2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN...

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2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring 2015 Conference June 2, 2015

Transcript of 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN...

Page 1: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

2015

Healthy Nurses: An Ethical Imperative

ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAANVirginia Organization of Nurse Executives and Leaders

Spring 2015 Conference June 2, 2015

Page 2: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

The Imperative to “Get It Right”

Page 3: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Healthy Nurses: A Key Component of Quality

Quality &

Safety

Nurse Satisfaction

Patient Satisfaction

Patient Outcomes

Page 4: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

© 2015 Press Ganey Associates, Inc.

Higher Nursing hours PPD Leads to Better Patient Experience

# of Nursing Hours

Patient Experience Scores - Top vs Bottom Decile in Number of Nursing Hrs Per Pt Day

Overall Patient Experience Rat-ing

Likelihood to Recommend Friendliness and Courtesy of Nurses

84

86

88

90

92

94

96

89.487.8

92.093.4

92.4

94.7

Patient Experience Scores for Top vs Bottom Decile in Number of Nursing Hours Per Patient Day

Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)

Patie

nt E

xper

ienc

e Av

erag

e Sc

ore

Page 5: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Overall Patient Experience Rat-ing

Likelihood to Recommend Friendliness and Courtesy of Nurses

84

86

88

90

92

94

96

89.888.0

91.992.9

91.9

94.7

Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)

Patie

nt E

xper

ienc

e Av

erag

e Sc

ore

Higher Percent of RN Hours Leads to Better Patient Experience

% Staffing Hours Supplied by RNs

Patient Experience Score for Top vs. Bottom Decile in Percent of Hours Supplied by RNs

© 2015 Press Ganey Associates, Inc.

Page 6: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Overall Patient Experience Rating Likelihood to Recommend Friendliness and Courtesy of Nurses

80

82

84

86

88

90

92

94

96

87.7

85.4

90.4

93.692.6

94.9

Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)

Mea

n Sc

ore

RNs and Patients Tend to Agree…

RN Perceived Quality of Care

Patient Experience Scores for Top vs. Bottom Decile in RN Perception of Quality of Care

© 2015 Press Ganey Associates, Inc.

Page 7: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Nurse Staffing Levels Have a Broad Impact on Patient Experience

Discharge.313

Nurses.404

Tests.397

Overall.396

Issues.426

-1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 1

VeryStrong

Strong Moderate Modest Weak Weak Modest Moderate Strong VeryStrong

Pearson Correlations of RN Staffing with Patient Experience Domains

© 2015 Press Ganey Associates, Inc.

Page 8: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

“The Nurse Owes The

Same Duties To Self As Others”

Page 9: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

To view: NursingWorld.orgTo purchase: NursesBooks.org

• A statement of the ethical obligations and duties of every nurse

• The profession’s non-negotiable ethical standard

• An expression of nursing’s own understanding of its commitment to society

Page 10: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

ANA’s Programmatic Pillars

Page 11: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Defining a “Healthy Nurse”

A “healthy nurse” is one who actively focuses on creating and

maintaining a balance and synergy of physical, intellectual,

emotional, social, spiritual, personal and professional

wellbeing.

Page 12: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

ANAhra.org

Take ANA’s Health Risk Appraisal!

Page 13: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

NursingWorld.org/HealthyNurse

Page 14: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.
Page 15: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

SAFE

EMPOWERING

SATISFYING

Healthy Work Environment

Page 16: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

“The nurse […] establishes, maintains

and improves the ethical environment of the work setting and conditions of

employment that are conducive to safe, quality

health care.”

Page 17: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Fostering Healthy Work Environments

NURSE FATIGUE

STAFFINGWORKPLACE VIOLENCE & INCIVILITY

SAFE PATIENT HANDLING &

MOBILITY

Page 18: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Ebola and Healthy Work Environments

Page 19: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

U.S. Guantanamo Bay Detention Camp

Ethical Duty and Healthy Work Environments

Page 20: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Better health

Better care

Reduced cost

What is the Desired Future We Seek?

Page 21: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Nurses Leading the Way on Quality

Page 22: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

Healthy Work Environment

Ethical Practice

Teamwork and

Collaboration

Evidence-Based

Practice

Safe Staffing

Healthy Nurse

It’s All Connected

Patient-Centered Outcomes

Nu

rse

Sat

isfa

ctio

nP

atient S

atisfaction

Page 23: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

HEALTH FOR ALL.

Nurses ADVANCING our profession to IMPROVE

Page 24: 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring.

To join ANA, visit:

NursingWorld.org/JoinANA