Transcription
Department of NursingAnnual Report / 2 019
DEPARTMENT OF NURSING / ANNUAL REPORT / 2019Table of ContentsWelcomeA Letter From Cori Loescher, MM, BSN, RN, NEA-BC, Chief Nursing OfficerAnd Vice President Of Patient Care Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2CelebrationsBrigham And Women’s Faulkner Hospital Receives Magnet Recognition Plus Three Exemplars!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Our Journey To Magnet Recognition. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5Annual Awards Highlight The Department Of Nursing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7Transformational LeadershipNursing Administration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Nurse Directors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Program Managers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Professional Development Managers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Annual Fall Summit Brings Together Members Of Unit Based Councils . . . . . . . . . . . . . . . 9Brigham And Women’s Faulkner Hospital Nurse Leaders Enhance Their Skills At ONLLeadership Academy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Structural EmpowermentDAISY Awards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11DAISY Nurse Leader Award . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Brigham And Women’s Faulkner Hospital Celebrates Magnet RecognitionAt 2019 ANCC National Magnet Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Celebrating Our Certified Nurses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Commitment To Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Exemplary Professional PracticeProfessional Practice Model. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Peer Review. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Shared Governance Committees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16-19Quality Data. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20-21New Knowledge, Innovations And ImprovementsPoster And Podium Presentations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Brigham And Women’s Faulkner Hospital Hosts “Evening of Inquiry”. . . . . . . . . . . . . . . . 23New Lymphedema Precaution Guidelines Improve The Patient Experience . . . . . . . . . . 24Brigham and Women’s Faulkner Hospital1
A Letter From Cori Loescher, MM, BSN, RN, NEA-BC,Chief Nursing Officer And Vice President Of Patient Care ServicesDear Nursing Colleagues,Welcome to our 2019 Annual Report!Certainly the highlight of this year’s report is our Magnet recognition. I cannot be more proud of the work eachand every one of you have done over the past several years to help us reach this designation. It is truly an honorto be named among the best hospitals in the world for nursing care. And the fact that we were also recognizedwith three exemplars (something you will read more about in the pages to come) highlights just how dedicatedour staff is to providing the very best care possible to our patients and their families.In addition to celebrating this historic achievement, I also invite you to read more about the work of our SharedGovernance Committees and the many other accomplishments our nurses have made this year.Sincerely,Cori Loescher, MM, BSN, RN, NEA-BCChief Nursing Officer and Vice President of Patient Care Services2Department of Nursing Annual Report / 2019
CelebrationsBrigham And Women’s Faulkner Hospital Receives Magnet Recognition- Plus Three Exemplars!In the fall of 2019, Brigham and Women’s Faulkner Hospitalbecame the 500th hospital to receive Magnet recognition fromthe American Nurses Credentialing Center (ANCC)! The hospitalwas also recognized with three exemplars: Transformation Leadership Exemplary Professional Practice New Knowledge, Innovation and Improvements“To be recognized with three exemplars istruly special,” says Executive Director ofNursing Professional Development, Practiceand Innovation Colleen West, DNP, MBA, RN,CPHQ. “It proves that Brigham and Women’sFaulkner Hospital is among the best in theworld for patient care. We set the standardfor other hospitals to follow.”Chief Nursing Officer and Vice President of Patient Care Services CoriLoescher, MM, BSN, RN, NEA-BC, celebrates with the MagneteersSo how does Brigham and Women’s Faulkner Hospital lead by example?Transformation LeadershipOur model for dyad/triad leadership structure was recognizedNew Knowledge, Innovation and ImprovementsFinally, Brigham and Women’s Faulkner Hospital was recognizedas