benefits to having a diverse and inclusive environment in the workplace. A diverse and inclusive workplace comprised of people from many different backgrounds tends to have a broader idea pool and variety of perspectives. Problems can be framed in different ways that lead to creative solutions across every department of the organization. A diverse workforce provides a fresh point of view. How diverse is your workplace? This question is being asked of all major companies and organizations, including healthcare organizations. ANCC and the Magnet program require all designated organizations to compare the diversity of the RN workforce to the diversity of the communities served. They are also increasing the requirements to reflect the position statement from the American Nurses Association, 2022.
Inclusion represents how well an organization establishes a culture that demonstrates respect for every member of the workforce. This promotes a welcoming atmosphere, motivates employees to perform at their highest level and fosters an inclusive work environment that empowers people to be their authentic Aselves.welldesigned
(This is part 1 of a 3 part series)
diversity and inclusion policy can enhance a company’s image and culture, attract a broader talent pool, enable better business performance across the board, assist with ensuring impartial decisions at the recruitment stage but also foster a healthier workplace where employees feel heard and supported. The goal is to ensure fairness and equity for all employees, regardless of primary or secondary characteristics; however, diversity and inclusion is an ongoing process rather than a destination. Bias, unconscious or otherwise, should not exist and should not drive decision making.
Think of “Diversity” like selecting voices for a choir, there are differing musical backgrounds, vocal ranges, tones, and abilities. “Inclusion” means acknowledging that those different voices and tones are components that make up a whole and should be heard and valued for their contribution to the Thereperformance.aremany
The American Nurses Association (ANA) recognizes progress in most national efforts to eliminate discrimination associated with race, gender, and socioeconomic status through improving access to and attainment of health care, and quality of health care. However, concerted efforts must continue for discrimination to be eliminated in all its forms. ANA recognizes impartiality begins at the level of the individual nurse and should occur within every health care organization. All nurses must recognize the potential impact of unconscious bias and practices contributing to discrimination, Diversity and Inclusion in the Workplace (Healthcare)
Diversity and inclusion represent two different concepts that together will create a synergetic workplace for all. Diversity focuses on the demographics of the workforce that is two fold. It includes those that are primary, e.g., gender, race/ethnicity, age, sexual orientation, and mental and physical abilities as well as those that are secondary, e.g., work background, education, communication style, socioeconomic status, marital status, native born and non native born, military experience, religious beliefs, thinking/learning styles, geographic location, parental status, and smoker/non-smoker status. It is very important that the healthcare workforce represents the diversity of the community it serves.
Volume 13│Issue 2│Summer 2022 Carilion Clinic Roanoke Campus
Pam Lindsey, MSN, RN—Magnet Program Director & Monica Coles, DNP, APRN, MEDSURG BC, ACNS BC, CDP Gerontology Clinical Nurse Specialist
Continued on page 3
ARTICLES/NOTIFICATIONS 1 Diversity and Inclusion in the Workplace (Healthcare) Pam Lindsey, MSN, RN; Monica Coles, DNP, APRN, MEDSURG-BC, ACNS-BC, CDP 4 Improving Work Environment and Retention in a Progressive Care Unit (Part 2) Suzanne Beels, MSN, RN, AGCNS-BC, CCRN; Susan Blankenship, MS, BSN, RN, PCCN 6 Electrostatic Discharge (ESD): Is it on our radar? Chris Fish-Huson, PhD, RN, CNE RECOGNITION/EVENTS 8 Nurse Externship Students SOAR to Graduation 10 Recognitions 15 Conference Corner 16 Virtual Healthcare Hot Topics Journal Club 17 Citations and Additional Recognition 18 See Where Our Nurses Have Presented Their Work 19 Nursing Research Classes 20 External Conference Information Carilion Nursing Research Editorial Board: Chris Fish Huson, PhD, RN, CNE Editor in Chief Nancy Altice, DNP, RN, CCNS, ACNS DesireeBCBeasley, MSN, RN, CCNS, CCRN K Ann Beheler, ADN, RN Sarah Browning, DNP, RN BC Charles Bullins, DNP, RN, AGACNP BC Sarah Dooley, MPH, BSN, RN Cindy W. Hodges, BSHS, RNC, FCN James Ingrassia, MSN, RN Pam Lindsey, MSN, RN Margaret Perry, MSN, RN BC Laura Reiter, DNP, RN, CCRN, CindyCNRNWard, DNP, RN BC, CMSRN, ACNS BC Reviewers Page 2 Within REACH
Reference ANA Position
and actively seek opportunities to promote inclusion of all people in the provision of quality health care while eradicating disparities. ANA supports policy initiatives directed toward abolishing all forms of discrimination.
