2.50
Hdl Handle:
http://hdl.handle.net/10755/162453
Type:
Presentation
Title:
Nursing Leadership Strategies to Improve Outcomes in the Emergency Department
Abstract:
Nursing Leadership Strategies to Improve Outcomes in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Moran-Peters, Judith Ann, RN, DNSc, CNA, BC
P.I. Institution Name:Huntington Hospital
Title:Assistant Director of Nursing - Critical Care Services and Coordinator, Nursing Research/EBP
Contact Address:, Huntington, NY, 11743-, USA
Contact Telephone:(631) 351-2070
Purpose: To describe the positive effects of nursing leadership strategies on RN staffing, cost reduction and patient care outcomes in the Emergency Department. The ability to recruit and retain highly competent registered professional nurses is essential to the provision of quality patient care outcomes. Therefore, effective strategies are needed which support RN staffing in order to provide safe, high quality care to patients. This is particularly important in Emergency Departments, where nursing shortages are often commonplace.

Design: This leadership project used a non-experimental, correlational design. Interviews were conducted and comparative analysis of data was completed.

Participants: Interviews were conducted with administrators, staff development educators, medical staff and direct care nurses.

Setting: 400 bed, Magnet-designated, community hospital located in New York. The ED is a Level II Trauma Center with 28 beds and 46,500 visits per year.

Methods: In 2002 the ED experienced high RN vacancy and turnover rates. Staff satisfaction was low. The use of agency nurses created a financial burden and an unstable work environment. Faced with these problems the CNO empowered the ED nursing staff to develop innovative, evidence-based strategies to facilitate the successful recruitment and retention of ED nurses. In order to facilitate rapid implementation of changes needed, the existing organizational structure and management style were modified. As a result, the table of organization was changed so that the ED reported directly to the CNO. Other strategies included: 1) recruitment of an ED nurse educator; 2) development of a mentoring program; 3) appointment of Assistant Nurse Managers; 4) placement of a pharmacist in the ED; 5) additional ancillary staff; 6) process/structural improvements (electronic patient tracking board, construction of a second nursing station, additional hemodynamic monitoring, etc.)

Results: By 2004 positive outcomes were achieved, and have been sustained over time. Examples: RN vacancy rate was decreased from 20 % to 5 %, turnover decreased from 33% to 6%.The use of agency nurses was eliminated. Cost savings was over 1.5 million dollars. Nursing and patient satisfaction scores were improved. Future plans include a major capital improvement program to modernize and expand ED services.

Recommendations: Nursing leaders need to empower ED nurses to develop innovative, cost effective, evidence-based strategies to improve ED work environments, facilitate recruitment and retention of highly competent ED nurses, and achieve high quality patient care outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Leadership Strategies to Improve Outcomes in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162453-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Leadership Strategies to Improve Outcomes in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Moran-Peters, Judith Ann, RN, DNSc, CNA, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Huntington Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Director of Nursing - Critical Care Services and Coordinator, Nursing Research/EBP</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Huntington, NY, 11743-, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(631) 351-2070</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jmoran@hunthosp.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To describe the positive effects of nursing leadership strategies on RN staffing, cost reduction and patient care outcomes in the Emergency Department. The ability to recruit and retain highly competent registered professional nurses is essential to the provision of quality patient care outcomes. Therefore, effective strategies are needed which support RN staffing in order to provide safe, high quality care to patients. This is particularly important in Emergency Departments, where nursing shortages are often commonplace.<br/><br/>Design: This leadership project used a non-experimental, correlational design. Interviews were conducted and comparative analysis of data was completed.<br/><br/>Participants: Interviews were conducted with administrators, staff development educators, medical staff and direct care nurses.<br/><br/>Setting: 400 bed, Magnet-designated, community hospital located in New York. The ED is a Level II Trauma Center with 28 beds and 46,500 visits per year.<br/><br/>Methods: In 2002 the ED experienced high RN vacancy and turnover rates. Staff satisfaction was low. The use of agency nurses created a financial burden and an unstable work environment. Faced with these problems the CNO empowered the ED nursing staff to develop innovative, evidence-based strategies to facilitate the successful recruitment and retention of ED nurses. In order to facilitate rapid implementation of changes needed, the existing organizational structure and management style were modified. As a result, the table of organization was changed so that the ED reported directly to the CNO. Other strategies included: 1) recruitment of an ED nurse educator; 2) development of a mentoring program; 3) appointment of Assistant Nurse Managers; 4) placement of a pharmacist in the ED; 5) additional ancillary staff; 6) process/structural improvements (electronic patient tracking board, construction of a second nursing station, additional hemodynamic monitoring, etc.)<br/><br/>Results: By 2004 positive outcomes were achieved, and have been sustained over time. Examples: RN vacancy rate was decreased from 20 % to 5 %, turnover decreased from 33% to 6%.The use of agency nurses was eliminated. Cost savings was over 1.5 million dollars. Nursing and patient satisfaction scores were improved. Future plans include a major capital improvement program to modernize and expand ED services.<br/><br/>Recommendations: Nursing leaders need to empower ED nurses to develop innovative, cost effective, evidence-based strategies to improve ED work environments, facilitate recruitment and retention of highly competent ED nurses, and achieve high quality patient care outcomes.</td></tr></table>en_GB
dc.date.available2011-10-27T10:28:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:28Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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