Nursing Annual Report 2019
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CHR IST IA
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To be the transformative and intellectual force improving health through the evolving art and science of nursing.
Professional Governance
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and Values o rs i B e h av
VISION STATEMENT
We, the nurses of ChristianaCare, provide a high quality, exceptional care experience for every patient, every day, by partnering with our neighbors, colleagues, and each other.
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MISSION STATEMENT
S ta co nd pe ard s
The ChristianaCare Way
Contents A Message from Ric Cuming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Journey to Magnet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Rebrand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Exemplary Professional Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Ethics, Privacy, Security and Confidentiality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Culture of Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Nurse-Led Quality and Safety Improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Empirical Quality Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Transformational Leadership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Structural Empowerment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Awards and Recognition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Development Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
New Knowledge, Innovations and Improvements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Building a Systemwide Evidence-Based Practice . . . . . . . . . . . . . . . . . . . . . . . 42
Publications and Presentations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
ChristianaCare Nursing Annual Report 2019 | 1
A MESSAGE FROM RIC CUMING
A Reflection on Love, Excellence and Magnet® When we began producing this publication, the world was different. Like everywhere, coronavirus COVID-19 hit the Delaware region strongly and swiftly, putting ChristianaCare caregivers at the frontline of a globally scaled public health crisis. And never has the Magnet® excellence of our nurses been more apparent than during these days of the pandemic. In large and small ways, our ChristianaCare nurses have walked toward the coronavirus COVID-19 crisis with love and excellence. They have exhibited the exemplary characteristics of caregivers at a twice-designated Magnet institution — leadership, innovation, intellect, collaboration and focus on community — never wavering in their commitment to patient-centered, evidencebased, outcomes-oriented care. Although there was much to celebrate in 2019, my message here is really a celebration of ChristianaCare nurses today. In some of the hardest professional days our nurses have ever experienced, even as they deal with pandemic-related stresses at home, they’re demonstrating tremendous bravery and sacrifice. Across the health system and our home health agency, nurses are going above and beyond to help patients and each other. Practicing at the top of their licenses, so many of our acute care nurses are managing COVID-19 patients, and their colleagues are working hard to ensure that other patients get the care they need. At the same time, numerous ChristianaCare nurses are assuming new roles as needed to support as many people in our community as possible. For example, a number of our acute care nurses are working with our home health agency — ChristianaCare
2 | Message from Ric Cuming
HomeHealth — to meet growing needs in our patients’ homes. A group of nurses are bringing care to a faith-based community to support its members where they live. And numerous nurses are jumping in to answer increased calls to CareVio, our care management technology platform, enabling us to serve our most vulnerable neighbors. These amazing caregivers are joined by thousands of others from all parts of ChristianaCare in finding new ways to stem the progression of COVID-19 across our community and to care for those with the virus. Florence Nightingale, who defined nursing caregiving from the battlefields of the Crimean War, once said nursing is, “To love, to help one another, to act together, to strive together, to work to the same end.” Nearly two centuries later, her words are echoing around the world. Here in Delaware, I am so proud of our nurse caregivers. In the midst of an unprecedented crisis, they truly make ChristianaCare exceptional today, even better tomorrow and Magnet every day. Warmly,
Ric Cuming, Ed.D., RN, NEA-BC, FAAN ChristianaCare Chief Nurse Executive President of ChristianaCare HomeHealth
ChristianaCare Nursing Annual Report 2019 | 3
JOURNEY TO MAGNET
Exceptional Today, Even Better Tomorrow And Magnet® Every Day! ChristianaCare’s Magnet® journey reached a much-anticipated milestone in August 2019 when we submitted our Magnet redesignation application to the American Nurses Credentialing Center (ANCC), Caregivers across all service lines participated in the rigorous four-year process to build the document for our third Magnet redesignation. Behind each Magnet Model Component write-up there was a team of ChristianaCare nurse leaders, subject matter experts and writers who wrote, vetted and approved all content.
Setting a new bar
In 2018, ChristianaCare earned the ANCC Magnet Prize® for the Helen F. Graham Cancer Center & Research Institute’s virtual reality positive distraction therapy, developed by our oncology nurses. The technology helps lessen patient anxiety in certain clinical settings by virtually immersing them in environments like beaches, forests or popular destinations. This prestigious prize is awarded to only one health care system each year based on applications from across the globe. In 2019, we proudly welcomed representatives from ANCC and Cerner to ChristianaCare to show how the $50,000 prize was used. In addition to experiencing the virtual reality technology in person, they learned we have expanded the program to different clinical practice areas, including the 6E Oncology, Ambulatory Infusion and Labor and Delivery units, and that we are conducting research into this care optimization approach. Our visitors told us they’d never seen an organization do so much with the prize. ChristianaCare, they said, has “set a new bar.”
