30.11.2014 Views

Recognizing Nursing Excellence - American Nurse Today

Recognizing Nursing Excellence - American Nurse Today

Recognizing Nursing Excellence - American Nurse Today

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

2012 MAGNET ® UPDATE<br />

<strong>Recognizing</strong> <strong>Nursing</strong> <strong>Excellence</strong><br />

Special<br />

Section


MAGNET PROFILES UPDATE<br />

Compelling reasons to seek<br />

ANCC Magnet Recognition ®<br />

Welcome to our special Magnet ® Update section.<br />

In these pages, you’ll find out how organizations<br />

are enacting Magnet principles.<br />

If your organization isn’t yet a Magnet facility,<br />

consider these top 10 reasons for seeking Magnet<br />

recognition:<br />

10. Boosts organizational pride<br />

9. Increases nurses’ professionalism<br />

8. Improves nurse retention and attracts top talent<br />

7. Engages coworkers to collaborate for efficient<br />

and effective care<br />

6. Fosters appreciation for everyone’s role in<br />

the patient experience<br />

5. Reinforces the standards<br />

of nursing practice<br />

4. Advances evidence-based<br />

practice and allows sharing<br />

of best practices<br />

3. Taps innovative ideas of nurses on the front<br />

lines<br />

2. Highlights nursing’s essential role in improving<br />

the safety and quality of care<br />

1. Demonstrates a commitment to better patient<br />

outcomes through nursing excellence<br />

We hope the articles in this section encourage<br />

you to apply for Magnet recognition. If your facility<br />

has already earned Magnet recognition, we think<br />

you'll find these articles useful as you promote a<br />

culture of collaboration and positive outcomes.<br />

Pamela F. Cipriano, PhD, RN, FAAN, NEA-BC<br />

Editor-in-Chief<br />

You better.<br />

<br />

As one of the region’s leading Magnet ® hospital systems, we’re<br />

committed to providing you with the resources, support and<br />

opportunities you need to deliver better healthcare. But that’s<br />

just the beginning!<br />

Explore These Opportunities For RNs!<br />

<br />

<br />

<br />

Enjoy work-life balance, unit and ongoing education, and on-site<br />

child care. To apply, please visit: www.mwhccareers.com<br />

at UNC Health Care<br />

Find Career Opportunities in Chapel Hill, NC<br />

www.unchealthcareers.org<br />

An equal opportunity employer.<br />

42 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> Volume 7, Number 3 www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com