an exemplar in the Transformation Leadership category. Thewith an exemplar in the New Knowledge, Innovation andgoal of the dyad leadership structure is to improve operationalImprovements category for its clinical nurses’ use of evidence-and clinical outcomes by leveraging at first the skills andbased findings to improve patient care.expertise of each unit’s nurse director and its physician leader.Later, an Advanced Practice Registered Nurse (APRN) was addedSpecifically, 6 North was recognized for its work aroundto the dyad, making them triads in units where APRNs practice.managing hypoglycemia and hyperglycemia through betterThe dyads/triads now meet regularly to discuss issues such astiming of point-of-care testing, insulin administration andaccess, throughput and pain management on the units.meal starts.Exemplary Professional PracticeThe Pain Management Center was also recognized for creatingBrigham and Women’s Faulkner Hospital was recognized withan educational program to improve knowledge in patient’san exemplar in the Exemplary Professional Practice category forreceiving Spinal Cord Stimulator insertions, which resulted inits commitment to influenza immunization. Our organizational-zero patient cancellations.level data for influenza immunization outperformed thevendor’s national mean, median or other benchmark statisticfor all quarters.Brigham and Women’s Faulkner Hospital3
CELEBRATIONSOur Journey To Magnet RecognitionIn 2006, Brigham and Women’s Faulkner Hospital conductedthe first analysis to seek Magnet recognition. In August of 2018,we submitted our formal written application. Since then, wehave been hard at work preparing for the site visit, which tookplace in July of 2019. Let’s take a look back at some of the funwe have had along the way!October 2018: Jim Grafton, MSN, MHA, RN, CCM, Tracy Lane, MSN, RN-BC,Liz Vazquez, BSN, RN, Cori Loescher, MM, BSN, RN, NEA-BC, ColleenWest, DNP, MBA, RN, CPHQ, Ginny Ryan, MSN, RN, and Dan Rec, BSN, RN,attend the 2018 ANCC National Magnet ConferenceJanuary 2019: Magneteers Kelly Mastroianni, BSN, RN, Ginny Ryan, MSN,RN, and Sarah Moran, BSN, RN, engage Christine Anderson, RN,and Monica Sibert, BSN, RN, in the Super Bowl square game with aMagnet Q&AJune 2019: Colleen West, DNP, MBA, RN, CPHQ, Executive Directorof Nursing Professional Development, Practice and Innovation,leads a game of Magnet Memory Match during the hospital-widereadiness eventJuly 2019: Magneteer ambassadors Ginny Ryan, MSN, RN, Judy Driscoll,BSN, RN, Anh Le, BSN, RN, Phyllis Garr, BSN, RN, Ellen McCarthy, MSN,RN, CCRN, Liz Vazquez, BSN, RN, Meigan Young, MSN, RN, and KellyMastroianni, BSN, RN, huddle during our Magnet site visit4Department of Nursing Annual Report / 2019
September 2019: Balloons fall on the Magneteermembers as they learn the news that Brigham andWomen’s Faulkner Hospital received Magnet recognitionFall 2019: During a hospital-wide celebration, Magnet-themedshirts and lanyards were gifted to all staff membersOctober 2019: Brigham and Women’s Faulkner Hospital celebrates Magnet recognition at the2019 ANCC National Magnet Conference in OrlandoBrigham and Women’s Faulkner Hospital5
CELEBRATIONSAnnual Awards Highlight The Department of NursingEach year, as part of its National Nurses Week celebration,Faydene Small-Jones, MSN, MHA, RN,Brigham and Women’s Faulkner Hospital celebrates itsfrom the Gregory Endoscopy Centrenurses with awards recognizing excellence in critical thinking,received the Elaine Hazelton Memorialcommitment to patient teaching, continuing education andScholarship Award. Elaine Hazelton’soutstanding delivery of patient- and family-centered carefamily established this award in 2009 towith compassion and dignity. This year’s winners are just abe given to a nurse who demonstratesfew examples of the amazing work being done within thea dedication to Brigham and Women’sDepartment of Nursing on a daily basis.On hand at the Nurse Recognition Awards ceremony was ChiefFaydene Small-Jones,MSN, MHA, RNNursing Officer and Vice President of Patient Care Services CoriFaulkner Hospital within the practiceand advance of nursing. This recipientshould be continuing his or her nursingeducation.Loescher, MM, BSN, RN, NEA-BC, who thanked members of theDepartment of Nursing for the work they do to care for ourMembers of the McAlarney family werepatients and their families each and every day. “Honestly, theon hand to present their award towork that you do is exceptional,” she said.John Welch, RN, also from the GregoryEndoscopy Centre. The Angela