Nursing Strategic Planning Retreat September 14, 2012 Accountability, Shared Governance Structure and Nursing Strategic Plan
Accountability: The ability and willingness to assume responsibility for one s actions and accepting the consequences of one s behavior State of being responsible and answerable for one s own behavior
Autonomy Independence of functioning in decisions and actions Authority Power to do something Responsibility Acting in a reliable, trustworthy and credible manner at all times
To the Profession ANA Code of Ethics Nursing Quality and Assurance Programs Participation in a Professional Organization Utilize professional standards as a basis for practice To Patients Clinically competent to provide safe nursing care Allow patients to truly participate in their care Respect individual differences and not impose our preferences Altruistic intentions (putting patient s above ours) Advocacy for patients when the need arises
To Health Care Team Brings specialized knowledge and skills to care delivery Shares information with team members Confronts if potential errors may occur or behavior is inappropriate Performs task with competence Treats ALL with dignity and respect (no horizontal violence) To Employer Performs quality work Protect against unsafe situations Attitude is positive and supporting
To Myself Lifetime of education and learning using professional standards as the basis for own practice Take care of my health and the ones I love Protect myself from harm (not engaging in behaviors or actions that could result in harm) Be true to my own values and beliefs Embrace accountability as basis for practice
Groundwork for Accountability Begins With: Theoretical base for professional practice (our theorist Jean Watson s Caring Theory as the basis for Relationship-Based Care Clinical and Professional Competence Leadership Skills (staff nurse as leader) Ethical Framework BSN and Beyond Shared Governance/Professional Practice Model (5 elements: values, professional relationships, a patient care delivery model, a management approach and compensation and rewards)
Nursing Leadership must take accountability seriously and measure success based on internal and external standards and build these into your Strategic Plan. KEEP PATIENTS SATISFIED AND SAFE Most metrics for this simple phase is included in the ANA s NDNQI database. Using their benchmarks teach nurses to go beyond what is expected and should be the basis for strategic planning.
Strategic Planning Process System UPMC Strategic Plan H. Lorenz Strategic Plan for Nursing Hospital Executive Management Plan for Hospital Nursing Division Strategic Plan Business Unit Nursing Unit/Departmental Strategic Plans Nursing s Strategic Plan
UPMC System/Nursing SMH Executive Management Group SMH Nursing Division SMH Units/Departments Nursing Division s
SMH Shared Governance Structure and Process Premise: Staff-Driven Decision-Making is viewed as the Hallmark of Excellence in a Magnet Organization Unit Level Nursing Division s Nursing Leadership Nurse Executive
Structure Chair Oversees committee work Agenda preparation content, guests, time management Presides over formal and informal meetings Establishes goals for committee and expectations for committee members Directs council business assistant Co-Chair Assists Chair in committee work Responsible for committee membership Presides over meetings in the absence of chairperson Mentor-Establishes a developmental partnership/collaboration to foster the professional growth of the council. Provides insight and expertise to provide problem-solving and goal achievement.
Advisor Assists the council in meeting their goals by providing opinions and information whenever needed. Watchdog of the group keeps council activities on track Helps group maneuver through administrative chain of command Knowledgeable in hospital dynamics and structures to help guide council through necessary steps for successful outcomes. Provides insight into problem-solving techniques Sounding board for chair and co-chair Meets with Chair/Co-Chair on frequent basis Consultant Experienced individuals who are trained to analyze and advise in order to help councils make the best possible choices. Internal within St. Margaret Hospital External outside of St. Margaret Hospital System Outside of System Product Specialists, Professional Organizations and Advocacy Groups
What is the role of the Educator on the? (New Knowledge, Innovation, Improvements) (1) (2) (3) (4) (5) (6)
What are the expectations of the council members? (Structural Empowerment) and who will hold them accountable? (Transformational Leadership)? (1) (2) (3) (4) (5) (6) #
What are the expectations for internal and external consultants? Internal (1) (2) (3) External (1) (2) (3)
Nursing s Mission GROUP EXERCISE
Process of the Nursing s how the work gets done Overarching Principles for all Work Outcome-Driven (pre/post data/rationale) (Empirical Outcomes) Use of Internal and External Consultants and Groups Use of ANA resources Use the language of the Magnet Document
Mission Statements Professional Development Defines, implements, evaluates and maintains educational standards that promote professional growth, development and ongoing clinical competency for staff and identifies strategies to promote retention of the professional nurse.
