2.50
Hdl Handle:
http://hdl.handle.net/10755/182104
Category:
Abstract
Type:
Presentation
Title:
Acting with Intention to Transform the Work Environment: A CNS-Led Interdisciplinary Project
Author(s):
Winterbottom, Fiona
Author Details:
Fiona Winterbottom, MSN, APRN, ACNS-BC, CCRN, Critical Care Clinical Nurse Specialist, Ochsner Medical Center, New Orleans, Louisiana, USA, email: fwinterbottom@ochsner.org
Abstract:
Podium presentation, ANCC National Magnet Conference: Professional development, staff retention, quality outcomes, and cultural change are not uncommon challenges in critical care. In an effort to create a structure to provide and sustain safe, efficient, and cost-effective care using the six pillars of a Healthy Work Environment, an interdisciplinary project was implemented. This multi-faceted project involved creating a team composed of staff nurses, physicians, pharmacist, respiratory therapy, and clinical nurse specialist. Each pillar was achieved using specific strategies. True collaboration was addressed by clarification of physician expectations monthly and recognition of nurses as patient care coordinators. Effective decision-making involved data-driven decisions and implementation of best practices. Appropriate staffing matched nurse competencies with assignments. Orientation was restructured to include hands on information, a phased approach to skill acquisition, and individual learning maps. Didactic and patient simulation synergized clinical knowledge and critical thinking. Authentic leadership required strategies to generate enthusiasm, provide resources, share information, and appraise performance. Preceptors played a pivotal role in establishing relationships with 44 new hires for a 32-bed unit. Metrics supporting 12-month project success include: improved RN satisfaction from 48% to 51%, turnover from 40% to 15%, vacancy from 29% to 17%, clinical ladder from 10% to 26%, doubled certification rate, and staffing cost avoidance of $325K for 2009. Best practices, such as sepsis management led to a reduction in mortality from 30% to 7% with an annualized cost avoidance of $2 million. This project positively impacted patient outcomes and a healthy work environment for professional staff.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center 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.titleActing with Intention to Transform the Work Environment: A CNS-Led Interdisciplinary Projecten_GB
dc.contributor.authorWinterbottom, Fionaen_US
dc.author.detailsFiona Winterbottom, MSN, APRN, ACNS-BC, CCRN, Critical Care Clinical Nurse Specialist, Ochsner Medical Center, New Orleans, Louisiana, USA, email: fwinterbottom@ochsner.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182104-
dc.description.abstractPodium presentation, ANCC National Magnet Conference: Professional development, staff retention, quality outcomes, and cultural change are not uncommon challenges in critical care. In an effort to create a structure to provide and sustain safe, efficient, and cost-effective care using the six pillars of a Healthy Work Environment, an interdisciplinary project was implemented. This multi-faceted project involved creating a team composed of staff nurses, physicians, pharmacist, respiratory therapy, and clinical nurse specialist. Each pillar was achieved using specific strategies. True collaboration was addressed by clarification of physician expectations monthly and recognition of nurses as patient care coordinators. Effective decision-making involved data-driven decisions and implementation of best practices. Appropriate staffing matched nurse competencies with assignments. Orientation was restructured to include hands on information, a phased approach to skill acquisition, and individual learning maps. Didactic and patient simulation synergized clinical knowledge and critical thinking. Authentic leadership required strategies to generate enthusiasm, provide resources, share information, and appraise performance. Preceptors played a pivotal role in establishing relationships with 44 new hires for a 32-bed unit. Metrics supporting 12-month project success include: improved RN satisfaction from 48% to 51%, turnover from 40% to 15%, vacancy from 29% to 17%, clinical ladder from 10% to 26%, doubled certification rate, and staffing cost avoidance of $325K for 2009. Best practices, such as sepsis management led to a reduction in mortality from 30% to 7% with an annualized cost avoidance of $2 million. This project positively impacted patient outcomes and a healthy work environment for professional staff.en_GB
dc.date.available2011-10-28T15:09:17Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:09:17Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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.-
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