McAlarneyTo this year’s Nurse Recognition Awards winners who wereAward was established in 2003 to be givennominated by their peers, she said, “It truly is an honor to beto a member of Brigham and Women’schosen by your colleagues who recognize that the work you doFaulkner Hospital’s Department of Nursingmakes their practice special.”John Welch, RNin recognition of excellence in patient andfamily education.Brigham and Women’s Faulkner Hospital President David O.McCready, MBA, MHA, also spoke, reflecting on his mother’sErin Kelleher, RN, also from the Gregory Endoscopy Centre, Jestincareer as a hospice nurse. “It was emotionally challenging forJose, BSN, RN, VA-BC, from the IV Team, and Hannah Jackson,her, but also very meaningful for her,” he said. “Seeing thatBSN, RN, from 2 South all received Mrachek Awards. The Mrachekforever sealed my admiration for your profession. I am oneAward was established in 1995 and is given to three membersof your biggest fans and I appreciate the work that you doof Brigham and Women’s Faulkner Hospital’s Department ofevery day.”Nursing in recognition of their clinical skills and to support theircontinuing education in the nursing profession.During the presentation, Amie Kandalaft,RN, from the Pain Management Centerwas presented with the Mary DevaneAward by Mary Devane’s daughter. Theaward was established in 1998 to begiven to any member of Brigham andWomen’s Faulkner Hospital DepartmentAmie Kandalaft, RNof Nursing (RN, PCA, UST, MHW, Secretary)in recognition of their commitment todelivering patient care with compassion,kindness and humor.6Department of Nursing Annual Report / 2019Erin Kelleher, RNJestin Jose, BSN, RN,VA-BCHannah Jackson, BSN,RN
CELEBRATIONSIn addition, three new Nurse Recognition AwardsThe Newly Licensed Nurse Award was establishedwere presented this year:this year and is given to a Newly Licensed Nursehired in the previous 12 months at Brigham andWomen’s Faulkner Hospital in recognition of theirpersonal and professional growth. The inauguralwinner is Paulina Kuczynska, BSN, RN, from 7Paulina Kuczynska,BSN, RNNorth.The Evidence-Based Practice Award wasestablished this year and is given in recognition of amultidisciplinary unit-based team or committee witha project that contributes to evidence-based practice.The inaugural winner is the Gregory Endoscopy Centre.Gregory Endoscopy Centre staffThe Community Outreach Award was established thisyear and is given in recognition of a unit-based teamor committee that has positively impacted a group orcommunity outside of Brigham and Women’s FaulknerHospital. The inaugural winner is the ICU Unit BasedCouncil.ICU Unit Based Council membersBrigham and Women’s Faulkner Hospital7
TransformationalLeadershipNursing AdministrationCori Loescher,MM, BSN, RN, NEA-BC,Chief Nursing Officer andVice President of PatientCare ServicesColleen West,DNP, MBA, RN, CPHQ,Executive Director ofNursing ProfessionalDevelopment, Practiceand InnovationLynne Morrison,MS, RN,Associate Chief Nurse ofInpatient NursingNurse DirectorsProfessional Development ManagersPatrice Baril,MSN, RN, CNOR,Operating RoomMary Anne Barry,MBA, BSN, RN, 7 Southand IV TeamAllison Bernard,PhDc, DNP, RN,6 SouthJuliet Gleason,MBA, MSN, RN, 7 Northand Float PoolRobin Kaufman,DNP, APRN, FNP-BC,PerioperativeMaria Olivier,MSN, RN, 2 SouthKathleen Merrigan,MSN, RN, AmbulatoryEstier Sayegh,BSN, RN, CNRN, PCCN,CCRN, ICU, Dialysisand RespiratoryBrenda Miele,MSN, RN, 7 North andFloat PoolRobin Powell,Suzelle Saint-Eloi,BSN, RN, CEN, Emergency MS, RN, 6 NorthDepartmentHeather Chaffee,Kimberly Foisy,MSN, RN, Off-Shift Nurse MSN, RN-BC,Educator6 North and 7 NorthPhil Malleson,MSN, RN-BC, 6 South,IV Team and Float PoolMaria McKay Murphy,MSN, RN, OperatingRoom, Endoscopy andOutpatient InfusionCenterTedi Hughes,MSN, RN, PMHCNS-BC,2 SouthKathy McCarraher,MHA, BSN, RN, CPAN,ONC, 7 South, Center forPreoperative Evaluation,Pre-Op Holding and PACUProgram ManagersPatti Rabbett,Terry Roche,MSN, RN, CCRN-K,MSN, RN-BC, NurseICU, rology, Hemodialysisand Pain ManagementCenterTracy Lane,MSN, RN-BC, NursingQuality and Magnet8Shelly Bazes,MS, RN, WHNP-BC,Nursing QualityPaula Wolski,MSN, RN-BC, Informaticsfor Nursing/Patient CareServicesDepartment of Nursing Annual Report / 2019Beth Waters,MSN, RN, CPEN, EmergencyDepartment, Float Pool,Support Staff and NursingSupervisors