Recession, reform,<br />

redesignation—oh my!<br />

Find out how to energize staff for Magnet ®<br />

redesignation in challenging times.<br />

By Carolyn Ramwell, MSN, RN; Jean Blankenship, MSN, RN, PHCNS BC, CDE;<br />

and Mary Wolfe, AAS, RN<br />

MAGNET UPDATE<br />

<strong>Nurse</strong>s have built on the legacy of past decades<br />

to become empowered, collaborative, outcome-oriented<br />

healthcare team members.<br />

Every nursing generation has had champions<br />

who’ve embodied a new nursing paradigm. In this<br />

young century, the champion isn’t a single person<br />

or symbol but individual nurses at each bedside,<br />

hospital, home, or clinic who embody the values of<br />

Magnet ® excellence.<br />

<strong>Today</strong>’s healthcare environment and economic<br />

climate pose unique challenges. In the current<br />

somber reality, how can we infuse staff with the optimism<br />

and pride of the Magnet journey? How do<br />

we excite and invigorate nursing colleagues? Is the<br />

cheer leading of the past appropriate?<br />

Quality outcomes, evidence-based practice,<br />

and shared decision making<br />

When the Magnet Champion Committee at Martha<br />

Jefferson Hospital in Charlottesville, Virginia, faced<br />

these questions during our 2011 Magnet redesignation<br />

drive, we came up with creative solutions. Our<br />

Magnet champions became grounded for the redesignation<br />

journey by focusing on nurse-driven quality<br />

outcomes, evidence-based practice, staff empowerment,<br />

and opportunities for kindness and gratitude.<br />

We celebrated organizational outcomes for patient<br />

satisfaction and patient falls and pressure-ulcer prevention,<br />

validating nurses’ power to significantly<br />

improve patient outcomes. Use of data from the National<br />

Database of <strong>Nursing</strong> Quality Indicators ® for<br />

annual nurse satisfaction provided opportunities for<br />

national benchmarking and collaborative recognition<br />

at the unit level.<br />

Our shared governance (SG) councils demonstrate<br />

leadership and empowerment through advancing<br />

evidence-based practice, committing to professional<br />

development, adopting new knowledge, and taking<br />

responsibility for quality outcomes. This enculturated<br />

SG model says loudly to each nurse, “We are our<br />

own heroes” who define our practice and own our<br />

outcomes through quality improvement, leadership,<br />

and collaborative practice.<br />

The pride nurses showed at our Magnet site visit<br />

when they shared stories<br />

of nurse-led practice<br />

changes spoke to the<br />

success of our SG model. Small issues can be vitally<br />

important to staff, and favorable resolution can<br />

dramatically affect their work satisfaction. For example,<br />

a change in emergency-department policy<br />

allowed staff to have covered beverages at their<br />

work stations—a huge satisfier in a fast-paced environment<br />

where hydration is important and breaks<br />

are unpredictable.<br />

Monthly electronic “dashboards” provide nursesensitive<br />

quality-indicator measures as well as patient,<br />

physician, and nurse satisfaction data. Data<br />

are reviewed at unit and hospital-wide SG council<br />

meetings and staff meetings. Magnet champions<br />

have raised staff awareness of unit-level data and<br />

involved staff in actions to maintain or improve<br />

outcomes. We celebrate excellent performance at<br />

staff meetings, SG council meetings, and Magnet<br />

champion meetings. <strong>Nurse</strong>s have ownership of the<br />

information, as their dashboards directly reflect<br />

their unit’s practice.<br />

Effective redesignation strategies<br />

Enculturation of a shared decision-making model is<br />

essential for success. SG council members and Magnet<br />

champions supported our Magnet redesignation<br />

journey by participating in multidisciplinary<br />

focus groups to gather evidence for redesignation<br />

documents. Champions used creative strategies to<br />

engage staff across all shifts in preparing for Magnet<br />

appraiser site visits through information exchange<br />

using games, posters, brown-bag lunches,<br />

and celebration of Magnet moments at staff meetings,<br />

on intranet web pages, and at shift-change<br />

“huddles.” With minimal impact on unit budgets,<br />

small gifts and food items, “Wordles” (text rearranged<br />

into a visual pattern) from our Magnet<br />

document, and unit-level scrapbooks filled with examples<br />

of nursing excellence helped staff celebrate<br />

redesignation.<br />

Magnet champions communicated information<br />

to staff to ease anxieties about the site visit. Mag-<br />

www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com March 2012 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> 43


