First Story/Second Story: A Method to Enhance Organizational Learning for Patient Safety and Retention Efforts

2.50
Hdl Handle:
http://hdl.handle.net/10755/164123
Category:
Abstract
Type:
Presentation
Title:
First Story/Second Story: A Method to Enhance Organizational Learning for Patient Safety and Retention Efforts
Author(s):
Ebright, Patricia; McEwen, Kathy; Rapala, Katherine
Author Details:
Patricia Ebright, DNS, CNS, RN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Kathy McEwen, MBA, RN; Katherine Rapala, JD, RN, Clarian Health Partners, Indianapolis, Indiana, USA
Abstract:
Purpose: The purpose of this innovative project is to operationalize a method for: 1) work environment problem identification through stories, 2) action plan development, and 3) organizational learning. Problem/Significance: The workplace environment has been targeted as a critical factor related to patient safety as well as nurse retention and recruitment. How to best identify and prioritize problems for improvement that will achieve patient safety and retention outcomes is essential for maximizing efficient use of resources. Description of Project: Project developers created a structured format for staff to elicit through story-telling details surrounding near miss and adverse events. Cognitive task analysis (CTA) techniques were adapted for use by selected hospital staff to facilitate recollection and identification of individual and team cues, goals, trade-offs, actions and rationale at the time of an event. Methods: The project consisted of: 1) story data collection and report forms; 2) process and team meeting guidelines; 3) testing, evaluation and revision; 4) education across facilities; 5) summary report data collection, analyses, and management; and 6) project evaluation. Evaluation of Innovation: Use of story-telling and CTA techniques has proven to be very useful as an adjunct to routine root cause analyses. In addition to evaluation data regarding the effectiveness of the widespread implementation of this project across multiple hospital sites and staff, results will be shared regarding overall organizational learning, and triangulation and management of story-telling data with other organizational data. Conclusions: Program development, facilitation, implementation, and evaluation are key competencies of the Clinical Nurse Specialist who is in a unique position to lead patient safety and staff retention efforts. This project will provide a specific example of an organization-wide exemplar of innovative strategies for use by CNSs.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, 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_US
dc.typePresentationen_GB
dc.titleFirst Story/Second Story: A Method to Enhance Organizational Learning for Patient Safety and Retention Effortsen_GB
dc.contributor.authorEbright, Patriciaen_US
dc.contributor.authorMcEwen, Kathyen_US
dc.contributor.authorRapala, Katherineen_US
dc.author.detailsPatricia Ebright, DNS, CNS, RN, Indiana University School of Nursing, Indianapolis, Indiana, USA, email: nacnsorg@nacns.org; Kathy McEwen, MBA, RN; Katherine Rapala, JD, RN, Clarian Health Partners, Indianapolis, Indiana, USAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164123-
dc.description.abstractPurpose: The purpose of this innovative project is to operationalize a method for: 1) work environment problem identification through stories, 2) action plan development, and 3) organizational learning. Problem/Significance: The workplace environment has been targeted as a critical factor related to patient safety as well as nurse retention and recruitment. How to best identify and prioritize problems for improvement that will achieve patient safety and retention outcomes is essential for maximizing efficient use of resources. Description of Project: Project developers created a structured format for staff to elicit through story-telling details surrounding near miss and adverse events. Cognitive task analysis (CTA) techniques were adapted for use by selected hospital staff to facilitate recollection and identification of individual and team cues, goals, trade-offs, actions and rationale at the time of an event. Methods: The project consisted of: 1) story data collection and report forms; 2) process and team meeting guidelines; 3) testing, evaluation and revision; 4) education across facilities; 5) summary report data collection, analyses, and management; and 6) project evaluation. Evaluation of Innovation: Use of story-telling and CTA techniques has proven to be very useful as an adjunct to routine root cause analyses. In addition to evaluation data regarding the effectiveness of the widespread implementation of this project across multiple hospital sites and staff, results will be shared regarding overall organizational learning, and triangulation and management of story-telling data with other organizational data. Conclusions: Program development, facilitation, implementation, and evaluation are key competencies of the Clinical Nurse Specialist who is in a unique position to lead patient safety and staff retention efforts. This project will provide a specific example of an organization-wide exemplar of innovative strategies for use by CNSs.en_GB
dc.date.available2011-10-27T11:42:28Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:42:28Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
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.en_US
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