Re-engineering Healthcare - Managing and creating evidence bassed practice in a time of Crisis

2.50
Hdl Handle:
http://hdl.handle.net/10755/183069
Category:
Abstract
Type:
Presentation
Title:
Re-engineering Healthcare - Managing and creating evidence bassed practice in a time of Crisis
Author(s):
Ducello, Danny; Wyckoff, Mary
Author Details:
Danny Ducello, RN, CCRN, Jackson Health, email: mwyckoff@jhsmiami.org; Mary Wyckoff, PhD, MSN, ACNP, BC, ARNP, CCNS, CCRN, Surgical ICU
Abstract:
Purpose:
The perspective on how to recruit and retain new nurses in an intensive care setting in a time of crisis requires innovation and perseverance. The United States government predicts that nearly 1 million nurses will retire by 2020, contributing significantly to the already overburdened healthcare society. The longevity of the population and the unique advanced healthcare techniques has created the new population of the critically, chronically ill.

Method:
The novel process of providing the experience and education to promote patient safety when the staffing needs are only met by 40% of experienced nurses with a 47-57% yearly turnover rate will be described. Emergency measures were instituted to enhance recruitment that included initiating Boot Camp, expanding and developing a critical care residency, and initiating the Versant program facilitating the retention of new nurses in the ICU setting. The goal was to diminish the overwhelming cost of low retention rates and provide evidence-based training in a time of crisis. Some of the initiatives for retention included initiating the role of the Rescue nurse to facilitate the rapid resuscitation of deteriorating patients; additional role innovations were enhanced and created to facilitate the new nursing staff implementation of the mentor and preceptor programs. The Acute Care Nurse Practitioners (ACNP) Intensivist Model was expanded to provide full coverage 24 hours a day.

Findings:
The effect of staffing ACNPs and RNs has a significant impact on patient outcomes as more nursing professional hours equate to shorter lengths of stay. Pioneering plans to keep the older nurse at the bedside created mentoring and precepting to facilitate the growth and development of the new nurse.

Discussion:
These innovative changes have facilitated the challenge of orchestrating care in an increasingly complex and converging critically ill population. Seeking solutions means understanding and confronting the challenges. The outcomes of this process will be presented.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, 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.titleRe-engineering Healthcare - Managing and creating evidence bassed practice in a time of Crisisen_GB
dc.contributor.authorDucello, Dannyen_US
dc.contributor.authorWyckoff, Maryen_US
dc.author.detailsDanny Ducello, RN, CCRN, Jackson Health, email: mwyckoff@jhsmiami.org; Mary Wyckoff, PhD, MSN, ACNP, BC, ARNP, CCNS, CCRN, Surgical ICUen_US
dc.identifier.urihttp://hdl.handle.net/10755/183069-
dc.description.abstractPurpose:<br/>The perspective on how to recruit and retain new nurses in an intensive care setting in a time of crisis requires innovation and perseverance. The United States government predicts that nearly 1 million nurses will retire by 2020, contributing significantly to the already overburdened healthcare society. The longevity of the population and the unique advanced healthcare techniques has created the new population of the critically, chronically ill. <br/><br/>Method:<br/>The novel process of providing the experience and education to promote patient safety when the staffing needs are only met by 40% of experienced nurses with a 47-57% yearly turnover rate will be described. Emergency measures were instituted to enhance recruitment that included initiating Boot Camp, expanding and developing a critical care residency, and initiating the Versant program facilitating the retention of new nurses in the ICU setting. The goal was to diminish the overwhelming cost of low retention rates and provide evidence-based training in a time of crisis. Some of the initiatives for retention included initiating the role of the Rescue nurse to facilitate the rapid resuscitation of deteriorating patients; additional role innovations were enhanced and created to facilitate the new nursing staff implementation of the mentor and preceptor programs. The Acute Care Nurse Practitioners (ACNP) Intensivist Model was expanded to provide full coverage 24 hours a day. <br/><br/>Findings:<br/>The effect of staffing ACNPs and RNs has a significant impact on patient outcomes as more nursing professional hours equate to shorter lengths of stay. Pioneering plans to keep the older nurse at the bedside created mentoring and precepting to facilitate the growth and development of the new nurse. <br/><br/>Discussion:<br/>These innovative changes have facilitated the challenge of orchestrating care in an increasingly complex and converging critically ill population. Seeking solutions means understanding and confronting the challenges. The outcomes of this process will be presented.en_GB
dc.date.available2011-10-28T16:13:14Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:13:14Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, 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.-
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