What is
Pathways to Excellence?
A hospital designation by the American Nurses Credentialing Center (ANCC) for nurses that shows we have a positive practice environment, nurses have a voice through shared decision-making, nurses are involved with quality and safety collaboration, we take care of the whole nurse and their well-being, along with professional development. Leadership support for nurses is provided in encouraging this positive practice environment.
How do we promote a culture of interprofessional decision-making?
MDRs and Interprofessional committees: resuscitation committee, QPS, Stroke…In both cases, people from different roles are coming together to make improvements for patients or team members
How do nurse managers accommodate the participation of direct care nurses in shared governance committees?
By accommodating their schedule, coordinating with the team member, allowing shift swaps.
What processes(es) are used to involve direct care nurses in (1) reporting, (2) reviewing, and (3) identifying trends of patient-related safety events?
What strategy(ies) are used to align staff with our mission, vision, values, and goals beyond orientation?
Direct Care Nurse
A bedside nurse. Someone who spends 50% or more doing hands-on patient care
How can a direct care nurse present and idea using the shared governance structure?
An idea can be expressed in any committee. Anything from UBC can roll up to NPC for more broad scale ideas that would affect more than just their unit.
How is the Chief Nursing Officer (Gwen Alonso) accessible to you?
Chat with the CNO Forum, QR Code for questions to Gwen, Rounding, Nursing Town Halls, Hospital Town Halls, events, committees, email, phone
What processes(es) are used to involve nurses in (1) reporting, (2) reviewing, and (3) identifying trends of nurse-related safety events?
Origami event, Employee health involved. Compliance Hotline, Alertline, Security can partner with us to keep nurses safe. UBC and NPC help to review safety risks for nurses and discuss trends to find improvement and a resolution.
How is the culture of person and family-centered care promoted?
Professional practice model unifies nurses around patient-and family-centered care. Whole Care experience. iCARE, MyChart Bedside, Patient experience-MIT.
Who can take the 28-question survey for Pathways to Excellence?
LPNs, RN, APRNs
How do nurses use the shared governance structure to promote health in the local community as identified in a community health needs assessment?
Volunteer opportunities are announced in most committees and shared in NPC. Date/Times/Location/Contact person is shared, so nurses can participate.
How is your Nurse Manager accessible to you?
Staff meetings, huddles, open door policy, rounding, phone, email, 1:1s
How is a culture free from (1) incivility, (2) bullying, (3) and workplace violence among healthcare provider team, including nurse-to-nurse promoted?
Peer-to-peer accountability, CORE Handbook, Policies: Sexual and Unlawful Harassment & Workforce Member Conduct, Physician policy for Medical Staff Code of Conduct-Disruptive Physicians, Annual education for workplace violence. AVADE training. HR and employee Relations partner with the leader for disciplinary action.
What types of educational sessions are offered to address respectful communication among employees?
ALNs- Building competency and Cultural Humility, Echelon- Cultural Competency, Communication: Building Effective Relationships, TTP workshops
Who Is our CNO?
Gwen Alonso
What interprofessional processes address how ethical concerns are managed?
When an ethical issue occurs, it is usually discussed in RN/MD Rounds or MDRs to find resolution. Nurse leaders are looped in. IF a situation needs to go to the Ethics Committee, an Origami gets placed, so Risk Management can triage the situation to see if it meets criteria. Most cases do not need to go to Ethics Committee.
How do nurse managers include direct care nurses in cost management discussions?
Make direct care nurses aware of cost of products, create a process to help manage the cost and use of items, being good stewards of the budget, discussing with the direct care nurses the WHY of certain cost initiatives. Getting their feedback.
How are nurses safeguarded from verbal and physical abuse directed towards them from patients and families?
Signs outside of units and entrances to hospital acknowledging that we have a zero-tolerance for those behaviors. AVADE Training. Workplace Violence Policy. Badge-only access. Security to partner with teams. BOLOs. History of violence is flagged in EPIC.
What educational opportunity(ies) are provided for direct care nurses regarding the application of evidence-based practice?
Nurse Residency program EBP Project. Library and Nursing Research and Practice resources to help with EBP, ALNs to support how to apply ABP to PI/Quality projects.
Difference between PTE and PEP?
Pathway to Excellence (PTE) is a nursing DESIGNATION.
Professional Excellence Program (PEP) is a CLINICAL LADDER program.
How are direct care nurses involved in the interprofessional decision-making process to select new technology?
What methods do leader(s) take to support direct care nurses during periods of planned or unplanned organizational change?
Communication of changes in email, huddles, the LENs. ALNs are available to teach managers how to Manage and Facilitate Change. Rounding takes place. Direct care nurses are supported emotionally.
How are direct care nurses supported in communicating long-term staffing plans?
Discussed in staff meetings, huddles, 1:1, nursing town halls, UBC/NPC, direct conversation
How do we use interprofessional collaboration to meet quality initiatives?