2012 Nursing Practice and Progress Annual Report (pdf) - UW Health

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Exemplary Practice First Winner of the DAISY Award for Nursing at University of Wisconsin Hospital and Clinics Gail Hettrick, BSN, RN, OCN, sat in the front row with the other nursing finalists for the inaugural DAISY Award at University of Wisconsin Hospital and Clinics on July 19, 2012. Her thoughts were probably much the same as those of her peers in the chairs down the row. “I thought, ‘Those stories are much more deserving. That’s the person that’s going to win,’” said Hettrick, a nurse in the Hematology, Oncology, Bone Marrow Transplant and Palliative Care unit. But it was Hettrick who was honored as the first nurse at UWHC to receive the DAISY Award, which recognizes remarkable care, clinical skills and extraordinary compassion in nursing. “I had no idea it was going to be me,” said Hettrick. “All the people that I was up here with were totally deserving of this award. The amazing stories of nursing and nursing care and the difference people made in patients’ lives, in families’ lives, is amazing. Everybody here deserved the award.” “We needed to do something. We needed to find some way to begin to fill that just enormous hole that losing Pat left in our hearts,” said Bonnie Barnes, Patrick’s stepmother who was also in attendance on July 19. “And we needed to figure out how we were going to keep his very special spirit alive, because he was such a great guy.” So Patrick’s widow Tena, his father Mark and stepmother Bonnie, started The DAISY Foundation with the goal to thank nurses for their extraordinary work. The name DAISY comes from the phrase “diseases attacking immune systems.” “It’s wonderful to be recognized,” said Hettrick, who followed in her mother’s footsteps in becoming a nurse. “I work with a wonderful staff. The support we give each other is amazing. You feel very honored when you come from a wonderful unit and you were the one who was nominated. It’s a very special feeling.” Beth Houlahan, Senior Vice President for Patient Care Services and Chief Nursing Officer, agreed. “I can absolutely attest to the fact that this organization has a multitude of extraordinary nurses among the ranks,” said Houlahan. “An award like DAISY gives us a moment to pause, to look around us and thank our nurses for going above and beyond to create a meaningful experience for our patients.” Adding to what Hettrick called a “little bit of a whirlwind” of a day, was the fact that she was presented her award by 12-year-old Riley Carraher, the daughter of the man who inspired the DAISY Award. J. Patrick Barnes was 33 years old – and Riley just six weeks old – when he passed away in 1999, following an eight-week battle with idiopathic thrombocytopenia purpura, an auto-immune disease. UW Health celebrated its inaugural DAISY Award for excellence in nursing in July 2012. Nominees were honored by patients and colleagues for demonstrating remarkable care through superior clinical skills and extraordinary compassion for patients and their families. Nominees included: Carly Collins, Denise Cooper, Suzanne Cooper, Erica Schwab, Monica Livingston, Gail Hettrick, Tamara Kempken-Mehring, Andreya Carman, Ruth Miller, Barb Uselman. Not pictured: Dana Fulton and Jenna Stellmacher Congratulations to all of the July 2012 DAISY Award nominees at UW Hospital and Clinics: Andreya Carman, BSN, RN, with F6/5 General Medicine and Geriatrics Carly Collins, MSN, RN, CPN, with Diagnostic & Therapy Center Suzanne Cooper, BSN, RN, with Oncology Denise Cooper, BSN, RN, CPON, with Diagnostic & Therapy Center Dana Fulton, BSN, RN, with Clinical Research Center Gail Hettrick, BSN, RN, OCN, with B6/6 Infusion Center Tamara Kempken-Mehring, MSN, RN, Clinical Research Center Monica Livingston, BSN, RN, with F4/4 Surgical Trauma Unit Ruth Miller, BSN, RN, with D4/5 Heart and Vascular Progressive Care Erica Schwab, BSN, RN, with D6/5 Acute Med/ Progressive Care Jenna Stellmacher, BSN, RN, with F6/6 Gyn, Urol, Plastics and Otolaryn Barb Uselman, BSN, RN, with West Endo/Diabetes Clinic 16
Evidence-Based Practice (EBP) Updates for FY12 By: Élise Arsenault Knudsen, MS, RN, ACNS-BC Everywhere you turn, you hear talk of “this new study” or “that new study.” But what does the talk mean for nurses What does it mean for our patients and their families We know that a culture of evidencebased practice (EBP) facilitates high-quality, evidence-based nursing care that stems from clinician inquiry. We also know nurses need a structure within which to assess the available evidence and formulate appropriate practice guideines. This year, UW Hospital and Clinics (UWHC) took steps to advance its EBP culture as it developed, approved, and disseminated the UWHC EBP Program for Nursing. In January 2012, all nurses across the organization received a survey that explored nurses’ current thoughts and beliefs about EBP as well as the perception of our organizational readiness for EBP. Nearly 850 nurses responded (about a 38 percent response rate), providing rich data that highlights the barriers and