Clinical Practice Develops standards of care, policy and procedures and protocols; implements standards into practice documents, e.g., practice guidelines, documentation tools, and policies; implements and advances technology for nursing and approval of electronic documentation standards.
Professional Practice Oversees scope of nursing practice as defined by the American Nursing Association; represents nursing perspective in ethical/legal issues; incorporates the Pennsylvania Nurse Practice Act as appropriate; assures nurse representation on hospital/system committees.
Nursing Education, Research and EBP Provides a structure for all nursing research at SMH by fostering a spirit of inquiry on evidence-based clinical practice improvements; promoting awareness of nursing research efforts; establishing educational endeavors to support nursing research as a foundation of nursing practice.
Nursing Quality Monitors the appropriateness and effectiveness of care provided by nursing staff while assessing and assuring compliance with established standards of care and practice. Oversees nurse sensitive indicators, monitors and evaluates patient outcomes/dashboards and collaborates with the Hospital and System Quality Groups to ensure delivery of safe patient care.
Operations Defines, promotes and evaluates nursing practice within the organization by identifying issues related to patient care and clinical practice; develops strategies to resolve issues and process change; assures consistent nursing practice and standardization; assessment of new products/services.
Nursing s Responsibilities Group Exercise
CATEGORY Strategic Planning Nursing s Mission, Vision, Values Advocacy for Fiscal and Technology Resources Professional Engagement Committees s Task Forces Participation in Nursing Organizations Professional Development Formal Education (BSN, MS, PhD) Professional Certification Continuing Education for all levels and settings Nursing Orientation Community Involvement (Professional) Allocation of resources for affiliations with schools/colleges/universities Consortiums COUNCIL ASSIGNED Operations Professional Practice Clinical Practice Professional Development Professional Development Professional Practice REPORTING FUCTION/BY WHOM
CATEGORY Culture of Safety for Patient and Nurses Quality Care Monitoring and Improvement/Allocation of Resources Nurse Satisfaction/Engagement (NDNQI) Patient Satisfaction Nursing Research/Evidence Based Practice Develop, expand, advance nursing research Approval/Tracking of all nursing research Innovation in Nursing Practice E-Profiler Nurse Talk Nursing Organizational Structure (Organizational Chart) Legislature Policy Advocacy (PA State Board, NLN, ANA, PSNA) Patient Rights COUNCIL ASSIGNED Quality Quality Professional PPC Nursing Ed, Research, and EBP CPC CPC Clinical Practice OP CPC REPORTING FUCTION/BY WHOM Report only to PPC Renee Carolan
CATEGORY Recognition of Nursing (Externally) Professional Practice Model Care Delivery System(s) Staffing and Scheduling Budgeting Process (Unit and Divisional) Interdisciplinary Care/Collaboration Accountability Competence Autonomy COUNCIL ASSIGNED Professional Development Professional Practice Nursing Operations Nursing Operations Nursing Operations Nursing Quality Clinical Practice Nursing Education, Research and EBP Nursing Education, REPORTING FUCTION/BY WHOM
CATEGORY Performance Appraisal Tools Student Experiences External Experts Work Environment Changes Nurse Recognition within the local, state, national, and international communities Conference Attendance COUNCIL ASSIGNED Report to Professional Development Nursing Education, Research and EBP Nursing Education, Research and EBP Nursing Operations Professional Development Professional Development REPORTING FUCTION/BY WHOM Joyce Doody