MAGNET UPDATE<br />

Carilion Clinic<br />

1906 Belleview Avenue<br />

Roanoke, VA 24014<br />

800-599-2537<br />

Dana Johnson<br />

dejohnson@carilionclinic.org<br />

www.CarilionClinic.org<br />

Level 1 trauma center.<br />

Aspire to be among the best.<br />

Carilion nurses are…<br />

• Committed to finding better ways to<br />

improve the health of the communities<br />

we serve.<br />

• Thriving in an empowered practice<br />

environment that is guided by transformational<br />

leaders.<br />

• Dedicated to the professional development<br />

and advancement of nurses<br />

as expert practitioners, researchers,<br />

teachers, and mentors.<br />

• Respected and rewarded for the work<br />

they do within the hospital and<br />

among many communities in southwest<br />

Virginia.<br />

• Actively engaged in interdisciplinary<br />

evidence-based initiatives that improve<br />

patient care and safety using<br />

the most advanced technologies and<br />

innovative strategies.<br />

Carilion Clinic is an Equal Employment<br />

Opportunity/Affirmative Action<br />

Employer.<br />

Children’s National Medical<br />

Center<br />

111 Michigan Ave, NW<br />

Washington, DC 20010<br />

202-476-5397<br />

Sharon Livingston, MA, BSN, RN<br />

slivings@childrensnational.org<br />

www.childrensnational.org<br />

303 Beds<br />

Level IIIC NICU; Level I pediatric<br />

trauma center; Critical Care Transport<br />

Teams; Magnet recognized facility;<br />

NICU, CICU & PICU received Beacon<br />

Award for Critical Care <strong>Excellence</strong>;<br />

Regional referral center for cancer,<br />

cardiac, orthopaedic surgery, neurology,<br />

and neurosurgery.<br />

Children’s National Medical Center,<br />

located in Washington, D.C., is a proven<br />

leader in the development of innovative<br />

new treatments for childhood illness<br />

and injury. For more information about<br />

Children’s National Medical Center,<br />

visit www.childrensnational.org.<br />

Cleveland Clinic: Main Campus<br />

& Fairview Hospital<br />

9500 Euclid Ave., Cleveland, OH 44195<br />

216.448.0305<br />

Katie Cwalinski<br />

kcwalins@ccf.org<br />

clevelandclinic.jobs<br />

Cleveland Clinic is ranked as one of the<br />

nation’s top four hospitals by U.S.News<br />

& World Report. Both our Main Campus<br />

and Fairview Hospital have achieved<br />

Magnet Status. Visit clevelandclinic.org<br />

for more information.<br />

MedStar Franklin Square<br />

Medical Center<br />

9000 Franklin Square Drive<br />

Baltimore, MD 21237<br />

443-777-7045<br />

medstarfranklin.org<br />

Michael Clancy<br />

michael.clancy@medstar.net<br />

400 Beds (all private rooms)<br />

MedStar Franklin Square is a community<br />

teaching hospital in eastern Baltimore<br />

County. We offer a broad range of<br />

healthcare specialties, advanced technologies<br />

and treatments. We are accredited<br />

by the Joint Commission, Primary<br />

Stroke Center certified and Magnet designated,<br />

as well as the recipient of numerous<br />

local and national quality awards.<br />

We are a member of MedStar Health,<br />

the region’s largest integrated health<br />

system, repeatedly named a “Best Place<br />

to Work.”<br />

Mary Washington Healthcare<br />

2300 Fall Hill Ave., Suite 207<br />

Fredericksburg, VA 22401<br />

540-741-1399<br />

Darla Burton<br />

darla.burton@mwhc.com<br />

http://www.mwhccareers.com<br />

Beds: Fredericksburg, 437; Stafford, 100<br />

Mary Washington Healthcare consists<br />

of two leading hospitals and 28 facilities<br />

and wellness services including the<br />

Human Motion Institute, Neuroscience<br />

Center, Regional Cancer Center, Virginia<br />

Heart & Vascular Institute and Women’s<br />

Health Institute.<br />

Magnet ® facilities<br />

outperform other hospitals<br />

in both recruiting and<br />

retaining nursing<br />

professionals, resulting in<br />

higher employee satisfaction<br />

and lower staff turnover.<br />

2012 National Magnet<br />

Conference ® will be held<br />

October 10-12<br />

in Los Angeles, California.<br />

www.anccmagnetconference.org<br />

UNC Health Care<br />

101 Manning Drive<br />

Chapel Hill, NC 27514<br />

919-966-2012 or<br />

1-800-852-NURSE (toll-free)<br />

<strong>Nurse</strong> Employment Office<br />

www.UNCHealthCare.org<br />

803 Beds<br />

Beacon Award for Critical Care <strong>Excellence</strong><br />

– <strong>American</strong> Association of Critical<br />

Care <strong>Nurse</strong>s. Our Cardiothoracic<br />

Intensive Care Unit was a recipient in<br />

2008, 2010 and our Cardiac Intensive<br />

Care Unit received the award in 2010.<br />

44 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> Volume 7, Number 3 www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com


net preparation was added to unit-level<br />

and hospital meetings as a standing<br />

agenda item. Redesignation documents<br />

were posted on the hospital intranet for<br />

staff to read. Magnet champions identified<br />

parts of the documents where their<br />

units were recognized, and highlighted<br />

these stories for staff.<br />

Champions and others in the organization<br />

were encouraged to submit abstracts<br />

to the National Magnet Conference<br />

® as a way to share and celebrate<br />

organizational successes. A nursing endowment<br />

gift allowed all interested<br />

Magnet champions to attend the conference<br />

celebrating our redesignation.<br />

Accepted authors for podium or poster<br />

presentations got organizational support<br />

to attend the conference.<br />

As a low-cost, high-benefit strategy,<br />

we collaborated on a mock survey in April 2011<br />

with another Virginia Magnet hospital applying for<br />

redesignation at the same time. During this visit,<br />

two nurse leaders appraised our staff as a Magnet<br />

surveyor would, providing an outsider’s objective<br />

look at our organization. Staff nurses responded<br />

positively to the process. They began to see the<br />

mock survey as an opportunity to be recognized for<br />

the care they deliver. The mock survey also guided<br />

Evaluating Magnet ® redesignation<br />

preparation<br />

After the Magnet appraisers’ site visit, nursing staff were asked to complete<br />

a survey (n = 77) to evaluate the effectiveness of our redesignation preparation<br />

process. Here are the nurses’ top five responses to the question “Which<br />

of these activities was most helpful in preparing you for our Magnet redesignation<br />

site visit?”:<br />

• Active participation on a committee, team, or shared governance council<br />

• Preparation activities by Magnet champions<br />

• Formal prep sessions with the Magnet coordinator, Magnet program<br />

director, or Magnet steering committee<br />

• Information provided at unit-level staff meetings<br />

• “Mock” site visit in April 2011 with support from Virginia Magnet Consortium<br />

