reply quote email author 1 day agochristina oxendine H e a l t h M e d i c a l

reply quote email author 1 day agochristina oxendine H e a l t h M e d i c a l

April Tomberlin

RE: Discussion – Week 6

COLLAPSE

According to Yoder-Wise (2019), nurses serve as the backbone of healthcare with a notably higher number nation-wide with the respect and platform to positively influence patients, caregivers, the community, leaders, and providers. Providing care within the organization must support the organizational culture and the mission, vision, and values (Yoder-Wise, 2019). Nurses and other healthcare professionals are responsible for maintaining competency and advocating for the patients by continually researching and searching for the most current evidence-based care.

Nurses must maintain their accountability to themselves, the organization, and the patients that they provide care. A nurse must also possess the skill of emotional intelligence to effectively communicate for the needs of their patients, the healthcare team, and yet maintain their values (Yoder-Wise, 2019). Nurses should support the Quadruple Aim to improve care access, provide the highest quality care, maintain cost-effectiveness, and holistically take care of themselves (Yoder-Wise, 2019).

Within the large-integrated health system that I have worked for in the last 20 years, safety and quality are embedded in the CEO and CNO culture. When looking at the culture, the leaders have designed a just culture around reporting safety concerns, errors, and near-misses. The system processes are reviewed without placing blame on the individual(s). There has been much education on safety behaviors with things such as “Use 5ive saves lives”. Know five includes practicing with a questioning attitude, communicating, following red rules (verification of patient identifiers), and self-check. The self-check consists of the STAR technique to Stop, Think, Act, and Review.

The culture of safety has been fully shared with everyone in the organization. The CNO has worked diligently to shift the culture where we now utilize a shared governance model; to allow involvement of all the team levels to address safety concerns and make evidence-based practice changes. Concerning the financial support from leaders with a budget, the great thing about the organizational leaders is that they stay a few steps ahead of global, economic, and various concerns to support safe patient care, allow a fantastic organization to work, and always look out for the team. The CEO has a blog to enable team members to talk with him, and he holds meetings to provide valuable updates, especially during the COVID crisis. I can honestly say I cannot think of any better healthcare organization that I would instead work within. It is a team, and everyone is valued.

Reference:

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

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1 day ago

Christina Oxendine

RE: Discussion – Week 6

COLLAPSE

Nurses are the backbone of an organization and are expected to lead, manage, and follow to help meet a health care’s quadruple aim. The purpose of a quadruple aim is to improve access to care, quality and cost of care, and the work conditions of the team (Yoder-Wise, 2019). It is the role of the nurse to advocate for patients and for change so that the quality of care being provided and patient safety can have positive outcomes. Organizations may utilize data generated from EHR’s of patient encounters to identify ways to improve and determine which interventions and models are most beneficial (Yoder-Wise, 2019). Nurses must remain competent in care being provided to promote effective outcomes and be willing to adapt to change as needed to improve the quality of patient care and improve patient outcomes and satisfaction.

At a recent organization that I had the chance to be apart of, they adapted the Just culture model. According to Bashaw & Lounsbery (2012), Just Culture embraces system failures, errors, and weaknesses for the purpose of turning them into educational opportunities for improvement and learning (Bashaw & Lounsbury, 2012). The mission statement for the organization was to create and operate a patient centered, integrated system that provides Safe, High Quality, Compassionate, and Sustainable health care. The just culture model allowed the staff to feel secure and know that they could build a relationship with leadership to collaborate and discuss concerns to improve patient care and promote safety. This allowed for the nurses and other staff to provide input and feel like their voices were heard. The just culture approach allows staff to report safety issues, near misses, and other concerns without fear of being reprimanded but instead using it as a learning experience to improve the quality of care being provided and prevent sentinel events.

The leadership style of the CNO in the organization was transformational. Transformational leadership allows for a transparent approach and encourages staff to become involved with effective communication methods and incorporate positive insights to bring about positive change (Yoder-Wise, 2019). The senior leadership was adaptive to improving patient safety and supported utilizing the budget to ensure that positive changes were made to improve outcomes. Value based purchasing was adapted to improve patient outcomes and also ensure the organization is benefiting from increased revenue. For example, implementing an updated charting system such as EPIC can ensure that nurses are more time efficient and effective with care provided and documentation time. As stated by Yoder-Wise, “Automated clinical information systems that support integrated practice at the point of care will also increase efficiency and improve patient outcomes”(Yoder-Wise, 2019, pg.366). Strategies that can be implemented to move the organization to performing higher would include utilizing a shared decision making process that remains transparent and open to change. Implementing a shared vision and team learning approach can allow for collaboration and shared ideas to envision positive outcomes(Yoder-Wise, 2019). Integrating evidence-based approaches can also allow staff to provide input and present data to senior leadership so that the most effective care is incorporated when caring for patients. As nurses, we spend the most time at bedside with patients and we are the eyes and ears of health care and must identify and advocate for change to improve the quality of patient care.

References

Bashaw, Erin, Shannelle DNP, RN, Lounsbury, Karen & DNP, RN. (2012). Forging a new culture: Blending Magnet(R) principles with Just Culture. Nursing Management, 43, 49-53. https://doi.org/10.1097/01.NUMA.0000419492.49675.2…

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

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