4 | Journey to Magnet
Modeling Magnet daily Nurses connect to the Magnet Model components through Professional Practice Model display boards located right in their clinical area, which are translational tools created by Nursing councils to illustrate Magnet nursing excellence in everyday practice.
Magnet Masters Thank you to our seven 2019 Magnet Masters. Liaisons between ChristianaCare’s director of Nursing Professional Excellence/Magnet® Recognition, Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, and our 200 Magnet Ambassadors and service line colleagues. These Magnet Masters help steer Magnet enculturation across the health system. Magnet Masters present updates and receive feedback and suggestions from our service line leaders through quarterly updates. They also plan our Magnet Ambassador quarterly retreats for education and engagement of the Magnet Ambassadors. Kenneth Anderson, BSN, RN, CCRN 3D Transitional Medical Unit Acute Medicine Liaison Maria Brown, BSN, RNIII, PCCN 2B Transitional Surgical Unit Surgical Services Liaison Elaine Farr, BSN, RNIII-BC 2B Transitional Neuro Unit Neurosciences & Behavioral Health Liaison
Ashley Jackson, BSN, RN 3B/3C/4B Postpartum Women & Children’s Health Liaison Samantha Lewis, BSN, RN 6S Wilmington Intensive Care Unit Acute Medicine Liaison Kara Welcher, BSN, RN ChristianaCare HomeHealth, Primary Care and Community Medicine Liaison
Karen Karchner, ADN, RN, OCN Cancer Research Cancer, Primary Care and Community Medicine Liaison
ChristianaCare Nursing Annual Report 2019 | 5
REBRAND
New day, new look — For The Love Of Health The ChristianaCare journey began in 1888 in Wilmington, Delaware, with a commitment of service to the community as expert, caring partners in health. Since then, we have grown to meet the needs of Delaware and surrounding communities with compassion, courage and empathy — not just by adding brick and mortar buildings, but by embracing new technologies, innovating, learning and evolving to become a health system that understands and addresses the needs of the whole person.
In fall 2019, we marked a new milestone in our journey to be more than a great health system but a system that truly impacts health when we unveiled a vibrant new brand identity and theme, “For the Love of Health.”
6 | Rebrand
Love and excellence where patients want it most — at home
Help in the Comfort of Home ChristianaCare.org/HomeHealth
Help in the Comfort of Home
Since 1922, ChristianaCare’s home health agency has been a vital partner to the health system. Formerly known as the Visiting Nurse Association, the agency recently launched a new brand identity, changing its name to ChristianaCare HomeHealth and introducing a colorful new logo and theme — “we care for each, according to their need.” This evocative brand now reflects the tremendous value and spectrum of services ChristianaCare HomeHealth caregivers provide.
Help in the Comfort of Home ChristianaCare.org/HomeHealth
ChristianaCare.org/HomeHealth
ChristianaCare Nursing Annual Report 2019 | 7
EXEMPLARY PROFESSIONAL PRACTICE
Safety, patient-centered care, interdisciplinary relationships and professional outcomes of care Exemplary Professional Practice is the heart and soul of nursing, the true essence of a Magnet organization. It integrates all the elements of a Magnet nursing practice: quality, safe care delivery — a partnership among patients, families, communities and other caregivers and experts; interprofessional activities; a culture of safety, caregiver support and ethics; and robust peer feedback. This component is more than the establishment of strong professional practice; it is what that professional practice can achieve when exemplary.
INTERPROFESSIONAL CARE
Tapping tech during Code Blue with CritiTrac ChristianaCare’s award-winning CritiTrac iOS iPad application supports real-time documentation during a Code Blue emergency. Developed by ChristianaCare nurses, physicians and our Health & Technology Innovation Center, the app is standard equipment on ChristianaCare’s Code Blue resuscitation carts. It aims to reduce variability, better coordinate care delivery and improve data collection during Code Blue events.
8 | Exemplary Professional Practice
SCOOP: Charting the path to better health outcomes Oncology nurses had a large role in supporting a newly launched clinical pathway at ChristianaCare’s Helen F. Graham Cancer Center & Research Institute. Called SCOOP (Supportive Care of Oncology Patients), the pathway includes an electronic nurse navigation checklist. Created with nurse input, the checklist captures dates for prescribed communication with patients, scheduled consults and reminders to assess additional or unmet needs throughout the course of treatment. Launched in 2016, the pathway’s effectiveness through October 2018 was measured in 2019: patients on the pathway versus those not on it experienced fewer visits to the emergency department (34% vs. 54%), fewer hospital admissions (23% vs. 34%) and fewer readmissions (18% vs. 32%). Cost savings for pathway patients was estimated on average to be more than $1,500 per patient.
