Digital Commons Network^™

"Coast"Ing Through Bedside Shift Report, Kristi Webster

Nursing Research & Professional Development Conference

Background: Multiple types of shift report exist, a “blended” bedside shift report incorporates verbal face to face between staff with a bedside component. Baseline audits in March 2023 showed during bedside report only 3% addressed codes status, 3% oxygen, 6% access, 3% safety, and 12% tubes and drains. Additional baseline data from March 2023 showed 71% compliance with No CPR band application and one fall. This prompted the PICO question: Does the use of a blended bedside report compared to traditional verbal report increase communication between staff?

Aim/Purpose: To implement blended shift report in one ICU at a quaternary medical …

Shared Governance Led Pilot To Implement A Multidisciplinary Case Review Process, Amanda Smith, Katalin Stanaszak, Venus Grice

Nursing Research & Professional Development Conference

Background:

Enterprise Population Health Ambulatory Care Management established Nursing Shared Governance Practice Council in 2022, aimed at identifying opportunities for process improvement to promote application of evidence-based best practice. Practice Council was tasked with developing a clinical case review process to implement within Ambulatory Care Management Midwest region.

Purpose of the initiative:

Evaluate current literature, and reflect on historic departmental practices, to create a Multidisciplinary Case Review process for use in Ambulatory Care Management.

Implementation Plan:

Practice Council conducted current/previous state analysis of case review processes across Ambulatory Care Management. Information was obtained on the purpose, frequency, duration, case identification …

Utilizing Simulation To Increase Confidence In Onboarding Care Managers & Social Workers, Tara Nixon, Elena Ochakovski, Jenn Mepham, Kari Congenie

Nursing Research & Professional Development Conference

Background

New hire inpatient care managers and social workers are often overwhelmed with the complexity of their new care coordination role. Role-play is a useful experiential strategy connecting theory to practice in a safe space. Use of standardized patients for communication simulation improves patient centeredness versus role playing, justifying organizational investment. Simulation helps learners reflect and analyze practice within a psychologically safe environment. A simulation-based advanced care transition program was adapted to provide onboarding teammates opportunities to experience complex care coordination situations aligning with organizational and regulatory requirements.

Purpose

The purpose of this project is to provide onboarding Inpatient Care …

Coming Out Of Covid: Resuscitating Live Onboarding, Patricia Shafer, Claire Hackelberg

Nursing Research & Professional Development Conference

Background: Effective onboarding and orientation processes are critical for successful new hire engagement and retention. The COVID-19 pandemic caused disruption in the established in-person onboarding process leading to inconsistency and fragmentation. Evidence suggests that structured and supported on-the-job training is the most effective onboarding strategy (Frogeli et al., 2023). A program make-over was needed.

Purpose: To redesign the onboarding and orientation process for new nurses with effective and efficient process to address issues and increase satisfaction.

Method: Nursing Professional Development (NPD) Staff collaborated with the hospital and unit managers to gather input and redesign the on-boarding process for new hires. …

Electronic Orientation Checklist: Click It To Check It!, Rubie Rose Costales, Tonya Pagor, Fran Majca, Candice Spak

Nursing Research & Professional Development Conference

Background/Introduction:

In 2022, approximately 15,000 Registered nurses and 6,000 Nursing assistants were onboarded utilizing paper checklists across 26 hospitals. The 95 identified checklists required printing multiple pages and was cumbersome for leadership to monitor and access.

Purpose or Objective:

Nursing Education and Professional Development launched an electronic orientation checklist initiative. The checklists transitioned to electronic platform delivering an updated, comprehensive, and collaborative approach to system orientation resources. This provides secure access, guarantees timely check off, offers real-time support to teammates, cost savings and fosters ecological consciousness.

Method:

Electronic checklists were piloted at two sites. Feedback from stakeholders, including executive leadership, …

Bridge To Practice: Program Initiation And Evaluation, Seung Kapusta, Dulce Torres, Sara Marzinski, Jeanne Hlebichuk, Jami Tutino

Nursing Research & Professional Development Conference

Background/Introduction: Mentoring is important in preparing nursing students to work in the complex health care work environment. A nurse’s personal and professional development is impacted through mentoring; however, the traditional clinical mentor and environment are not always conducive to the full mentoring relationship capacity.

