Department of Nursing - NewYork

Transcription

Department of Nursing
The Center for Professional Nursing Practice
2010 Annual Outcomes Report
Table of Contents
Welcome 3
Department of Nursing – The Philosophy 4
The Face of NYP Nursing 5
Nursing Strategic Plan8
Structural Empowerment8
Transformational Leadership10
Leading the Way11
Exemplary Professional Practice12
Quality Outcomes18
About NYP
NewYork-Presbyterian Hospital, based
in New York City, is the nation’s largest
not-for-profit, non-sectarian hospital.
NewYork-Presbyterian provides stateof-the-art inpatient, ambulatory and
preventive care in all areas of medicine
at five sites: NewYork-Presbyterian
Hospital/Weill Cornell Medical Center,
NewYork-Presbyterian Hospital/
Columbia University Medical Center,
NewYork-Presbyterian Morgan
Stanley Children’s Hospital, NewYorkPresbyterian/The Allen Hospital and
NewYork-Presbyterian Hospital/
Westchester Division.
One of the most comprehensive
healthcare institutions in the world,
the hospital is committed to excellence
in patient care, research, education
and community service. NewYorkPresbyterian is the #1 hospital in the
New York metropolitan area and is
consistently ranked among the best
academic medical institutions in
the nation, according to U.S. News
& World Report. The Hospital has
academic affiliations with two of the
nation’s leading medical colleges:
Weill Cornell Medical College
and Columbia University College
of Physicians and Surgeons.
2
Department of Nursing - 2010 Annual Outcomes Report
Knowledge and Innovation22
Center for Professional Nursing Practice
22
Recruitment and Retention 24
NYU Wagner Master of Science in Public Administration
Program for Nurse Leaders
25
Nurses in the Community 25
Welcome
The Department of Nursing at NewYork-Presbyterian is,
above all, committed to providing the highest quality nursing
care in a patient-centered environment.
We have a cohesive and dynamic team of nurse leaders who,
in partnership with our nursing staff, is steadfastly working
on advancing clinical practice and promoting professional
and leadership development. Together, we are committed
to improving patient care, safety and outcomes while also
strengthening and empowering our staff to help us achieve
our goals.
I’m immensely proud of our dedicated nursing leaders,
our expert team of 4,695 RNs and our extraordinary
partners across every discipline. Our department could
not have achieved so much over the last year without the
support, teamwork and collaboration across all areas of
the organization.
Wilhelmina M. Manzano, MA, RN, NEA-BC
Senior Vice President and Chief Nursing Officer
NewYork-Presbyterian Hospital
3
The Face of NYP Nursing
—NYP Patient
Georgia J. Persky, DNSc,
RN, NEA-BC
Vice President of Nursing
and Patient Care Services
NewYork-Presbyterian
Hospital/Columbia
University Medical Center
Scope of Nursing Service
The philosophy of the Department of Nursing is derived from the values of the nursing
profession. We support the vision of NewYork-Presbyterian: to be among the very top
academic medical centers in clinical and service excellence, patient safety, research
and education.
With 2,278 beds, NewYork-Presbyterian Hospital is the nation’s largest notfor-profit, non-sectarian hospital. This hospital has more than 1 million inpatient
and outpatient visits in a year, including more than 195,294 visits to our
emergency departments.
Our department is unwavering in its adherence to the principles of nursing excellence:
Nursing care at NYP is provided to patients of all ages through close collaboration
with interdisciplinary teams—in inpatient, outpatient and emergency settings.
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•
Transformational leadership
Empowerment of professional nurses
Exemplary professional practice
New knowledge, innovations and improvement
Quality outcomes
In addition, our Ambulatory Care Network provides community-focused and
preventative care throughout the service areas of the NewYork-Presbyterian/
Columbia and NewYork-Presbyterian/Weill Cornell sites.
Our nursing team plays a central role in helping the hospital accomplish key goals. During
the past year, the Department of Nursing has focused on implementing all components of
our Strategic Plan, each of which influences our overarching mission: to transform care
and practice.
With 4,695 RNs, our department is incredibly diverse. We span all culture, gender,
lifestyle and age demographics. You’ll find NYP professional nurses in all areas of
the hospital, in ORs and ICUs and in the community.
The Department’s nursing staff is 10.6% male compared to the national average of
5.8% (Health Resources and Services Administration, 2004). Currently, 2.4% of the
workforce are Veterans (65-78 years old), 30.2% Boomers (48-64 years old), 51.2%
Generation X (28-47 years old) and 15.2% Generation Y (20-27 years old).
Our RN workforce encompasses American Indian/Alaskan, Asian/Pacific Islander,
African American, Hispanic, Caucasian and a number of other ethnic backgrounds.
41.08
45.68
40.50
42.79
47.53
38.27
PWW
Department of Nursing-The Philosophy
Suzanne Boyle, DNSc, RN
Hospital/Weill Cornell
Medical Center
CU
Debra O’Hehir, MSN,
MBA, RN
NewYork-Presbyterian/
The Allen Hospital
MS CHONY
Lori Armstrong, MSN, RN
Morgan Stanley
Children’s Hospital
ALLEN
Linda S. Espinosa, MS, RN
Hospital/Westchester
Division and Behavioral
Health-Cornell
NYP OVERALL
Wilhelmina M. Manzano
MA, RN, NEA-BC
Senior Vice President
and Chief Nursing Officer
Hospital
“I spent over one month at
this hospital, and it was as
close to a perfect experience
as is humanly possible. The
nurses, in particular, could
not have been more caring
and professional.”
WC
Nursing Executive Team
There are four distinct generations of nurses at NYP;
our mean age is 41.8 years old.
“When I traveled from South Carolina to NewYork-Presbyterian
for a nine-hour pancreatic surgery, I had no idea what to
expect. In a strange city, with a complex illness, I found a source
of strength: my wonderful nursing team. Their knowledge,
positivity and kindness were truly a gift to my family and me.”
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—NYP Patient
5
Individualized Care Plan. Presented at the
APNA Annual Conference, Louisville, KY.
0%
Cabello, C. (2010, April). Designated
Liver Donor Nurse Program. Presented
at the 18th Annual UNOS Transplant
Management Forum, Orlando, FL.
Donnelly, C. (2010, March). Role of
Nurse Manager in Innovation and
Staff Development. Presented at St.
Elizabeth Hospital, Singapore.
Finck, A. (2010, March). NeuroScience
Review: Seizures/Stokes Neuro
ICU Management. Presented at
Boston College, Boston, MA.
NYP 2010
64%
72%
Ped CC
52%
NDNQI 2010
Ped Med
Bybel, B., O’Connor, J., (2010, October). The
Adult Med
25%
65%
(2010, May). Ethical Issues Around
Restraint Use. Presented at the New York
Presbyterian Hospital-Westchester Division,
Nursing Grand Rounds, White Plains, NY.
Adult CC
50%
Bybel, B., Clarke, C., Criss, S., Gray, C.,
Building on the governing principles of Patient Centered Care, our nursing team continues
to advance a multidisciplinary approach to hospital-wide excellence.
84%
75%
We’ve seen an increase in the number of our nurses who have achieved certification in
their specialty. Currently 28% of our nurses are certified and we are seeing a positive trend
in our certification rates. The Department of Nursing continues to increase the number of
specialty certification review courses available on site.
Service Excellence
Ped Med
Bybel, B. (2010, January). The Second
Chance Program: 10 Years of Successfully
Treating the Severely Persistently Mentally
Ill. Presented at the NewYork Presbyterian
Hospital-Westchester Division, Nursing
Grand Rounds, White Plains, NY.
