Recognizing Nursing Excellence - American Nurse Today
Recognizing Nursing Excellence - American Nurse Today
Recognizing Nursing Excellence - American Nurse Today
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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 />
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