2.50
Hdl Handle:
http://hdl.handle.net/10755/304237
Category:
Full-text
Type:
Presentation
Title:
Optimizing Hospital RN Role Competency Leads to Improved Patient Outcomes
Author(s):
Forsey, Lynn; O'Rourke, Maria W.
Lead Author STTI Affiliation:
Alpha Eta
Author Details:
Lynn Forsey, PhD, RN, lforsey@stanfordmed.org; Maria W. O'Rourke, PhD, RN, FAAN, FAAHC;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: This session will report results from a program designed to improve patient outcomes through enhanced'nurse professional role competency.'Professional role competency behaviors are required to fully realize the Institute of Medicine's Future of Nursing goals regarding full scope of practice and enhanced leadership roles'in future patient care delivery.''Professional Role theory posits that'confusion about nurse role accountability, responsibility and authority can result in a task-based versus professional focus. This role confusion was felt to be a barrier to optimizing RN scope that leads to practice excellence.

Methods: A pre/post design was used to evaluate the program intervention'of:'classroom training, staff nurse professional role assessments, peer-coaching,'and targeted nursing unit performance improvement action plans.'10 cohorts of clinical nurses (n=365) from four intermediate/progressive care units completed the' program over one year at one academic medical center.''Program effectiveness was measured by class evaluations, participant feedback, and milestone completions. Role competency was measured using a validated online assessment tool. Outcomes measured were observations of staff handovers, unit work environment using the Practice Environment Scale (PES), and HCAHPS patient satisfaction scores.'

Results: 98% of staff completed the program. 'Self-assessed nursing role performance increased'from time one to time two (n=302).''Comprehensive reporting of patient care improved for'medical (dependent) and nursing (independent) functions and an analysis of group differences (t<0.05) revealed there was significantly improved changes. Four nurse sensitive patient satisfaction questions (HCAHPS) were selected as directly relating to program content. Patient satisfaction scores improved for all four units on two satisfaction questions and one unit improved on all four questions.

'Conclusion: A'program to'enhance nurse professional role competency supported by'nursing unit performance improvement actions was effective in improving staff nurse accountability for practice as evidenced by handover report observations, nursing work environment'and'improved nurse sensitive patient satisfaction outcomes.

Keywords:
Professional Development & Competency; Professional Role Clarity; Patient outcomes
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleOptimizing Hospital RN Role Competency Leads to Improved Patient Outcomesen
dc.contributor.authorForsey, Lynnen
dc.contributor.authorO'Rourke, Maria W.en
dc.contributor.departmentAlpha Etaen
dc.author.detailsLynn Forsey, PhD, RN, lforsey@stanfordmed.org; Maria W. O'Rourke, PhD, RN, FAAN, FAAHC;en
dc.identifier.urihttp://hdl.handle.net/10755/304237-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b>This session will report results from a program designed to improve patient outcomes through enhanced'nurse professional role competency.'Professional role competency behaviors are required to fully realize the Institute of Medicine's Future of Nursing goals regarding full scope of practice and enhanced leadership roles'in future patient care delivery.''Professional Role theory posits that'confusion about nurse role accountability, responsibility and authority can result in a task-based versus professional focus. This role confusion was felt to be a barrier to optimizing RN scope that leads to practice excellence. <p><b>Methods: </b>A pre/post design was used to evaluate the program intervention'of:'classroom training, staff nurse professional role assessments, peer-coaching,'and targeted nursing unit performance improvement action plans.'10 cohorts of clinical nurses (n=365) from four intermediate/progressive care units completed the' program over one year at one academic medical center.''Program effectiveness was measured by class evaluations, participant feedback, and milestone completions. Role competency was measured using a validated online assessment tool. Outcomes measured were observations of staff handovers, unit work environment using the Practice Environment Scale (PES), and HCAHPS patient satisfaction scores.' <p><b>Results: </b>98% of staff completed the program. 'Self-assessed nursing role performance increased'from time one to time two (n=302).''Comprehensive reporting of patient care improved for'medical (dependent) and nursing (independent) functions and an analysis of group differences (t<0.05) revealed there was significantly improved changes. Four nurse sensitive patient satisfaction questions (HCAHPS) were selected as directly relating to program content. Patient satisfaction scores improved for all four units on two satisfaction questions and one unit improved on all four questions. <p>'<b>Conclusion: </b>A'program to'enhance nurse professional role competency supported by'nursing unit performance improvement actions was effective in improving staff nurse accountability for practice as evidenced by handover report observations, nursing work environment'and'improved nurse sensitive patient satisfaction outcomes.en
dc.subjectProfessional Development & Competencyen
dc.subjectProfessional Role Clarityen
dc.subjectPatient outcomesen
dc.date.available2013-10-22T20:31:52Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:31:52Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.