The 2010 consensus report by the Institute of Medicine (IOM) and the Robert Wood
Johnson Foundation on the Future of Nursing supports increasing the number of BSN
prepared nurses as an important patient safety initiative. The report recommends
increasing the number of BSN prepared nurses from 50% to 80% by 2020. At NYP,
88% of our nurses have BSN degrees or higher.
88%
100%
Heart-Ventricular Assisted Devices.
Presented at the American Association
of Critical-Care Nurses’, New York, NY.
Ped CC
Suicide Assessment and prevention
in the Hospital Setting. Presented
at Allen Hospital, New York, NY.
We believe that professional specialty board certification and recognition empowers our
nurses, while also contributing to better patient outcomes. Certification signifies a level of
clinical competency in a specialty area and testifies to a nurse’s professional commitment.
84%
Brous, M.E., Lantz, S.D., (2010, October).
Nursing research has demonstrated that improved patient outcomes are strongly
attributed to nurses with higher educational preparation.
Adult Med
Abuse and Diabetes. Presented at the
Diabetes Resource Committee.
Nursing Presentations (cont.)
89%
Bell, Kathy (2010, September). Substance
National Certification
Adult CC
Home Model and Care CoordinationThe Nurses’ Role. presented at New
York-Presbyterian Hospital.
Educational Preparation
88%
Alemar, D. (2010, July). The Medical
NYP Overall
Nursing Presentations
Our objective is to enhance quality outcomes, improve patient care and increase positive
perceptions of care in the hospital. Annually, each unit identifies patient and employee
opportunities for improvement and formulates a “Making it Better” plan. Each plan
incorporates hard-wired best practices and identifies metrics to evaluate effectiveness.
Key patient-centered strategies and performance improvement initiatives include:
•
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•
•
Leadership training and development
Rounding with intent
Discharge phone calls
Aligning actions and behaviors with goals
Shining Star competition
Service recovery
Employee retreats
Writing thank you notes to staff at home
Use of key words at key times
Admission-ready beds
Daily quiet times
Planning: Ensuring Effective Leadership
Development and Continuity. CNO Summit,
Marcus Evans Summits, Las Vegas, NV.
Presented at AANN National Meeting.
(2010, July). Motivating through Delegation.
Presented at NewYork Presbyterian
Education Grand Rounds, White Plains, NY.
Rivera, R. (2010, January). Engaging the
Global Workforce. Presented at International
Conference, Manila, Phillippines.
Rivera, R. (2010, April). Closing the
Engagement Gap: Presence of Drivers
of Engagement and RNs Levels
of Engagement. Presented at The
Methodist Hospital, Houston, TX.
Rivera, R. (2010, October). Engage and
Make a Difference. Presented at Crown
Plaza Hotel, King of Prussia, PA.
Klugman, D. (2010, May). Anticoagulation
Manzano, W. (2010, October). Succession
Radosta, M., Farley, E., Vedovino, K.,
Delegation. Presented at the NewYork
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Manzano, W. (2010, June). From Vision to
Reality: The Chief Nursing Officer Role. RN
to BSN Program, Hunter College, New York.
Prescuitti, M. (2010, March). Microdialysis.
Glenn, S., Crissey, I., (2010, April). Effective
the New ACOG Recommendation
to the PAP Clinic. Presented at
the AIM Clinic, New York, NY.
Bonds and Improving Relationships:
The Key to Solidifying the CNO
Position as an Executive Member.
Panel Speaker, CNO Summit, Marcus
Evans Summits, Hollywood, Florida.
Moran, J., Castelli, C., (2010, May).
Nursing Exemplar: Night Advisory
Council at WD. Presented at Nursing
Board of Campus Exemplar.
October). Nursing Fellowship Quality
and Patient Safety. Presented at the
Rockefeller University, New York, NY.
Klugman, D. (2010, January). Applying
Manzano, W. (2010, April). Creating Strong
Attempt in a Young Man with Major
Depression and Social Phobia. Presented at
Morbidity and Mortality Case Conference.
Gallison, B. (2010 September/
Anticoagulation Referrals, Diet
and Education. Presented at
AIM Clinic, New York, NY.
Embedding Change in the Process
of Care. CNO Summit, Marcus Evans
Summits, Hollywood, Florida.
Milazzo, J. (2010, October). A Suicide
(2010, January). Patient Morbidity and
Mortality Report. Presented at the NewYork
Klugman, D. (2010, February).
Manzano, W. (2010, April).
Matuszewski, R. (2010, July). Legislative
Issues for Nurse Practitioners. Presented
at Dominican College, Orangeburg, NY.
Francois, D., Crissey, I., Gabriele, M.,
Clinic Transformation Past to Present
a Team Approach. Presented at
the ACN Clinic, New York, NY.
Lee, R. (2010, June). Mended a Broken
“The learning opportunities here at NewYork-Presbyterian
are vast and continuous. Every day, I’ve learned and
grown as a leader at this institution.”
—Jasmine Pond, MSN, RN
Patient Care Director, Medical Surgical
Savage, M. (2010, May). Ventilator
Associated Pneumonia. Presented at 17th
Annual Nursing NeuroScience Meeting
at Penn State University, Hershey, PA.
Schuster, C. (2010, July). Pediatric
Immunization Update 2010. Presented
at NewYork Presbyterian Hospital,
Nursing Education Grand Rounds ,
Sullivan, R. (2010, April). Keynote address:
Every Nurse is a Leader Presented at Sigma
Theta Tau Induction Hunter College NYC NY.
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Sullivan, R. (2010 May) Keynote
address: Significance of the Nursing
Pin , Presented at Long University
School of Nursing Brooklyn, NY.
Sullivan, R. (July 2010) Poster Presentation:
Evidence-Based Dress Code National Health
Care Leadership Forum, Washington DC.
Nursing Strategic Plan
The Department of Nursing’s multi-year strategic plans have mobilized our nurses to support
hospital-wide initiatives, while also realizing key goals for the nursing department.
2010 was a year of unparalleled opportunities for advancing the profession of nursing as we
implemented Shared Governance and Primary Nursing across the nursing service.
Torres, M. (2010, July). Growing Future
Healthcare Leaders. Presented at National
Association Hispanic Nurses 35th
Annual Conference, Washington, DC.
Torres, M. (2010, September). Community
Health Update. Presented at NewYork
Presbyterian Heart Hospital.
Walker, C., Abuedo, M., Allen, G.,
Colopinto, K., Fox, V., Georges,
M., Kertesz, L., Tui, M., Watts, B.,
NYP Nurses celebrate signing the Shared Governance Charter.
(2010, March). Count Me In-Reliable
Count Process. Presented at AORN
57th Congress, Denver, CO.
Primary Nursing
Ward-Miller, S., Hubert, J., Weinrib, B.,
Parikh, S., (2010, August). Evidence Based
The Department of Nursing care delivery model is Primary Nursing. In the practice
of Primary Nursing, one nurse (the primary nurse) is responsible and accountable for
establishing a therapeutic relationship with the patient. The nurse assesses and plans
care and evaluates the progress of the patient throughout the hospital stay.
Practice: Expressed Emotions in an Inpatient
Setting. Presented at NewYork Presbyterian
Education Grand Rounds, White Plains, NY.
Lori Armstrong, RN, MS. 4th
Primary Nursing revolves around the unique relationship between nurse and patient,
while also facilitating the involvement of patients and families in the planning of care.