colleagues<br />

our champions to focus on discussion of unit-level<br />

data and highlight work-design changes that have<br />

boosted nurse satisfaction. The mock survey helped<br />

staff view the site visit as a chance to showcase<br />

their excellence in nursing practice.<br />

More on Magnet champions<br />

Magnet champions were chosen for their demonstrated<br />

enthusiasm and dedication to nursing.<br />

MAGNET UPDATE<br />

KEVIN<br />

Registered <strong>Nurse</strong><br />

WE’VE BUILT OUR REPUTATION AS AN<br />

EXCELLENT EMPLOYER, ONE PERSON AT A TIME.<br />

The benefits of working as a nurse at VCU Health System<br />

are clear. We’re a Magnet ® hospital – the first in Richmond<br />

to achieve this prestigious designation and the first to gain<br />

re-designation, a seven-time Working Mother magazine “100<br />

Best Company,” a 2011 Richmond Employer of Choice and a<br />

recipient of the 2011 Alfred P. Sloan Award for Workplace<br />

Flexibility. As a great place for work/life balance, we provide<br />

child and elder care, flexible work options, extensive medical<br />

benefits, competitive pay and pre-paid tuition. Everything you<br />

need for a wonderful nursing career can be found here at VCUHS.<br />

Discover all that VCU Health System<br />

has to offer at www.VCUHS.jobs.<br />

What’s it like at the top? You can fi nd out at Cleveland Clinic,<br />

consistently rated by U.S.News and World Report as one of the<br />

best hospitals in the country. Cleveland Clinic is a great career<br />

choice for nursing professionals who know that where they<br />

practice is often as important as how they practice.<br />

Be a world class caregiver.<br />

clevelandclinic.org/ant<br />

EOE/AA. Women, minorities, veterans and persons with disabilities are encouraged to apply.<br />

We are proud to be an equal opportunity employer. Smoke-free/drug-free environment.<br />

www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com March 2012 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> 45


MAGNET UPDATE<br />

Experience first-hand<br />

the difference Magnet<br />

Designation ® makes<br />

<strong>Nurse</strong>s at MedStar Franklin Square Medical<br />

Center in Baltimore, Maryland are proud to<br />

deliver excellence in patient care worthy of<br />

the nation’s most prestigious honor - Magnet<br />

Recognition ® . We thrive in a shared decisionmaking<br />

environment where our voice is heard<br />

at every level of the organization. We forge<br />

strong interdisciplinary partnerships to meet<br />

the unique needs of each patient entrusted<br />

to our care.<br />

Join us and experience first-hand our<br />

commitment to excellence and the difference<br />

YOU can make at MedStar Franklin Square.<br />

Champion meetings focused on celebrating the<br />

commitment to high-quality nursing care and helping<br />

champions spread their enthusiasm across their<br />

units. Monthly meetings gave champions opportunities<br />

to share with others the ideas that worked on<br />

their units, as well as to create props (chocolate<br />

kisses, magnets for lockers, lapel pins, flash cards,<br />

Jeopardy games, and bulletin boards) to help them<br />

celebrate Magnet redesignation throughout the organization.<br />

Magnet champion strategies varied from unit to<br />

unit but shared a common theme. Champions<br />

were responsible for developing and finding creative<br />

ways to share the theme for our Magnet journey.<br />

A schematic depiction of the Journey to Magnet<br />

<strong>Excellence</strong> was turned into a jigsaw puzzle in<br />

a family waiting room to share our journey with<br />

our community. In October 2011, champions decorated<br />

pumpkins for their units that served as icebreakers<br />

for Magnet discussions where nurses<br />

shared their stories. Stories were collected for bulletin<br />

boards, photo albums, scrapbooks, and<br />

posters. “Magnet Moments” became part of our<br />

shift-change huddles. Our champions focused on<br />

practicing gratitude, being creative, and remembering<br />

to find joy in the journey.<br />

To avoid “Magnet fatigue,” overstimulation, and<br />

message overload, our champions shared information<br />

in succinct communications. They alternated<br />

communication methods, including e-mails, bulletin<br />

boards, scrapbook updates, and face-to-face<br />

conversations. During a particularly busy month,<br />

they took a formal communication “break.” One<br />

champion described our Magnet journey as a progressive<br />

dinner that would take time, rather than<br />

a Thanksgiving feast we would prepare and eat<br />

all at once. (See Evaluating Magnet redesignation<br />

preparation.)<br />

Cost-effective and successful<br />

We spent about $10,000 less preparing for our<br />

Magnet redesignation site visit than we did for<br />

our initial Magnet designation site visit. The real<br />

measure of our success came on July 21, 2011,<br />

when we found out we’d achieved Magnet redesignation.<br />

The true value in our redesignation is<br />

knowing that our organizational commitment to<br />

excellence remains a priority despite healthcare<br />

complexities, the economic downturn, and competing<br />

priorities. A passion for excellence is our<br />

“true north”—and Magnet is the compass that<br />

guides our journey.<br />

■<br />

443-777-7045 phone<br />

medstarfranklin.org/nursing<br />

The authors work at Martha Jefferson Hospital in Charlottesville, Virginia. Carolyn<br />

