On Becoming Magnet: A Unique Journey To Excellence

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CLINICAL LADDER. PURPOSE:Recognize and reward clinical excellenceEnsure quality patient carePromote recruitment and retentionSupport professional development. CLINICAL LADDER FRAMEWORK. Clinical Expertise/Nursing ProcessParticipatory Governance/Process ImprovementProfessional Developme

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On Becoming Magnet: A Unique Journey To Excellence

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1. On Becoming Magnet: A Unique Journey To Excellence Nancy Ray MA, RN; Mary Anne Peinemann MSN, RN, Pamela Higby, MSN, MBA, RN; Wen Pao, MSN, RN; Susan Gerhardt, MSN, RN, Carmillia Smith, MSN, RN; Michelle Ryerson, MSN, RN; Michelle Ingram, BSN, RN; Mary Laura Beal, MSN, RN; Evelyn Swenson-Britt, MS, RN

2. CLINICAL LADDER PURPOSE: Recognize and reward clinical excellence Ensure quality patient care Promote recruitment and retention Support professional development

3. CLINICAL LADDER FRAMEWORK Clinical Expertise/Nursing Process Participatory Governance/Process Improvement Professional Development Caring Practices/Cultural Diversity

4. OBJECTIVES of CLINICAL LADDER Create an environment that promotes professional behaviors and attitudes Incorporate peer review to promote accountability, autonomy and collaboration Provide nurse with advancement opportunities and remain active in patient care

5. OBJECTIVES of CLINICAL LADDER Define role expectations within each practice level Incorporate Patricia Benner’s model of professional development AACN Synergy Model Erickson’s Modeling Role Modeling

6. CLINICAL LADDER CRITERIA

7. CLINICAL LADDER CRITERIA

8. PARTICIPATORY GOVERNANCE STRUCTURE

9. OPERATIONS COUNCIL

10. NURSE CONGRESS

11. Operations Council Leadership Manages issues concerning structure, environment, resource allocation Believes partnership equity accountability, and ownership sustain autonomy and professional practice Policy Committee Develops and reviews policies, job descriptions/career ladder requirements and performance evaluations . Nominating Committee Conducts a bi-annual election

12. NURSE CONGRESS Research Council Increase awareness and utilization of nursing research and evidence based practice. Practice Council Responsible for defining, developing and updating the standards of clinical nursing practice based on evidence based practice, research, and specialty area practice standards Quality Improvement Council Develop nurse sensitive quality indicators that assist in the improvement of quality patient outcomes as the result of nursing practice Worklife Council Create the best environment to attract and retain the best people Product Evaluation Council Provide nursing the opportunity and mechanism to evaluate patient care products for safety, quality and cost-effectiveness

13. National Database of Nursing Quality Indicators (NDNQI) Required Reporting of Nurse Sensitive Indicators Pain Management Patient Falls Patient Satisfaction Skin Integrity Optional Nursing Satisfaction Survey

14. National Database of Nursing Quality Indicators (NDNQI) Unit level reporting Unit specific nurse indicator State benchmarked National benchmarked

15. Nursing Satisfaction Tool and Survey Process Tool utilized was a modified Nursing Work Index-Revised (NWI-R) by Linda Aiken, PhD, RN. Modified tool by eliminating questions not applicable to practice at UHS and clarifying wording in others. Those questions tied to scales were left intact. The CNO provided a personal request to staff to participate in the survey. Scale remained same. Four point Likert scale using Strongly Agree (4), Somewhat Agree (3), Somewhat Disagree (2), Strongly Disagree (1)

16. Results Nursing Satisfaction Survey

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