“The pathway has helped us to follow a formalized, standard process of care for our patients that starts when they first meet with their cancer care team. The result is better care management throughout their course of treatment with fewer adverse side effects that might otherwise send them back to the hospital.” Supervising Nurse Navigator Karen Sites, BSN, RN, OCN, helped develop SCOOP nurse navigator checklist.
ChristianaCare Nursing Annual Report 2019 | 9
Healing begins with hope ChristianaCare’s new Center for Hope and Healing at Wilmington Hospital supports some of our community’s most vulnerable members. The program helps improve patients’ medical and behavioral health while addressing social barriers — such as homelessness, hunger or addiction — that can undermine their success. Care Manager Naiyma Hawkins, MSN, RN, PCCN, is an important member of the seven-person Hope and Healing team. She helps patients access a specialized blend of behavioral health, community interventions and primary care so they can stabilize and manage complex medical and non-medical needs.
Setting up students for health and success ChristianaCare nurses are instrumental in ChristianaCare’s school-based wellness centers, including our first elementary school center that opened in 2019 in Wilmington. A partnership with the Red Clay School District, the program is managed by ChristianaCare’s Kay McLean-Grant, MSN, APRN, CPNP, and brings nurse practitioners, social workers, dietitians and doctors into 20 New Castle County schools to serve more than 700 students from kindergarten through grade 12. Students receive treatment for minor injuries and illnesses during the school day and get immunizations and health screenings in coordination with their family doctor.
10 | Exemplary Professional Practice
Wired wearables for heart health Last year, ChristianaCare launched a new heart health program featuring wearable technology called the ReDS™ — Remote Dielectric Sensing — system, and our ChristianaCare HomeHealth nurses helped steer its success. Centered around noninvasive vests, the system detects early fluid accumulation in a patient’s lungs, which can occur before the patient feels any signs or symptoms of worsening heart failure. Heart failure patients using the vests enrolled in a four-week pilot program at Christiana Hospital were monitored at home by ChristianaCare HomeHealth nurses and caregivers. In total, 24 patients participated in this pilot partnership between CareVio, ChristianaCare’s a robust information technology-enabled network of care coordination support services, and ChristianaCare HomeHealth. After a successful pilot, the program is expanding to Wilmington Hospital.
Prior to the RedS™ system, patients had a readmission rate of 40%. While wearing the vests, the rate dropped to 11.6%. New Patient and Visitor Guide charted by nurses ChristianaCare has a new Patient and Visitor Guide that anticipates the needs of patients and their loved ones. Created with significant nurse involvement on both the publication’s steering committee and working group, the guide is intended as a companion to caregiver conversations with patients and visitors. It standardizes information caregivers extend to patients across all units. Designed to use ChristianaCare resources wisely and effectively, the guide streamlines important patient information into one core publication for an informed, comfortable stay.
Su guía del Wilmington Hospital
Your Guide Guide to to Your Christiana Hospital Christiana Hospital
19PEX10 Patient Handbook Christiana_updated_2.18.20.indd 1
4/27/20 4:01 PM
19PEX10W Patient Handbook Wilmington_SP.indd 1
4/27/20 4:05 PM
ChristianaCare Nursing Annual Report 2019 | 11
It takes nurses to have a teamlet ChristianaCare teamlets are forming across ChristianaCare primary care practices. A more-hands-are-better-than-one approach, teamlets include one physician, one nurse practitioner or physician assistant, one registered nurse, three medical assistants and support services staff. These clinical groupings enable practices to “share the care” when appropriate and offer better experiences for patients and employees. As full teamlets take hold in every practice, all of ChristianaCare primary care practices now have at least one nurse on staff. Having nurses on site at these practices has enabled the implementation of protocolized care, starting with hypertension and annual wellness protocols.
“Initially recruiting nurses for ambulatory care was challenging, because nurses traditionally work in the hospitals. We are now seeing much more interest from nurses who want to know more about working in the outpatient practice experience and want to become part of the primary care world.” Cynthia Griffin, MS, BSN, RN, CPHQ, CCM, chief nursing officer, community care.
12 | Exemplary Professional Practice
‘Thank you for being there’ “Thank you” — two words so simple to say, yet so powerful to hear. ChristianaCare’s Thank You Project makes gratitude the heart of emotional reunions between patients and caregivers. The joint initiative of our Center for Worklife Wellbeing and Patient Experience enables patients and caregivers to reconnect face-to-face for sharing stories and gratitude after a meaningful experience.