Objective: The Bridge to Practice program was initiated in Fall 2022 as a partnership between a quaternary medical center site and local university to pair second year nursing students with experienced nurses to explore the reality of work environment, specialty practice settings, and mentorship. Information sessions are held monthly over nine months and lead by mentors …

Implementing Clinical Event Debriefing To Improve Patient Care, Colleen Butler

Nursing Research & Professional Development Conference

Background

The Advocate Children’s Hospital Neonatal/Pediatric Transport Team (ACHTT) transports approximately 2,000 neonatal/pediatric patients each year within the Advocate Children’s Hospital and Northshore system. Opportunities have been identified to improve feedback on transports completed. Debriefing is associated with improved outcomes, improved team performance, and provides the opportunity to discuss gaps in clinical knowledge, performance, and behaviors. Debriefing also provides the opportunity for group reflection and examination of teamwork.

Local Problem

No process existed to formally debrief after a transport completed by the ACHTT. The need to create a multidisciplinary clinical debriefing program was identified.

Method

A review of literature was …

Float Standardization: Creating A Welcoming Environment & Safe Float Experience, Kelsey Tavs

Nursing Research & Professional Development Conference

Background:

Chief Nursing Officer listening sessions revealed unit and float nurse and Certified Nursing Assistant (CNA) dissatisfaction with floating between inpatient units, Women’s Health, and Emergency Department boarding. Specific improvement interventions included facilitating a welcoming environment, providing tools to provide safe care, and offering a meal break.

Local Problem: RN/CNA Float Experience Pre-Survey – January 2023

• 46% “rarely” or “never” welcomed to the unit by the Charge RN or team
• 76% “rarely or “never” offered a tour or asked if they know where everything is located
• 30% “rarely” or “never” provided the tools and resources to provide safe care
• 51% …

Code For Success: Learn To Impress, Carol Holzer, Martha Summins, Bernenice Arellano, Jexenia Gonzalez

Nursing Research & Professional Development Conference

Background

Quality improvement project to determine if utilizing quick response (QR) codes for the Magnet Outcomes Boards, improves knowledge and confidence for nurses in speaking to The Big Three: nursing sensitive indicators, nursing satisfaction and patient satisfaction. Implementing an innovative strategy to engage frontline nurses with data.

Local Problem

Surveyed frontline nurses showed a gap in knowledge and confidence level in speaking to The Big Three Important for nurses to be well versed regarding data reported because it is the reflection of knowledge, wisdom, as well as understanding of the impact of nursing care within the organization.

Method

A pre …

Reducing Team Member Injuries Through Culture Change, Monika Bogun-Dzioban

Nursing Research & Professional Development Conference

Background:

Injuries resulting from handling patients lead to lost time from work, medical expenses, and long-term effects including disability (Andersen et al., 2019). While research suggests the number one initiative to prevent back injuries is consistent use of assistive devices, sustainment of results is driven by culture change of the organization (Wahlin et al., 2020).

Local Problem:

One of Sherman`s SPH committee`s goals are to eliminate team member injuries related to lateral transfers, boosting and repositioning. While the committee maintains efforts in place for the in-patient tower, it was lacking collaboration with supporting departments such as transport, and outpatient care. …

Shared Governance 101: What You Need To Succeed!, Deanna Shaver, Olivia Due

Nursing Research & Professional Development Conference

Background: Shared governance has evolved over time and focuses on shared decision making between leadership and direct patient care staff. Shared governance is based on the principles of partnership, accountability, ownership, and equity.

Local problem: The shared governance structure and councils have been in place for 30 years at this quaternary medical center, but never formally assessed.

Method: A quality improvement project aimed at assessing effectiveness of the shared governance was conducted. Permission was obtained to utilize the Council Health Survey (CHS), which is intended to evaluate council effectiveness through three subscales: membership, structures, and activities (Hess et al., 2020). …

Adding An Admission Nurse To Help Alleviate Staff's Workload Stress, Zharmaine Zafra

Nursing Research & Professional Development Conference

Background: Getting a lot of admissions during shift change challenges and stresses nurses because they feel they cannot not give adequate care to patients.