• Hiring from only the experience listed on a resume leads to a non inclusive workplace and leaves the organization lacking a new and extended vision.
• The organization must publish its diversity goals and ensure that all employees are updated on the progress.
• Challenges that prevent leaders at the executive level from promoting diversity need to be overcome if true sustainable diversity is the goal. Leaders, starting with the C Suite, need to take a holistic approach to their diversity and inclusivity initiatives and be educated about diversity in hiring and promotions within the organization.
• Education is a key part of fostering a sense of inclusion in any organization, and inclusive bias is a topic that must be taught.
We do not work in a confined space or insular environment; each entity is a part of a common goal. Statement: The Nurse’s Role in Addressing Discrimination: Protecting and Promoting Inclusive Strategies in Practice Settings, Policy, and Advocacy. Online J Issues Nurs. 2019;24(3). doi:10.3912/
• Recruitment is the biggest driver of diversity in the workplace. It begins with the how and where advertisement of positions and vacancies are posted but is not the sole responsibility of Human Resources.
What can an organization do to increase the diversity and inclusion of its workforce?
OJIN.Vol24No03PoSCol01 (Continued from page 1)
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• Hiring “for fit” is anti-diversity and should be eliminated from the language used in hiring or promotion.
As nurses providing care for communities, the ANA sums it up in their anti discrimination statement. It takes every nurse everywhere to eliminate discrimination and promote diversity and inclusion.
Practical Applications of Nursing Inquiry
Discrimination continues to affect the health of populations. Discriminatory practices that are either intentional or unintentional must be addressed by individual nurses and the profession. Given the impact of unintentional discrimination based upon attitudes and stereotyping, all nurses must examine their biases and prejudices for indications of discriminatory actions. Health disparities continue to exist and are influenced by health policies, individual discriminatory actions, marginalization, and perceived discrimination by the affected population. The nursing profession is responsible for promoting an environment of inclusiveness where all receive safe, quality care, and caregivers are intolerant of any discriminatory practice. ANA, (2022).
Concerns regarding high turnover rates amongst 7SPCU nurses, a Cardiovascular Progressive Care Unit (PCU), were identified by department leaders. The 7MPCU and 9SPCU employees were combined in December 2019 to form a new CVI surgery PCU. Nurses were challenged with learning skills to care for cardiac, vascular, and thoracic surgery patients: creating a lengthy competency validation list of high level skills.
Improving work environment and retention in a progressive care unit (Part 2 of 2)
7SPCU is a PCU serving post operative cardiac, thoracic, and vascular surgery patients. The benefits of establishing a weekday FCN were to develop and maintain frontline clinical expertise and provide throughput support.
In the Spring edition of Within Reach, we discussed how 7SPCU positively impacted staff satisfaction and turnover by developing a floating charge nurse (FCN) role during hours of high patient churn. Part two discusses the impact on patient satisfaction and recommendations.
The FCN role was developed to validate and support a diverse set of competencies and ensure optimal and efficient post operative care through discharge. The FCN did not carry a standard patient assignment but was available to fill any gaps in care. Typical tasks included managing throughput for seamless transitions in care, accepting and admitting new patients, and providing guidance during critical or crises situations. Direct care made up nearly half of the FCN’s work
Suzanne Beels, MSN, RN, AGCNS BC, CCRN; Susan Blankenship, MS, BSN, RN, PCCN CVI
Press Ganey was used to evaluate patient perception. One set of questions that engaged patients to consider their likelihood to recommend were components of the ‘responsiveness of staff’ score. The questions bedside nurses were most able to influence on a shift by shift basis were responsiveness to call bell and timely assistance with toileting. Staff made these two measures a priority.