After life-saving treatment for a pulmonary embolism, Devon Stansbury wanted to thank her ChristianaCare team for their compassionate, excellent care. ChristianaCare’s Thank You Project arranged for Stansbury, whose right leg was amputated as part of her care, to meet with her care team. “Watching her walk in here healthy and with her husband is indescribable, you can’t put words to that,” said Emergency Department nurse Laura Giannini, RN, who helped care for Stansbury.
ChristianaCare Nursing Annual Report 2019 | 13
ETHICS, PRIVACY, SECURITY AND CONFIDENTIALITY
Ethics question? Dial zero! When it comes to questions of ethics, ChristianaCare nurses are on the front line. Over the past year we have increased the number of nurses who can help caregivers with concerns about a patient’s care or how decisions are being made about it. These ethics screeners are on call 24/7 for questions and consultation; caregivers need only dial zero and ask to be connected to the on-call screener. Under the leadership of Marvin J.H. Lee, Ph.D., MDiv, MPS, a clinical ethicist who joined us in 2019, we’ve not only trained more ethics nurse screeners, we’ve also enhanced their benefits, offering more training opportunities and compensation for their on-call time.
Nurse screeners on the Ethics Consult Committee: •
Pamela Boyd, MSN, RN, CNOR, nurse manager, 6B Medical
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Stacey Byam, MSN, RN, PCCN, RNIV, 2B Transitional Surgical Unit
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Giulia Marshall deProphetis, MS, BSN, RNII, Wilmington Emergency Department
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Brenda Ewen, MSN, RN, CPHRM, Risk Management
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Shannon Ferrari, BSN, RN-BC, RNIII, 6B Medical
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Mary Manglass, BSN, RN-BC, CEN, RNII, Wilmington Emergency Department
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Kathleen Mckee, BSN, RN, CCM, Case Management
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Leasha Roy, MSN, APRN, ACCNS-AG, PCCN, 2D Neuro Critical Care Unit
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Tara Salvadori, MSN, RN-BC, RNII, Christiana Emergency Department
14 | Exemplary Professional Practice
CULTURE OF SAFETY
Tracking incidents to prevent workplace violence As rates of violence against caregivers grow nationwide, ChristianaCare has a new mechanism to help track and prevent violence and assault across the health system. Our Report 2 Learn (R2L) incident management system now offers a Workplace Violence reporting option. Kristin Papiro, MSN, RN, CPHQ, CAPA, LSSGB, partnered with ChristianaCare Security, Occupational Safety, Employee Health and Risk Management departments to create the reporting icon that enables caregivers to detail violent incidents at work. This includes verbal, physical and sexual assault and verbal, written and electronic threats. We also make emotional peer support available to caregivers after a workplace violence event.
Two steps to safety A nurse-led initiative at Christiana and Wilmington hospitals and our Middletown Emergency Department is enhancing the protection of patient information. Spearheaded by Catherine Shull Fernald, DNP, RN, RNC-OB, NEA-BC, and Christopher Otto, MSN, RN, CHFN, PCCN, CCRN, the new two-step telephone verification process provides each patient’s primary spokesperson with a four-digit code upon inpatient or observation admission. They must provide this code when calling for any subsequent updates, excluding exchange of demographic information.
ChristianaCare Nursing Annual Report 2019 | 15
NURSE-LED QUALITY AND SAFETY IMPROVEMENT
Nursing bundle advances in service recovery and teach-back The Professional Nurse and Nursing Administrative Councils partnered to redefine and redevelop the service recovery model, one component of our Nursing Bundle for Exceptional Experience. The new model empowers frontline caregivers to address patient and family complaints through education, practice, resources and appropriate escalation when needed. Our Patient & Family Health Education, Patient Experience and Nursing Professional Excellence programs are collaborating to bring teach-back to all caregivers in the health system. Teach-back is the gold standard for providing patient and family health education. It ensures caregivers have explained instructions thoroughly and in a way patients and families understand so they can be successful in their care after discharge.
“The new service recovery model brings to life Nursing’s core behavior to tell the truth with courage and empathy.” Christopher Otto, MSN, RN, CHFN, PCCN, CCRN.
Nursing bundles performance improvements Calendar Year 2018 Performance Averages
Positive: 53.9% (Organization goal >60%)
Negative: 4.8%
Calendar Year 2019 Performance Averages
Positive: 57% (increased 3.1%) (Organization goal >60%)
Negative: 4.1% (decreased 0.7%)
16 | Nurse-led Quality and Safety Improvement
4Ms for older adults
ChristianaCare is using innovative strategies to make the complex care of older adults more manageable, safe and attuned to their needs and goals. We’re an early adopter of the evidence-based 4Ms framework, which is designed to give older patients the best care possible in the ways that are important to them. Developed as part of an Age-Friendly Health Systems initiative led by The John H. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States, the 4Ms are What Matters Most; Mobility; Mentation (or the Mind) and Medications. Implementation of the 4M framework is led by our We Improve Senior Health (WISH) program, which is managed by Denise Lyons, DNP, APRN, AGCNS-BC, LSSBB. WISH has helped earn ChristianaCare recognition — for the seventh consecutive year — as an “Exemplar” site by Nurses Improving Care for Healthsystem Elders, a nursing education and consultation program to improve geriatric care in health care organizations.
