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TRANSCRIPT
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TheDNPCandidate:QualityImprovementRole
ØDNPEssentialsØQualityImprovementProjectIdentification
ØTranslationofEvidenceØOutcomes
Thejourneybegins……
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Education
DAISY Award
Leadership Huddles
HOT Cards (Honor Our Team)
Journal Articles
Operating Room Nurse Recognition
Use of Meaningful Recognition increased more than 50%!"
Frequency of Recognition Types at Baseline and Post Intervention
Frequency of Recognition by Type
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FormingMeaningfulPartnerships
Wheneverapartnershipisformed,therehastobeabenefittothepartners;otherwise,theydon'tformit.
Unknown
Ideal:AcademicandHealthcarePartnerships
Cathaleen Ley, Ph.D, RN AAMC
SometimestheReality:Academic+Healthcare
AccesstopracticeenvironmentAccessibilityofprojectsMultipleprojectoptionsAccesstoteamsImplementationincomplexenvironment
AcademicOrganizations
IncreasecapacityforEBPprojectsEngagementofbedsidenursesStaffRNEmpowermentSupportsMagnethospitals Healthcare
Systems
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Currently CollectedOrganizational Needs
Magnet Requirements
Feasibility
Sustainability
Cathaleen Ley, Ph.D, RN AAMC
Roots of Sustainability
• StaffEngagement• Culture• Leadership
• Teams•Workflow• Dissemination
q Leadership supportq Develop planq Delegate tasks q Metrics
Sustainability Plan
Cathaleen Ley, Ph.D, RN AAMC
Academic-Service DNP Partnership for Impact
• Reconsider academic timelines to improve alignment with practice environment • Focus on project impact and sustainability within an
organization versus “one and done”• Project Types• Practice needs• Group projects• Longitudinal projects
• Nursing expertise in QI methods• Provide resources to facilitate process improvement – SON
support for clinical liaisons
• Timothy Porter-O’Grady• 2025- Currently DNP program is an average master’s program and a watered
down PhD program
• DNP Project• Clinical Partner as truly a major stakeholder 50:50
• Expectations of all considered
• Shared Needs – Sweet Spot of Service in the overlap• Academic
• Clinical
• Student
Rigor with Maturity---DNP in the Future
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Acknowledgements
The Process Improvement Team of the Operating Room at Anne Arundel Medical Center, Annapolis, Maryland
ReferencesAiken,L.H.,Sloane,D.M.,Poghosyan,L.,Cho,E.,You,L.,Finlayson,M.,...Aungsuroch,Y.(2011a).Importanceofworkenvironmentsonhospitaloutcomesinninecountries.InternationalJournalforQualityinHealthCare,23(4),357-364.
Aiken,L.H.,Cimiotti,J.P.,Sloane,D.M.,Smith,H.L.,Flynn,L.,&Neff,D.,F.(2011b).Effectsofnursestaffingandnurseeducationonpatientdeathsinhospitalswithdifferentnurseworkenvironments.MedicalCare,49(12),1047-1053.
AmericanAssociationofCollegesofNursing.(2015).TheDoctorofNursingPractice:Currentissuesandclarifyingrecommendations.AACN:Washington,DC.Availableathttp://www.aacn.nche.edu/news/articles/2015/dnp-white-paper
AmericanAssociationofCritical-CareNurses.(2016).AACNstandardsforestablishingandsustaininghealthyworkenvironments:Ajourneytoexcellence,2ndedition.Retrievedfromhttps://www.aacn.org/~/media/aacn-website/nursing-excellence/healthy-work-environment/execsum.pdf?la=en
Blake,N.(2015).Thehealthyworkenvironmentstandards:tenyearslater. AACNadvancedcriticalcare, 26(2),97-98.
Brunges,M.,&Foley-Brinza,C.(2014).Projectsforincreasingjobsatisfactionandcreatingahealthyworkenvironment.AORNJournal,100(6),670-681.doi:10.1016/j.aorn.2014.01.029
ReferencesKelly,L.A.,&Lefton,C.(2017).Effectofmeaningfulrecognitiononcriticalcarenurses'compassionfatigue.AmericanJournalofCriticalCare:AnOfficialPublication,AmericanAssociationofCritical-CareNurses,26(6),438-444.doi:10.4037/ajcc2017471[doi]Kelly,L.,&Todd,M.(2017).Compassionfatigueandthehealthyworkenvironment.AACNAdvancedCriticalCare,28(4),351-358.doi:10.4037/aacnacc2017283Lartey,S.,Cummings,G.,&Profetto-McGrath,J.(2014).Interventionsthatpromoteretentionofexperiencedregisterednursesinhealthcaresettings:Asystematicreview.JournalofNursingManagement,22,1027-1041.Lefton,C.(2012).Strengtheningtheworkforcethroughmeaningfulrecognition.NursingEconomic$,30(6),331-339.Nayback-Beebe,A.M.,Forsythe,T.,Funari,T.,Mayfield,M.,Thoms,W.,Jr,Smith,K.K.,...Scott,P.(2013).Usingevidence-basedleadershipinitiativestocreateahealthynursingworkenvironment.DimensionsofCriticalCareNursing:DCCN,32(4),166-173.doi:10.1097/DCC.0b013e3182998121[doi]TheDAISYFoundation.(2017).WhatistheDAISYaward?Retrievedfromhttps://www.daisyfoundation.org/daisy-awardTourangeau,A.E.,&Cranley,L.A.(2006).Nurseintentiontoremainemployed:Understandingandstrengtheningdeterminants.JournalofAdvancedNursing,55(4),497-509.doi:JAN3934[pii]Vincent,D.,Johnson,C.,Velasquez,D.,&Rigney,T.(2010).DNP-preparednursesaspractitioner-researchers:Closingthegapbetweenresearchandpractice. TheAmericanJournalforNursePractitioners, 14(11/14),28-34.