2.50
Hdl Handle:
http://hdl.handle.net/10755/156999
Category:
Abstract
Type:
Presentation
Title:
Ethics Stewards - Enhancing a Culture of Ethical Practice
Author(s):
Kruithof, Julene B.; Garcia, Kris; Smith, Colleen
Author Details:
Julene B. Kruithof, MSN, RN, CCRN, Spectrum Health, Grand Rapids, Michigan, USA, email: julie.kruithof@spectrum-health.org; Kris Garcia; Colleen Smith
Abstract:
PURPOSE: The Ethics Steward program is an innovative program that prepares and empowers staff nurses to promote excellence in ethical care in their respective areas. Ethics Stewards fulfill their role by heightening awareness of ethical principles, serving as a resource to members of the health care team about ethical considerations and resources, and assisting to reduce moral distress experienced by colleagues. Ultimately, patient and family care improves when ethically sensitive care is provided. DESCRIPTION: Spectrum Health, the largest integrated health care system in West Michigan, serves 9 million people in 67 counties. In 2007, many ethically fraught patient situations occurred within adult critical care (ACC) services. Moral distress was noted, as well as opportunities to improve ethics resources and knowledge. Efforts focused on education for ACC nursing staff, and the formation of an Ethics Workgroup. Workgroup efforts included hospital-wide RN education, sponsorship of an Ethics Conference, and creation of an Ethics Steward program. Ethics Stewards are staff nurses who received education and mentoring on ethics and provision of ethical patient care. Initially, 72 staff completed the training. A tool kit was developed to provide written and Web-based resources for stewards to promote ethical excellence in their respective areas. Bimonthly Ethics Steward Education and Support Sessions provide the stewards with ongoing mentoring, as well as an open forum for sharing struggles and successes. Recently, a second Annual Ethics Conference was held, and Stewards were invited to a breakfast session to celebrate and recognize their efforts. Current work includes increasing the number of Ethics Stewards. EVALUATION/OUTCOMES:Outcomes of the Ethics Steward program are both measurable and intangible. Measurable outcomes include an increase of nearly 400% in the numbers of Ethics Committee consults in the past 2 years. The Ethics Conferences, held in 2008 and 2009, had 260 and 212 attendees, respectively. Evaluations of the Steward support sessions reveal that the sessions have met the goal of engaging stewards in continued learning and sharing about the ethical complexities they encounter. Intangible outcomes include staff nurse reports of "support" and "knowing I have resources" when faced with ethically challenging situations. In total, these efforts translate to ethical excellence in patient care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEthics Stewards - Enhancing a Culture of Ethical Practiceen_GB
dc.contributor.authorKruithof, Julene B.en_GB
dc.contributor.authorGarcia, Krisen_GB
dc.contributor.authorSmith, Colleenen_GB
dc.author.detailsJulene B. Kruithof, MSN, RN, CCRN, Spectrum Health, Grand Rapids, Michigan, USA, email: julie.kruithof@spectrum-health.org; Kris Garcia; Colleen Smithen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156999-
dc.description.abstractPURPOSE: The Ethics Steward program is an innovative program that prepares and empowers staff nurses to promote excellence in ethical care in their respective areas. Ethics Stewards fulfill their role by heightening awareness of ethical principles, serving as a resource to members of the health care team about ethical considerations and resources, and assisting to reduce moral distress experienced by colleagues. Ultimately, patient and family care improves when ethically sensitive care is provided. DESCRIPTION: Spectrum Health, the largest integrated health care system in West Michigan, serves 9 million people in 67 counties. In 2007, many ethically fraught patient situations occurred within adult critical care (ACC) services. Moral distress was noted, as well as opportunities to improve ethics resources and knowledge. Efforts focused on education for ACC nursing staff, and the formation of an Ethics Workgroup. Workgroup efforts included hospital-wide RN education, sponsorship of an Ethics Conference, and creation of an Ethics Steward program. Ethics Stewards are staff nurses who received education and mentoring on ethics and provision of ethical patient care. Initially, 72 staff completed the training. A tool kit was developed to provide written and Web-based resources for stewards to promote ethical excellence in their respective areas. Bimonthly Ethics Steward Education and Support Sessions provide the stewards with ongoing mentoring, as well as an open forum for sharing struggles and successes. Recently, a second Annual Ethics Conference was held, and Stewards were invited to a breakfast session to celebrate and recognize their efforts. Current work includes increasing the number of Ethics Stewards. EVALUATION/OUTCOMES:Outcomes of the Ethics Steward program are both measurable and intangible. Measurable outcomes include an increase of nearly 400% in the numbers of Ethics Committee consults in the past 2 years. The Ethics Conferences, held in 2008 and 2009, had 260 and 212 attendees, respectively. Evaluations of the Steward support sessions reveal that the sessions have met the goal of engaging stewards in continued learning and sharing about the ethical complexities they encounter. Intangible outcomes include staff nurse reports of "support" and "knowing I have resources" when faced with ethically challenging situations. In total, these efforts translate to ethical excellence in patient care.en_GB
dc.date.available2011-10-26T19:19:52Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:19:52Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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