ChristianaCare Nursing Annual Report 2019 | 17
Flu shot campaign hits the bullseye In October, ChristianaCare hosted our second annual #HitMeWithYourFluShot event. Eleven departments, with significant representation from Nursing, collaborated to vaccinate ChristianaCare caregivers for the 2019-20 flu season.
In one day: • 7,429 ChristianaCare employees were vaccinated. • Nearly 300 caregivers volunteered to vaccinate or perform other duties. • Caregivers traveled more than 250 miles, visiting 81 practices at 42 separate locations.
“Our #HitMeWithYourFluShot campaign is a wonderful example of serving together for employee and patient heath — our caregivers lead by example, showing how important annual flu shots are for everyone.” Tabe Mase, MJ, MSN, FNP-C, director, Employee Health
18 | Nurse-led Quality and Safety Improvement
Lean Six Sigma projects propel improvements ChristianaCare Health System’s Lean Six Sigma program inspires our excellent-today nurses to be even better tomorrow. The program encourages employees to target areas needing quality-improvement, identify root causes of problems, develop quality-improvement interventions and deliver meaningful, sustained improvements in health care from the inside out.
Nurse-led Black Belt projects Reduction in Length of Stay for Hip & Femur Fracture Patients Project Leader: Denise Lyons, DNP, APRN, AGCNS-BC, GNS-BC, LSSBB
Improve Patient Education Regarding Medication Side Effects Project Leaders: Jennifer Painter, DNP, APRN, CNS, NEA-BC, NPD-BC, OCN, AOCNS, LSSBB and Greg O’Neill, MSN, APRN, AGCNS-BC, NPD-BC, LSSBB
Reduce Readmission Rate for Global AMI, Chest Pain, and Cardiac Cath Project Leader: Greg O’Neill, MSN, APRN, AGCNS-BC, NPD-BC, LSSBB
Nurse-led Green Belt projects Reduce Fall Rate on 3N Inpatient Psych Unit at Wilmington Hospital Project Leaders: Kristin Papiro, MSN, RN, CPHQ, CAPA, LSSGB and Angela Wright-Glover, MSN, RN-BC, LSSGB
Improve Revisit Documentation Timeliness in ChristianaCare HomeHealth Project Leader: Gale Bucher, MSN, RN, CPHQ, CPHRM, LSSGB
Reduce Time from Arrival to Seen by Provider in OB Triage Project Leader: Lesley Tepner, MSN, APRN, AGCNS-BC, RNC-OB, NPD-BC, LSSGB
ChristianaCare Nursing Annual Report 2019 | 19
EMPIRICAL QUALITY RESULTS
Pioneering the future and demonstrating solutions Magnet-recognized organizations are in a unique position to become pioneers of the future, drive empirical outcomes and demonstrate solutions to problems inherent in healthcare systems today. ChristianaCare Nursing collects outcomes data and has established quantitative benchmarks as a way of demonstrating excellence across the health system.
Zero harm through exemplary practice ChristianaCare’s Zero Harm Awards recognize patient care units achieving 12, 24, 36, 48 or 60 consecutive months of no preventable patient harm. We are proud to honor the following units that achieved Zero Harm Awards in 2019.