Key goals and benefits include: improving care delivery and coordination and enhancing
professional nursing practice (Creative Health Care Management, 2010).
Annual NNP and Neonatal Update.
State of the Profession. Rockefeller
University, June 2010.
Lori Armstrong, RN, MS. NANN
25th Annual Conference. Managing
in a Unionized Environment. Austin,
Texas, September 2009.
Lori Armstrong, RN, MS. Do Not
Plan for US, Without Us. Involving
Families in Parent Education Material
Development: The Art and Science of
Patient Education. NYP Patient Education
Symposium, September 30, 2010.
Lori Armstrong, RN, MS. Involving
Obstetrics in a Free Standing Children’s
Hospital. Chief Nursing Officer Forum,
CHCA. San Francisco, CA, May 2010.
Carolyn Kyne, RN. Challenges in
Caring for a Pediatric Cardiac Patient,
NYC Chapter AACN, June 2010.
Lira Villar, RN and Naomi Bent, RN.
Recent Advances in Perinatal and
Neonatal Nursing. Dubai, August 2010.
Deborah Acevedo, RN and Julia Rivera, RN
Nasal CPAP Symposium. Italy, August 2010.
Eunice Clark, RN. The Use of Percutaneous
VAD’s in the Pediatric Population—
Case Reports. Northeast Pediatric
Nurse Associates. October 2010.
Sandra McGill, RN. The Levitronix Pediatrci
Vas Devices as a Bridge to Transplantation
Northeast Pediatric Cardiology Nurses
Association, October 2010.
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Structural Empowerment
Shared Governance
In its simplest form, shared governance is shared decision-making based on the four
principles of partnership, accountability, equity and ownership. This model empowers nurses
to have a voice in decision-making on issues that impact their professional practice and
patient care.
Benefits of Shared Governance include: better patient outcomes, improved patient and
employee satisfaction, increased team work and collaboration and enhanced interdisciplinary
communication (Hess, 2004; Anthony, 2004).
Shared Governance milestones for 2010:
• Authored Shared Governance charter, incorporating staff comments.
• Finalized Shared Governance structure and educational curriculum.
• Hosted celebrations at all five sites.
• Invited all nurses to sign the updated charter.
• Held two training seminars for approximately 250 nurses.
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Terri McCluskey, RN. Culturally Effective
Healthcare: In Pediatrics. 17th Annual
Pediatric Nursing Conference: Diversity
in Pediatric Nursing. Philadelphia,
PA, July 2010 and Akron Children’s
Hospital, Akron, Ohio, October 2010
Amanda Barille, RN, CN3 and
Cassandra Svoronic, RN. A Change
of Shift Report. NYP/TMH Research
Symposium, Houston, Texas, April 2010.
Anna Marie Cosgrove, RNC,MS, NNP.
Think Globally…Act Locally and Just Say
No to Mechanical Ventilation! Bubble
CPAP, IMV,CPAP and Other Strategies
to Avoid Mechanical Ventilation.
Washington, DC, February 2010.
Alice Corbett, RN, MS. Radically
Improving Radiology Outpatient
Flow NACHRI. October 2009.
Alice Corbett, RN, MS. Quality and
Patient Safety-Optimizing Patient
Access. NACHRI, March 2010.
Maureen Licursi, RN, PNP. Sickle Cell
Transformational Leadership
Leading the Way
Today’s healthcare environment is experiencing unprecedented, intense reformation.
Effective and transformational leadership is critical to our ongoing success.
The Department of Nursing at NewYork-Presbyterian is progressive and visionary,
always striving to improve the nursing care we deliver to our patients.
Leadership and Staff Development
Professional growth is supported through educational programming and the promotion
of innovation and research. Efforts include:
• Learning Needs Assessment - A comprehensive learning needs assessment was conducted in 2010, which will serve as our platform for educational programming in 2011. Unit-specific competencies were refined to reflect current practice.
• Live In-Services - In 2010, 16,692 participants attended live in-services and continuing education offerings. This is in addition to training that is done in the Division of Nursing Education through e-learning.
• Continuing Education - The NewYork-Presbyterian Hospital School of Continuing Education for Nurses offered a total of 200 programs awarding contact hours for nurses. 4,084 RNs from NYP and from other healthcare facilities inside and outside
the United States attended.
Disease Management for the Pediatric
Nurse Practitioner. Columbia University
School of Nursing. October 2009.
• Hunter College RN to BSN program -In collaboration with Hunter College, NYP nurses
attend classes toward their BSN degree on site.
James H. Garvin, MD, PL Faust, Eileen
Stark, RN PNP, R. Anderson ,MD
and N. Feldstein, MD. Preliminary
Leadership Defined
Experience with Sirolimus for Dysplastic
Cerebella Gangliocytoma. International
Symposium for Pediatric Neuro
Oncology. Vienna, June 2010.
Michelle Besmer, RN, Catherine
Barrrell, RN, Paige Leigh Zazzali,
RN, Laura Kelly, RN and Patricia
McClard, RN Empowering New Nurses
to Become Competent Caregivers
and Active Team Members. National
Pediatric Hematology Oncology
Nursing Conference. October 2009.
Toby Bressler, RN, MPA. Leadership:
A Choice, Not a Position. New
York Organization of Nurse
Executives. October 2009.
Toby Bressler, RN, MPA. Pediatric
Oncology and Meaningful End of Life
Care. Hunter University School of
Nursing, New York. February 2010.
Toby Bressler, RN, MPA. Mesothelioma
Moving Forward
Nursing is found in almost every area of NewYork-Presbyterian, representing the
hospital’s largest clinical profession. Our organizational structure includes centralized
and decentralized functions and initiatives—all supporting a culture of caring,
compassion and safety for our patients.
Leadership Structure
Our governance model adheres to the American Nurses Association’s scope and
standards for Nurse Administrators. Our Chief Nursing Officer, Wilhelmina M. Manzano,
MA, RN, NEA-BC, is ultimately responsible for the provision of nursing care across all
of NewYork-Presbyterian.
Vice Presidents of Nursing and Patient Care Services provide leadership for nursing
operations at our five sites. Nursing leadership staff at each site serve on the
Nursing Board.
The Nursing Board is the Department of Nursing’s governing body. It is dedicated to
providing leadership, guidance and education to nursing staff by setting standards
that assures the delivery of the highest quality patient care.
Excellence in Practice
It is relatively easy to lead people where they already want to go; the transformational leader
must lead people where they need to be in order to meet the demands of the future.
The Center for Professional Nursing Practice and Office of the Chief Nursing Officer
oversee all centralized functions for the Department of Nursing. These include:
Transformational leaders must listen, challenge, influence and affirm as the organization
makes its way into the future. Gradually, this transformational way of thinking takes root
organizationally and becomes even stronger as other leaders adopt this way of thinking
(Magnet Guide).
•
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•
•
•
Leadership In Practice
At NewYork-Presbyterian, we believe that transformational leadership requires vision,
influence, clinical knowledge and strong expertise relating to professional nursing practice.
We also recognize that transformation may create turbulence and involve unique approaches
to solutions.
Professional nursing practice
Nursing informatics
Patient/family education
Research
Quality assurance/performance
improvement
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Nursing education
Continuing education
Nursing school affiliations
Operations
Finance
Credentialing
“Our successes were
made possible through
the outstanding efforts of
each and every member
of our department, from
strategic leaders to those
who deliver compassionate
and competent care
to our patients.