Assessment and outcome measures and data collection
Description of population and benefit
Thehours.FCN was not a protected role meaning it was often eliminated to use the FCN in standard patient care assignments on 7SPCU as well as across the facility. The 7SPCU RNs elected to work over matrix at a 5:1 patient ratio to maintain an FCN. However, when staffing needs were not met, the FCN was utilized for patient assignments on other units. Out of the 370 day pilot, the FCN was able to perform the role for only 140 days, yet the overall impact was positive.
‘Responsiveness of Staff’ by increasing scored components related to call button and toileting.
Purpose and aims
*Part 1 of this 2 part series was featured in the Spring 2022 edition of Within REACH
Surgery & Educational and Organizational Development
The quality project purpose was to appropriate a weekday FCN to support RN staffing levels on a CVI Surgery PCU. The project aim was to improve Press Ganey overall measure
Methods and procedures
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Toileting Question: I received toileting help as soon as I wanted it. The overall pre-project score was 65.6% of patients received toileting help as soon as they wanted it. The post project score was 75.61%.
Waydhas, C., Herting, E., Kluge, S., Markewitz, A., Marx, G., Muhl, E., Nicolai, T., Notz, K., Parvu, V., Quintel, M., Rickels, E., Schneider, D., Steinmeyer Bauer, K., Sybrecht, G., & Welte, T. (2018). Intermediate care units: Recommendations on facilities and structure. Med Klin Intensivmed/Notfmed, 113, 33-44. doi: https://doi.org/10.1007/s00063- - -7
Impact and Recommendations
Lampo, D. (2019). American Association of Critical Care Nurses [AACN]: Staffing in acute and critical care. Retrieved from AACN https://www.aacn.org/clinical resources/staffing# Ulrich, B., Barden, C., Cassidy, L. & Var Davis, N. (2019). Critical care nurse work environments 2018: Findings and implications. Critical Care Nurse, 39(2), 67 84. Retrieved from http:// aacnjournals.org’ccnonline/article pdf/39/2/67/116850/67
Question: I received call button help as soon as I wanted it. The pre-project score was 52.5% of patients received call button help as soon as they wanted it. The post project score was 76.09%.
References American Nurses Association [ANA]. (2015). Optimal nurse staffing to improve quality of care and patient outcomes: Executive summary. Retrieved from https://www.nursingworld.org/~4ae116/globalassets/ practiceandpolicy/advocacy/ana_ optimal nurse staffing_white paper es_2015sep.pdf Elsevier. (2017). Orientation and Retention. Retrieved from https://www.elsevier.com/clinical- solutions/ nurses/orientation-and-retention
Call Button
Since project completion and elimination of the FCN role, a downward trend has been noted in both Additionalscores.incidental outcomes that could not be directly associated with the pilot project but occurred simultaneously included: 1. a decrease in CVI PACU (post-anesthesia care unit) hold times (improving throughput for post surgical patients and decreasing OR downtime), 2. improvement in unit morale and social environment, 3. low HAI (Healthcare Associated Infection) rates, 4. increase in completed patient and quality rounds, 5. improvement in PGPE (Press Ganey Patient Experience) overall ‘likelihood to recommend’ score.
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0369
Press Ganey scores reflected an overall improvement in patient satisfaction for likelihood to recommend and responsiveness of staff.
017
Findings
Without increasing FTEs, the FCN role had a positive impact during the pilot period. The sustainability of the FCN role was not possible due to significant global staffing shortages. The role was absorbed back into standard staffing numbers to cover 7SPCU as well as other units. Since the role was not a protected position, it was not allowed to continue once staffing across PCUs reached critical shortages despite the positive impact on employee turnover, engagement, and patient satisfaction. The recommendation from the study team was to implement a full time FCN during the hours of highest patient churn for a minimum of twelve hours per day on surgery days. Additional quality monitoring should be done to measure the impact of having an FCN on nightshifts and weekends. The study team recognized the need to do an individualized unit-based analysis for this project to be successful in other areas.