Ramwell is a clinical nurse in the free-standing emergency department and a<br />

member of the adjunct faculty at the University of Phoenix. Jean Blankenship is<br />

the Magnet coordinator. Mary Wolfe is a clinical nurse IV and shift coordinator in<br />

the free-standing emergency department.<br />

46 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> Volume 7, Number 3 www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com


Breaking competitive<br />

barriers: The Colorado<br />

Magnet ® Collaborative<br />

Through a regional collaborative, Magnet Program Directors<br />

achieve more together than any one director could achieve alone.<br />

MAGNET UPDATE<br />

By Danielle H. Schloffman, MSN, RN, NE-BC; Jeanine M. Rundquist, MSN, RN, CRRN; Kathleen A. Bradley, DNPc,<br />

RN, NEA-BC; Zachary D. Mueller, DNP, RN, NEA-BC; Donna D. Poduska, MS, RN, NE-BC, NEA-BC; and Meredith<br />

C. Taylor, BSN, RN, OCN<br />

Magnet ® organizations have been shown to<br />

deliver exceptional patient care and outcomes<br />

and to demonstrate a culture of patient<br />

safety and collaborative work environments.<br />

Each individual Magnet organization is strong, but a<br />

group of Magnet organizations working together as<br />

a collaborative can have an even greater influence<br />

on the work environment and patient experience.<br />

The Colorado Magnet Program Director (MPD)<br />

Collaborative consists of eight diverse Magnet organizations,<br />

including an acute rehabilitation hospital,<br />

a pediatric hospital, an academic medical center,<br />

and five community-based hospitals. Magnet organizations<br />

are expected to mentor other organizations.<br />

Through this collaborative, we share best practices<br />

with peer Magnet and non-Magnet organizations,<br />

nurture professional nursing in our state, and improve<br />

healthcare outcomes for our communities.<br />

Collaborative benefits<br />

Partnering as a group of exceptional healthcare organizations<br />

brings benefits—yet it can pose challenges.<br />

Most of the organizations in our collaborative<br />

are part of their own separate health systems,<br />

meaning they compete with each other. Nonetheless,<br />

we’ve been able to put competitiveness aside<br />

and break down the barriers between us. The Magnet<br />

Recognition Program ® gives member organizations<br />

a shared purpose that serves as the platform to<br />

build relationships among the MPDs in each program.<br />

Formalizing our relationship into a collaborative<br />

partnership brings even greater achievements.<br />

The MPD role can be lonely; other professionals<br />

in the organization may have difficulty understanding<br />

the demands and complexities of the<br />

MPD role. The collaborative allows MPDs to connect<br />

with peers who can provide emotional support,<br />

consultation, and advice. Equally crucial, it<br />

allows MPDs to share innovations that enhance<br />

their own organizations and patient care.<br />

Other benefits of the collaborative include helping<br />

each other interpret Magnet standards and expectations<br />

and helping each other prepare for document<br />

submission, Magnet appraiser site visits,<br />

and post-appraisal debriefings. We accomplish<br />

these goals by meeting quarterly, alternating sites.<br />

Joint events<br />

To meet Magnet expectations, each member organization<br />

in the collaborative already was mentoring<br />

aspiring Magnet organizations at the local, state,<br />

and national levels. In August 2010, we held a<br />

joint event to mentor other Colorado organizations;<br />

invitations had been e-mailed to all chief<br />

nursing officers (CNOs) and MPDs in the state. The<br />

agenda included assessing readiness for the Magnet<br />

journey, the MPD’s role, Magnet document<br />

preparation, and challenges and barriers. More<br />

than 50 professionals representing 26 organizations<br />

attended. Evaluations were positive. Here’s a<br />

sampling: “Most useful program for Magnet journey<br />

to date” and “I enjoyed the collaboration of<br />

the various (Magnet) hospitals.” This feedback motivated<br />

us to continue the tradition.<br />

We used comments from these evaluations to<br />

build the agenda for our next event in August 2011.<br />

We expanded the joint session to encompass a full<br />

8-hour day. Again, all Colorado CNOs and MPDs<br />

were invited. Registrants came from 27 organizations;<br />

more than 100 people attended. Some organizations<br />

brought their entire leadership team, including<br />

several interdisciplinary team members. Based<br />

on feedback from our first event, we added a review<br />

of the Magnet Model Components, along with other<br />

topics, such as keys to staff engagement and preparing<br />

staff for the site visit. Also, we provided a CNO<br />

panel, which gave attendees insight into the CNO’s<br />

perspective of the Magnet journey and offered a<br />

question-answer forum. Like the first event, this one<br />

offered continuing-education credit hours.<br />

www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com March 2012 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> 47