facilitators of EBP and indicates a high belief among UWHC nurses that EBP leads to the best clinical care for patients. The survey results guided the development of a number of EBP workshops for a variety of roles within nursing. The first groups educated included clinical nurse specialists and nursing education specialists, resulting in 29 new EBP coaches! EBP workshops for direct care nurses began in May, repeated in September, and will continue to be offered in early 2013. Those who have participated in workshops will be vital to promoting and sustaining evidence-based care. New Knowledge and Innovation A number of EBP projects have been initiated across the organization, including: • pediatric specialty clinics are using evidence to improve HPV vaccine rates in adolescent boys • B6/6 is exploring the necessity of pre-medication prior to blood transfusions, • the CRU explored the necessity of flushing peripheral IVs with heparin, and • Home Health is using an evidence-based teaching method, “Teach Back,” to improve patient education. Another mechanism of providing evidence-based care is the Nursing Practice Guidelines (NPG) program. To improve the process of developing, implementing and evaluating NPGs, a taskforce was convened and recommended a new process that has guided our work all year. To select a FY13 Nursing Practice Guideline, a survey was distributed to all nurses after All-Council Day in June. Our response rate was an unprecedented 778 nurses or 35 percent! Results were shared at the annual Primary Nursing Fair along with the units who won the prize for highest volume of participation! To find out more about all the great resources and information about EBP, visit the newly revised Nursing Research Council webpage on U-Connect and the Evidence-Based Practice workspace. Clinical Nurse Specialist Outcomes Report By: Gwen Klinkner, MS, RN, APRN, BC-ADM, CDE Clinical nurse specialists (CNSs) are innovators of health care change. As patient and system outcomes are increasingly scrutinized and evaluated, CNSs must be able to quantify and communicate their contributions to high quality, safe patient care. Despite various reporting tools used by individual CNSs to capture activities and outcomes, UWHC until recently had no single document to represent the outcomes of all CNSs. The lack of a centralized reporting tool created challenges for goal-setting and communication about how the 36 CNSs at UWHC contribute to organizational goals. In the spring of 2012, a group of UWHC CNSs attended the National Association of Clinical Nurse Specialists (NACNS) annual conference. They returned with a goal of designing a tool that would capture CNS activities and related outcomes. A subgroup of CNSs (including Amy Alexander, Élise Arsenault Knudsen, Rhonda Gessler, Julie Hunter, Gwen Klinkner, Jayne McGrath, Margaret Murray, and Suzanne Purvis) met regularly to draft a tool that could track process and outcome measures along with any known financial implications. After multiple workgroup meetings, the larger CNS group provided feedback about how to progress to next steps. The group decided what content to include and to use the UW Health and Nursing and Patient Care Services Strategic Goals for the organizing framework. In June 2012, all CNSs inserted their own activities into the CNS Outcomes tool for FY12. Many clinical projects, initiatives and education-related activities were included. Information about publications, poster and podium presentations, and certifications was also gathered. The comprehensive document was summarized and shared with nursing executive leadership. For example, CNSs were involved in at least 54 evidence-based practice or quality improvement projects, 186 Health Link projects, 64 policy drafts/revisions, and 60 Health Facts for You updates. About 69% of UWHC CNSs are certified. For those of us who prepared the report, it was an opportunity to measure our worth. We believe the CNS Outcomes Report will increase awareness of the valuable contributions of CNSs and will provide improved clarity about our impact on clinical outcomes and linkages to the nursing and patient care services strategic plan. Although we’re pleased with our first CNS Outcomes Report, we are already thinking about how it can be improved. We are also discussing FY13 goals, adding more data related to the financial impact of our work and hoping to increase the number of external publications and presentations. CNSs will have access to the outcomes report and will be expected to add content so that a yearly report can be compiled. Rather than simply attending the NACNS conference in 2013, at least four CNSs hope to be podium presenters of a symposium entitled “Leading Change for Patients, Nurses, and Organization: The Role of the CNS.” If their abstracts are accepted, these four CNSs will present their work on the CNS Outcomes Report and two clinical projects that were included in the report.
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2012 Nursing Practice and Progress Annual Report (pdf) - UW Health

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