Catheter-Associated Urinary Tract Infection (CAUTI) 12 months: 6E Oncology, 3 Medical, 5B Medical, 6B Medical, 5A Medical, 5E Heart Failure, 5D Medical, 4W Medical-Surgical, Surgical Critical Care Complex, 2C Ortho/Neuro/Trauma, Wilmington Intensive Care Unit, 6A Acute Care for the Elderly, 6W Center for Rehabilitation 24 months: 6S Stepdown, 8S Acute Care for the Elderly 36 months: 5C Medical, 6C Stroke Treatment and Recovery 48 months: 4N Medical, Bone Marrow Transplant, 3B/3C/4B Maternity/Well Mom & Baby, Transitional Medical Unit, 7E Spine/Joint Replacement Surgery 60 months: 7S Center for Advanced Joint Replacement
Central-Line-Associated Bloodstream Infection (CLABSI) 12 months: Transitional Surgical Unit, 4N/5W Medical, 5C Medical, Bone Marrow Transplant, Neuro Critical Care Unit, 5D Medical 24 months: Transitional Neuro Unit, 6A Acute Care for the Elderly, 4E Cardiac Stepdown, 6C Stroke Treatment and Recovery, Wilmington Intensive Care Unit, 3 Medical 36 months: 6S Stepdown, 3A Antenatal Stepdown 48 months: 8S Acute Care for the Elderly, 6W Center for Rehabilitation, 7E Spine/Joint Replacement Surgery, 7S Center for Advanced Joint Replacement, 2C Ortho/Neuro/Trauma
20 | Empirical Quality Results
Methicillin-Resistant Staphylococcus Aureus (MRSA) 12 months: 5D Medical, 6S Stepdown, 4N Medical, Neuro Critical Care Unit, 6E Oncology, 2E/ Cardiovascular Critical Care Complex, Transitional Medical Unit, Bone Marrow Transplant, Medical Intensive Care Unit, Surgical Critical Care Complex, 6A Acute Care for the Elderly 24 months: 3 Medical, 6B Medical, 8S Acute Care for the Elderly, Wilmington Intensive Care Unit, Transitional Surgical Unit 36 months: 4D Surgery Stepdown 48 months: 7E Spine/Joint Replacement Surgery, 2C Ortho/Neuro/Trauma Surgery, 4C Surgery/GYN 60 months: 6C Stroke Treatment and Recovery, 7S Center for Advanced Joint Replacement, 3A Antenatal Stepdown, 3B/3C/4B Maternity/Well Mom & Baby, 4A Pediatrics/GYN, 6W Center for Rehabilitation, Neonatal Intensive Care Unit
Clostridium Difficile (C. Difficile) 12 months: 7E Spine/Joint Replacement Surgery, 6B Medical, Transitional Surgical Unit, 3A Antenatal Stepdown, Wilmington Intensive Care Unit, 3 Medical 24 months: 6W Center for Rehabilitation, 6C Stroke 36 months: 7N Psychiatry, 3B/3C/4B Maternity/Well Mom & Baby 60 months: 7S Center for Advanced Joint Replacement, 4A Pediatrics/GYN
ChristianaCare Nursing Annual Report 2019 | 21
Falls with Major Injury 12 months: 6E Oncology, 6S Stepdown, Neuro Critical Care Unit, Christiana Emergency Department, 6W Center for Rehabilitation, 8S Acute Care for the Elderly 24 months: 3 Medical, 4E Cardiac Stepdown, 5B Medical, 2E/Cardiovascular Critical Care, 3B/3C/4B Maternity/Well Mom & Baby, Christiana Medical Observation Unit, 4A Pediatrics/ GYN 36 months: 4N Medical, 7S Center for Advanced Joint Replacement, 5A Medical, 4W Medical-Surgical, 6B Medical, Surgical Critical Care Complex, 6C Stroke Treatment and Recovery, 6A Acute Care for the Elderly, 7N Psychiatry 48 months: 7E Spine/Joint Replacement Surgery 60 months: Middletown Emergency Department, Medical Intensive Care Unit, Transitional Medical Unit, Wilmington Intensive Care Unit, Cardiology Short Stay Unit, 5E Heart Failure, 4C Surgery/GYN, 4D Surgery Stepdown, 7E Spine/Joint Replacement Surgery, Transitional Surgical Unit, 3A Antenatal Stepdown
All Falls 12 months: 7S Center for Advanced Joint Replacement 48 months: Neonatal Intensive Care Unit
22 | Empirical Quality Results
TRANSFORMATIONAL LEADERSHIP
Transforming systems and the environment to achieve excellent outcomes ChristianaCare’s nurses are leaders in transforming the health system’s values, beliefs, and behaviors. They hold vision, influence, clinical knowledge and a strong expertise relating to professional nursing practice. They are creative, innovative, exemplary nurses who listen, challenge, influence and affirm as ChristianaCare reimagines how we deliver care, transitioning from being more than a great health care system to a system that truly impacts health.
Professional Nurse Council
Off Shift Support Council
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Technology & Innovations Council
Advanced Practice Registered Nurses Council
Nursing Value Council
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Quality and Safety Council
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Administrative Council
Workforce Connection Council
Practice Councils
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Excellence and outcomes in strategic plans The commitment of ChristianaCare nurses to excellence and outcomes shines in ChristianaCare’s annual strategic planning process, from development to implementation to goal achievement. Led by the Nursing Value Council, our Nursing and ChristianaCare HomeHealth strategic plans are inclusive efforts and partnerships among clinical care nurses, nurse leadership and non-nurse caregivers. They’re powerful tools that reflect deep nurse engagement and enable caregivers to own both the development and outcomes of the plans. System and Practice Councils drive the goals of the plans, across ChristianaCare HomeHealth, as well as ambulatory and acute care, providing quarterly updates to help track improvement projects and processes. ChristianaCare Nursing Annual Report 2019 | 23
Council highlights Nursing Value Council Chair: Paige M. Merring, BSN, RN, CCRN •
Held several Nursing Professional Governance recruitment events in which nurses could learn about each system nursing council and submit their applications.
