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Strengthening the Preparation of Psychiatric Charge Nurses

Strengthening the Preparation of Psychiatric Charge Nurses. Beth Clark, PhD, RNC Lisa Hussey, BA Gwyneth Mattingly, BSN, RNC Connie Sprague, MSN, RN. Problem Statement:. Undergraduate leadership courses are usually based

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Strengthening the Preparation of Psychiatric Charge Nurses

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  1. Strengthening the Preparation of Psychiatric Charge Nurses Beth Clark, PhD, RNC Lisa Hussey, BA Gwyneth Mattingly, BSN, RNC Connie Sprague, MSN, RN

  2. Problem Statement: Undergraduate leadership courses are usually based on a medical rather than a psychiatric model of care. They do not address the unique issues faced by psychiatric charge nurses such as milieu management and working closely with the interdisciplinary team. With a focus on process and relationship rather than skills, the psychiatric role is often ambiguous for students. They may not be aware of the unique challenges and rewards of psychiatric nursing.

  3. Goals of the Project Primary Goals: Secondary Goals: Develop new leaders who will promote a positive image of psychiatric nursing Improve psychiatric nurse satisfactions and retention Promote stronger collaboration between education and service Encourage students to consider psychiatric nursing as a challenging and rewarding career option • Strengthen the skills, role, and identity of psychiatric charge nurses • Promote excellence in nursing care • Provide a positive and effective learning environment for nursing students.

  4. Nurse of the Future Competencies: • Leadership • Teamwork and Collaboration • Quality Improvement • Professionalism

  5. Project Design • Needs assessment with nurse managers and members of leadership team • Literature review • Create curriculum • Develop pre and post assessment • Implement training • Evaluate • Extend training to other leaders • Group mentoring and support

  6. Outcomes • All participants either agreed or strongly agreed that: • the faculty were knowledgeable • the stated educational objectives were met • the program met their personal objectives • Participants were able to identify key ideas that they will use in their practices • Post-test scores went up on 87% of the items and went down on just one item (2%) • 50 % of eligible nurses have now received training

  7. Reported Areas of Greatest Growth in Pre and Post-test Scores: • giving timely, relevant, and objective feedback • participating in strategic planning and quality initiatives • utilizing research findings to establish standards, practices, and patient care models • creating environment of open communication & sharing • applying components of crucial conversations • eliminating workplace violence & sexual abuse • Monitoring clinical activities to identify both expected and unexpected risks.

  8. Participant Comments “The Charge Nurse role challenges each of us daily and with this training we are better able to provide stability, leadership, and guidance to the staff providing exceptional patient care” “This is a program with long life and will benefit many” “Outstanding!!!” “I found the Charge Nurse Leadership Orientation to reinforce my previous knowledge as well as motivate me to be a better leader.”

  9. Nursing Student and Faculty Comments • Student site evaluations for Acadia are highly positive • Students felt welcomed and supported during their rotation • Faculty appreciated the opportunity to work closely with the staff at Acadia and hope this kind of collaboration will continue.

  10. Themes of Follow-upMentor/Support Meeting: • Challenge of managing the milieu-particularly around staffing issues and sick calls • Appreciation for an hour off the unit to share concerns and frustrations. “Sometimes we feel isolated in our own little silos."  It is good to feel the peer support. • How to supervise without being drawn into staffing or patient problems that staff should be addressing • How to best support each other and know what is happening on other units • How to manage charge nurse responsibilities with everything else that needs to be done

  11. Future Plans • Permanent charge nurses will complete the full two days of training; all inpatient and outpatient RNs will complete the one day leadership section – 50% complete – target completion for July 1, 2012 • Revise curriculum based on feedback from participants • Continue mentoring and support group in the fall • Complete 6 month and 1 year follow-up evaluations

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