Keeping Track and Keeping Score: Balancing Clinical Performance and Professional Role Identity with Outcome Measurement Scales

2.50
Hdl Handle:
http://hdl.handle.net/10755/164215
Category:
Abstract
Type:
Presentation
Title:
Keeping Track and Keeping Score: Balancing Clinical Performance and Professional Role Identity with Outcome Measurement Scales
Author(s):
Muller, Anne C.; Strauss, Robyn
Author Details:
Anne C. Muller, MSN, RN, CRNP, CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Robyn Strauss, MSN, APRN, BC, CVN, WCC
Abstract:
Purpose: The Hospital of the University of Pennsylvania (HUP) developed and implemented a "scorecard" for quantifying and measuring the unit based CNS's contribution to quality care. Significance: Within the current healthcare environment there exists an intense economic competition for a limited amount of reimbursement monies. One result of this pressure is the re-emergence of a call for a measurement tool that accurately quantifies the broad range of Clinical Nurse Specialist (CNS) contributions to essential nursing initiatives, excellent patient care and implementation of evidenced based research findings. This current healthcare climate, focused on the call from institutional and regulatory agencies for quantified outcomes measurement, necessitates that CNSs develop and maintain a wide range of competencies focused on patient and quality of care outcomes yet remain consistent with competencies. Background/Design: Within the current healthcare environment there exists an intense economic competition for a limited amount of reimbursement monies. One result of this pressure is the re-emergence of a call for a measurement tool that accurately quantifies the broad range of Clinical Nurse Specialist (CNS) contributions to essential nursing initiatives, excellent patient care and implementation of evidenced based research findings. This current healthcare climate, focused on the call from institutional and regulatory agencies for quantified outcomes measurement, necessitates that CNSs develop and maintain a wide range of competencies focused on patient and quality of care outcomes yet remain consistent with competencies unique to the role. Methods: Following a review of the literature, possible barriers to implementation were identified and stakeholder opinions were solicited. After reviewing several business models the scorecard was developed and piloted. Findings: Metrics utilized include analysis of the delivery of care consistent with National Database of Nursing Quality Initiatives, staff development, evidence based practice utilization and retention of staff nurses. Quality patient care was a priority, integrated with the professional competencies of CNSs within the framework of Patricia Benner's model of nursing practice development. Applicability across care disciplines was determined while establishing meaningful comparative measures consistent with the traditional professional competencies of the CNS. Conclusions: Measuring CNS's contributions to the clinical care environment is essential for establishing the contribution of the bedside. Tools adapted from the business community, such as a 'scorecard' methodology, can be successfully used across multiple care disciplines and help support the role of the CNS. Implications for Practice: CNSs need to define their priorities and develop tools that quantify their essential contributions to quality clinical care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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.titleKeeping Track and Keeping Score: Balancing Clinical Performance and Professional Role Identity with Outcome Measurement Scalesen_GB
dc.contributor.authorMuller, Anne C.en_US
dc.contributor.authorStrauss, Robynen_US
dc.author.detailsAnne C. Muller, MSN, RN, CRNP, CNS, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Robyn Strauss, MSN, APRN, BC, CVN, WCCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164215-
dc.description.abstractPurpose: The Hospital of the University of Pennsylvania (HUP) developed and implemented a "scorecard" for quantifying and measuring the unit based CNS's contribution to quality care. Significance: Within the current healthcare environment there exists an intense economic competition for a limited amount of reimbursement monies. One result of this pressure is the re-emergence of a call for a measurement tool that accurately quantifies the broad range of Clinical Nurse Specialist (CNS) contributions to essential nursing initiatives, excellent patient care and implementation of evidenced based research findings. This current healthcare climate, focused on the call from institutional and regulatory agencies for quantified outcomes measurement, necessitates that CNSs develop and maintain a wide range of competencies focused on patient and quality of care outcomes yet remain consistent with competencies. Background/Design: Within the current healthcare environment there exists an intense economic competition for a limited amount of reimbursement monies. One result of this pressure is the re-emergence of a call for a measurement tool that accurately quantifies the broad range of Clinical Nurse Specialist (CNS) contributions to essential nursing initiatives, excellent patient care and implementation of evidenced based research findings. This current healthcare climate, focused on the call from institutional and regulatory agencies for quantified outcomes measurement, necessitates that CNSs develop and maintain a wide range of competencies focused on patient and quality of care outcomes yet remain consistent with competencies unique to the role. Methods: Following a review of the literature, possible barriers to implementation were identified and stakeholder opinions were solicited. After reviewing several business models the scorecard was developed and piloted. Findings: Metrics utilized include analysis of the delivery of care consistent with National Database of Nursing Quality Initiatives, staff development, evidence based practice utilization and retention of staff nurses. Quality patient care was a priority, integrated with the professional competencies of CNSs within the framework of Patricia Benner's model of nursing practice development. Applicability across care disciplines was determined while establishing meaningful comparative measures consistent with the traditional professional competencies of the CNS. Conclusions: Measuring CNS's contributions to the clinical care environment is essential for establishing the contribution of the bedside. Tools adapted from the business community, such as a 'scorecard' methodology, can be successfully used across multiple care disciplines and help support the role of the CNS. Implications for Practice: CNSs need to define their priorities and develop tools that quantify their essential contributions to quality clinical care.</td></tr></table>en_GB
dc.date.available2011-10-27T11:44:10Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:10Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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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