4. Be cautious when transferring patients from the bed to a stretcher.
Page 6 Within REACH
3. Wear nitrile gloves when touching patients or equipment, including when transporting a patient2 .
5. Make sure equipment due for a preventative maintenance check is sent to Clinical Engineering promptly.
1. Be aware of those instances when ESD can occur such as during transport and repositioning.
6. Submit a Safewatch report if you believe an ESD event has occurred (device restarts inappropriately, errors with display, etc.).
Chris Fish-Huson, PhD, RN, CNE - Sr. Director - Carilion Nursing Research
We can take action to lower the risk of ESD-related adverse events by considering the following:
ESD is a transfer of electricity between two objects with differing electronic potentials1. To better relate the concept of ESD, consider a time you walked across a carpet, touched a table lamp or the television, and received a shock you relate to as a static electrical shock. This electrical shock you experience is electrostatic discharge. ESD is not always a noticeable event; it is often unnoticed. To complicate the issue, healthcare workers are often unaware of ESD and how it might impact their care.
The FDA has reported 1,342 ESD related equipment malfunctions between 2006 and 2016, resulting in 46 incidents of injury and five patient deaths1. The most common device to be reported was a clinical chemistry analyzer (n=769 reports), resulting in inaccurate laboratory measurements1. The second most reported device was infusion pumps (n= 173 reports), leading to errors in date/time display, restarting of the pump, and dose delivery errors1. ESD has also been reported to trigger motor restart of ventricular devices, unexpected shutdown and inaccurate values of mechanical ventilators, time and date change on blood glucose devices, and incorrect readings of intracranial pressures1 .
Electrostatic Discharge (ESD): Is it on our radar?
Healthcare workers use an increasing amount of technology in their practice. In the inpatient environment, some of this technology includes electronic tools such as blood glucose measurement devices, pulse oximetry, and infusion pumps. One might see intracranial pressure monitoring, mechanical ventilators, and ventricular assist devices in specialty areas. When considering preventing adverse events related to medical devices such as these, providers often believe in diligence in following policy and procedure. However, one phenomenon associated with using electronic devices is a potential cause of an adverse event and is often overlooked in policy and procedure. This phenomenon is electrostatic discharge or ESD.
2. Wear grounded/insulated footwear such as rubber soled shoes, or wear disposable shoe covers.
Factors that impact ESD include humidity levels and activity1,2. Activities such as friction on the floor when transporting a patient, transferring a patient to a stretcher, and repositioning the patient in bed can all lead to ESD3. In these instances, ESD is most often discharged through human touch of a metal part of the device, increasing the occurrence when touching the device while holding a metal object such as an IV pole3. Moisture in the air contributes to the discharge of electricity, with greater room air humidity being found to decrease electrical discharge3. It is recommended that the room humidity level be no lower than 30% to minimize the ESD and the associated adverse events3
3. Kohani, M., et al. Electrostatic charging of a human body caused by activities and material combinations in hospitals. Institute of Electrical and Electronics Engineers Transactions on Electromagnetic Compatibility, 2020: 62(2), 315 323. Other resources: Elliot, W. Gianetti, G “Electrostatic discharge interference in the clinical environment” Biometrical Instrumentation & Technology, 1995.495 499. ESD Association. “Fundamentals of electrostatic discharge: Part 1 an introduction to ESD” 2020. Retrieved on 6/3/2022 from https://www.esda.org/esd overview/esd fundamentals/part 1 an introduction to esd/ Najjar, E., Hallberg Kristensen, A., Thorvaldsen, T., Dalen, M., Ulrich, P., Lund, L. Electrostatic discharge causing pump shutdown in HeartMate3. 2021: 3(3), 459-463.
1. Kohani, M., Pecht, M. Malfunctions of medical devices due to electrostatic occurrences; Big data analysis of 10 years of the FDA’s Reports. Institute of Electrical and Electronics Engineers Access, 2018: 6, 5805 5811.
The increasing use of technology in our practice is important to improve efficiency and safety of care, thereby improving patient outcomes. One challenge we must keep in mind is to continue to question if our practice, in this case, related to technology, is the best practice. After all, ensuring the best outcomes of our patients is the reward for exercising best practices.