MAGNET UPDATE<br />

While evaluation feedback from this event was<br />

positive overall, the responses reflected varying levels<br />

of knowledge about the Magnet Model Components<br />

and the Magnet journey. For 2012, the challenge is<br />

to meet the needs of a diverse audience and address<br />

the wide range of Magnet-related knowledge.<br />

Mock site visits<br />

One of the most stressful times for an MPD is the<br />

Magnet appraiser site visit. To help prepare staff for<br />

anticipated questions and build confidence in their<br />

interactions with appraisers, our collaborative held<br />

mock site visits. These visits, conducted by the various<br />

MPDs, were designed to emulate an actual site<br />

visit. They were scheduled 4 to 6 weeks before the actual<br />

appraiser visit to give ample time for improvements<br />

and staff education, if necessary. To prepare<br />

for the visits, the collaborative developed a list of 60<br />

questions. Each organization chose mandatory questions<br />

to ask staff during the mock visit, based on gap<br />

analysis. The mock appraisers (Colorado MPDs)<br />

were escorted by staff members from the host organization,<br />

who would later escort Magnet appraisers<br />

for the actual site visit. The appraisers completed<br />

20- to 30-minute visits of each area. Staff escorts and<br />

mock appraisers took notes of findings and recommendations.<br />

The mock visits took 4 to 5 hours. Afterward,<br />

debriefings were held with Magnet teams and<br />

nursing leaders to share strengths, vulnerabilities,<br />

and opportunities for improvement. Each MPD was<br />

expected to maintain professionalism and confidentiality<br />

during and after mock site visits.<br />

Sharing information, ideas, and educational<br />

tools<br />

Our collaborative has broken through the competitive<br />

barriers between us by sharing information,<br />

ideas, and educational tools and by offering feedback.<br />

Members share ideas to inspire staff in the<br />

continuing Magnet journey. Innovation and creativity<br />

are essential to promoting staff engagement.<br />

MPDs feel ownership for this creativity. For example,<br />

one organization completed an educational<br />

tool for staff before the site visit. This pocket-sized<br />

guide, organized according to the Magnet model,<br />

listed important elements of the organization’s<br />

Magnet application. The idea was shared in the<br />

collaborative and used as a template for future site<br />

visits by all member organizations. Other shared<br />

ideas include a Magnet fair involving games, word<br />

puzzles, poster competitions, door prizes, physician<br />

information sheets, samples of electronic and written<br />

communication, unit-specific toolkits,<br />

MPD/CNO open forums, weekly huddles for Magnet<br />

teams, and targeted committee preparation.<br />

Reaching beyond the collaborative<br />

Our collaborative has established community part-<br />

Connecting To What Really Matters:<br />

Patients and Families<br />

Children’s National Medical Center is designated as a Magnet ® * Hospital.<br />

Our dedicated Professional Registered <strong>Nurse</strong>s have earned this designation<br />

because of their exemplary care and outcomes. Our nurses acknowledge<br />

that their practice allows the special “gift” to enter “sacred spaces” between<br />

children and their families.<br />

This relationship is part of a precious circle where trust is implicit and where<br />

professional nurses are part of the patient and family’s joys and challenges.<br />

We are proud to be a Magnet ® Hospital:<br />

• Transformational Leadership;<br />

• Structural Empowerment;<br />

• Exemplary Professional Practice;<br />

• New Knowledge, Innovations, and Improvements;<br />

and • Empirical Outcomes.<br />

For additional information, please visit: www.childrensnational.org/nursing<br />

eoe, m/f/d/v<br />

*Magnet status<br />

is granted by the<br />

<strong>American</strong> <strong>Nurse</strong>s<br />

Credentialing Center,<br />

the world’s largest<br />

nurse credentialing<br />

organization and<br />

a subsidiary of the<br />

<strong>American</strong> <strong>Nurse</strong>s<br />

Association (ANA).<br />

The Magnet<br />

Recognition<br />

Program ® , ANCC<br />

Magnet Recognition ® ,<br />

Magnet ® , National<br />

Magnet Conference ®<br />

names and logos are<br />

registered trademarks<br />

of the <strong>American</strong><br />

<strong>Nurse</strong>s Credentialing<br />

Center. Journey to<br />

Magnet <strong>Excellence</strong> TM<br />

is a trademark of the<br />

<strong>American</strong> <strong>Nurse</strong>s<br />

Credentialing Center.<br />

All rights reserved.<br />

48 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> Volume 7, Number 3 www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com