Local Problem: Clinical nurses on a surgical unit at a large, urban, Level 1 trauma center, expressed concern about heavy workload during admissions. Heavy workload during admission affects the stress level of the staff which could negatively impact the quality of care provided to all the patients.

Method: To reduce the workload stress of the nurses, the unit implemented an admission nurse role. Prior to implementation, a unit RN surveyed the nurses about how an admissions …

Development And Implementation Of A Nursing Shared Governance Toolkit, Heather Wagner

Nursing Research & Professional Development Conference

Background: NSG is a well-established structure for nurses and leaders to collaboratively work to improve nurse satisfaction, patient experience, and patient outcomes. Development of structures to support NSG may take several years. It requires cultural change, professional commitment, and the acquisition of new skills by both the nursing leaders and clinical nurses.

Local Problem: Nursing shared governance (NSG) at an acute care Midwestern hospital has been significantly impacted by the COVID-19 pandemic and nurse turnover. Nursing engagement and clinical excellence are heavily driven by professional shared governance structures.

Method: The purpose of this project was to develop and implement an …

Simulation Increases Team Members' Skills In A New Healthcare Environment From A Nursing Educator Viewpoint, Rosie Bernard, Grace Walls, Cynthia Malone, Kimberly Galera, Karen Beagles, Linda Ameyaw, Gwenn Cockle, Vada Wiley

Nursing Research & Professional Development Conference

Background:

Healthcare faces the challenge of finding and retaining nurses. Organizations want to ensure that team members are comfortable in the organization so that their skills will be utilized to achieve the mission and vision. Nurses want to feel that they can do the skills needed to give exceptional care. A successful transition to practice will help to improve retention rates. It will help the team members handle demanding situations and high-stress levels when faced with new clinical challenges.

Local Problem:

We identified knowledge gaps in new nurses after orientation. These gaps in nursing practice led to frustration and often …

The Evolution And Sustainment Of An Internal Agency To Further Reduce Costs, Desiree Bellon, Kari Mleziva

Nursing Research & Professional Development Conference

The Advocate Health (AH) Midwest (MW) Region Internal Agency was developed in the peak of the pandemic in response to the growing volumes of nurses leaving their positions for travel. Teammates leaving (interceptions) or who had left (boomerangs) their positions were offered the opportunity for a travel assignment within the MW Region. Internal agency rates were set at 60% of the current average bill rate for external agency, and in the first year, over $12 million were saved by utilizing internal agency nurses in lieu of external agency. This also resulted in decreased turnover and increased retention of high-performing nurses, …

Optimizing Sitter Use: Enhancing Safety And Cutting Costs, Lauren Gentry, Susan Perusich, Kristie Geil, Rachelle Lancaster

Nursing Research & Professional Development Conference

Background: Innovative nursing practices can reduce hospital sitter usage and costs as a component of a patient-focused safety plan. Sitter use, an evidence-based nursing-driven strategy, effectively decreases falls and injury. This project aimed to improve sitter utilization, documentation, and cost-efficiency by minimizing unneeded use, enhancing policy compliance, and preventing safety incidents. Initially, inpatient managers lacked awareness of direct costs, sitter charges weren't recorded in Epic, and safety concerns for patients and staff existed.

Method: In response to observed inconsistencies in sitter practices and gaps in nursing knowledge, a multidisciplinary workgroup was formed. This group introduced standardized documentation forms, engaged in …

Safe Patient Handling: The Key To Teammate Safety, Sue Harvey, Sherise Lopez

Nursing Research & Professional Development Conference

Background

Healthcare workers are at risk for patient handling injuries (PHI). PHI result in pain, lost days of work and employer costs with required reporting of significant cases to Occupational Safety and Health Administration (OSHA). PHI are preventable with Safe Patient Handling (SPH) equipment and techniques.

In 2022, there were 30 PHI at South Suburban Hospital. The PHI rate was 3.1 injuries per 200,000 hours worked with OSHA reportable PHI rate of 1.9. Our goal was to reduce injury rate by 25%.

Method

Pandemic related barriers included reduced training time, high staff turnover/ agency staff, supply shortages, and conflicting priorities …