TRANSFORMATIONAL LEADERSHIPAnnual Fall Summit Brings Together Members Of Unit Based CouncilsThis fall, representatives from each of the Unit Based CouncilsRN, shared their extraordinary story of the bond they formedand Nursing Shared Governance Committees within thewith an entire family during this difficult time and how itDepartment of Nursing at Brigham and Women’s Faulkneraffected them personally. There was not a dry eye in the room.Hospital gathered for a summit meeting.It reinforced what nursing is all about. Anyone would be lucky tohave either of them as their nurse!”The day provided the opportunity to share ideas and bestpractices, and hear from colleagues on topics such as:7 North Clinical Leader Jessica Craver, BSN, RN, is alwaysimpressed by the energy in the room during Unit Based Council The Nursing Strategic PlanSummits, and this fall’s meeting did not disappoint. “Attending The People Side of Changethe Unit Based Council Summit continues to be one of my Locating the Best Evidencefavorite days that fills me with renewed energy. It’s an amazing Experiences at the 2019 ANCC National Magnet Conferencespace where we collaborate, share what we are working on and Individual Unit Based Council Project Updatesgain new skills. I can see our profession grow stronger at eachnew summit!” she says.For participants and organizers alike, spending the day togetherwas truly rewarding.Professional Development Manager for CPE, Pre-Op Holding,the PACU and 7 South, Kathy McCarraher, MHA, BSN, RN, CPAN,PACU clinical nurse Ginny Ryan, MSN, RN, says it wasONC, helped to organize the day. For her, it was special toenlightening to hear about the work being done on the othersee everyone participate. “Staff were attentive and engagedunits. “We really do great things in this building!” she says. “Butthroughout the day, passionate when sharing their MagnetI was most impressed by the simple act of compassion andConference experiences and so proud to present their Unitcare provided to a 6 South ‘Butterfly’ patient and her family atBased Council projects,” she says.the end of life. Gina Marinelli, BSN, RN, and Kate Cowden, BSN,Brigham and Women’s Faulkner Hospital9
TRANSFORMATIONAL LEADERSHIPBrigham And Women’s Faulkner Hospital Nurse Leaders Enhance Their SkillsAt ONL Leadership AcademyThe Organization of Nurse Leaders (ONL) Leadership Academyis a two-month, multifaceted, executive-style program, designedusing the ONL Leadership Development Model. Its purpose isto develop and continuously expand the knowledge, practiceand character of nursing leadership for the benefit of patients,the nursing profession and the organizations the ONL servesthroughout its five member states of Massachusetts, RhodeIsland, New Hampshire, Connecticut and Vermont.Among the participants in the Spring 2019 program were threerepresentatives from Brigham and Women’s Faulkner Hospital:6 South Nurse Director Allison Bernard, PhDc, DNP, RN, 6 NorthClinical Leader Jessica Ollis, BSN, RN, and 7 North Clinical LeaderJacqueline DeJean, BSN, RN.The program consisted of four modules spread out over thecourse of the two months: The Self, The Leader: Organization,The Leader: People and Participant Presentations andContemporary Topics in Nursing Leadership. Participantsfocus on a project with which they are engaged at their homeinstitution. It is that project that is presented during the fourthmodule. They also write a structured abstract for their project.Bernard’s project, titled “Patient Care Assistant (PCA)Perceptions of Patient Assignment Based on Acuity,” aims tomake assignments equitable among the PCA staff. Throughexploration of this topic, Bernard says she gained a betterunderstanding of herself as a transitional leader. “In addition,I also learned that advocating for practice change is not onlyabout empowering the staff, but also about empowering myselfas their leader."Ollis’s project was titled “Narrowing the Gaps Between InsulinDosing and Glucose Point-of-Care Testing to Improve GlycemicControl.” Her goal in investigating this topic was to reduce theaverage time between point-of-care testing and pre-breakfastinsulin administration from 85 minutes to less than 60 minutes.10Department of Nursing Annual Report / 2019From left: 7 North Clinical Leader Jacqueline DeJean, BSN, RN, 6 SouthNurse Director Allison Bernard, PhDc, DNP, RN, and 6 North ClinicalLeader Jessica Ollis, BSN, RNOllis learned a lot about engaging her staff through the project.She says, “Successful outcomes are depe
an educational program to improve knowledge in patient’s receiving Spinal Cord Stimulator insertions, which resulted in . Kimberly Foisy, Brigham and Women’s Faulkner Hospital Department of Nursing at Brigham and Women’s
