Workplace Digital Essential Skills for Rural Small and Medium Size Businesses Pilot Project
Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and...
Transcript of Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and...
![Page 1: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/1.jpg)
Nursing Workplace Environment and Staffing Council Pilot Program Overview
Maria Brennan, DNP, RN, CPHQChief Nursing Officer
Lourdes Health SystemPresident, ONL NJ
1
![Page 2: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/2.jpg)
The Journey• Staffing Ratios Task Force Established March 22, 2016 Goals Develop a plan to prepare for the anticipated
advancement of the legislation Prepare counter arguments using a broad approach Offer an alternative to mandated staffing ratios
2
![Page 3: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/3.jpg)
Goals Conduct a review of the literature with the support of the
ONL NJ Research Committee Impact of the California law Impact of the Massachusetts Law Initiatives in other states
Prepare rebuttal response Come up with a better alternative Secure partnerships and build a coalition Educate and gain support of legislators and stakeholders
3
![Page 4: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/4.jpg)
Coalition • July 27, 2016 coalition established
NJ State Nurses Association, NJ Council Of Magnet Organizations, New Jersey Hospital Association, NJ Council of Deans and Directors, NJ Nursing Leadership Council, ONL NJ
4
![Page 5: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/5.jpg)
Evolution of the focus• Nurses Workplace EnvironmentThe nurses providing direct patient care and their
work environment.A new literature review on the workplace
environment.
5
![Page 6: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/6.jpg)
NWESC• The name of the task force was changed from
staffing ratios task force to the Nursing Workplace Environment and Staffing Committee
• This project was presented to the Chief Nursing Officers Constituency Group (CNOCG)at NJHA Nov. 4, 2016. The CNOCG endorsed the plan.
6
![Page 7: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/7.jpg)
NWESC Purpose• Give respected voice to staff nurses in the
establishment of safe practice environments.• Create a forum of participative leadership.• Give nurse care providers voice in human
allocation through a formal process.• Support equal participation of staff in
collaboration with management.
7
![Page 8: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/8.jpg)
NWESC Purpose• Develop staffing policies that are
Evidence-based,Match competencies of individual RNs with patient
needs for care, Formal based processes, Cultivate participative respect between caregivers and
hospital administrators.
8
![Page 9: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/9.jpg)
Structure• 51% bedside RNs with at least 50% of their
work time in direct patient care• CNO or his/her delegate is voting member• Committee participates in developing a plan
for nurse staffing and creating a positive work environment and forwards the plan to the CNO for budget planning
9
![Page 10: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/10.jpg)
NWESC Pilot Hospitals/Systems• Lourdes Health System – Maria Brennan, CNO
Our Lady of Lourdes Medical Center, Camden Lourdes Medical Center of Burlington County
• Hunterdon Medical Center, Flemington – Pat Steingall, VP Patient Care Services & CNO
10
![Page 11: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/11.jpg)
NWESC Pilot Hospitals/Systems• Jersey City Medical Center – Rita Smith, SVP
Patient Care Services &CNO• Capital Health – Gina Petrone Mumolie,
Senior Vice President Capital Health Medical Center – Hopewell Capital Health Regional Medical Center, Trenton
11
![Page 12: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/12.jpg)
NWESC Pilot Hospitals/Systems• Jefferson Health (New Jersey Division) –
Helene Burns, CNE Jefferson Cherry Hill Hospital Jefferson Stratford HospitalJefferson Washington Township Hospital
12
![Page 13: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/13.jpg)
NWESC Task Force MembersKathleen Borenstein, DNP, RN, CCRNGagnon Cardiovascular Institute Morristown Medical CenterMaria L. Brennan, DNP, RN CPHQLourdes Health SystemHelene M. Burns, MSN, RN, NEA-BCJefferson HealthJudith T. Caruso, DNP, MBA, RN, NEA-BC, FACHECaruso ConsultingSusan Cholewka, MBAONL NJPamela B. De Cordova, PhD, RN-BCRutgers State University Mary Ann Hozak, MSN, RN, NEA-BC
St. Joseph’s Regional Medical CenterMary L. Johansen, PhD, RN, NE-BC
Rutgers School of Nursing &Associate Director NJ Collaborating Center for Nursing
Ann R. Lando, MA, RNCapital HealthGina Petrone Mumolie DNP, MBA, RN, NEA-BCCapital HealthCharlotte C. Qualls, MA, RN
Riverview Medical CenterRita V. Smith, DNP, MPA, RN, NEA-BC
Jersey City Medical CenterPatricia Steingall, MS, RN, NE-BCHunterdon Healthcare SystemJessica Van Cleef, BSN, RN, NE-BCHunterdon Medical CenterSusan H. Weaver, PhD, RN, CRNI, NEA-BCHackensack Meridian HealthSabeen Kalyan-MasihCapital Impact Group
13
![Page 14: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/14.jpg)
American Association of Critical-Care Nurses (AACN) Standards for Establishing and Sustaining Healthy Work
Environments
• Skilled Communication – Nurses must be as proficient in communication skills as they are in clinical skills
• True Collaboration – Nurses must be relentless in pursuing and fostering true collaboration
14
![Page 15: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/15.jpg)
AACN Standards for Establishing and Sustaining Healthy Work Environments
• Effective Decision Making – Nurses must be valued and committed partners in making policy, directing and evaluating clinical care and leading organizational operations.
