2.50
Hdl Handle:
http://hdl.handle.net/10755/182761
Category:
Abstract
Type:
Presentation
Title:
The Positive Impact of Shared Governance on Nursing Documentation
Author(s):
Brier, Jessica; Hughes, Ronda
Author Details:
Jessica Brier, Jessica, RN, MSN, BC, The Miriam Hospital, Providence, Rhode Island, USA, email: jbrier@lifespan.org; Ronda Hughes, PhD, MHS, RN, Agency for Healthcare Research & Quality
Abstract:
Concurrent Podium Presentation: In the acute care setting, patients may be cared for by as many as nine nurses in a short, three day stay. Nurses are clearly the coordinators of patients' plans of care and use a variety of tools available to them, including care plans and outcome notes. Historically, the tools available have been less than satisfactory and have had limited value in day-to-day practice. The Cardiovascular (CV) CNS at The Miriam Hospital (TMH) embarked on a research project aimed at improving patient outcomes and nurse satisfaction for a cohort of CHF patients. Documentation tools specific to the CHF population were written using NANDA, NIC, and NOC (N3) standardized nursing languages. Nurses were educated about the process and began using a pre-printed template for the care plan that was then individualized to the patient; daily assessments were documented on a pre-printed outcome summary note. Results demonstrated a trend toward improved compliance in documenting patient education, a decrease in the readmission rate of patients within 90 days, and a significant difference in nurses' satisfaction. Nurses immediately saw the value of the new tools and requested additional pre-printed documents for other patient populations. Through the unit council structure and the support of the Evidence-Based, Best Practices Committee, nurses on individual nursing units, in conjunction with the CNS, developed care plans to meet their specific patients' needs. As the library of documents expanded, the program received endorsement and encouragement from the Nursing Executive Committee and has now become standard at TMH for documenting nursing process elements. From the grassroots, through shared governance, nurses at TMH have positively impacted their environment of care through improved documentation tool
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleThe Positive Impact of Shared Governance on Nursing Documentationen_GB
dc.contributor.authorBrier, Jessicaen_US
dc.contributor.authorHughes, Rondaen_US
dc.author.detailsJessica Brier, Jessica, RN, MSN, BC, The Miriam Hospital, Providence, Rhode Island, USA, email: jbrier@lifespan.org; Ronda Hughes, PhD, MHS, RN, Agency for Healthcare Research & Qualityen_US
dc.identifier.urihttp://hdl.handle.net/10755/182761-
dc.description.abstractConcurrent Podium Presentation: In the acute care setting, patients may be cared for by as many as nine nurses in a short, three day stay. Nurses are clearly the coordinators of patients' plans of care and use a variety of tools available to them, including care plans and outcome notes. Historically, the tools available have been less than satisfactory and have had limited value in day-to-day practice. The Cardiovascular (CV) CNS at The Miriam Hospital (TMH) embarked on a research project aimed at improving patient outcomes and nurse satisfaction for a cohort of CHF patients. Documentation tools specific to the CHF population were written using NANDA, NIC, and NOC (N3) standardized nursing languages. Nurses were educated about the process and began using a pre-printed template for the care plan that was then individualized to the patient; daily assessments were documented on a pre-printed outcome summary note. Results demonstrated a trend toward improved compliance in documenting patient education, a decrease in the readmission rate of patients within 90 days, and a significant difference in nurses' satisfaction. Nurses immediately saw the value of the new tools and requested additional pre-printed documents for other patient populations. Through the unit council structure and the support of the Evidence-Based, Best Practices Committee, nurses on individual nursing units, in conjunction with the CNS, developed care plans to meet their specific patients' needs. As the library of documents expanded, the program received endorsement and encouragement from the Nursing Executive Committee and has now become standard at TMH for documenting nursing process elements. From the grassroots, through shared governance, nurses at TMH have positively impacted their environment of care through improved documentation toolen_GB
dc.date.available2011-10-28T15:38:55Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:38:55Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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