In the medical profession, staff are asked to make judgments or draw conclusions based on measurable results. Physical assessments, vital signs, CT scan, MRI, biopsy are all activities undertaken to prove abnormalities and make decisions about the path forward. Having hunches is therefore not considered reliable, and rightly so. Deciding to administer a particular medication based on simple intuition can lead to serious errors. However, pain, which is now considered part of the vital signs, is based on the patient's philosophy or perspective and we (nurses) are told not to ignore it but to respond to it. It's very subjective. It is considered as perceived by the patient and is not as tangible or measurable as other ways of proving that something is abnormal. The situation to be presented will reveal a patient's ordeal due to the nurse's approach or understanding of pain management. It will also assess whether the nurse responded according to protocol. The patient is a woman in her twenties who arrived at the hospital due to a sickle cell crisis. She was in a lot of pain, especially in her joints. His hemoglobin level was low, so the doctor ordered 2 bags of packed red blood cells and painkillers every 4 hours. The patient explained several times that the dose prescribed by the doctor was not enough and that she needed additional help. The nurse promised to contact the doctor and inform him of the response. The fact is that she never did it and she was called urgently a few hours later to calm her patient who was crying in pain and wanted to go home to suffer. She shouted that no one cared. Some nurses were even callous enough to say if she wanted to leave, then hand her the corresponding document and allow her to leave. The above scenario certainly outlines some actions that are co...... middle of paper ...... Patient care has a comprehensive understanding of how quality and safety issues affect outcomes for patients, and the integration of QSEN helps achieve this goal. Any progress toward evolving the healthcare system toward a culture of quality and safety must begin with student education. Safe and effective delivery of patient care requires nursing students to understand the complexity of health systems, human limitations, safety design principles, characteristics of reliable systems, and resources for patient safety (Barnsteiner , 2011). Therefore, the integration and incorporation of QSEN helps to place considerable importance and direct students towards appreciating and understanding the complexity of health care delivery systems. This mission has indeed demonstrated to what extent QSEN can be effective if the proposed principles are applied to each patient in the health system...