An Innovative Strategy to Lead Clinical Practice Change to Achieve Quality Outcomes
Other Title(s)
Transforming Nursing Leadership Practice [Session]
View File(s)
PDF (261.9Kb)
Author Information
- Author(s)
- Details
-
Mickey L. Parsons, RN, PhD, MHA, FAAN; Patty Toney, RN, BSN, MSN; Andrea E. Berndt
- Sigma Affiliation
- Delta Alpha at-Large
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Parsons, Mickey L. by View
Title | Page Views |
---|
Popular Works for Parsons, Mickey L. by Download
Title | Downloads |
---|
View Citations
Citations
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Information
Item Link - Use this link for citations and online mentions.
Abstract
Session presented on Tuesday, November 10, 2015: PURPOSE: To delineate the clinical leadership professional development program, innovative clinical microsystem practice change methodology, and outcomes. EVIDENCE/LITERATURE REVIEW: The literature is replete with extensive literature on leadership, quality improvement and evidence based practice. However, there is extant literature on the "how to" of leading practice change to achieve specific outcome(s). THEORTICAL FRAMEWORK: The professional development program content was informed by concepts of interpersonal trust, change theory, best practices for execution, and a practice change tool kit. METHODOLOGY: A ten month program of professional development for twelve Nursing Unit Directors from four facilities was provided. It included ten monthly two hour seminars, and four 1:1 individual coaching sessions. The practice change tool kit incorporated The Four Disciplines of Execution (Covey and McChesney, 2012) adapted, and a comprehensive planning process including the following steps: Clinical opportunity and baseline and expected outcome(s), Stakeholder engagement, Evidence, Specific Nursing Practices - what the staff is "to do," Practice implementation addressing facilitators and barriers to the practice change(s), communication steps, and staff development, Concurrent practice monitoring, Cadence of accountability, and Clinical outcome results. RESULTS: Three instruments were utilized to assess participant outcomes. They were Empowerment - Behavioral, Verbal and Outcome (Irvine, Leatt, Evans & Baker, 1999), Trust in Peers and Managment (Cook & Wall, 1980), and Transformational Leadership (Heutson & Wolf, 2011). With a very small participant sample, post program implementation findings represent trends only. Specifically, both self reported behavioral and outcome empowerment scores improved and trust in management and peers post program. The self reported perceptions of the transformational leadership practices improved. Qualitative post survey findings were very positive. The program's clinical impact was demonstrated through each Director's patient care project. With their Unit Councils' they developed, implemented, and evaluated a clinical practice change project to achieve a specific clinical outcome(s). Selected project titles included 1) Improving family satisfaction through face to face handovers from the post anesthesia care unit to the pediatric surgical unit, 2) Eliminating patient falls facility wide through a comprehensive practice review and implementation, 3) Preventing venous thromboembolism (VTE) through consistent achievement of VTE process outcomes. CONCLUSION: The early results indicate that the professional development program led to important self reported learning by the Directors and in clinical care impact. Early results indicative of organizational impact are that the health system is spreading the microsystem practice change methodology across the four hospitals through their shared governance structure and through a new group of Directors participating in the program. IMPLICATIONS: The program and Microsystem Practice Change Method contributes to Nursing executives and clinical leaders armamentarium to achieve and sustain clinical outcomes.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`
Repository Posting Date
2016-03-21T16:43:15Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | Clinical Practice Change |
Conference Information
Name | 43rd Biennial Convention |
Host | Sigma Theta Tau International |
Location | Las Vegas, Nevada, USA |
Date | 2015 |
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Evaluation of patient-reported outcome measures: A secondary data analysis of a feasibility study
Jospeh, Nitha Mathew; Jiwani, Rozmin; Wang, Jing; Berndt, Andrea E.; Espinoza, SaraThe purpose of this presentation is to inform audience regarding the study findings of the feasibility study using patient-reported outcome measures (PROMs) and preliminary evaluation of changes in PROMs in a pilot randomized ... -
Falls Reduction
Hart, Amy; Parsons, Mickey L. (2016-03-21)Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose: The purpose of the macrosystem practice change project was to become a "Falls Free" Hospital. Objective: Engage and involve the clinical ... -
Innovation in practice: A QSEN framework for redesigning a clinical advancement program for nurses and strategies to grow and sustain a competency assessment model utilizing the Quality Safety Education for Nurses (QSEN) in the clinical setting
Shonka, Nicki M. (2016-03-21)Session presented on Tuesday, November 10, 2015: The Institute of Medicine recommendations to address quality and safety provided the spark for the Quality Safety Education for Nurses (QSEN) movement. This spark has also ... -
Leading practice change: Recognizing life-long risk of those born preterm
Kelly, Michelle M.; Hollingsworth, Andrea O.; Valiga, Theresa M.Changing healthcare practice regarding recognition of preterm birth as a life-long risk factor is critical to the future health of those born preterm. The ability to address this practice change was enhanced by the mentorship ... -
Innovative educational strategies to achieve health literacy competencies for advanced practice nurses and interprofessional students
Karl, Joyce I. (2018-06-11)Health literacy (HL) is an important determinant of health status world-wide. In this session the author will share multiple educational strategies, teaching methods/activities, and student outcomes used to help health ...