Advanced Practice Nurses Leading Change in Nursing in a Merged Health Care System

2.50
Hdl Handle:
http://hdl.handle.net/10755/308026
Category:
Abstract
Type:
Presentation
Title:
Advanced Practice Nurses Leading Change in Nursing in a Merged Health Care System
Author(s):
Wickham, Carole A.
Lead Author STTI Affiliation:
Non-member
Author Details:
Carole A. Wickham, DNS, CNS-BC, cwickham@sphcs.org
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

Purpose:  This poster presents the implementation of an advanced practice nursing model in a health care system which includes an acute care community hospital plus a network of ambulatory sites. A leadership vacancy combined with an ineffective advance practice nursing model created the opportunity to “re-invent” the role of the advanced practice nurse which had a fractured reporting system and a high degree of role confusion among the members of this group. As a result the role was underutilized which frustrated the advanced practice nurses.

 

 Method:  A blended model was created in order to differentiate the practice of the clinical nurse specialist and the nurse practitioner from the masters prepared educator. This maximized the effectiveness of all roles. Advanced practice nurses and masters prepared nurse educators were combined into one division reporting to a doctorally prepared clinical nurse specialist.  The new division also included a nurse researcher in academic partnership with a local nursing school.  The focus of the new division was on clinical practice support and research emphasizing evidence based practice and patient safety.

 

Results:   Since this model was created, advanced practice nurses now participate on or lead every major clinical or safety initiative.  The group developed a successful critical care nurse residency. Unsafe practices related to moderate sedation have been eliminated.  There has been a reduction in sepsis related mortality as well as a decrease in ventilator associated pneumonia.  Clinical Nurse Specialists have presented their research results at multiple national conferences.

 

Conclusion: As this model was being developed, the hospital was in the process of merging with two other large area health care systems.  With the merger now complete and the success of the model demonstrated, it is now being expanded throughout the newly merged system increasing the potential for positively impacting the health of the community.

Keywords:
APN; APN Model; APN Initiative
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleAdvanced Practice Nurses Leading Change in Nursing in a Merged Health Care Systemen_GB
dc.contributor.authorWickham, Carole A.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsCarole A. Wickham, DNS, CNS-BC, cwickham@sphcs.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308026-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p><b>Purpose:  </b>This poster presents the implementation<b> </b>of an advanced practice nursing model in a health care system which includes an acute care community hospital plus a network of ambulatory sites. A leadership vacancy combined with an ineffective advance practice nursing model created the opportunity to “re-invent” the role of the advanced practice nurse which had a fractured reporting system and a high degree of role confusion among the members of this group. As a result the role was underutilized which frustrated the advanced practice nurses. <p><b> </b><p><b> Method:  </b>A blended model was created in order to<b> </b>differentiate the practice of the clinical nurse specialist and the nurse practitioner from the masters prepared educator. This maximized the effectiveness of all roles. Advanced practice nurses and masters prepared nurse educators were combined into one division reporting to a doctorally prepared clinical nurse specialist.  The new division also included a nurse researcher in academic partnership with a local nursing school.  The focus of the new division was on clinical practice support and research emphasizing evidence based practice and patient safety. <p><b> </b><p><b>Results:   </b>Since this model was created<b>, </b>advanced practice nurses now participate on or lead every major clinical or safety initiative.  The group developed a successful critical care nurse residency. Unsafe practices related to moderate sedation have been eliminated.  There has been a reduction in sepsis related mortality as well as a decrease in ventilator associated pneumonia.  Clinical Nurse Specialists have presented their research results at multiple national conferences.<b></b><p><b> </b><p><b>Conclusion: </b>As this model was being developed, the hospital was in the process of merging with two other large area health care systems.  With the merger now complete and the success of the model demonstrated, it is now being expanded throughout the newly merged system increasing the potential for positively impacting the health of the community.en_GB
dc.subjectAPNen_GB
dc.subjectAPN Modelen_GB
dc.subjectAPN Initiativeen_GB
dc.date.available2013-12-19T17:25:34Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:25:34Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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