2011 Nursing Annual Report - UNM Hospitals - University of New ...

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ANNUAL NURSING REPORT 2011 — QUALITY Magnet Journey — Important Announcement for Upcoming Designation In January 2011, UNMH began their Magnet data collection. We collected, and continue to collect impressive best outcomes for several units. However, as you are all aware, there are some important elemental requirements whereby an organization may find they need to delay their application process. This is no reflection on anything that anyone has not done, and it is important to remember that achieving and maintaining Magnet status is a process. Constant evaluation is important. One of those requirements includes new nursing leadership criteria for 2013. The new criteria require that all nurse leaders have a minimum BSN degree in 2013. This is a new and non-negotiable requirement, even for currently designated Magnet hospitals. However, because our nursing leadership will exceed this requirement with 100% MSN accomplishment in 2015, we have shifted our anticipated Magnet application date to April 2015. No other Magnet facilities have this high of a requirement for their nursing leaders, so this is something we will definitely showcase. We will also need to create a more substantive Nurse Peer Review Program for direct care nurses. according to ANCC/Magnet, it is really hard to see that any organization has truly implemented a peer review program throughout, for all levels of nursing. One of the Sources of Elements in Magnet states that “EP20—Nurses Improve Professionally through Selfappraisals and Peer Reviews.” Our Nursing Quality & Peer Review Council meets part of this criteria, now we just need to consider adding a peer review process through our unit-based Shared Governance councils. For example, as a unit-based shared governance council you could focus on your quality outcomes, patient satisfaction results, NDNQI, etc., and set goals for improvement as a SG council, then peer review one another while striving for these goals. Look for Peer Review classes to start in early 2013 based on the ANCC Magnet requirements for peer review in nursing. We have the data to re-designate for Pathway to Excellence in March of 2013, and that is a worthy re-designation for us to accomplish. (See next page) In the early ‘80’s the ANA agreed that as a profession we needed to incorporate peer review at all levels. However over the years 26
Pathway to Excellence Designation: Journey Onward to Magnet! How does PTE Re-Designation Propel Us Forward for Patient Excellence & to Our Magnet Journey ANNUAL NURSING REPORT 2011 — QUALITY As we mentioned on the previous page, shifting our Magnet application to April of 2015, and re-designating for Pathway to Excellence (PTE) in March 2013, is an incredibly worthy path for UNMH to pursue. We have the data to re-designate for our existing Pathway to Excellence (PTE) award based on the extraordinary information we have collected on our Magnet Journey. Our PTE re-designation is due the same time as our original anticipated Magnet application date, March 2013. This will allow us to continue with the momentum that we have created, and continue to make the nursing practice changes and growth we all seek. The extra time will further allow us to roll-out and refine our nursing Peer Review at the nursing staff level, through the Shared Governance structure. If we believe that a determined focus on our practice can help us constantly improve our patient outcomes, as well as create New Knowledge, Innovations & Improvements (the research component of Magnet), we can truly transform our units, and our practice, to be the hospital with the best patient care — with the evidence to back it up! Continuing to build up our unit-based Shared Governance is an important goal to focus on while we gear up to re-designate for PTE. Many of the nurses have shared that although they support a journey of excellence, and the goals that both Magnet and PTE strive to achieve and maintain for nursing practice, many nurses feel we aren’t quite ready, but will be, if we keep up this momentum. Many direct-care nurses and nursing leaders have shared that through continued growth with Shared Governance and Peer Review, we can address more of the culture changes and outcome improvements that are important to all of us, no matter our role at UNMH. Pathway re-designation is an achievement that will ask more of us at every level, just like Magnet, but the returns and rewards will be evident with decreased RN turnover, more job satisfaction and better patient outcomes. Both PTE and Magnet offer a great blueprints for achieving these outcomes, but only if we all embrace these journeys of excellence! Questions Contact the Magnet Program Manager, Adrienne Fugett at afugett@salud.unm.edu. 27
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