•
Provided training for novice Practice Council chairs and facilitators that promoted effective decision-making and interprofessional collaboration at the practice-area level.
Administrative Council Chair: Lauri Littleton, DNP, MSN, RN-BC, NE-BC •
Provided continuous support and advocacy for the nursing bundle for Exceptional Experience and Joint Commission preparedness with a successful site visit.
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Collaborated with Human Resources on nurse staffing and retention efforts.
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Collaborated with the Workforce Connection Council to establish standardized staffing models and scheduling practices.
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Collaborated with the Professional Nurse Council to establish Service Recovery, a component of the nursing bundle for Exceptional Experience.
24 | Transformational Leadership
Executive Council Chair: Ric Cuming, Ed.D., MSN, RN, NEA-BC, FAAN •
Designed and implemented the Guidelines for Nursing Conference Attendance, which created a standardized approach to conference attendance, requests and dissemination of new knowledge post-attendance.
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Worked with partners to eliminate barriers that will increase clinical nurse participation on systemwide interprofessional, decision-making councils and committees.
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Facilitated ongoing preparedness and a successful Joint Commission site visit survey.
Workforce Connection Council Chair: Lisa Markiewicz, MSN, MSM, RN, CCRN •
Implemented staffing standards across the Department of Nursing:
Standardized time for clocking-out after a shift.
Standardized pull guidelines during shift for float and per diem nurses.
Standardized pulls and cancelations of caregivers.
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Awarded four Blue Bell Civil Courage Awards at the Nursing Excellence Awards Ceremony.
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Identified barriers for the capacity plan through unit rounding at both Wilmington and Christiana hospitals. Feedback was used for discharge lounge revitalization and modifications of the Capacity Management Plan.
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Assessed data from a survey focusing on retention of nurses at the bedside who are close to retirement and partnered with Lincoln Financial to hold town hall meetings to increase awareness of retirement options.
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Implemented the Float Ambassador Resource web-based education to assist units in being a more float friendly environment. Partnered with the Culture of Safety Taskforce to improve RN-to-RN collaboration and provided feedback on initiatives to improve our Healthy Work Environment.
Standardized a weekend staffing rotation for nurses based on a seniority model.
ChristianaCare Nursing Annual Report 2019 | 25
EXEMPLARY PROFESSIONAL PRACTICE Advanced Practice Registered Nurse Council Chair: Tina M. Hendler, MSN, APRN, NNP-BC •
Planned and hosted the annual Advanced Practice Clinician (APC) Pharmacology Conference, quarterly APC Grand Rounds, a town hall meeting with the Chief Nurse Executive, and an appreciation dinner where the first APC Excellence Award was presented.
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Partnered with Organizational Excellence to create APC-specific dashboards that measure and transparently report discharge metrics, such as time of discharge order entry to time of discharge and discharge disposition.
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Partnered with the Medical Executive Committee to change the Medical-Dental Staff Bylaws, allowing the Nurse Practitioner to pronounce a patient’s death.
Quality & Safety Council Chair: Helen Gehr, MSN, APRN, ACNS-BC, RN-BC •
Designed and finalized the development of an event based nursing peer review program with successful launch/implementation in January 2020.
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Collaborated in the development and implementation of perfect care monitoring tools and an interactive dashboard for harm events (CAUTI, CLABSI, HAPI and Falls).
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Partnered with key stakeholders to develop strategies, provide feedback, and support decision-making on nursing practice initiatives, processes and practices.
STRUCTURAL EMPOWERMENT Education, Development & Advancement Council Chair: Nicole DiBattista, MSN, RN, CEN •
Planned and celebrated several events/awards related to the Clinical Ladder including an annual Rising Star Retreat for high-performing RN II and RNIIIs interested in advancing on the clinical ladder, RNIV open houses, the annual Dot Fowler award and a clinical ladder booth.
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Interviewed and processed promotions to RNII, RNIII, and RNIV.
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Organized and celebrated the annual Certified Nurses Day celebrations, including a bulletin board contest.
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Developed and launched a web-based lesson, “Becoming an RNIII” in Learning Space
26 | Transformational Leadership
Off-Shift Support Council Chair: Kathleen Heller, MSN, RN-BC •
Completed an off-shift survey to establish needs and concerns of off-shift caregivers in order to guide council goals that align with the both the nurses needs and the strategic plan.
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Collaborated with iLEAD to offer BLS and ACLS recertification classes in the VEST Center during off-shift hours.