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Practical Applications of Nursing Inquiry
References
2. Welker, R. W., Nagarajan, R., Newberg, C. E. Contamination and ESD control in high technology manufacturing. John Wiley & Sons; 2006.
Executive Vice President Jeanne Armentrout addressed the students at the graduation event and encouraged them to never stop learning and never stop caring.
SOAR has three main goals:
In the last year, 36 externs who graduated were hired into our Carilion family as nurse residents.
SOAR (Seeking Opportunities, Aspirations and Results) is our nurse extern program. Selected nursing students attend our extern academy and professional development sessions in summer or winter and receive didactic and skills training that build their competencies as caregivers in the hospital setting. They work alongside nurses and real life experience caring for patients.
Page 8 Within REACH
On Friday, July 29, 19 students graduated from the summer SOAR program (graduated nursing school) and 34 graduated on their way to their senior year of study. This year’s students worked at eight different facilities in our organization.
*Posting from WOW Wall:
Offering this educational program to nursing students and then having them join us makes our patient care that much better”, said Kristin Crouse, director of our Transition to Nursing program. “Those relationships built during the externship carry on with them as they become valued members of our Carilion family.”
Chief Nursing Officer Meg Scheaffel said she “supports a progressive and innovative learning and working environment” and is grateful and excited to see the inaugural graduate’s transition into practice at Carilion.
If you know someone who would be interested in the SOAR program, reach out to Kristin Crouse, Nursing Professional Practice, at klcrouse@carilionclinic.org.
“You are now better prepared for the next phase of your education or your first nursing job,” she said. “Continue to be curious. Never hesitate to ask a question; challenge the status quo. Be courageous and listen to your intuition. Take risks and take on new opportunities when they are offered to you.”
• Build confidence • Get nurses ready to practice • Offer nurses a place to build their career
“
Nurse Externship Students SOAR to Graduation
Practical Applications of Nursing Inquiry Kristin Crouse l r: Kristin Crouse; Nicole Strohman Meg Scheaffel Jeanne Armentrout l r: Josie O’Dell; Addison Wallace; Colleen Woods, Josey Lackey; Joshua Maloneylr:Joshua Maloney; Trent Clugston; Addison Wallace
Congratulations to Catherine for being invited by the Oncology Nursing Certification Corporation (ONCC) to be a writer for the Certified Breast Care Nurses exam!
Courage!
Catherine has long been an advocate for our breast cancer patients and this opportunity allows her to play a part in educating the next generation of Certified Breast Care Nurses”.
Congratulations to Alicia McAllister Daniels, Senior Director in Carilion Childrens for receiving a 2022 Medical Hero award from the American Red Cross. Alicia was the recipient of this award for her work to bring awareness to the mental health needs of healthcare workers. Alicia does this work in honor of her late husband, Alva Daniels, a dedicated respiratory therapist who took his life last year. Thank you Alicia for bravely sharing your story and raising awareness about this important topic.”
Carilion Breast Care Center - Breast Care Specialist
Catherine Hagan-Aylor, MSN, RN, CBCN
“
Quote from the Carilion WOW Wall
Alicia McAllister-Daniels, MSN, RN, CPN, NE-BC Senior Director Carilion Childrens
Page 10 Within REACH Compassion!
~ from the Wow wall post by Michelle Franklin
American Red Cross 2022 Medical Hero Recipient
Oncology Nursing Certification Corporation
Practical Applications of Nursing Inquiry
Compassion!
Jenny Luhr, RN Carilion Infusion Center
Commitment!