We are extremely proud
of our nurses and will
continue to count on our
team to meet the challenges
and opportunities facing
our profession and the
industry. We look forward
to entering 2011 with an
exciting and ambitious
agenda for nursing.”
—Wilhelmina M. Manzano,
MA, RN, NEA-BC
Senior Vice President
and Chief Nursing Officer
NewYork-Presbyterian Hospital
We value teamwork and collaboration. In addition, we promote an environment and culture
where dialogue is open and new ways of thinking and problem-solving are expected.
Ongoing meetings are held by nurse leaders to review the department’s strategic plan and
further align with the strategic plan of the hospital and the goals of the institution.
and the Family: Supporting the Children.
International Symposium on Malignant
Mesothelioma. Washington, DC, June 2010.
Millie Hepburn, CNS-BC and Toby
Bressler, RN, MPA. Professional Practice
Integration and Leadership: Transforming
Nursing Culture at the Bedside and Beyond.
Sigma Theta Tau International Research
Conference. Orlando, FL, July 2010.
“At NewYork-Presbyterian, they prepare you to be
excellent. To thrive in diverse, multidisciplinary teams
where Amazing Things are achieved every day.”
—Damon Davis, BSN, RN, Staff Nurse, Behavioral Health
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Exemplary Professional Practice
The foundation of professional nursing practice at NYP is our commitment to
incorporating current research and best practices into clinical decision making.
The competency of our nursing staff is evaluated regularly to ensure that practices
are current, relevant and evidence-based to produce expected patient outcomes.
Practice Initiatives in the Spotlight:
CBT Training
On a 25-bed acute psychiatric inpatient unit devoted to the treatment of adults
with affective disorders, nurses collaborated with their colleagues on the treatment
team to develop a staff training program for the Cognitive Behavioral Therapy (CBT)
treatment modality.
“I would tell an experienced
nurse at the top of his or
her game: come here, and
see the difference. Nothing
matches the magnitude of
NewYork-Presbyterian.”
—Mary Halston, MPH, RN
Patient Care Director
Medicine/Geriatrics
Patient Satisfaction
Patient Satisfaction is a priority focus for the Department of Nursing. We’re proud to
report that our scores for Overall Patient Satisfaction with Nursing continue to trend
in a positive direction.
Nursing care indicators for Patient Satisfaction (Press Ganey) include:
•
•
•
•
Overall patient satisfaction with nursing care
Friendliness of the Registered Nurse
Prompt response to call bell
Registered Nurses’ attitude towards requests
•
•
•
•
Attention to special personal needs
Registered Nurse kept patient informed
Skill of Registered Nurse
Pain management
Prior to this training, patients were having a difficult time understanding their discharge
medication instructions, which could lead to an adverse outcome after discharge and an
almost certain increase in the recidivism rate amongst this population.
2008
After CBT training, RNs on the unit formed a weekly CBT modality group to focus on
medications. All medications are now reviewed with patients prior to discharge to
alleviate concerns.
INPATIENT
The Comfort Committee
PEDIATRICS
Our Comfort Committee program is dedicated to providing a “pain free” patient
experience in the Pediatric Emergency Department (PED). This initiative was borne
from intensive multidisciplinary collaboration.
In July 2010, medical and nursing leadership initiated a new “Making it Better”
committee. Their first initiative focused on reducing patient pain. Coined the
“Comfort Committee,” this initiative began exploring and implementing evidencebased practice and best practice methodologies to decrease/eliminate children’s
pain in the Emergency Department.
One successful new comfort measure was the utilization of an iPad for preparation,
distraction and coping of pediatric and adult patients. This comfort measure
has impacted patients in such a positive way that NACHRI invited our child life
specialists to present at a poster session at the March 2011 conference.
2009
2010
ED
INPATIENT
BEHAVIORAL
AMBULATORY
0
20
40
60
80
100
Overall Patient Satisfaction with NYP Nursing — Press Ganey
“I will never forget the excellent care I received at this
hospital. The nurses went beyond their responsibilities
to show me care, concern and compassion.”
—NYP Patient
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Nursing Employee Satisfaction
Hourly rounding helps patients and families feel safe and reassured that their healthcare
needs are being addressed with urgency, proficiency and skill. Since hourly rounding
has been implemented, there has been an improvement in Press Ganey and Hospital
Consumer Assessment of Healthcare Providers & Systems (HCAHPS) indicators.
The NYP Employee Opinion survey demonstrated a continued increase in Nursing Employee
Satisfaction score across all sites. We’re proud to say that Overall Nursing Employee
Satisfaction rates are at their highest levels ever—and, like Patient Satisfaction, continually
trending in the right direction.
Congestive Heart Failure (CHF) Compliance
In 2010, the Nursing Employee Satisfaction score for overall job satisfaction increased
three points to 83% from 80% in 2009. This is above the benchmark of 71% for academic
medical centers.
2008
2009
NYP nurses on Cardiac units recognized that compliance with medication and diet
instructions is essential for patients with Congestive Heart Failure (CHF). Most notably,
our Cardiac nurses found that compliance with these instructions can help reduce and
prevent unnecessary patient readmissions.
2010
NYP OVERALL
Other Key Initiatives
CU
Nurses in several areas of the hospital have initiated projects to improve efficiency and
enhance the patient and family experience, such as decreasing wait time in procedure
areas and removing barriers to patient throughput.
WC
Other nursing-inspired initiatives to reduce patient length of stay and patient readmission
include patient education on self-administration of insulin, the creation of an “all clear”
discharge checklist and improved communication between healthcare providers and
community pharmacists.
WD
MS CHONY
Annual Patient Centered Care Awards
AH
Across the hospital, awards are presented to individuals and units that show
sustained improvement in patient satisfaction scores, as measured by the Press
Ganey Survey. In addition to patient satisfaction score awards, three award categories
are determined through peer-based nominations. They are: Team, Leadership and
Physician Champion Awards.
ACN/CU
ACN/WC
0
20
40
60
80
Care Awards in the Spotlight:
Patient-Centered Care
Nursing Team Award, Weill Cornell Medical Center
The Nursing Department strives to continually provide care that is patient-centered: safe,
effective, timely, efficient and equitable. Many of our nurses lead initiatives to improve the
patient experience.
Care Initiatives in the Spotlight:
Hourly Rounding
The Department of Nursing rolled out hourly rounding on 150 patient units, with the goal of
improving patient care outcomes and patients’ perceptions of care. Hourly rounding is a
structured approach to interacting with the patient at regular intervals, incorporating eight
basic nursing behaviors.
100
Nursing units have received team awards for innovations in practice that have resulted in
improved patient outcomes. Nurse leaders have received leadership awards in recognition
of their extraordinary efforts to support staff in providing quality care.
Overall Nursing Employee Satisfaction
NewYork–Presbyterian is committed to ensuring that all patients and family members receive
outstanding, compassionate care and excellent service from every member of our team.
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The nursing staff initiated group classes for patients with CHF to review key elements for
maintaining compliance with medication and diet instructions. The readmission rate for
patients attending these group classes was 17%, as compared to an overall 29% for all
patients with CHF.
The Pediatric Unit for Procedures and Sedation (PUPS) at Weill Cornell was the recipient
of a Team award for the initiation of “Comfort Rounds” for pediatric patients in the
Ambulatory Surgery recovery room. The program has been notably effective for the unit,
as indicated by a three-point increase from 2009 to 2010 in their Press Ganey patient
satisfaction score.
