Addressing Nursing Workaround Solutions to Encountered Problems: Engagement of Frontline Nurses in STAR-2++ Network Study

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Hdl Handle:
http://hdl.handle.net/10755/616103
Category:
Full-text
Type:
Poster
Title:
Addressing Nursing Workaround Solutions to Encountered Problems: Engagement of Frontline Nurses in STAR-2++ Network Study
Author(s):
Roney, Jamie K.; Maharjan, Aruna; Coulombe, Sheryll Mae; Davis, Elizabeth Jo; Cortes, Frances; Long, JoAnn D.
Lead Author STTI Affiliation:
Iota Mu
Author Details:
Jamie K. Roney, RN-BC, CCRN-K, jroney@covhs.org; Aruna Maharjan, RN; Sheryll Mae Coulombe, RN; Elizabeth Jo Davis, RN; Frances Cortes, RN; JoAnn D. Long, RN, NEA-BC
Abstract:
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: 'Frontline nursing staff experience first-order operational failures negatively impacting their ability to provide optimal care. Frontline nurses problem solve and navigate around first-order operational failures using ?workaround? solutions to overcome encountered system failures. Participation in the Improvement Science Research Network?s (ISRN) Small Troubles, Adaptive Responses (STAR-2++) study aimed to contribute to global and institutional nursing knowledge by identifying and reporting practice environment relationships with direct care clinicians? quality improvement engagement and clinical outcomes in the surgical intensive care, pediatric medical-surgical, and oncology units. By tracking and developing a better understanding of first-order system failures, researchers seek to identify relationships among practice environment, frontline nurse quality improvement engagement, and clinical outcomes in three hospital acute care units. Combining data from 14 participating hospitals furthers global knowledge and understanding of frontline nurses? quality improvement engagement and clinical outcomes. Methods: Prospective, cross-sectional, multivariate, quantitative research study was conducted. Research was conducted at a large urban 881 bed acute nonprofit tertiary-care hospital in West Texas. Nurses recruited for study participation according to the STAR-2++ study protocol. Unit data was collected from unit locked boxes and entered into a data collection network for aggregated analysis. Purposes were to measure the following study variables: 1) incidence and type of first-order operational failures encountered by direct care registered nurses during their work shift on a clinical unit; 2) associations between staff identified first-order operational failures encountered on the frontline of care delivery and those detected by non-participant observers; and 3) associations among frontline engagement (measurement of detection of operational defects and team vitality study variables), work environment (measurement of culture of patient safety and excellence in work environment study variables), and quality improvement outcomes (measurement of quality improvement activities, quality of care, and job satisfaction study variables). Results: To be determined Conclusions: Study results informed the participating acute care institution of existing system issues leading to first-order operational failures, thus improving patient care provided by frontline nursing staff.
Keywords:
Nursing Workaround Behaviors; First-order Operational Failures; Micro and Macro System Failures
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16PST277; INRC16PST277
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePosteren
dc.titleAddressing Nursing Workaround Solutions to Encountered Problems: Engagement of Frontline Nurses in STAR-2++ Network Studyen
dc.contributor.authorRoney, Jamie K.en
dc.contributor.authorMaharjan, Arunaen
dc.contributor.authorCoulombe, Sheryll Maeen
dc.contributor.authorDavis, Elizabeth Joen
dc.contributor.authorCortes, Francesen
dc.contributor.authorLong, JoAnn D.en
dc.contributor.departmentIota Muen
dc.author.detailsJamie K. Roney, RN-BC, CCRN-K, jroney@covhs.org; Aruna Maharjan, RN; Sheryll Mae Coulombe, RN; Elizabeth Jo Davis, RN; Frances Cortes, RN; JoAnn D. Long, RN, NEA-BCen
dc.identifier.urihttp://hdl.handle.net/10755/616103-
dc.description.abstractSession presented on Saturday, July 23, 2016 and Sunday, July 24, 2016: Purpose: 'Frontline nursing staff experience first-order operational failures negatively impacting their ability to provide optimal care. Frontline nurses problem solve and navigate around first-order operational failures using ?workaround? solutions to overcome encountered system failures. Participation in the Improvement Science Research Network?s (ISRN) Small Troubles, Adaptive Responses (STAR-2++) study aimed to contribute to global and institutional nursing knowledge by identifying and reporting practice environment relationships with direct care clinicians? quality improvement engagement and clinical outcomes in the surgical intensive care, pediatric medical-surgical, and oncology units. By tracking and developing a better understanding of first-order system failures, researchers seek to identify relationships among practice environment, frontline nurse quality improvement engagement, and clinical outcomes in three hospital acute care units. Combining data from 14 participating hospitals furthers global knowledge and understanding of frontline nurses? quality improvement engagement and clinical outcomes. Methods: Prospective, cross-sectional, multivariate, quantitative research study was conducted. Research was conducted at a large urban 881 bed acute nonprofit tertiary-care hospital in West Texas. Nurses recruited for study participation according to the STAR-2++ study protocol. Unit data was collected from unit locked boxes and entered into a data collection network for aggregated analysis. Purposes were to measure the following study variables: 1) incidence and type of first-order operational failures encountered by direct care registered nurses during their work shift on a clinical unit; 2) associations between staff identified first-order operational failures encountered on the frontline of care delivery and those detected by non-participant observers; and 3) associations among frontline engagement (measurement of detection of operational defects and team vitality study variables), work environment (measurement of culture of patient safety and excellence in work environment study variables), and quality improvement outcomes (measurement of quality improvement activities, quality of care, and job satisfaction study variables). Results: To be determined Conclusions: Study results informed the participating acute care institution of existing system issues leading to first-order operational failures, thus improving patient care provided by frontline nursing staff.en
dc.subjectNursing Workaround Behaviorsen
dc.subjectFirst-order Operational Failuresen
dc.subjectMicro and Macro System Failuresen
dc.date.available2016-07-13T11:04:29Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:04:29Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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