• Appropriate Staffing – Staffing must ensure the effective match between patient needs and nurse competencies
15
![Page 16: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/16.jpg)
AACN Standards for Establishing and Sustaining Healthy Work Environments• Meaningful Recognition – Nurses must be recognized
and must recognize others for the value each brings to the work of the organization.
• Authentic Leadership – Nurse leaders must fully embrace the imperative of a healthy work environment, authentically live it and engage others in its achievement
• http://ajcc.aacnjournals.org16
![Page 17: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/17.jpg)
Education• Required and ongoing for all NWESC members NWESC Fundamentals full day workshop October 27
at NJHA Ongoing education modules based on the AACN
Standards for Establishing and Sustaining Health Work Environments
1. Feb. 23, 2018 - Skilled Communication, True Collaboration & Effective Decision Making
2. March 23, 2018 - Appropriate Staffing, Meaningful Recognition and Authentic Leadership
17
![Page 18: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/18.jpg)
Research The research study aims to understand more
about how nurses, including clinical nurses, and nurse managers/leaders think about the HWE as well as staffing. Gaining further understanding from the
perspective of nurses can be used to inform both hospital and healthcare policy implications.
18
![Page 19: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/19.jpg)
Research Questions1. What is the experience of clinical nurses’ involvement in
decisions about a healthy work environment and staffing?
2. What are nurse leaders’ and clinical nurses’ perspective of a healthy work environment and staffing?
3. What are nurse leaders’ and clinical nurses’ perspective of staffing committees and how staffing committees contribute to a healthy work environment?
![Page 20: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/20.jpg)
Research Methods• Clinical nurses and nurse managers/leaders of
the NWESC invited to complete the AACN Healthy Work Environment Assessment Tool survey
• It was administered prior to the implementation of the NWESCs and will be re-administered 12 months after to measure the change from baseline scores post implementation.
![Page 21: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/21.jpg)
Research Tool The AACN Assessment tool to measure progress
on achieving the six essential standards. It provides an overall healthy work environment score and scores for each of the six standards
www.aacn.org/nursing-excellence/healthy-work-environment
![Page 22: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/22.jpg)
Research Methods• Focus groups with volunteers from the
NWESCs were administered prior to the implementation of the NWESCs and will be re-administered 12 months after to understand clinical nurses’ and nurse manager/nurse leaders’ perceptions of what is a HWE.
![Page 23: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/23.jpg)
Research Analysis• All data will be de-identified and reported in
the aggregate.• Identify themes within the work environment• Present themes to the hospital based
committee
![Page 24: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/24.jpg)
Research• Hospital based committees will select the
themes they choose to work on• We hope to see a positive change in
perception of work environment and improvement of the themes identified.
![Page 25: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/25.jpg)
Charter NWESC Task ForceVision Statement
New Jersey will be recognized as the leader in creating and sustaining a healthy work
environment for its nurses
![Page 26: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/26.jpg)
NWESC Task Force CharterMission Statement
To promote and sustain a healthy workplace environment for the nurses of New Jersey
![Page 27: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/27.jpg)
NWESC Task Force Charter• 2016 Achievements
1. Established the task force2. Formed a coalition of all nursing organizations in NJ3. Researched and reviewed the literature and legislative
history
![Page 28: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/28.jpg)
NWESC Task Force Charter• 2017/2018 Goal Statements
1. Develop a pilot program of the NWESCa. Structure and model for a councilb. Develop education program
2. Implement the pilot program in five hospital systems3. Research and evaluate
a. Identify workforce outcomesb. Create research proposalc. Provide coordination and guidance to councils
![Page 29: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/29.jpg)
NWESC Task Force Charter• 2018 Objectives
a. Establish the councilsb. Provide comprehensive education program to all
council membersc. Develop toolkitd. Provide coordination and guidance to councils
![Page 30: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/30.jpg)
Next step• Develop a toolkit to guide and direct our pilot
councils and also serve as a guide to future councils.
![Page 31: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/31.jpg)
Today• We are here to begin the education and
officially kick-off the pilots.
![Page 32: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/32.jpg)
Questions and Comments
???
32
![Page 33: Nursing Workplace Environment and Staffing Council Pilot ...Nursing Workplace Environment and Staffing Council Pilot Program Overview Maria Brennan, DNP, RN, CPHQ ... Gagnon Cardiovascular](https://reader036.fdocuments.us/reader036/viewer/2022081607/5eddde54ad6a402d66691710/html5/thumbnails/33.jpg)
Thank you
33