Nursing Team Award, Columbia University Medical Center
The 6 Hudson South Unit at Columbia University Medical Center was the recipient of a
Team award for the implementation of “Team Rounds,” which improved communication
between all healthcare disciplines and the patient.
15
Patient and Family Education
Length of Stay
NYP nurses have active involvement in patient and family education. Better informed patients
and families demonstrate not only higher levels of satisfaction but also improved outcomes
and increased safety.
The Department of Nursing actively partners across disciplines with physicians, social
workers, care coordinators, performance improvement groups and other clinicians to
manage and reduce patient length of stay.
Our patient and family education committees have oversight for patient/family education
across all departments and disciplines. A formalized review process for all patient education
materials is governed by:
In 2010 at NYP, the average length of stay was 0.41 days lower than the expected
length of stay.
• Patient Education Nursing Council – Council members include Patient Care Directors, Clinical Nurse Supervisors and staff nurses; meetings are held monthly, with all five
sites represented.
• Patient and Family Education Advisory Committee – Committee members include representation from all disciplines; meetings are held quarterly.
In 2010, our Patient and Family Education teams reviewed and approved 124 Health Matters,
our written communication tool for patient/family education. In addition, we held a Patient
Education Symposium to inspire our nurses with new ideas to educate the patient.
Collaborations in the Spotlight:
Medication Safety-Zone of Silence
As part of NYP’s goal to Enhance Communication/Culture of Safety, the Department of
Nursing partnered with physicians, allied health professionals and more to create a “Zone
of Silence” pilot program in 2010.
Evidence supports that when a provider is interrupted during the process of medication
administration, the opportunity for an error to occur increases. In response to these
findings, a multidisciplinary team led by nursing members determined the need to have an
interruption-free time and environment in which to perform these crucial tasks.
The group adopted the concept of a “Zone of Silence” when a provider is involved in any
aspect of medication administration to improve patient safety.
Pain Management-PRN Program
In 2010, an interdisciplinary team led by the Department of Nursing was convened to
address the topic of pain management. The team recognized that unrelieved pain prevents
patients from healing and participating in their care.
This is a challenge in healthcare organizations due in part to a lack of knowledge about
contemporary strategies for pain control. The team of nurses, pharmacists and physicians
worked together to identify best practices, with the goal to solidify pain management
strategies and improve the patient’s experience with pain.
The result was the creation of the Pain Resource Nurse (PRN) role. Prior to assuming the
role, the PRN attends a two-day workshop to prepare the nurse to serve as a unit based
consultant regarding pain management to other staff members.
Interdisciplinary Collaboration
In October, NYP Nursing recognized the dedication and
commitment of our more than 5,000 Nursing Ancillary and
Support Services staff.
Many of these individuals work in the Department of
Nursing. They serve as the eyes and ears of our nurses,
contributing in countless ways to the wellbeing of our
patients and smooth operation of the patient care unit.
The Department of Nursing leads many interdisciplinary initiatives across the hospital,
including efforts to improve patient safety in the areas of pressure ulcer reduction, infection
reduction and medication administration.
Through close collaboration across disciplines, many comprehensive aspects of patient care
are identified as opportunities to improve. Current practices are evaluated and best practices
are adapted through a variety of communications, including engaging the hospital staff in
daily huddles.
16
Ventilator Associated Pneumonia (VAP)
The Department of Nursing coordinated an interdisciplinary initiative to reduce the
occurrences of Ventilator Associated Pneumonia (VAP) throughout the hospital.
Nationally, VAP is the leading cause of death amongst hospital-acquired infections. VAP
can prolong time spent on a ventilator, lengthen ICU stays and extend the total hospital
stay after discharge from the ICU.
Our efforts to reduce VAP emphasize a highly organized approach, in addition to early
recognition and consistent application of evidence–based practices.
Catheter Associated Urinary Tract Infection (CAUTI)
The NYP nursing team reached across disciplines to emphasize the reduction of Catheter
Associated Urinary Tract Infection (CAUTI) rates throughout the hospital.
CAUTI is the most commonly acquired form of infection in a hospital setting. Catheters
can cause discomfort for patients, impair recovery and decrease mobility, in addition to
placing patients at risk for other complications and increasing the length of hospital stay.
Nurse-driven protocols—which include daily care, daily evaluation of the need for the
catheter and discussions with members of the medical staff—were implemented with a
resulting decrease in the CAUTI infection rates for 2010.
17
Quality Outcomes
The Department of Nursing maintains an integrated quality program in keeping with
the hospital’s strategic goals and vision. As nurses, we aim to continually improve
on our level of excellence. For us, nursing quality is about steadfast attention to the
detailed elements of care—which add up to a more positive healing experience and
better patient outcomes.
NYP Quality Initiatives at a Glance:
•
•
•
•
•
•
•
•
•
•
Reduction of patient falls/falls with injury
Reduction of hospital acquired pressure ulcers
Reduction in restraint use and compliance with restraint management
Core Measures - meeting or exceeding national benchmarks
Reduction of Catheter Associated Urinary Tract Infections (CAUTI)
Improve Hand-off Communication/SBAR
Improve Immunization Rates
Enhance Medication Safety/Zone of Silence
Improve Pain Management
Prevention of Ventilator Associated Pneumonia (VAP)
Quality and Patient Safety
In 2010, the Department of Nursing achieved many accomplishments in quality and
patient safety. As part of these efforts, staff nurses are leading or co-leading site
Quality Councils to develop initiatives that target improvements in patient outcomes.
NYP Nurses have initiated such projects as:
• Reducing noise on units.
• Creating a contrast reaction pack for MRI and CT.
• Exploring long-term 1:1 observation on Medical Surgical units.
• Debriefing Behavioral Health patients after seclusion or restraint.
• Improving peripheral intravenous management for inpatient organ
transplant patients.
“Working here, you have a
voice in the quality of patient
care. You learn to be a patient
advocate. Every hour, every
minute.”
—Clarissa Barbon, BSN, RN
Clinical Nurse
Pediatric Cardiac ICU
Quality Indicators and Benchmarks
Nursing Awards and Recognitions
In an effort to continually improve the quality of patient care, the Department of Nursing
stringently monitors key clinical indicators. Working together, nursing sensitive indicators
are selected by nursing teams and nursing leadership.
Quality metrics are reported on an integrated scorecard across all inpatient sites. We
benchmark performance against internal and external databases, such as the National
Database of Nursing Quality Indicators (NDNQI) and the Maryland Indicator Project.
Data is used for tracking outcomes, trending performance and monitoring results of
implemented strategies.
National Database of Nursing Quality Indicators
The Department of Nursing has participated in the National Database of Nursing Quality
Indicators (NDNQI) since 2002. Participation gives NewYork-Presbyterian the means to
compare patient outcomes and staffing patterns with other facilities of the same bed size.
Nursing Hours per Patient Day
Fall and Fall-Injury Rates (adults)
Nosocomial Pressure Ulcers (adults)
RN Education
Peripheral Intravenous (PIV) Infiltrations (pediatrics)
Pediatric Pain Assessment/Intervention/Reassessment Cycle (Pain AIR Cycle)
18
Clinical Care: Mary Prescuitti,
BSN, RN, CCRN, CNRN
Mentoring: Janette O’Connor,
BS, BSN, RN-BC
New York Times Tribute to Nurses:
Winner Innovation: Jane Jeffrie Seley,
MPH, MSN, RN, GNP, BC-ADM, CDE
Honorable Mention:
Elizabeth Polanco, MSN, RN, PNP
Lee Redstone, MSN, RN, CNS
Fernando Rodriquez, BSN, RN, WCC
Sigma Theta Tau Alpha Phi Chapter
Hunter College of Nursing
Excellence in Nursing Leadership:
Fall and Fall-Injury Rates
Excellence in Nursing Practice:
Reduction of falls is an on-going challenge and remains a strong focus for nursing at the
unit level. The reduction of falls and falls with injury is another way we strive to keep our
patients safe. In 2010, we standardized falls documentation and reporting. It enabled us to
provide consistent data to analyze and trend fall occurrences and identify root causes.