“Jenny was recognized for this award for coordinating a specialized recycling process at Riverside 1. Jenny observed the significant waste occurring with medication shipping supplies at the Infusion Center the shipments were being unpacked and shipping materials thrown in the trash. She identified that the company was sending a pre paid shipping label with the delivery, which could be used to mail back the boxes, cooler, ice packs and timers to the company for recycling. With approximately 8-10 boxes received per week, each weighing anywhere between 7-18 pounds, this project will keep a lot of waste out of our landfills! Jenny is passionate about sustainability and wants to "keep the world around". Jenny has been the Infusion Center sustainability champion for a couple of years, and is always seeking new ways to protect our environment. Thank you, Jenny for this innovative idea! “
2022 Sustainability Hero Award - Gold Level
CRMH Clinical Ethicist/CNS Palliative Care/Moral Distress
Phyllis Whitehead, PhD, APRN/CNS, ACHPN, PMGT-BC, FNAP, FAAN
President, National Association of Clinical Nurse Specialists
~from Wow Wall Post Marina Sotelo
Phyllis has been elected the President of the National Association of Clinical Nurse Specialists. She is a clinical ethicist and clinical nurse specialist at CRMH Palliative Care Service and Associate Professor at the Virginia Tech School of Medicine. She is certified in pain management and as an advanced practice hospice and palliative care nurse. Phyllis has done numerous presentations on pain and symptom management, opioid induced sedation, moral distress, and patients’ end of life preferences locally, regionally, nationally and internationally. She is also President of the Virginia Foundation of Nurses. She is a founding member and Board of Director member of the Virginia Association of Clinical Nurse Specialists.
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Page 12 Within REACH
~ Wow Wall
Commitment!
Surgical preoperative areas started performing preoperative shaves utilizing disposables to contain hair rather than reusable linens, in an effort to reduce contaminated instruments in the OR from hair that entered the laundry system. Instead of buying disposable sheets to perform the hair clipping, the Preop and OR departments collaborated. It was discovered that the OR staff was just throwing away blue disposable covers that covered sterile instruments. The two departments decided that instead of throwing the disposable covers away, they would collect these covers for the preop team to use during the clipping process to avoid hair getting on the linen on the stretchers. This project demonstrates commitment to sustainability by using innovative, collaborative solutions. Not only does this benefit the patient in terms of reducing contamination in sterile environments it prevents the unnecessary disposal of reusable linens and repurposes and recycles products used consistently in the OR which helps to support sustainability and reduce health care costs.
Alicia Lee CTL, RN, started a plastic film initiative to accumulate 500 lbs of plastic film (plastic bags) within 6 months. If the Surgical Care Unit achieves this goal, the plastic is then turned into a bench to be donated back to the hospital for visitors and staff to use on the hospital grounds. At this point, it's not 6 months yet from the start and the plastics accumulated so far amounts to over 250 lbs.! Though the bench might not be here yet, it's not the prize that's really meaningful it's the collective goodwill of the unit to help the hospital environment and serve the people and patients of the community better! Also, this project is not just for one timeframe as the unit expects it will continue as a practice in the unit as it's non intrusive, voluntary, can be replicated, and very beneficial! The plastic challenge is a simple yet superb initiative, therefore, it deserves a Sustainability Hero Award! Post Marina Sotelo
Commitment!
CRMH OR Services - Preop and OR Collaboration Sustainability Hero Unit Award - Gold Level
CNRVMC Surgical Unit Sustainability Hero Unit Award - Bronze Level
Wow Wall Post Desiree Beasley
Page 13 Practical Applications of Nursing Inquiry
“
The Patient Experience Team at CGCH selects one colleague each month that makes a significant impact to the Patient Experience that is provided at our facility. Congratulations to Alania Utterback on being awarded the Ripple Award. She is an RN on the Medical Surgical Unit at Carilion Giles Memorial Hospital. She was nominated 5 times via feedback in Cornerstone within a one month time span! She has had multiple Great Catches reported, as well as displaying excellent teamwork skills. She is described as a role model for her peers and an advocate for her patients.
~
Alania Utterback, RN CGCH Ripple Award
Logan Underwood, RN CNRVMC Emergency Department
Awarded CNRV Nursing Scholarship - Carilion Foundation
”
Compassion!
Commitment!
Congratulations to Logan for being selected as the recipient of the CNRV Nursing Scholarship. This scholarship is made possible by donations from fellow staff and physicians of CNRV to the Carilion Foundation. Logan is an RN in the ED and is currently pursuing his RN BSN nursing degree with a long term goal of obtaining his MSN. He has an established commitment not only to his education but also to his community through being an EMT and training hew hire Communication Officers to efficiently and accurately dispatch both Police and Fire/Rescue calls for service.
