Professional Documents
Culture Documents
staffing issues
Results
Limited Training and Limited Orientation
Support for Learning
Differentiation in Task
Empowerment to Performance
Innovate
Process Decreased Quality of
Care
Improvement
Implementing a Training for a Change
Change
Simulation-Based
Johnson, J. K. (2001). Clinical microsystem assessment. Barsuk., et al (2015) Simulation-based mastery learning improved central line Learning
Retrieved from maintenance skills of ICU nurses. The Journal
http://clinicalmicrosystem.org/uploads/documents/micr
osystem_assessment.pdf of Nursing Administration. Walter Kluwer Health, Inc., 45(10), 511-517
Microsystem Model: Staff
Performance Patterns
Staff Focus
Staff Education 01
Staff members are valued
and Training High Expectations
Limited Knowledge Staff
Staff Poor Educational
of Expectations and Performance
Performance Support /Training of Staff
Patterns
Patterns
Responsibility 02 03
Staff Interdependence
Teamwork
Collaboration
Johnson, J. K. (2001). Clinical microsystem assessment. Retrieved from
http://clinicalmicrosystem.org/uploads/documents/microsystem_assessment.pdf
Recognition of Duties
Specific Aspect Targeted for
Improvement
Process Improvement
Decrease the number of central line acquired blood infections
in the MICU
● Rationale ● Benefits of making a change
○ Patient safety at risk ○ Proper central line
○ Unclear protocol and lacking management lessens risk
outcome measurements for CLABSI
○ RNs wasting time, effort, ○ Improved data gathering
and supplies to redo ○ Less stress on RNs
dressings that are not dated Johnson,
from
J. K. (2001). Clinical microsystem assessment. Retrieved
http://clinicalmicrosystem.org/uploads/documents/microsystem_assess
ment.pdf
Integrative Nursing Principle
Integrative nursing principle #4
“Integrative nursing is patient-centered and
relationship-based”
learning improved central line maintenance skills of ICU nurses. The Journal of Nursing Administration.
http://clinicalmicrosystem.org/uploads/documents/microsystem_assessment.pdf
Jones, C. M., Stewart, C., Roszell, S. S. (2015) Beyond best practice implementing a unit-based CLABSI project.
Kreitzer, M. J. (2015). Integrative nursing: Application of principles across clinical settings. Rambam Maimonides