NYP Clinical Excellence Awards
Linda Saal, MA, RN-BC
Merlita Aguilar, BSN, RN, CGRN
Omayra Castillo, BSN, RN-BC
Jennifer Maynard, BSN,
RN, - Rookie of the Year
Leslie Felsen, MA, EdS, RN, PMHCNSBC, LMFT, - Advanced Practice
Melaney Gordon, AAS, RN,
- Community Service
Jasmine Pond, MSN, RN, -
Nursing Leadership
The Department of Nursing established the Nursing Fellowship in Quality and Patient
Safety. 38 staff nurses completed the Quality Fellowship program in 2010.
In 2010, NYP nursing launched the “Great Catch” program to not only prevent errors
but also to provide an opportunity for staff to focus on positive opportunities to
improve patient safety.
Clinical Care: Thomas Goodsell, RN, CCRN
Rosemary Sullivan, MA, RN
Nursing Fellowships
Great Catch Program
Suzanne Boyle, DNSc, RN
Melaney Gordon, RN
Quality Programs in the Spotlight:
The goal of the fellowship is to provide high-performing nurses with an opportunity to
advance quality and safety at the bedside. Nursing Quality Fellows work closely with
Patient Care Directors on a Quality Improvement Project and deliver a presentation to
the Campus Quality Council.
Marcantonio, MSN, RN, CPN
Regional finalists:
Advancing and Leading the Profession:
Lisette Dorfman, MS, RN, APRN
Current indicators include:
•
•
•
•
•
•
Nursing Spectrum National Award in
the Mentoring Category: Josephine,
Pat McMaster, MS, RN, CNM,
- Advanced Practice
Fernando Rodriquez, BSN, RN, WCC
NYP Total Falls.
NYP Total Falls with Major Injury.
Lynn Speer, BSN, RN - Community Service
Svetlana Khaimova, BSN, RN
In addition, the Department of Nursing participates in a multi-hospital initiative to reduce
patient falls. Within this forum, hospitals share strategies that have been successful in falls
reduction. Unit based “Falls Champions” are identified to oversee efforts. Their role is to
review unit-specific falls data, discuss risk factors with unit staff and generate ideas on
how to prevent fall occurrences.
All units continue to emphasize hourly rounding, focusing on how assistance can be
offered to patients for toileting and/or other activities. In addition, units are reinforcing
hand-off communication between charge nurses on patients at high risk for falls to ensure
correct signage and interventions.
Martha Marsciano, RN
Lauren Pierce, BSN, RN, OCN
M.Margaret Pilon, BSN, RNC-BC
Joyce Phillip, BSN, RN, CCRN
Yessenia Valentin Salgado, RN, CNOR
Lisa Ann Gallup, BSN, RN,-
Rookie of the Year
Jane Jeffrie Seley, MPH, DNP(c), MSN, RN,
GNP, BC-ADM, CDE - Advanced Practice
19
Nursing Awards and Recognitions (cont.)
Barry Gallison, MS, MSN, RN,
APRN-BC- Nursing Leadership
Anthony DeDonatis, BA, BSN,
RN, - Advanced Beginner
Andrea Faiella, BSN, RN-BC
Lissette Dorfman, MS, APRN, - Leadership
Amanda Barile, BSN, RN, CPN
Elizabeth Katz, BSN, RN - Rookie of the Year
Josephine Marcantonio, MSN,
RN, CPN - Advanced Practice
Elizabeth Polanco, MSN, RN, PNP - Leadership
Rebecca Gibbons, BSN, RN,
CEN - Rookie of the Year
Lee Redstone, MSN, RN, CNS
- Advanced Practice
Doreen Taliaferro, RN
Pressure Ulcer Prevalence
Core Measures
The Department of Nursing continues to monitor pressure ulcer prevalence.
The Core Measures are evidence-based quality metrics that have been agreed upon by
expert clinicians, the Joint Commission and Centers for Medicare Services (CMS). Core
Measures help promote higher quality and more efficient care for our patients.
Pressure ulcers can cause considerable harm to patients, hinder functional recovery, cause
pain and serve as vehicles for infections. They are also associated with extended length of
stay and increased mortality.
Nursing plays an important role in improving patient outcomes by following specific Core
Measures associated with acute MI, heart failure, pneumonia and child asthma care.
Nurses offer smoking cessation counseling, promote flu and pneumonia vaccination and
assure children with asthma have a written home management plan.
Multiple nursing strategies have assisted in the successful and continuing reduction of the
pressure ulcer prevalence rate across all sites in 2010. These include:
• Unit based skin care champions.
• The utilization of Wound Ostomy and Continence Nurses (WOCN).
• Ongoing staff education.
Restraint Management
Pneumonia
Measures
Patients deserve to feel safe and to be treated with dignity. It has been demonstrated that,
in some cases, the use of restraints can cause more harm than was intended to prevent.
Recognizing the need to preserve the patient’s right to have safe and compassionate care,
our nursing staff has made reduction in restraint use a priority.
DAISY Awards
Agnes Cindrich, RN
Robin Vellucci, RN
Winsome Overstreet, RN
Flowsheet doumentation complete
Prevalence
Tom Palumbo, RN
Q2
Q3
Hospital Compare
2010
2010
Pneumococcal Vaccine
87%
95%
95%
95%
92%
Smoking Cessation Counseling
100%
93%
96%
90%
97%
Influenza Vaccine
87%
96%
n/a
n/a
91%
Acute MI
Measure
Mary Burke, RN
Edelia Devercia-Mendoza, RN
Jane Park, RN
Q1
2010
Benchmark
Order present and complete
Alternatives assessed, tried, and documented
Eileen Ziegler, RN
Joanne Iannuzzi, RN
Q4
2009
Q4
Q1
Q2
Q3
2009
2010
2010
2010
95%
100%
100%
100%
Hospital Compare
Benchmark
99%
AH
Mary Smith, RN
Nancy Cimitile, RN
Hillary Halter RN
CU
Heart Failure
Measures
Gina DiNapoli, RN
Nirmala Kotha, RN
Regan Collins, RN
WC
Monika Mathew, RN
Katelin Phelan, RN
Margaret McGregor, RN
Helen S Tannenbaum Award
Joanna Iannuzzi, BSN, RN
NYU College of Nursing
Wilhelmina Manzano, MA, RN NEABC - Distinguished Clinician Award
Margaret Silberger, MSN, RN,
CCRN - Preceptor of the Year
Other Awards
Wilhelmina Manzano, MA, RN, NEA-BC -
Honoree, “Woman of Excellence
and Achievement,” Women United
in Philanthropy, United Way of
New York City, 2010.