Wow Wall Post - Ashley Graham
~
Page 14 Within REACH
To recognize the commitment and care the ED has provided in the face of many adversities and hardships, a physical token of appreciation in the form of a custom challenge coin for demonstrating Carilion’s core value of Commitment to our organization and our community was developed. Challenge coins were distributed to staff of the ED. The coins were designed by ER nurse Travis Talley, BSN with help from Craig McCown NREMTP. These coins of recognition were handed out by Paul Davenport, VP, Amanda Brendel, DNP, RN and Ashlie Ikenberry, MSN, RN to staff who were busy with patient care and not able to get off the floor to receive this wonderful token of appreciation!
Commitment!
CRMH Emergency Department Staff Commitment Recognition
(*To read more about the challenge coin, see the Wow Wall post on August 2, 2022 on Inside Carilion)
CORNER
Page 15 Practical Applications of Nursing Inquiry
CONFERENCE
2022 Virginia Organization of Nurse Executives & Leaders (VONEL), Richmond, VA Deirdre Rea, DNP, MSN, PMHRN BC was accepted to present her poster at the 2022 VONEL Conference. Her IRB approved project was titled A Review of the Effect of Medicaid Expansion on Mental Health Emergency Department Utilization in SW Virginia. Resilience and Reinvention was the conference theme. Deirdre is the Director at Connect, a service that offers a variety of mental health resources for the community.
2022 Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) Convention, Denver, CO Danielle Liddle, DNPs, BSN, RNC OB, C EFM presented her project Effects of Labor Support Education on Nursing Knowledge, Confidence, and Cesarean Sections at the AWHONN convention in June. Danielle works at CNRV in the Birthplace. Her project was also accepted by the Journal of Obstetric, Gynecologic and Neonatal
Page 16 Within REACH
A new discussion will be started every one to two months. There will be a channel for each new topic with the article posted in the Files section. Discussion questions for the article will be located in the Wiki.
The Unit Outreach Subcommittee of the Research Council has started a virtual journal club to provide an opportunity to read and discuss issues of concern in healthcare. The journal club is open to any employee The most exciting thing about the Healthcare Hot Topics Journal Club is that it is virtual! Using the Teams platform will allow participants to post their comments and opinions when it is convenient for them.
Questions?
A separate tab will give access to the evaluation form. Please complete the evaluation to let us know your opinion about the journal club and what future topics you’d like to discuss.
Introducing the Virtual Healthcare Hot Topics Journal Club!
Participation in a journal club can be used to fulfill the Research criteria for RN 2. The subcommittee will discuss ways journal club participation could be added to RN 3 and 4 criteria and make recommendations to the CAP Committee.
Cindy Ward, DNP, RN-BC, CMSRN, ACNS-BC Research Council Unit Outreach Subcommittee
Contact: Cindy Ward Clinical Nurse Specialist email: phone:cwward@carilionclinic.org5402242508
Kronebusch, B., Kurt, D., Coles, M., Whitehead, P., Callear, J., Bierbaum, J., Everett-Day, S. Jan/Feb 2022. A Call to Action: Leading the Charge for Diversity, Equity, and Inclusion Among Clinical Nurse Specialists. Nursing Economics 40(1), 19-23. Bogue, R., Carter, K. May 2022, The Nurse Wellbeing of Self Assessment Supports the Model of Leadership Influence for Health Professional Wellbeing. Nursing Outlook 70(3), 478 486. Jones, B., Anderson, A., Semones, A., Carter, K., Lockhart, E. June 2022. Implementing a SimulationBased Program for Nurse Leader Patient Rounding. A Novel Approach to Increase Rounding Confidence. Journal of Nursing Administration, 52 (6), 377 379. Lucas, A., Ward, C. July 2022. Manual and Continuous Irrigation: Best Practices. Nursing 2022, 52 (7), 31 36. 10.1097/01.NURSE.0000832324.25954.7bdoi: Hedge, V., Carter, K., Downey, W., Sharp, H. July 2022. Prevalence of Diabetes Among Adolescents with Type 1 Diabetes Mellitus. The Journal of Nurse Practitioners. doi :https://doi.org/10.1016/ Bullins, C. June 2, 2022. Accepted into the cohort of the Fuld Institute DNP Postdoctoral Fellowship. Hagan, C. June 2022. Invited by the ONCC as a writer for the Certified Breast Care Nurse exam.
