2.50
Hdl Handle:
http://hdl.handle.net/10755/182792
Category:
Abstract
Type:
Presentation
Title:
Journey to Excellence: Autonomy in the Pursuit of Perfection
Author(s):
Ehlers, Susan
Author Details:
Susan Ehlers, Nurse Executive, CNO, OSF Saint Francis Medical Center, Peoria, Illinois, USA, email: Susan.K.Ehlers@osfhealthcare.org
Abstract:
Concurrent Podium Presentation: The Institute of Medicine's (1999) shocking conclusions in 'To Err is Human' shifted healthcare from passive acceptance for mediocrity to the pursuit of perfection. Nurse leaders at the bedside and in the boardroom must actively engage in performance improvement that achieves outcomes while enhancing nursing autonomy. Integration of performance improvement at the microsystem where care is provided is vital to achieving a culture of accountability that produces quality outcomes. Our 6 Sigma Performance Improvement model embeds methodology trained nurses to facilitate improvements and support shared governance. They analyze data and facilitate projects that create synergy while solving issues at the point of care. On the orthopedic unit, RNs completed a root cause analysis for a sudden increase in the fall rate. This led to clinical practice changes for nursing care that resulted in a dramatic 34% reduction in the fall rate. Engagement of nurses to identify and solve problems increases self-directed decision making that result in ownership of their practice. Equitable partnerships with physicians and other care providers on teams have built relationships and also created shared ownership for outcomes. Evidence of improved nursing care outcomes are: 7% increase in RN to RN satisfaction, 6% increase in autonomy, 84% improvement in the pressure ulcer rate, 76% improvement in ICU blood stream infection rate, 78% improvement in ventilator acquired pneumonia rate, and 51% improvement for hand hygiene. In the pursuit of perfection, nurses that are self-directed enhance their clinical practice and take professional pride in the delivery of excellent patient care.
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.titleJourney to Excellence: Autonomy in the Pursuit of Perfectionen_GB
dc.contributor.authorEhlers, Susanen_US
dc.author.detailsSusan Ehlers, Nurse Executive, CNO, OSF Saint Francis Medical Center, Peoria, Illinois, USA, email: Susan.K.Ehlers@osfhealthcare.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182792-
dc.description.abstractConcurrent Podium Presentation: The Institute of Medicine's (1999) shocking conclusions in 'To Err is Human' shifted healthcare from passive acceptance for mediocrity to the pursuit of perfection. Nurse leaders at the bedside and in the boardroom must actively engage in performance improvement that achieves outcomes while enhancing nursing autonomy. Integration of performance improvement at the microsystem where care is provided is vital to achieving a culture of accountability that produces quality outcomes. Our 6 Sigma Performance Improvement model embeds methodology trained nurses to facilitate improvements and support shared governance. They analyze data and facilitate projects that create synergy while solving issues at the point of care. On the orthopedic unit, RNs completed a root cause analysis for a sudden increase in the fall rate. This led to clinical practice changes for nursing care that resulted in a dramatic 34% reduction in the fall rate. Engagement of nurses to identify and solve problems increases self-directed decision making that result in ownership of their practice. Equitable partnerships with physicians and other care providers on teams have built relationships and also created shared ownership for outcomes. Evidence of improved nursing care outcomes are: 7% increase in RN to RN satisfaction, 6% increase in autonomy, 84% improvement in the pressure ulcer rate, 76% improvement in ICU blood stream infection rate, 78% improvement in ventilator acquired pneumonia rate, and 51% improvement for hand hygiene. In the pursuit of perfection, nurses that are self-directed enhance their clinical practice and take professional pride in the delivery of excellent patient care.en_GB
dc.date.available2011-10-28T15:40:18Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:40:18Z-
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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