Promoting Evidence-Based Geriatric Care on Microsystems Utilizing a Non-traditional CNL Role

2.50
Hdl Handle:
http://hdl.handle.net/10755/308098
Category:
Abstract
Type:
Presentation
Title:
Promoting Evidence-Based Geriatric Care on Microsystems Utilizing a Non-traditional CNL Role
Author(s):
Simmons, Emily
Lead Author STTI Affiliation:
Non-member
Author Details:
Emily Simmons, MSN, RN-BC, CNL, esimmons@uabmc.edu
Abstract:

Session presented on: Monday, November 18, 2013

Our hospital launched the innovative geriatric nursing education program entitled the UAB Geriatric Scholar Program (GSP).  The GSP is led by a CNL at the macrosystem level and is modeled after successful NICHE programs implemented in over 200 hospitals nationwide. The CNL utilizes her core competencies and training to assist the scholars in the development and implementation of their evidence-based projects.  Using a “train-the-trainer” model, the benefits of this new program are exponential.   The aims are to discuss 1) the implementation of Geriatric Scholar Projects on microsystems and 2) to discuss how CNL competencies can be utilized in non-traditional CNL roles to improve patient care outcomes.

The GSP’s CNL mentored 14 geriatric scholars in the completion of 5 evidence-based projects on 10 microsystems.  The following is a summary of the outcomes: 1) Promoting mobility in the hospitalized patient-  the number of patients without an activity order decreased from 21% to 6%, the number of patients that ambulated increased from 52% to 81%, the percentage of patients/families educated about importance of mobility improved from 45% to 75%, and the unit fall rate declined from 3.43 to 0.54. 2) Assessing for delirium - Confusion Assessment Method completed daily on 52- 61% of patients. 3) Pressure ulcer prevention using turning clocks - 70% of patients ≥ 65 with a braden score ≤ 17 had a turning schedule posted and 66% of those patients were turned correctly. 4) Assessing for functional status using Katz Index - the percentage of patients aged ≥ 65 years with a documented Katz Index ranged from 73-81% and the data showed significant differences in mean baseline and current Katz scores.

Keywords:
outcomes; innovation; leadership
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.titlePromoting Evidence-Based Geriatric Care on Microsystems Utilizing a Non-traditional CNL Roleen_GB
dc.contributor.authorSimmons, Emilyen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsEmily Simmons, MSN, RN-BC, CNL, esimmons@uabmc.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308098-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Our hospital launched the innovative geriatric nursing education program entitled the UAB Geriatric Scholar Program (GSP).  The GSP is led by a CNL at the macrosystem level and is modeled after successful NICHE programs implemented in over 200 hospitals nationwide. The CNL utilizes her core competencies and training to assist the scholars in the development and implementation of their evidence-based projects.  Using a “train-the-trainer” model, the benefits of this new program are exponential.   The aims are to discuss 1) the implementation of Geriatric Scholar Projects on microsystems and 2) to discuss how CNL competencies can be utilized in non-traditional CNL roles to improve patient care outcomes. <p>The GSP’s CNL mentored 14 geriatric scholars in the completion of 5 evidence-based projects on 10 microsystems.  The following is a summary of the outcomes: 1) Promoting mobility in the hospitalized patient-  the number of patients without an activity order decreased from 21% to 6%, the number of patients that ambulated increased from 52% to 81%, the percentage of patients/families educated about importance of mobility improved from 45% to 75%, and the unit fall rate declined from 3.43 to 0.54. 2) Assessing for delirium - Confusion Assessment Method completed daily on 52- 61% of patients. 3) Pressure ulcer prevention using turning clocks - 70% of patients ≥ 65 with a braden score ≤ 17 had a turning schedule posted and 66% of those patients were turned correctly. 4) Assessing for functional status using Katz Index - the percentage of patients aged ≥ 65 years with a documented Katz Index ranged from 73-81% and the data showed significant differences in mean baseline and current Katz scores.en_GB
dc.subjectoutcomesen_GB
dc.subjectinnovationen_GB
dc.subjectleadershipen_GB
dc.date.available2013-12-19T17:26:52Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:52Z-
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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