Page 17 Practical Applications of Nursing Inquiry April 2022 July 2022 (& past presentations not noted prior to this edition)
Bogue, R., Carter, K. February 2022. Application of the Model of Leadership Influence for Health Professional Wellbeing during Covid-19. Nursing Outlook, 00(00), 1 7. j.outlook.2022.02.010.https://doi.org/10.1016
Reiter, L, Plaster, S. March 12 15, 2022. Reducing External Ventricular Drain Related Infections. American Association of Neuroscience Nursing Annual Conference, Phoenix, AZ Alderman, A., Cady, G., Ramsey, K., Moses, K., Cleveland, R. March 13 19, 2022. A Huddle for Every Bundle: Decreasing the Occurrence Rate of CLABSIs in the NICU. Carilion Quality Conference, Roanoke, VA Meadows, G. March 13-19, 2022. Foley Free ED: Reducing the Number of Foley Catheters Placed in the ED, While Increasing the Number of Corresponding Orders. Carilion Quality Conference, Roanoke, VA Liddle, D. June 25 29, 2022. Effects of Labor Support Education on Nursing Knowledge, Confidence, and Cesarean Section Rates. Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 2022 Conference, Denver, CO Taylor, O., Harvey, E. June 10, 2022. Reducing External Ventricular Drain Associated Ventriculitis. Carolinas/Virginias Chapter of the Society of Critical Care Medicine (SCCM) 40th Annual Scientific Symposium, Roanoke, VA Bowser, S. June 10, 2022. Building Resilience in the Inpatient Nurse. 2022 Virginia Organization of Nurse Executives & Leaders (VONEL) Conference, Richmond, VA Rea, D. June 10, 2022. A Review of the Effect of Medicaid Expansion on Mental Health, Emergency Department Utilization in SW VA. 2022 Virginia Organization of Nurse Executives & Leaders (VONEL) Conference, Richmond, VA Mossadad, Y., Osborne, L., Wolfe, M., Lipes, A., Sink, D., Murphy, C., Cleveland, R., Ward, C. April 5, 2022. Preventing Unplanned Extubations in Critically Ill Pediatric Patients. Carilion Research Day 2022 Virtual. Liddle, D., Barefield, M. April 5, 2022. Effects of Labor Support Education on Knowledge, Confidence, and Cesarean Rates. Carilion Research Day 2022 Virtual. Harvey, E. April 8, 2022. The A2F Bundle: Nursing Practice and Opinions. 7th Annual Korean Association of Trauma Nurses (KATN) Conference Video Presentation. Harvey, E. April 22, 2022. Early Recognition and Rescue of the Injured Patient. 30th Annual Hampton Roads Trauma Symposium, Williamsburg, VA
Page 18 Within REACH “The World is a book, and those who do not travel read only a page.” Saint Augustine Palm United Kingdom Lake Buena Vista WilliamsburgNatl.Harbor, MD Greenville Nottingham Anaheim Aurora
Page 19 Practical Applications of Nursing Inquiry CLASSES & EVENTS Basic Research for the Healthcare Professional NR-CE333L From Clinical Question to Project Proposal (Pre-Nursing Research Fellowship Class) NR-CE328L *Additional classes are being evaluated for 2023 Keep an eye on Within REACH or go to our hub on Inside Carilion for additions to our Nursing Research Classes October 20, 2022 - 1:00-5:00pm December 1, 2022 8:00am 12:00pm November 2, 2022 - 1:00 - 4:00pm *All classes and events will be virtual at this time.
2022 NURSING CONFERENCE INFORMATION Page 20 Within REACH ANCC 2022 MAGNET & PATHWAY TO OctoberCONFERENCEEXCELLENCE13-15,2022 Philadelphia, PA
