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Healthy Work Environment

Group Two NURSING PRACTICE STANDARDS Presentation Mindi Groenendyk - HWE Lisa Kilgore- ANA Katherine Marek - QSEN Leslie Rush- IOM Sara Young- JcaHO Ferris State University. Healthy Work Environment. What is a Healthy Work Environment?. Components to a healthy work environment:

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Healthy Work Environment

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  1. Group Two NURSING PRACTICE STANDARDS PresentationMindiGroenendyk- HWELisa Kilgore- ANAKatherine Marek- QSENLeslie Rush- IOMSara Young- JcaHOFerris State University

  2. Healthy Work Environment

  3. What is a Healthy Work Environment? Components to a healthy work environment: • Leadership • Communication • Adequate Staffing - Research shows adequate staffing is imperative to a safe work environment (Nursing World, 2012). • Critical Thinking Nurses - Nurse’s opinions and thoughts are valued (Miracle, 2008). • Recognition - If a staff member does something well, show appreciation (Miracle, 2008).

  4. Who Creates Healthy Work Environments? • Everyone is responsible for creating a healthy work environment (Nursing World, 2012) • National Center For Nursing Quality (NCNQ) -Established in 1998 and advocates nursing quality through measurement, research and collaborative learning (Nursing World, 2012). • Nursing Organization Alliance (NOA) -Established in 2004 and advocates criteria for a safe environment (Nursing World, 2012). • American Association of Critical Care Nurses (AACN) -Established in 2005 and creates standards for a healthy environment (Hamilton, 2007). • Nurse’s Bill of Rights - Protects nurses to receive an appropriate workplace. According to the nurse’s bill of rights, nurses have rights regarding environments that allow them to act in accordance with professional standards and within their scope of practice (Nursing World, 2012).

  5. Why is a Healthy Enviroment Important? • Promotes SAFE patient care (Hamilton, 2007). • Decreases the chances of medical errors and unwanted stress (Hamilton, 2007). • Creates for a better communication pathway amongst staff (Hamilton, 2012).

  6. How does a healthy work enviroment influence my nursing practice? • In my current nursing practice on a medical-surgical floor, healthy work environment practice standards influence my practice by giving me the available tools necessary to maintain a healthy work environment. This floor is a very fast and busy environment. Proper communication is a key I must use to maintain safety. As a nurse, I am ultimately in charge for my patient safety. I must have control over my environment to the best of my ability to have the best patient care outcomes possible.

  7. American Nurses Association

  8. What is the American Nurses Association (ANA)? • American Nurses Association (ANA) • The ANA strives toward the enhancement of the nursing profession: • • High standards of nursing practice are promoted • • Ensuring the rights of nurses in the workplace are upheld • • Show a view of nursing that is both positive and realistic • • Involved in lobbying Congress and regulatory agencies on health care issues that affect nurses and the public (Nursing World, 2012) .

  9. how long has the ANA been around? • The ANA has been around since 1896 (Nursing World, 2012). • Delegates from ten alumnae associations gathered, so they could create a national professional association for nurses. They met at Manhattan Beach Hotel on September 2, 1986 (Nursing World, 2012). • The Nurses’ Associated Alumnae of the United States and Canada was formed after the constitution and bylaws were completed on February 11-12, 1897. They held their first convention in 1898 (Nursing World, 2012). • In 1911 the Nurses’ Associated Alumnae changed its name to the American Nurses’ Association (Nursing World, 2012).

  10. Why The ANA? • Statement of Purpose: The ANA is “dedicated to ensuring that an adequate supply of highly-skilled and well-educated nurses is available, ANA is committed to meeting the needs of nurses as well as health care consumers” (Nursing World, 2012).

  11. How anapractice standards influence me • In my current area of medical/surgical nursing the American Nurses Association practice standards influence my nursing practice by helping me focus on advocating for my patients and what is in their best interests without fear of retaliation. As nurses we must advocate for what we think is right; we are all some patients have.

  12. QSENQuality and Safety Education for Nursing • Funded by the Robert Wood Johnson Foundation (RWJF, 2012). • Concerned with education for nurses regarding quality and safety education.

  13. Phases of QSEN • There are three phases: • Phase one started in 2005 (QSEN, 2012). • Phase two started in 2007 (QSEN, 2012). • Phase three started in 2009 (QSEN, 2012).

  14. Phase 1 and 2- QSEN • Phase one concerns incorporation of six competencies into student nursing education curriculum: • Patient centered care, communication, teamwork, evidence based practice, quality improvement and safety (AACN, 2012) • Phase two concerns graduate nursing students and making sure the curriculum incorporates the six competencies into the education (AACN, 2012).

  15. Phase 3- QSEN • Phase three is about developing faculty knowledge regarding the six competencies in order to teach current and future nursing students about quality and safety in nursing (AACN, 2012).

