The College of New Jersey Logo

Apply     Visit     Give     |     Alumni     Parents     Offices     TCNJ Today     Three Bar Menu

Unfolding Case Study: Applying the QSEN Competencies to the Care of Patients with Parkinson’s Disease

Author: Gerry Altmiller, EdD, APRN, ACNS-BC

Title: Associate Professor

Institution: The College of New Jersey


Competency Category(s)
Evidence-Based Practice, Informatics, Patient-Centered Care, Quality Improvement, Safety, Teamwork and Collaboration

Learner Level(s)
New Graduates/Transition to Practice, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN, Staff Development

Learner Setting(s)

Strategy Type
General Strategy

Learning Objectives

  • Participate in an unfolding case study for a patient with Parkinson’s Disease hospitalized for an upcoming surgery.
  • Function competently within own scope of practice as a member of the health care team.
  • Assert own position/perspective in discussions about patient care. 
  • Identify gaps between local and best practices. 
  • Discuss potential and actual impact of national patient safety resources, initiatives, and regulations. 

Strategy Overview

Students will be instructed to review information on Parkinson’s Disease prior to class by visiting the National Parkinson’s Disease website This unfolding case study powerpoint presentation will be provided in class. Students will be encouraged to brainstorm to answer the questions as the case study unfolds. Theory bursts are woven throughout the case study.  The presentation includes links to Lee Siverman’s Voice Training (LSVT), which is a proven program to help patients with Parkinson’s Disease speak loudly and walk with a more stable gait.  Following the class session, the case study will be posted for the class to retrieve so that theory content is available to them.

Evaluation Description

Evaluation strategies related to student learning will include separate measurement of a cohort of questions on a course exam that focus on the decision making skills of the nurse caring for the patient with Parkinson’s Disease.

Questions will include content related to implementation of standards of practice, appropriate and effective strategies to use to reduce risk of harm, and recognition of the role of the patient, family, and nurse in preventing errors and improving care.

Student satisfaction with this teaching strategy will be evaluated following the presentation of this unfolding case study by using a questionnaire with the five following statements followed by a 5-point Likert scale: (1) I feel I could provide nursing care for the patient with Parkinson’s Disease after viewing this presentation. (2) I thought about this patient’s care during this presentation. (3) My mind wandered during this presentation. (4) I gained understanding about QSEN during this presentation. (5) I would like to have more course content presented as unfolding case studies.  In addition, an area for comments will be provided.

Download Presentation: Parkinson’s-Disease-and-QSEN-Competencies-2-1.pptx