2.50
Hdl Handle:
http://hdl.handle.net/10755/183054
Category:
Abstract
Type:
Presentation
Title:
Unit Practice Councils Improving Patient Care Outcomes Excellence through Shared Governance
Author(s):
Denker, Ann-Lynn
Author Details:
Ann-Lynn Denker, ARNP, PhD, Jackson Health System, email: adenker@jhsmiami.org
Abstract:
Purpose: The purpose of this investigation was to determine the effect that the Unit Practice Council (UPC) shared governance structure has on the patient care outcomes in a large public academic health system. The Unit Practice Council is the grassroots structure where clinical staff nurses have decision making authority regarding their nursing practice. Method: Ninety UPCs were established as part of the nursing shared governance structure in order to give nurses a voice and the ability to make decisions about their nursing practice. With the support of a community health foundation UPCs were organized, educated, mentored and evaluated on the work of improving practice over a two year period. Trained facilitators served to guide and advise the UPCs that consisted of multi-disciplinary nursing staff. A structured data based was established to follow, document and evaluate the UPC projects to improve practice within their patient care units/environments. Findings: UPCs developed team relationships, held regular meetings, collected data, and identified practice improvement projects. Many variables influence the success and outcomes of the UPC work including administrative support, educational preparation, facilitator expertise, and time away from patient care to meet to meet. Numerous projects resulted in nursing indicator outcomes, cost savings, system improvements and patient and staff satisfaction. Projects varied in complexity and sophistication from simple improvement performance projects to the utilization of more advanced research skills and techniques. Approximately 80% of the UPCs identified and implemented a project to improve practice on their unit. Twenty UPCs developed and implemented projects that were of an exceptional grade of accomplishment, sustainability and applicability. These accomplished outcomes were presented at the organization wide shared governance structure where the President and CEO and other executives participate. Discussion: When nurses are provided with the resources and environment to make decision regarding their practice there is increased engagement, enthusiasm and success in improving practice. Although the structure and foundation is important, resources and mentoring must be present to support to produce successful outcomes. Nursing staff will identify appropriate and significant projects when provided with the opportunity and pertinent date to facilitate decision making. There will be performance variations among UPCs across the organization related to their speed in organizing, bonding as a team, and work product. Support should be customized to facilitate each UPC's individual growth and success.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.titleUnit Practice Councils Improving Patient Care Outcomes Excellence through Shared Governanceen_GB
dc.contributor.authorDenker, Ann-Lynnen_US
dc.author.detailsAnn-Lynn Denker, ARNP, PhD, Jackson Health System, email: adenker@jhsmiami.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/183054-
dc.description.abstractPurpose: The purpose of this investigation was to determine the effect that the Unit Practice Council (UPC) shared governance structure has on the patient care outcomes in a large public academic health system. The Unit Practice Council is the grassroots structure where clinical staff nurses have decision making authority regarding their nursing practice. Method: Ninety UPCs were established as part of the nursing shared governance structure in order to give nurses a voice and the ability to make decisions about their nursing practice. With the support of a community health foundation UPCs were organized, educated, mentored and evaluated on the work of improving practice over a two year period. Trained facilitators served to guide and advise the UPCs that consisted of multi-disciplinary nursing staff. A structured data based was established to follow, document and evaluate the UPC projects to improve practice within their patient care units/environments. Findings: UPCs developed team relationships, held regular meetings, collected data, and identified practice improvement projects. Many variables influence the success and outcomes of the UPC work including administrative support, educational preparation, facilitator expertise, and time away from patient care to meet to meet. Numerous projects resulted in nursing indicator outcomes, cost savings, system improvements and patient and staff satisfaction. Projects varied in complexity and sophistication from simple improvement performance projects to the utilization of more advanced research skills and techniques. Approximately 80% of the UPCs identified and implemented a project to improve practice on their unit. Twenty UPCs developed and implemented projects that were of an exceptional grade of accomplishment, sustainability and applicability. These accomplished outcomes were presented at the organization wide shared governance structure where the President and CEO and other executives participate. Discussion: When nurses are provided with the resources and environment to make decision regarding their practice there is increased engagement, enthusiasm and success in improving practice. Although the structure and foundation is important, resources and mentoring must be present to support to produce successful outcomes. Nursing staff will identify appropriate and significant projects when provided with the opportunity and pertinent date to facilitate decision making. There will be performance variations among UPCs across the organization related to their speed in organizing, bonding as a team, and work product. Support should be customized to facilitate each UPC's individual growth and success.en_GB
dc.date.available2011-10-28T16:12:36Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:12:36Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.