0
30%
60%
90%
Q4
Q1
Q2
Q3
Hospital Compare
2009
2010
2010
2010
Benchmark
Discharge Instruction
60%
61%
94%
96%
87%
100%
100%
96%
100%
98%
100%
Restraint Prevalence and Compliance, Adult ICU Units; Average Results, Jan 2010 – Dec 2010
90% or above AND above benchmark
Below benchmark; OR above benchmark but below 90%
Restraint use is limited to situations where other alternatives have been explored and were
not successful. On occasion, some patients may need to be restrained for their own safety
or the safety of the staff. In all instances, the least restrictive method is used for the shortest
amount of time.
Below both 90% and benchmark
Percent Compliance with Core Measures – Nursing Processes
Nursing Hours per Patient Day
Nursing hours per patient day at NewYork-Presbyterian Hospital are reviewed on a
regular basis by nursing leadership and compared to statewide and national benchmarks.
Efforts continue to assess the changing needs of patients and assure that appropriate
recommendations and considerations for nurse staffing are made.
Josephine, Marcantonio, MSN, RN, CPN
2010 Nursing Spectrum National Award in the
Mentoring Category. A Clinical Nurse Specialist
in pediatric cardiology and neurology at
MSCHONY.
20
21
Knowledge and Innovation
Adelphi University
Nursing Publications
The NCS also monitors nursing staff compliance with RN registration and resuscitation
requirements. To date, 45 Delineation of Clinical Privileges have been developed and
approved by the Credentials Committee.
Bussel, J., Berkowitz, R., Hung,
C., Kolb, E., Wiset, M., Primiani, A.,
Tsaur, F., McFarland, J. (2010).
College of Mt. St. Vincent
Nursing Research
College of New Rochelle
We are committed to promoting nursing research, utilizing case studies and innovations
that drive improvements in practice. The Department of Nursing holds a Nursing Research
Symposium every year. In 2010, we initiated 10 nursing research projects and continued
efforts in nursing grant acquisition.
Columbia University
Concordia College
Our Nursing Research Governing Council, as well as site-specific Nursing Research
Councils, facilitates the final approval and implementation of all nursing research. As
part of the Department of Nursing’s shared governance model, nursing research is
also promoted at the unit level.
DeSales University
Dominican College
Graceland University
Fairleigh Dickinson University
Hartwick College
Johns Hopkins
Hunter College
Center for Professional Nursing Practice
Active Research
The Center for Professional Nursing Practice (CPNP) includes the areas of professional
nursing practice, nursing informatics, patient/family education, research, quality assurance/
performance improvement, nursing education, continuing education, nursing school
affiliations, operations, finance and credentialing.
• Bufe, G., & Fisher, M. (2007). “Measuring Nurses’ Individual Perceptions of
Workload by using the Individual Workload Perception Scale.”
Each area supports Nursing practice across the 5 sites.
LaSalle University
Office of Professional Nursing Practice
Lehman College
This office oversees Clinical Practice Standards, Nursing Administrative Standards,
the Patient Education Program, Hospital Policy & Procedures and Corporate
Nursing Communication.
Long Island College Hospital
• Bufe, G. (2006). “NYP Nursing Residency Program.”
• Bufe, G., Halliday, C., Pettijohn, D., Rabbani, L., Reyes, D., & Tahan, H. (2007). “Evaluation of an Automated Approach to Quality Metrics in Telemetry”.
• Currie, L., Brous, M.E., Bufe, G., Lecorps, M., Muth, J., Saddul, R., St John,
A., & Espinosa, L. (2007). “Automated Fall and Injury Prevention for Behavioral
Health (AFIP-BH).
• Persky, G., Kaiser, J., & Valentino, L. (2011). “Time & Motion Observational Study
Utilizing Omnicell Mobile Carts”.
Mercy College
The Office of Professional Nursing Practice reviewed 349 clinical nursing standards in 2010.
• Rizzo, J., Graham-Ogilvie, A., Kaiser, J., Valentino, L. (2011). “Transforming Nursing
Stress At The Bedside Utilizing HeartMath”.
Molloy College
Division of Nursing Education and School of Continuing Education
Mount Saint Mary College
The Division of Nursing Education’s primary objective is to provide education and support
ongoing clinical competency for all registered nurses at NYP. The intent of the educational
programming is to orient new staff, facilitate ongoing competency development and support
programmatic changes.
• Manzano, W. & Bufe, G. (2007). “Practice Environment Scale-Nurses’ Work Index;
PES-NWI”
New York University
Pace University
University of Rochester
Stony Brook University
Thomas Jefferson University
UMDNJ
University of Pennsylvania
University of Wisconsin
Wagner College
Walden University
Yale University
The School of Continuing Education supports continuing professional development
and education of nurses from NYP system hospitals for programmatic changes at their
respective facilities.
Nursing School Affiliations
The Department of Nursing is committed to assuring that the next generation of nurses is fully
prepared to meet the challenges of patient care when they transition from the role of student
to professional nurse. Each year, there has been an incremental increase in the number of
student nurses who request NYP as their preferred environment in which to learn.
Nursing Operations and Credentialing
The Office of Operations and Credentialing ensures nursing operational challenges are
uniformly addressed across all sites. In collaboration with the Director of Finance/Nursing,
budget variances across all sites are reviewed regularly to ensure staffing levels are
maintained within budget.
Nursing Credentialing Services (NCS) facilitated the appointment and reappointment of
Advanced Practice Nurses Activities for 2010, including:
• 103 initial appointments
22
• 258 Advanced Practice Nurses reappointed for the 2010-2012 period
• Rivera, R. & Bufe, G. (2006). [Site Investigators]. Post-Baccalaureate Nurse Residency Program Demonstration Project Evaluation Study. (Multi-Site Principal Investigator: Krugman, M. PhD, RN, University of Colorado Hospital).
• Rivera, R., Boyle, S., Bufe, G., & Fitzpatrick, J. (2008). “Presence of Drivers of Engagement and Registered Nurse Engagement.”
Funded Research
• Evaluation of an Automated Approach to Quality Metrics in Telemetry—$150,000 grant from General Electric
• Automated Fall and Injury Prevention for Behavioral Health—$100,000 grant from the
National Institute of Mental Health
• Nursing Residency Program—$300,000 funded over three years by the Jonas Center for Nursing Excellence (currently in year three)
• Implementation of Being Warm is “Cool”: Increasing Patient Comfort and Autonomy
Through Perioperative Warming—$5,000 from the DAISY Foundation
Completed Research Projects
• Attitudes to Patient Education Documentation. Bufe, G, Garnica, P., and Mellino, L.
• Staff Nurse Perception on Shared Governance. Bufe, G., Mellino, L., and Moreno, J.
• Endoscopy Nurses Knowledge of Informed Consent. Bufe, G., Cabello, C., and Boland, T.
“Intracranial Hemorrage in Alloinmune
Thrombocytopenia: Stratified
Management to Prevent Recurrence
in the Subsequent Affected Fetus”.
American Journal of Obstetrics
and Gynecology, 135, 1-14.
Persky, G., Romana, M., Felgen, J.,
Nelson, J. (2011). “Primary Nursing,
A Strategy to Enhance Caring” in
“Measure Caring: A Computation of
International Research on Caritas
as a Healing Intervention”. ed.
Jean Watson & John Nelson.
Persky G., Nelson, J., Watson, J.,
Bent, K. (2011). “Profile of a Nurse
Effective in Caring: A Computation
of International Research on Caritas
as a Healing Interventation”. ed.
Jean Watson & John Nelson.
