Leadership Partners: Clinical Nurse Specialist and Nurse Manager Building a Healthy Work Environment

2.50
Hdl Handle:
http://hdl.handle.net/10755/164287
Category:
Abstract
Type:
Presentation
Title:
Leadership Partners: Clinical Nurse Specialist and Nurse Manager Building a Healthy Work Environment
Author(s):
Hujcs, Marianne; Ledwith, Mary
Author Details:
Marianne Hujcs, MSN, RN, CCRN, CNRN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Mary Ledwith BSN, RN
Abstract:
Purpose: To describe the role of the Clinical Nurse Specialist in developing a Healthy Work Environment as defined by the American Association of Critical Care Nurses (AACN). Attendees will identify how to collaborate and how to delineate leadership roles for implementing specific strategies designed to improve RN \satisfaction and patient outcome. Significance: Nursing leaders are essential in fostering clinical excellence. Design: The Neurotrauma SICU (NTSICU) CNS and Nurse Manager began the healthy work environment (HWE) initiative to improve staff communication skills; establish true collaborative relationships with physicians and team members; engage staff in decision making; and develop staff nurse leaders. NTSICU was faced with new Nursing and Medical leadership, an increase in direct care hours necessitating hiring many new to practice RN's and requests from staff to address morale and turnover. Methods: The CNS and Nurse Manager worked collaboratively to ensure the development and sustainability of the environment. A common vision maintained consistency with our efforts as we confronted numerous challenges and affected several changes. Specific strategies implemented included teambuilding workshops, conflict resolution techniques, clarifying practice expectations, structuring interdisciplinary rounds, developing collaborative practice teams to address clinical guidelines and incorporating HWE initiatives into staff performance appraisals. Findings: Based on the NDNQI Database, NTSICU had an overall increased RN satisfaction in all areas and achieved Top Quartile Cut Point for Adult Critical Care in decision-making, autonomy and communication. Compared to our 2004 survey, there was increased satisfaction in RN-RN communication, RN-MD communication and Teamwork between co-workers. During this time, staff turnover decreased to below 10%. Several evidence- based practice guidelines were implemented addressing the clinical needs of our patients; nosocomial VAP and BSI rates decreased to below the 50th percentile nationally. Conclusions: A healthy work environment contributes to successful implementation of evidence-based strategies with measurable outcomes in RN satisfaction and patient care. Implications for Practice: Presenting an organized, committed effort in improving teamwork, communication and engaging staff in this process improves patient care.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
Clinical Nurse Specialists: Leaders in Clinical Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Atlanta, Georgia, USA
Description:
Conference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgia
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.titleLeadership Partners: Clinical Nurse Specialist and Nurse Manager Building a Healthy Work Environmenten_GB
dc.contributor.authorHujcs, Marianneen_US
dc.contributor.authorLedwith, Maryen_US
dc.author.detailsMarianne Hujcs, MSN, RN, CCRN, CNRN, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org; Mary Ledwith BSN, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164287-
dc.description.abstractPurpose: To describe the role of the Clinical Nurse Specialist in developing a Healthy Work Environment as defined by the American Association of Critical Care Nurses (AACN). Attendees will identify how to collaborate and how to delineate leadership roles for implementing specific strategies designed to improve RN \satisfaction and patient outcome. Significance: Nursing leaders are essential in fostering clinical excellence. Design: The Neurotrauma SICU (NTSICU) CNS and Nurse Manager began the healthy work environment (HWE) initiative to improve staff communication skills; establish true collaborative relationships with physicians and team members; engage staff in decision making; and develop staff nurse leaders. NTSICU was faced with new Nursing and Medical leadership, an increase in direct care hours necessitating hiring many new to practice RN's and requests from staff to address morale and turnover. Methods: The CNS and Nurse Manager worked collaboratively to ensure the development and sustainability of the environment. A common vision maintained consistency with our efforts as we confronted numerous challenges and affected several changes. Specific strategies implemented included teambuilding workshops, conflict resolution techniques, clarifying practice expectations, structuring interdisciplinary rounds, developing collaborative practice teams to address clinical guidelines and incorporating HWE initiatives into staff performance appraisals. Findings: Based on the NDNQI Database, NTSICU had an overall increased RN satisfaction in all areas and achieved Top Quartile Cut Point for Adult Critical Care in decision-making, autonomy and communication. Compared to our 2004 survey, there was increased satisfaction in RN-RN communication, RN-MD communication and Teamwork between co-workers. During this time, staff turnover decreased to below 10%. Several evidence- based practice guidelines were implemented addressing the clinical needs of our patients; nosocomial VAP and BSI rates decreased to below the 50th percentile nationally. Conclusions: A healthy work environment contributes to successful implementation of evidence-based strategies with measurable outcomes in RN satisfaction and patient care. Implications for Practice: Presenting an organized, committed effort in improving teamwork, communication and engaging staff in this process improves patient care.en_GB
dc.date.available2011-10-27T11:45:34Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:45:34Z-
dc.conference.date2008en_US
dc.conference.nameClinical Nurse Specialists: Leaders in Clinical Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.descriptionConference theme: Clinical Nurse Specialists: Leaders in Clinical Excellence, held March 5 - 8 at the Westin Peachtree Plaza in Atlanta, Georgiaen_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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.