Nursing Research and Leadership Featured at 2016 Magnet Showcase
At Cone Health’s 2016 Magnet Showcase, dozens of nurses presented findings from new initiatives across the network designed to improve patient care.
2016 Magnet Showcase
More than 360 Cone Health leaders, physicians, nurses, nursing support staff and others attended the Magnet Showcase, held July 12 at Women’s Hospital.
“The Magnet Showcase is an opportunity for Cone Health’s nursing clinical staff to celebrate the expertise they show every day,” said Debbie Grant, RN, MSN, CENP, Cone Health’s interim chief nursing officer. “We’ve been building that muscle of nursing science, conducting research and doing it through evidence-based practice. The Magnet Showcase is that opportunity to be collegial and share the outstanding practices going on every day in departments across our network.”
Magnet designation is the highest and most prestigious award that a health care organization can achieve for nursing excellence in patient care. It is awarded by the American Nurses Association. Five of Cone Health’s hospitals have received Magnet designation collectively, three times in a row, making it one of the few health care networks in the nation to attain recurring Magnet status.
“Magnet is all about what our nurses bring to the table in our organization,” said Laine McKinney Tousey, RN, BSN, CCRN-Alumnus, system-wide patient experience lead nurse specialist. “It’s all about acknowledging the special and unique contribution that nurses make throughout the entire health system.”
“Overall I think this Magnet Showcase is great,” said Becky Rock, RN, BSN, intermediate care unit at Moses Cone Hospital. “It really helps with our nurse engagement. It keeps us constantly striving to be better and allows everybody to be recognized for the efforts that they’re advancing.”
The following are some of the initiatives presented at the Magnet Showcase.
Alamance Regional Medical Center
Changing Patients’ Perceptions of Staff Responsiveness on a Cardiac Telemetry Unit
Health care leaders at Alamance Regional set out to improve staff responsiveness to patients requesting assistance on Cardiac Telemetry Unit 2A. Clinical changes were made and supplemental training was provided to departmental employees. Hourly rounding was mandated for all staff. Patients were encouraged to call nurses and nurse tech staff directly using telephone numbers on whiteboards and laminated sheets in patient rooms. Leadership daily rounds were conducted to ensure implementation of new protocols. Over an eight-month period, concluding December 2015, the unit elevated their Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) staff responsiveness score from the 14th percentile to the 90thpercentile.
Project contributors: Sharon Go, RN, BSN; Joanie Thomasson-Waters, RN, MSN, CMSRN; Evette Law, RN, MSN.
Annie Penn Hospital
Help! I Need Somebody!
At Annie Penn Hospital’s large medical-surgical unit, nurses found it difficult to convey to one another when additional assistance was needed. A nursing team created a board that enabled the use of color-coded emoji to convey their level of need for support. After implementation, a majority of nurses felt they received more help when needed and reported decreased stress levels.
Project contributors: Mary Ann Dickerson, CMSRN; Megan Bullins, RN-BC, BSN; Cicely Alston, RN-BC, BSN; Jessica Buckner, RN, MSN, AGCNS-BC.
Annie Penn Hospital, Moses Cone Hospital and Wesley Long Hospital
Increasing Patient and Family Involvement in Total Joint Replacement Preoperative Education
Driven by research that has found patient and family preoperative education correlates with reduced infection rates, decreased deep vein thrombosis and reduced length of stay in hospitals, Cone Health orthopedics teams initiated strategies to expand preoperative education for their Total Joint Replacement patients and family members. From 2014 to 2015, preoperative class attendance more than doubled, from 419 attendees to 926. In the classes, patients increase awareness about their surgery and follow-up care, and their family members learn home care protocols, pain management strategies and other techniques to facilitate recovery.
Project contributors: Eva Hyde, MSN, RN, ONC; Adrienne Jacobs, BSN, RN; Donna Niemela, RN; Katie Silk, MSN, RN; Amy Fargo, RN; Elizabeth Goss, RN, BSN; Mary Jordan Johnson, RN, BSN.
Triad HealthCare Network
COPD GOLD Quality Initiative to Prevent Readmissions
Recognizing that chronic obstructive pulmonary disease (COPD) attributes to 80 percent of deaths in the U.S. with a five-year projected health care industry cost of more than $200 billion, a Triad HealthCare Network team provided targeted education and treatment plans to at-risk patients to prevent readmissions. Patients received a “gold card” that identified them as a program participant and received thorough education on COPD, special assistance from THN pharmacists, outpatient appointments and more. Since the program’s implementation, COPD admission rates at Cone Health decreased 66 percent.
Project contributors: Geronda Pulliam, RN, BSN, MS, CCM; Elvin Perkins III, MBA; Linda Manning, RN, BSN, CCM; Juana Wallace, RN, MSN, CCM.
Wesley Long Hospital Emergency Department and Cone Health Cancer Center
Saving Lives One Card at a Time
Cancer patients receiving chemotherapy are at risk for morbidity and mortality from sepsis as a result of their treatment and disease. In a joint venture, the Wesley Long Emergency Department and Cone Health Cancer Center designed a Chemo Alert Card for patients, raising self-care awareness, encouraging action if patients identify signs of infection and streamlining the care pathway for vulnerable patients. The card provides information for patients on one side and information for Emergency Room staff on the other to initiate standard treatment protocols. After initiating the project in December 2015, results as of March 2016 include a 55.5 percent reduction in sepsis-related mortality among chemotherapy-treated cancer patients.
Project contributors: Faith-Marie Hasz, RN3, CEN; Kristen Flinn, RN II, BSN; Karen Hess, RN, BSN; Tammi Holland, RN, BSN, CHCR
“The Magnet Showcase indicates the leadership role that nurses take in patient care and quality outcomes for Cone Health,” said Sarah Lackey, DNP, RN, CCNS, magnet program coordinator. “Cone Health nurses are engaged, they are involved and they are always thinking about ways to improve not only their work processes, but their patient’s experience.”