 

Rachel Flynn, Sarah Ruth, Ashley Hamilton, Taylor Olson, Shane Pendleton

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 Carondelet St. Joseph’s Hospital
 Intensive Care Unit
 Focus: Education training related to
development of pressure ulcer

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 Servant leaders, “...put serving others, including
employees, customers, and the community as
number one priority”
 Leaders struggled to find balance between
reaching goals and supporting/empowering staff
 Unprofessional behavior

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management

functions in nursing: Theory and application (9th ed. p. 65). Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins.

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 “The relationship between managers and workers
should be cooperative and interdependent...”
 Strengths
o Charge RNs willing to help staff RNs
o Hospital wide huddle meetings
 Weaknesses
o Hospital was inconsistent and unpredictable
o Brief pre-shift huddles

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management

functions in nursing: Theory and application (9th ed. p. 42). Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins. 4
 Staff Focus
o “We invest in programs that offer you the
opportunity to grow and achieve the highest level of
professional satisfaction” (Carondelet Health
Network, 2019).
 Patient Focus
o “...we treat you and your family with heartfelt
compassion, respect, and honesty” (Carondelet
Health Network, 2019).

Carondelet Health Network. (2019a). Careers. Retrieved from https://www.carondelet.org/about-

us/careers
Carondelet Health Network. (2019b). For patients. Retrieved from https://www.carondelet.org/for-
patient
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 “Some health-care organizations currently
incorporate pharmacists, social workers,
occupational therapists, speech therapists, and
other health-care workers as part of the
multidisciplinary team to assure that comprehensive
and holistic care can be provided to each patient…”
 Efficient Grand Rounding
 Physicians work space is located in the middle of
the unit
 Not enough voceras for all RNs
 No PCTs/NAP

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 354). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins.
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 “Younger generations of nurses...recognize that
technology has given us the potential for instant
information access and exchange”
 Online and paper charting
 No telemetry monitor techs for ICU
 Micromedex, Internet, ClinicalKey
 Computers in each patient room, WOWs
available when needed
 Voceras

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 506). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 7
 “Engagement of frontline staff appears to be
especially critical when implementing or
sustaining QI efforts...”
 Forums and interdisciplinary committees
 Benchmarking
 Hospital-wide staff meetings
 Continuing education
 In-person trainings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 623). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 8
 “Although performance appraisal is never easy,
if used appropriately, it produces growth in the
employee and increases productivity in the
organization.”
 Annual staff performance appraisals
 Daisy Awards nominated by patients
 Medication barcode scanning
 Hourly rounding

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing:
Theory and application (9th ed. p. 667). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins. 9
 Evidence based: Use of a comprehensive
program to reduce the incidence of hospital-
acquired pressure ulcers in an intensive care
unit
 Rationale: Patient developed a pressure ulcer
due to not being turned appropriately

Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a comprehensive program to reduce
the incidence of hospital-acquired pressure ulcers in an intensive care unit. American Journal
of Critical Care. 25(2), 152-155. Doi: 10.4037/ajcc2016963
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 Integrative Nursing Principle #6: “Integrative
nursing focuses on the health and wellbeing of
caregivers as well as those they serve”

 Modality: Mindfulness meditation before face-to-

face training

Kreitzer, M. J. (2015). Integrative nursing: Application of principles across clinical settings.

Rambam Maimonides Medical Journal,6(2). doi:10.5041/rmmj.10200
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 PDSA method
o Plan - overall vision
o Do - carry out program
o Study - analyze data
o Act - refine program, implement hospital-wide

Institute for Healthcare Improvement (IHI). (2019). Science of improvement: Testing changes.
Retrieved from http://www.ihi.org/resources/Pages/HowtoImprove/-
ScienceofImprovementTestingChanges.aspx

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 10-12
months:
Improve
and
7-9 implement
5-6 months: hospital-
3-4 months: Analysis wide
months: Implement of data
1 month:
Root- Create after
program
cause education course
analysis program
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Carondelet Health Network. (2019a). Careers. Retrieved from
https://www.carondelet.org/about-us/careers
Carondelet Health Network. (2019b). For patients. Retrieved from
https://www.carondelet.org/for-patient
Institute for Healthcare Improvement (IHI). (2019). Science of improvement:
Testing changes. Retrieved from
http://www.ihi.org/resources/Pages/HowtoImprove/-
ScienceofImprovementTestingChanges.aspx
Kreitzer, M. J. (2015). Integrative nursing: Application of principles across
clinical settings. Rambam Maimonides Medical Journal,6(2).
doi:10.5041/rmmj.10200
Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management
functions in nursing: Theory and application (9th ed.). Philadelphia:
Wolters Kluwer Health/Lippincott Williams & Wilkins.
Swafford, K., Culpepper, R., & Dunn, C. (2016). Use of a comprehensive
program to reduce the incidence of hospital-acquired pressure ulcers in
an intensive care unit. American Journal of Critical Care. 25(2), 152-
155. Doi: 10.4037/ajcc2016963
14