Magnet Hospitals focus on positive work environments that promote a culture that nurses feel confident that they will be able to provide the level of care they were educated and expect to do. Although they comprise of 8% of US Hospitals they have been the focus research and recently written about by Julie Bird.
http://www.fiercehealthcare.com/story/study-credits-nurse-work-environment-better-outcomes/2013-04-19
The May issue of Medical Care highlighted research published by the University of Pennsylvania School of Nursing which showed:
- Surgical mortality was 20% lower in magnet hospitals
- Mortality among patients experiencing complications - 12% lower
- Surgical patients were 14% less likely to die in hospital within 30 days
- Better patient outcomes and lower mortality rates
http://www.newswise.com/articles/view/611195/ Cedars Sinai Hospital, California has been awarded Nursing Excellence by the American Nurses Credentialing Center. Out of an environment that respects and incorporates nurses into the decision making process innovation thrives and the following are some examples of how nurses have improved the quality of care.
Cedar-Sinai has encouraged and enabled nurses to participate in the decision-making process regarding safety and patient care in their units. This increased input has led to a number of nurse-driven improvements and innovations including:
Using iPads to facilitate visiting between new mothers recovering from childbirth and their babies in the Neonatal Intensive Care Unit.
Instituting a new program called “Rock and Roll” for women in labor. Nurses help the women move – often positioning them on an exercise ball – to shorten labor time and decrease the number of cesarean sections.
Joining an initiative called Nurses Improving Care of Healthsystem Elders and participating in the identification and assessment of frail elderly patients to decrease that population’s length of hospital stay and readmission rates.
Additionally, Cedars-Sinai was recognized for its commitment to continued nurse training and education. Cedars-Sinai has been providing nurses with free educational programs and financial assistance through the Geri and Richard Brawerman Nursing Institute since 2002.The medical center also sponsors employee tuition assistance for baccalaureate and master’s degree classes and offers review courses and exams for specialty certifications. As a result of the institute’s programs, approximately 69 percent of nurses at Cedars-Sinai currently hold specialty certifications, 73 percent have baccalaureate degrees and 14 percent have master’s degrees.
Additionally, Cedars-Sinai was recognized for its commitment to continued nurse training and education. Cedars-Sinai has been providing nurses with free educational programs and financial assistance through the Geri and Richard Brawerman Nursing Institute since 2002.
“This accomplishment recognizes not only our excellence in nursing, but our ability to provide the highest quality patient care that exceeds the expectations of those who trust us with their lives,” said Vice President and Chief Nursing Officer Linda Burnes Bolton, DrPH, RN, FAAN. “I am deeply grateful to all the members of our staff, our community and academic partners and all of the departments that helped us to receive our fourth Magnet designation.”
Magnet designations are based not only on the quality of care provided, but also on a commitment to continuously improving patient care and the health of the community. The designation recognizes excellence in nursing and provides consumers with a benchmark to measure the quality of care they can expect to receive. To determine a facility’s Magnet designation, the American Nurses Credentialing Center judges the quality of nursing leadership; consultation and resources; organizational structure; nursing autonomy; management style; relations with the community; personnel policies and programs; nurses as teachers; professional models of care; image of nursing; quality of care; collegial nurse-physician relationships; quality improvement; and professional development.
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About Cedars-Sinai
Cedars-Sinai is internationally renowned for its diagnostic and treatment capabilities and its broad spectrum of programs and services, as well as advances in biomedical research and innovative medical education programs. For more than 20 years, Los Angeles-area residents have named Cedars-Sinai the "Most Preferred Hospital for All Health Needs" in National Research Corporation’s annual Market Insights survey. Cedars-Sinai Medical Group and Cedars-Sinai Health Associates both ranked among the top 10 physician groups in Southern California by Integrated Health Care Associates (IHA), a California leadership group of health plans, physician groups, and health systems.
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http://cdn.mercurymagazines.com/205-20504/index.html Sign up for free subscriptions to health magazines. Jim Rohn taught that you could miss a meal every now and then but don't miss reading every day. This is a positive part of self development and it will help increase your work knowledge and confidence. If you need to focus on technical aspects of care then find all you can read about the Electronic Medical Records System - EMR.
Some of the challenges facing nurses working in the health care system in the US according to FierceHealthPayor 9th December 2013 by Katie Sullivan and Alicia Caramenia 24th October 2013 As only 400 hundred hospitals are magnet status many nurses will be left coping in environments that are not so positive culture that promotes patient safety and staff retention. Indiana University Hospital, St. Vincent Health and Franciscan Alliance cut 2,000 jobs this year according to the Associated Press.
- Nursing students are finding it difficult to find jobs even after six months
- 41,00 health care industry jobs were lost this year (Associated Press)
- Influx of 20 million new patients entering the health care system
- Shortage of nurses and those with know how
http://www.consumer.ftc.gov/articles/0140-starting-internet-business
Educating nurses about specific areas of practice is an ongoing process, resources for which can be found on line. It is important that nurses become familiar with hospital protocols and ask questions. Your circle of influence will increase as you are able to mentor other nurses, particularly true of younger tech savvy nurses who can teach older nurses. Another area of competence is with being accurate with intravenous drip rates. The following paper gives some explanation and examples about how to calculate. http://www.csu.edu.au/division/studserv/my-studies/maths/pdfs/medicationcalculationspart2.pdf
There is even an App that is geared for RNs with useful tips. https://itunes.apple.com/us/app/iv-meds/id309009934 Whatever you can do to make sure that you have access to resources and information on your job the better. For those who are tech savvy please use your creativity to help others have access to vital information.
One area that has been reported to need research is the informed consent process with patients involved in research studies. Nurses can be well positioned to do follow up studies and if you have the computer skills and organizational skills I highly recommend that you see if you can earn some contracts from hospitals and drug companies. http://www.nejm.org/doi/full/10.1056/NEJMp1311461?query=TOC
Warm Wishes, Rita.
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