO, 2017).
Who is The PSCF developed for?
The PSCF is developed for nursing students but other nurses in the profession are welcome to apply this in their practice.