  16. How qsen influences My Practice • QSEN has affected my practice because I was able to get the education that provided me with the knowledge and skills for the six competencies. I am able to communicate with all different kinds of professionals and work as a team in the operating room. My number one concern is safety in the operating room;it is important to be up-to-date on evidence based practices.

  17. Advising the Nation, Improving Health. Institute of Medicine

  18. History and Introduction of the IOM "The Institute of Medicine (IOM) is an independent, nonprofit organization that works outside of government to provide unbiased and authoritative advice to decision makers and the public" (IOM, 2012, para 1). As an extension of President Lincolns National Academy of Sciences, Dr. Robert Glaser founded the IOM in 1970 (IOM, 2012).

  19. IOM Work • One report by the IOM “…detailed instances of health care providers offering such smarter care: hospitals preventing re-hospitalizations, upgrading their records systems and cutting out ineffective therapies, for example" (Lowrey, 2012). • Another report looks at the spending issues by the over testing and care that is not necessary. "Today's approach to paying hospitals and doctors for each test or treatment "encourages wasteful and ineffective care" (Conaboy, 2012).

  20. HOW IOM INFLUENCES My Practice • My practice standards are to provide the best, quality care I can for my patients. The hospital I work for is going to electronic medical records to improve the record keeping process. My critical thinking skills allow for me to question the physicians about test and test results that influence my patients outcomes and may help to prevent re-hospitalization. We have a team based approach to patient care, where the nurses round with the physicians and then communicate with the rest of the group, i.e. case management, therapy, etc.

  21. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

  22. What isJCAHO? • JCAHO is “an independent, not-for-profit organization that accredits and certifies more than 19,000 health care organizations and programs in the United States… accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards”(The Joint Commission, 2012). • JCAHO Mission: “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value” (The Joint Commission, 2012). • JCAHO Vision Statement: “All people always experience the safest, highest quality, best-value health care across all settings” (The Joint Commission, 2012).

  23. JCAHO:Who created it and why? “Ernest Amory Codman, MD, FACS… known best for his work and advocacy of the “Idea” which simply put, was the premise that hospital staffs would follow every patient they treat long enough to determine whether or not the treatment was successful, then learn from any failures, and how to avoid those situations in the future” (American College of Surgeons, 2010). This “Idea” was the basis for the Hospital Standardization movement founded by the American College of Surgeons, and the precursor to the Joint Commission on Accreditation of Hospitals (JCAH) formed in 1951 (American College of Surgeons, 2010).

  24. JCAHo: How long has it been around? The Joint Commission on Accreditation of Healthcare Organizations is a private, not for profit organization established in 1951 to evaluate health care organizations that voluntarily seek accreditation (US Department of Health and Human Services, 2010).

  25. How JCAHO influences my nursing practice JCAHO practice standards influence my nursing practice by adherence of guidelines that promote advocacy through safe and effective care for the patient, all while striving to provide the highest quality care possible within the healthcare setting. I am devoted to following these practice standards in such a manner as so to uphold the credibility and respect of the nursing profession.

  26. References • American Association of Colleges of Nursing. (2012). Retrieved from http://www.aacn.nche.edu/faculty/qsen • American College of Surgeons. (2010). Ernest A. Codman, MD, FACS (1869-1940). Retrieved from: http://www.facs.org/archives/codmanhighlight.html • American Nurses Association. (2012). Retrieved fromhttp://www.nursingworld.org • Conaboy, C. (2012. September 6). Institute of Medicine Reports Points to Backwards Structure of Health Care Industry. Retrieved from http://www.boston.com/whitecoatnotes/2012/09/06/institute-medicinereport-points-backwards-structure-health-careindustry/28q3DDsmvUTw0286iPX3jO/story.html • Hamilton J., M. (2007. June). Pennsylvania Nurse:62 (2): 25,27 ISSN:0031-4617PMID:17668837 • Institute of Medicine. (2012). Retrieved from http://www.iom.edu/About-IOM.aspx • Lowrey, A. (2012. September 11). Study of U.S. Health Care System Finds Both Waste and Opportunity to Improve. Retrieved from http://www.nytimes.com/2012/09/12/health/policy/waste-and-promise-seen-in-us-health-caresystem.html?ref=instituteofmedicine&_r=0. • .

  27. Miracle, V.A. (2008). A Healthy Work Environment. Dimensions of Critical Care Nursing, 27(1), 43-44. Retrieved November 21, 2012. • Nursing World. 2012. American Nurses Association. Retrieved fromhttp://www.nursingworld.org • QSEN (2012). Retrieved from http://www.qsen.org/funded.php • Robert Wood Johnson Foundation (2012). Retrieved from http://www.rwjf.org/en/about-rwjf/our-mission/timeline.html • The Joint Commission. (2012). About the Joint Commission. Retrieved from: http://www.jointcommission.org/about_us/about_the_joint_commission_main.aspx • US Department of Health and Human Services. (2010). The Joint Commission-JCAHO. Retrieved from: http://www.healthfinder.gov/orgs/HR1458.htm

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