Tangible take-aways<br />

Tangible take-away points from the Colorado Magnet®<br />

Program Director Collaborative include professional practice<br />

models, clinical innovations, evidence-based practice<br />

models, leadership structures, educational tools, guest presentations,<br />

and marketing materials.<br />

ners by reaching out to home care agencies, senior<br />

care facilities, ambulatory settings, academic institutions,<br />

and professional organizations. Members of<br />

our collaborative act as content experts to provide<br />

education about the Magnet journey and achieving<br />

Magnet recognition. MPDs also partner with local<br />

universities to expose nursing students to the Magnet<br />

culture. We partner with each other as a speaker’s<br />

bureau on Magnet-related topics, acting as consultants<br />

to support organizations in the collaborative—<br />

and beyond. We also have cohosted visitors from<br />

London, Switzerland, Australia, and Lebanon, serving<br />

as mentors for their organizations in their own<br />

pursuit of Magnet recognition.<br />

Reaping the benefits<br />

Colorado MPD Collaborative members have found<br />

the benefits of being in the collaborative far outweigh<br />

the challenges. (See Tangible take-aways.) MPDs<br />

have a unique perspective, focusing on promoting<br />

professionalism and advancing nursing practice. The<br />

collaborative provides the support and relationships<br />

needed to achieve these tangible outcomes.<br />

Our plans include developing a formal charter,<br />

connecting with the Colorado Hospital Association<br />

and Colorado Organization of <strong>Nurse</strong> Leaders, and<br />

developing a collaborative for MPDs on the Magnet<br />

journey. Partnering with state organizations will give<br />

our collaborative greater reach in promoting the future<br />

of nursing through the Magnet framework.<br />

We’ve found that collaborating has immeasurable<br />

value. Together, we can achieve more than any<br />

one MPD could achieve alone.<br />

■<br />

Looking for a bigger and brighter future? We are expanding our team of experienced<br />

cardiac RNs at the Winchester Medical Center, our award-winning 445-bed Magnet<br />

facility within Valley Health. Our unprecedented $160 million expansion project is<br />

nearly completed, and our stunning North Tower now includes 48 new state-of-the-art<br />

critical care beds . . . and soon also a new 16-bed step-down unit. Our CVSICU is a<br />

proud recipient of the BEACON AWARD, so you can be certain that you will be among<br />

the best of the best in critical care nursing today. We are the only Level II Trauma<br />

Center and Certifi ed Chest Pain Center with PCI in the region – and the only Acute<br />

Heart Failure Accredited Facility in Virginia. Managing heart disease is an absolute<br />

priority here at the Winchester Medical Center. Urgent, newly emerging and chronic<br />

heart conditions are expertly diagnosed and treated utilizing evidence-based practice<br />

guidelines by our highly qualifi ed and compassionate staff. In short, we offer the<br />

perfect environment for cardiac RNs to thrive.<br />

ASK ABOUT OUR $5,000<br />

SIGN-ON BONUS!<br />

UP TO $3,000 FOR RELOCATION!<br />

WINCHESTER MEDICAL CENTER<br />

RN OPPORTUNITIES<br />

HEART & VASCULAR CENTER –<br />

CLINICAL NURSE SPECIALISTS<br />

CRITICAL CARE UNITS – STAFF RNS<br />

SURGICAL TELEMETRY STEP-DOWN –<br />

RN INTERNSHIP PROGRAM<br />

TELEMETRY MONITORING – SUPERVISING RNS<br />

We’re looking for RNs with a dedication to excellence that matches our own. Valley<br />

Health is just 70 miles from Washington, D.C., yet removed from the day-to-day hassles<br />

of today’s busy metropolitan areas. We offer competitive salaries and a dynamic<br />

professional practice ladder program. Our benefi ts are comprehensive and include up<br />

to 100% in tuition and textbook reimbursement to further advance your degree. To<br />

review all currently available openings, visit www.valleyhealth.jobs. Apply online<br />

and be given immediate consideration for the opportunity to join our incredible team<br />

of Magnet nurses!<br />

MAGNET UPDATE<br />

Selected references<br />

Visit www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com/Archives.aspx for a list of selected<br />

references.<br />

Danielle H. Schloffman is a Magnet Program Director at University of Colorado<br />

Hospital in Aurora, Colorado. Jeanine M. Rundquist is a Magnet Program Director<br />

at Children’s Hospital Colorado in Aurora, Colorado. Kathleen A. Bradley is a<br />

Director of Performance, Practice and Innovation and Magnet Program Director at<br />

Porter Adventist Hospital in Denver, Colorado. Zachary D. Mueller is a Vice<br />

