2.50
Hdl Handle:
http://hdl.handle.net/10755/182385
Category:
Abstract
Type:
Presentation
Title:
Nursing Peer Review: Accountability at the Point of Care
Author(s):
Barr, Francine
Author Details:
Francine Barr, RN, MS, CNAA-BC, Bon Secours St. Mary's Hospital, Richmond, Virginia, USA, email: francine_barr@bshsi.org
Abstract:
Identifying an individual nurse's accountability for a specific patient outcome has been challenging in healthcare organizations. This is made especially difficult in a community hospital with a paper medical record. Data mining is resource intensive and feedback can be delayed by several months. In spite of these challenges, our nursing leadership believed that there was opportunity to build more rigor into our nursing performance improvement program by adding a peer review component. Developing a meaningful model for peer review of nursing sensitive clinical quality outcomes raises the expectations for professionalism, leadership, and technical expertise for all nursing staff. A consultant was engaged to facilitate a peer review process designed for a community hospital with a paper medical record. Nursing staff and leaders participated in developing and implementing new process. The Nursing Professional Excellence Council was chartered and charged with administering the process. Review and rule indicators were developed, and education was provided for all nursing staff. In spite of comprehensive education, staff struggled with receiving this type of feedback at first. However, the professionalism and fairness of the council members established credibility in the process. Staff are now able to receive the feedback in the spirit it is given. The work environment is more transparent, collegial and patient-centered with a strong focus on outcomes. Continued improvement has been observed in the rule indicators. No trend has been established with the review indicators. All indicators are currently under review and will be revised based on our nursing performance improvement data.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleNursing Peer Review: Accountability at the Point of Careen_GB
dc.contributor.authorBarr, Francineen_US
dc.author.detailsFrancine Barr, RN, MS, CNAA-BC, Bon Secours St. Mary's Hospital, Richmond, Virginia, USA, email: francine_barr@bshsi.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182385-
dc.description.abstractIdentifying an individual nurse's accountability for a specific patient outcome has been challenging in healthcare organizations. This is made especially difficult in a community hospital with a paper medical record. Data mining is resource intensive and feedback can be delayed by several months. In spite of these challenges, our nursing leadership believed that there was opportunity to build more rigor into our nursing performance improvement program by adding a peer review component. Developing a meaningful model for peer review of nursing sensitive clinical quality outcomes raises the expectations for professionalism, leadership, and technical expertise for all nursing staff. A consultant was engaged to facilitate a peer review process designed for a community hospital with a paper medical record. Nursing staff and leaders participated in developing and implementing new process. The Nursing Professional Excellence Council was chartered and charged with administering the process. Review and rule indicators were developed, and education was provided for all nursing staff. In spite of comprehensive education, staff struggled with receiving this type of feedback at first. However, the professionalism and fairness of the council members established credibility in the process. Staff are now able to receive the feedback in the spirit it is given. The work environment is more transparent, collegial and patient-centered with a strong focus on outcomes. Continued improvement has been observed in the rule indicators. No trend has been established with the review indicators. All indicators are currently under review and will be revised based on our nursing performance improvement data.en_GB
dc.date.available2011-10-28T15:21:57Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:21:57Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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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