Transcript Slide 1
Creating Partnerships
in Practice
In the Healthcare
Setting
Kathie Poplar RN-BC, MSN
February 2015
Partnership Outline
Immediate Resources
Information
Barriers to Practice
Opportunities for growth
The Bigger Picture
Who Are Your
Resources ?
Charge
Nurse
Preceptor
LNA
Educator
House
Supervisor
More Resources!
Therapy
Academic
Affiliation
Nutrition
Rapid
Response
Team
Wound
Team
Risk Manager
Diabetes
Wound
Team
Respiratory
Physicians
IS
Transport
Directors
Building Relationships
As important as building
clinical skills
Fosters a positive work
Environment
Safe patient care
Team partnerships for
shared care & efficiency
Teamwork
Where to Find
Information
Nursing Policies
Medication Resources
(Lexicomp)
Reputable Online Resources
Patient Education Materials
Ancillary Departments
Bringing forth foundational
information and following up
with preceptor
Barriers Encountered
Time pressures with patient
care needs
Resistance to change with
culture
Lack of knowledge about new
trends or current practice
Technical issues
Lack of knowledge for policies
(Patient Safety Solutions, 2007)
Value of Asking
Questions
You are not
expected to
know it all
Not asking
puts you &
your patient
in danger
Find a resource at
the beginning of
the shift so they
know to be there
for you
Preceptors are concerned
when new nurses do not
ask questions
Constructive Criticism
Listen to what your preceptor is
telling you
Anticipate constructive feedback
Don’t be afraid to admit that you
do not know something
Don’t argue with your preceptor
Listen
Follow up with Clinical Manager
or Educator if you have a
personality clash with your
preceptor.
Adopt Caring Behaviors
♥ See possibilities in solutions
♥ Respect and value co-workers
♥ Do what ever it takes to do the “Right
thing”
♥ Follow through on commitments
♥ Seek to understand the other person’s
point of view
♥ Avoid making assumptions
♥ Seek to understand other people’s roles
•
(Koloroutis, 2004)
Healthy Team
Relationships
♣ Establish trusting relationships
through competency & character
♣ Treat others with mutual respect
regardless of their role
♣ Trading weekends and work shifts
♣ How does your work ethic impact
the team
♣ Consistent and visible support so
people know they can count on you
♣ Open and honest communication
(Koloroutis, 2004)
Partnerships with LNAs
Treat LNAs with respect!
Patient centered care – Walk away from
old notions of “my” role vs “their "role.
How can “we” work better together to
take care of “our” patient
How do you transition from old role of
LNA to new role of RN delegation
Bringing value and respect to our
members of team
Relationships built on trust bring staff
satisfaction & quality patient care
Patient care such as “toileting” does not
belong only to LNA
Nurse-Physician
Communication
► Joint Commission Patient Safety Goal #2 is
to Improve the effectiveness of
communication among caregivers
► TORB – Clarification of Orders
(VORB taken only in emergencies)
► Teamwork and good communication is
imperative for safe patient care
► Decreased mortality
► Decrease cost of patient care
► Increased job satisfaction and overall work
relationships
(2012 National Patient Safety Goals)
(Hughes & Fitzpatrick, 2010)
Magnet Journey
◙ Getting involved in a committee helps to
network within the organization
◙ Fosters understanding of how other
departments function
◙ Building the bedside nurse as leaders
◙ Grooms you as an expert resource within
your own department
◙ Presents an opportunity to make a
difference
◙ Unit Practice Councils provide a forum for
the nurse to raise their voice
◙ Understanding organizational initiatives
(Sanborn, 2006)
Shared Governance
Committees
Skin-Wound
Assessment
Team
Diabetes
Team
Evidence
Based
Practice
Professional
Recognition
Program
Magnet
EPAC
Ed & Prof
Development
Unit
Practice
Council
Building Your Network
• Linked In
• NHNA/ANA or professional
organization
• Work towards specialty certification
• Attend conferences
• Again…get involved in shared
governance
• Volunteer activities
• Legislative forums
• Academic Affiliations
• Social Network systems
Professional Growth &
Development
• Nursing is a profession…..not
just a job
• Full completion of orientation
• Participation in Shared
Governance Committees
• Precepting
• Charge
• Unit based Involvement
Governing Bodies
• CMS: Centers for Medicare &
Medicaid
• The Joint Commission
– Reimbursement
– Setting standards of Practice
– Open Reporting
– Accreditation
– Core Measures: heart failure,
CAUTI, VAP, Pressure Ulcer
prevention, Stroke …….
Core Measures
• Conditions impacting morbidity
and mortality
• Represent National Health
priorities
• Conditions that drive up
healthcare costs
• Require involvement of the
healthcare team
• Building of electronic health
records for communication
Health Network Systems
• Community Based Programs
– Urgent Care
– Volunteer Organizations
– Paramedics
– Health Clinics
– Patient Education
Accountable Care Organizations (ACO)
Doctors, hospitals, and home healthcare
providers that network for the provision of high
quality care for Medicare patients
Share financial and medical responsibilities
Coordinate care
Goal targeted for chronic illness
Avoiding duplication of resource
Focus on prevention and meeting benchmarks
Reduction of costs
High performers can pocket more of the costs
Projected savings Medicare $940 million/4years
G5 example
Embarking on Your
Nursing Journey
References
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Centers for Medicare and Medicaid Serivces(2013).
Recommended Core Measures. Retrieved from:
www.cms.gov/Regulations-and-Guidelines/Incentive Programs/
Recommended_Core_Set.html
Centers for Medicare and Medicaid Services ((2015).
Accountable Care Organizations. Retrieved from:
www.cms.gov/Medicare/Medicaid-Fee-for-ServicePayment/ACO/index.html
Kaiser Health News (2015). FAQ on ACOs: Accountable Care
Organizations, Explained. Retrieved From: kaiserhealthnews.
org/news/aco-accountable-care-organization-faq/
Koloroutis, M. (2004). Relationship Based Care: A Model for
Transforming Practice. Minneapolis, MN: Creative Health
Management
Hughes, B. & Fitzpatrick, J. J. (2010). Nurse-physician
collaboration in an acute care community hospital. Journal of
Interprofessional Care,
November 2010; 24(6): 625–632
The Joint Commission (2012). 2012 National Patient Safety
Goals. From:
http://www.jointcommission.org/2012_npsgs_slides/
World Health Organization (2007). Communication during
patient hand overs. Patient Safety Solutions, 1 (3).