President of <strong>Nursing</strong> & Associate Chief <strong>Nursing</strong> Officer (CNO) at Medical City Dallas<br />

Hospital & Medical City Children’s Hospital in Dallas, Texas. Donna D. Poduska is a<br />

CNO at Poudre Valley Hospital in Fort Collins, Colorado. Meredith C. Taylor is a<br />

Director of Professional Practice at North Colorado Medical Center in Greeley,<br />

Colorado. We would like to acknowledge newer members of the Colorado MPD<br />

Collaborative, including Barbara Ochsner, MSN, RN-BC; Lisa Shelton, MSN, RN,<br />

CRRN; and Jane Jostes-Wanek, MSN, RN-BC.<br />

Office of <strong>Nurse</strong> Recruitment<br />

Valley Health<br />

1840 Amherst Street<br />

Winchester, VA 22601<br />

EOE<br />

www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com March 2012 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> 49


MAGNET UPDATE<br />

Winchester Medical Center<br />

1840 Amherst Street<br />

Winchester, VA 22601<br />

Sharyn Gaither<br />

Director of <strong>Nurse</strong> Recruitment<br />

sgaither@valleyhealthlink.com<br />

www.valleyhealth.jobs<br />

445 Beds<br />

These are exciting times at the Winchester<br />

Medical Center! We have nearly completed<br />

our unprecedented $160 million expansion<br />

project to allow us to better meet<br />

the needs of our growing community. In<br />

addition to being a Magnet Facility and<br />

a CVSICU BEACON Award Winner, Winchester<br />

Medical Center is also the only<br />

Level II Trauma Center, Nationally Certified<br />

Chest Pain Center with PCI, and<br />

Advanced Primary Stroke Center in the<br />

region. Our non-profit hospital serves<br />

as a quality comprehensive healthcare<br />

resource for the more than 400,000<br />

residents throughout Virginia’s northern<br />

Shenandoah Valley, neighboring West<br />

Virginia, and Maryland.<br />

VCU Health System<br />

1250 E. Marshall Street<br />

Richmond, VA 23298<br />

804-628-0918<br />

www.VCUHS.jobs<br />

Gale Rose • grose@mcvh-vcu.edu<br />

779 Beds<br />

Level 1 Trauma Center; over 200 Specialty areas, to include Hume-Lee Transplant<br />

Center, Stroke Center, Massey Cancer Center, Harold F. Young Neurosurgical<br />

Center, Evans-Haynes Burn Center, Pauley Heart Center and the Children’s<br />

Hospital of Richmond.<br />

VCU Medical Center is an internationally-recognized, Magnet-designated<br />

regional referral center on the forefront of health care, providing the most<br />

progressive treatments and medical technology available. Ranked among the<br />

top centers nationwide by U.S. News & World Report and one of only eight<br />

hospitals nationally with five or more unique AACN Beacon Award for<br />

<strong>Excellence</strong> recipients.<br />

MAGNET AD INDEX<br />

Carilion Clinic .................................................. 44<br />

Children’s National Medical Center .......... 44, 48<br />

Cleveland Clinic ........................................ 44, 45<br />

Mary Washington Healthcare .................... 42, 44<br />

Subscribe<br />

Ways!<br />

MedStar Franklin Square Medical<br />

Center .................................................... 44, 46<br />

UNC Health Care ....................................... 42, 44<br />

Valley Health Winchester Medical<br />

Center .................................................... 49, 50<br />

VCU Health System ................................... 45, 50<br />

For advertising information please contact: Tyra London,<br />

Associate Publisher, at 215-489-7000 x 117, or:<br />

tlondon@healthcommedia.com.<br />

1<br />

Now you can subscribe<br />

2<br />

2 different ways!<br />

There are two convenient ways for you to stay current with evidence-based,<br />

peer-reviewed clinical, practical nursing information that can impact your<br />

practice right away! Only <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong>, the dynamic voice of<br />

nursing, offers you a choice of the way you receive your subscription!<br />

1<br />

Print Plus —12 issues – 6 print issues PLUS access to all digital<br />

products including 6 electronic issues of <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong>,<br />

e-Edition, and archives. $29.90<br />

2<br />

Digital Only —12 issues – all issues delivered electronically<br />

to the email address you provide during the subscription process<br />

as well as access to the e-Edition and archives. $9.99<br />

The choice is yours. It’s as easy as 1-2!<br />

Go to www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com/subscribe.aspx<br />

to order now!<br />

Or call 215.489.7000 ext. 119 to order by telephone.<br />

50 <strong>American</strong> <strong>Nurse</strong> <strong>Today</strong> Volume 7, Number 3 www.<strong>American</strong><strong>Nurse</strong><strong>Today</strong>.com

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!