Persky, G., Felgen, J., Nelson, J.,
Sherman-Justice, D., Rye, J., Espinoza,
M., Olshansky, E. (2011). “Measurement
of Caring in a Relationship Based Model
of Nursing” in “Measuring Caring: A
Computation of International Research
on Caritas as a Healing Intervention”.
ed. Jean Watson & John Nelson.
Persky, G. (2010). “The Relationship of
Environmental Turbulence to Patient
Satisfaction in Acute Patient Care Units”.
Doctoral Dissertations, Department
of Nursing, Columbia University
Proquest Dissertations and Thesis.
Hawks, R. Complimentary and
Alternative Therapies in Pediatric
Oncology Palliative Care and End-of-Life
Care Resource, Eds Ethier, A, Rollins,
J & Steward, J. Cure Search Children’s
Oncology Group & Association of
Pediatric Hematology/Oncology Nurses.
2010 (4) Melissa Parsons, RN Cytokine
Storm in the Pediatric Oncology Patient
– Journal of Pediatric Oncology – Vol
27, No5, Sept/Oct 2010, pp 253-258
Bressler, T. “Professional Boundaries;
A Legal, Ethical and Administrative
Perspective,” APHON Counts,
Volume 24, Issue 3. 2010 pp 4-5
Besmer, M, Toby Bressler, Catherine
Barrell “Using Incident Reports as
Teaching Tools; Promoting a Culture
of Quality and Safety,” Nursing
Management. July 2010, pp 16-18
Michelle Besmer, RN, Toby
Bressler, RN “Promoting Safety
and Quality; Using Reporting as
Teaching Tools.” NYP System Quality
Review Journal. October 2009
Toby Bressler “A Peaceful Spirit.
Extraordinary Healers: Honoring
Oncology Nurses Vol. 3,” Cure Media
Group. December 2009, pp 15-19
23
NYU Wagner Master of Science
in Public Administration Program
for Nurse Leaders
Nursing Informatics
The Director of Nursing Informatics facilitates the implementation of technology to
improve nursing workflow efficiency and patient safety. In 2010, great strides were
made in the use of electronic nursing documentation and technology.
•
Leadership Development Programs - Leadership progression programs, such
as our collaboration between the Department of Nursing and NYU Wagner’s
Executive MPA for Nurse Leaders program, and leadership competency and
development courses through the Center for Organization Leadership Effectiveness prepare frontline nurse managers to drive outcomes in a fast-changing
healthcare environment.
The following initiatives also continued in 2010 as part of our focused effort:
• Enhanced Recruitment and Retention Councils at each site
• Staff awards and recognition
• Nurse Residency/Intern Programs
• Summer Nurse Extern Program
• Strengthened school affiliations and relationships
• Redesigned NYP.org Careers & Nursing website
5%
5%
0
0
2008
2009
2008
2009
NY State
(HANYS)
NY State
(HANYS)
10%
2010
•
•
•
•
•
Hand-hygiene
Hypertension identification
Diabetes awareness
Healthy eating
Shaken baby syndrome
•
•
•
Stroke awareness
Organ donation
Pediatric hospital stay education
(through such programs as the Teddy
Bear Clinic)
In the Spotlight:
Tanzania Take-Two
2010
Nursing Turnover Rates (Data Source: NYPH HRIS, NDNQI)
10%
10%
8%
8%
6%
6%
4%
4%
2%
2%
0
0
2008
2009
2008
2009
2010
2010
Nursing Vacancy Rates (Data Source: NYPH HRIS, NDNQI)
24
National
(ASHHRA)
Nursing
National
(ASHHRA)
Nursing
10%
National
(ASHHRA)
Nursing
National
(ASHHRA)
Nursing
Additional initiatives include:
Nursing Vacancy Rates by Campus (Data Source: NYPH HRIS, NDNQI)
• UHC Nurse Residency Program - In collaboration with UHC, a Nurse Residency
Program supports new graduates in their transition into practice. Nurses who have
participated in the Nurse Residency Programs had a greater than 93% retention
rate after the first year and an 88% retention rate after three years.
The Ambulatory Care Network supports many community partnership events. In alignment
with our strategic goal to have an increased community presence, nurses have volunteered
and provided education in areas such as:
15%
NY State
(HANYS)
NY State
(HANYS)
Nursing Vacancy Rates by Campus (Data Source: NYPH HRIS, NDNQI)
15%
NYP OVERALL
NYP OVERALL
Though there is a waiting list for new graduate positions, recruitment and retention
of experienced and specialty nurses continues to be a challenge. Each site has
developed a recruitment, retention and recognition council to address this need.
Nurses in the Community
NYP OVERALL
NYP OVERALL
Low vacancy and turnover rates speak to NewYork-Presbyterian Hospital’s
continued standing as an employer of choice among qualified nursing candidates.
In 2010, 610 nurses were hired; 190 (33%) were new graduates.
20%
NYP OVERALL
NYP OVERALL
In 2010, our vacancy rate was 4.84%, compared to a national rate of 8.80% and a
New York State rate of 3.60%. Our turnover rate in 2010 was 6.55%, compared to a
national rate of 16.2% and a New York State rate of 7.10%.
20%
NYP OVERALL
NYP OVERALL
The hospital’s nursing leadership works closely with Human Resources to strategically
plan and address recruitment and retention. The Department of Nursing is proud of its
low vacancy and turnover rates, both of which are below the national average.
The program addresses the educational needs of nurses who seek to advance to leadership
positions. It’s designed to offer current and potential leaders the skills necessary to assume
administrative roles in complex organizations.
NYP OVERALL
NYP OVERALL
Recruitment and Retention
In 2006, the Department of Nursing partnered with the NYU Wagner Graduate School of
Public Service to develop a Master of Science in Public Administration Program for Nurse
leaders. Over the history of our partnership, over 39 NYP nurses have graduated. An
additional 43 NYP nurses are currently enrolled.
NYP OVERALL
NYP OVERALL
• The Office of Nursing Informatics is responsible for ensuring that Electronic Medical
Records (EMR) are used optimally by NYP nursing. Overall, 159 requests were
approved and released into the Electronic Medical Record (EMR).
• Nursing Informatics worked in collaboration with interdisciplinary teams to support
the implementation of the Electronic Medical Record Module in all four Emergency
Departments.
• Automatic Dispensing Cabinets have been rolled out throughout the Organization
Nursing
TurnoverinRates
and will complete
installation
2011.by Campus (Data Source: NYPH HRIS, NDNQI)
• Initiated a project
to develop
the
Nurse
Dashboard,
to provide
nurse
Nursing
Turnover
Rates
by Executive
Campus (Data
Source: NYPH
HRIS, NDNQI)
leaders with pertinent data.
• A Patient Acuity tool that leverages data pulled from the patient’s Electronic Medical
Record to calculate acuity is being researched and a feasibility pilot has begun.
Fundraising for Operation Bootstrap.
The New Nurses Forum at NYP/Westchester Division completed their second annual
fundraising event for Maasai nursing students in the East African nation of Tanzania.
These nurses (who are in their first and second year of NYP employment) raised funds that
were donated to Operation Bootstrap, an organization that assists with nursing student
tuition at Haydom Hospital in the Manyara area of Tanzania.
Over fifty employees participated in Tanzania Take-Two. As fellow nurses, we are grateful for
everyone’s contribution as responsible global citizens and support in educating our fellow
nurses throughout the world.
25
26
27
2010 Day of Hope
May 10, 2010 Cosmetology Health Fair
28
© 2011 Department of Nursing, NewYork-Presbyterian Hospital. All rights reserved.

Department of Nursing - NewYork

Transcription

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