Rachel Flynn, Sarah Ruth, Ashley Hamilton, Taylor Olson, Shane Pendleton
Rachel Flynn, Sarah Ruth, Ashley Hamilton, Taylor Olson, Shane Pendleton
Rachel Flynn, Sarah Ruth, Ashley Hamilton, Taylor Olson, Shane Pendleton
Rachel Flynn, Sarah Ruth, Ashley Hamilton, Taylor Olson, Shane Pendleton
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Carondelet St. Joseph’s Hospital
Intensive Care Unit
Focus: Education training related to
development of pressure ulcer
2
Servant leaders, “...put serving others, including
employees, customers, and the community as
number one priority”
Leaders struggled to find balance between
reaching goals and supporting/empowering staff
Unprofessional behavior
3
“The relationship between managers and workers
should be cooperative and interdependent...”
Strengths
o Charge RNs willing to help staff RNs
o Hospital wide huddle meetings
Weaknesses
o Hospital was inconsistent and unpredictable
o Brief pre-shift huddles
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 354). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins.
6
“Younger generations of nurses...recognize that
technology has given us the potential for instant
information access and exchange”
Online and paper charting
No telemetry monitor techs for ICU
Micromedex, Internet, ClinicalKey
Computers in each patient room, WOWs
available when needed
Voceras
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 506). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 7
“Engagement of frontline staff appears to be
especially critical when implementing or
sustaining QI efforts...”
Forums and interdisciplinary committees
Benchmarking
Hospital-wide staff meetings
Continuing education
In-person trainings
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 623). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 8
“Although performance appraisal is never easy,
if used appropriately, it produces growth in the
employee and increases productivity in the
organization.”
Annual staff performance appraisals
Daisy Awards nominated by patients
Medication barcode scanning
Hourly rounding
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 667). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 9
Evidence based: Use of a comprehensive
program to reduce the incidence of hospital-
acquired pressure ulcers in an intensive care
unit
Rationale: Patient developed a pressure ulcer
due to not being turned appropriately
Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a comprehensive program to reduce
the incidence of hospital-acquired pressure ulcers in an intensive care unit. American Journal
of Critical Care. 25(2), 152-155. Doi: 10.4037/ajcc2016963
10
Integrative Nursing Principle #6: “Integrative
nursing focuses on the health and wellbeing of
caregivers as well as those they serve”
Institute for Healthcare Improvement (IHI). (2019). Science of improvement: Testing changes.
Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/-
ScienceofImprovementTestingChanges.aspx
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10-12
months:
Improve
and
7-9 implement
5-6 months: hospital-
3-4 months: Analysis wide
months: Implement of data
1 month:
Root- Create after
program
cause education course
analysis program
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Carondelet Health Network. (2019a). Careers. Retrieved from
https://www.carondelet.org/about-us/careers
Carondelet Health Network. (2019b). For patients. Retrieved from
https://www.carondelet.org/for-patient
Institute for Healthcare Improvement (IHI). (2019). Science of improvement:
Testing changes. Retrieved from
http://www.ihi.org/resources/Pages/HowtoImprove/-
ScienceofImprovementTestingChanges.aspx
Kreitzer, M. J. (2015). Integrative nursing: Application of principles across
clinical settings. Rambam Maimonides Medical Journal,6(2).
doi:10.5041/rmmj.10200
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management
functions in nursing: Theory and application (9th ed.). Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins.
Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a comprehensive
program to reduce the incidence of hospital-acquired pressure ulcers in
an intensive care unit. American Journal of Critical Care. 25(2), 152-
155. Doi: 10.4037/ajcc2016963
14