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Partnered with the Quiet at Night Committee on noise reduction efforts.
Professional Nurse Council Chair: Lydia Butcofsky, MA, BSN, RN, CEN •
Hosted Nurses Week in May 2019 with a celebration of nurses that included a 5K walk/run, overnight coffee and snack cart, massages, speaker Donna Wright and the annual Excellence In Nursing awards ceremony.
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Screened “Defining Hope,” a documentary by Carolyn Jones addressing end-of-life care, during a movie night in November 2019. The event was open to all caregivers and featured snacks and beverages.
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Presented the DAISY Award for Extraordinary Nurses monthly to individual winners, as well as a yearly team and leader winner. All DAISY winners were honored at a dinner in February 2019 at the Christiana Hilton. A ChristianaCare DAISY video was also recorded.
NEW KNOWLEDGE, INNOVATIONS & IMPROVEMENTS Research & Evidence-Based Practice Council Chair: Erin Mitchell, MSN, APRN, FNP-BC, CNRN, SCRN •
Organized and hosted Nursing Grand Rounds on both day and evening shifts that increased the dissemination of Nursing Research and Evidence-Based Practice projects completed by ChristianaCare Nurses across the system.
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Designed and implemented an evidenced-based-practice workshop for novice nurses entering our workforce through the many nurse residencies.
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Developed a Journal Club toolkit that will support practice areas in starting and sustaining journal clubs that support the evaluation and translation of evidence.
ChristianaCare Nursing Annual Report 2019 | 27
Technology & Innovations Council Chair: Thomas (TJ) Byrnes, BSN, RN, CCRN •
Designed and implemented a “Quick Incident Submission” that allows nurses to quickly submit a ticket for equipment that is not functioning properly.
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Collaborated on the “Clinical Lead Organizer,” a tool that assists anyone looking to view the entire unit patient population, quickly analyze patients that may be high risk for harm and expedite interventions.
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Reviewed and made decisions regarding iView requests submitted by including Camera Capture, a tool that allows suspected pressure injuries to be transmitted to the Wound, Ostomy & Continence nurse quickly for accurate wound classification and documentation
Systemwide promotions to nurse leadership Mary Abraham, BSN, RN, nurse manager, Hemodialysis Jamie Ayala, DNP, MSN, RN-BC, nurse manager, Center for Rehabilitation at Wilmington Hospital Samantha A. DeParre, MSN, RN-BC, RNIII, nurse manager, Ambulatory Infusion Center Lauren Duddy, BSN, RN, CEN, PCCN, nurse manager, Cardiology Short Stay Unit Kristen Foulk, MSN, MS, RN, PCCN, NE-BC, nurse manager, Surgical Critical Care Complex Shannon Guzman, MSN, MSM, RN, NE-BC, nurse manager, Neuro Critical Care and Transitional Neuro Unit Erica Harrell-Tompkins, MSN, RN, CWON, CCCN, clinical leader, Wound Ostomy Continence nursing team Jane James, MSN, RN-BC, nurse manager, 5N Wilmington Hospital Amanda Klockars-McMullen, Ph.D., RN, CPHQ, vice president, Population Health & ValueBased Care Stephen McDonald, MSN, RN, vice president, Emergency Services, Acute Care Donna Mower-Wade, DNP, APRN, ACNS-BC, CNRN, director, Advanced Practice Clinician Services Alison B. Purner, MSN, RN, CCRN, nurse manager, Heart & Vascular Interventional Services Labs Connie Przybylek, MSN, RN, NEA-BC, director, Clinical Operations for Perioperative Services, Wilmington Hospital Benita Robinson, MSN, MBA, RN-BC, nurse manager, 5C Medical Unit
28 | Transformational Leadership
STRUCTURAL EMPOWERMENT
Shared decision-making and the commitment to continuous learning, education and career advancement Structural Empowerment is a foundation of ChristianaCare nursing. Our strategic plans, structure, systems, policies, programs and nurse recognition activities nurture an innovative environment and strong professional practice. Through professional development, continuing education, Making Tomorrow Happen, community engagement and education support, we engage, direct and empower nurses to drive Nursing’s Professional Practice Model and advance ChristianaCare’s promise to serve our neighbors as excellent partners in health.
Advanced Practice Clinician (APC) Fellowship in Primary Care ChristianaCare offers a Primary Care APC Fellowship for newly graduated nurse practitioners and physician assistants with fewer than 18 months of experience. The nine-month fellowship consists of a six-month precepted experience, followed by three months in primary care practice. It provides precepting by experienced nurse practitioners, physician assistants and physicians in specialty rotations, and additional didactic education in caring for primary care patients. There are currently six Primary Care APC fellows — four are nurse practitioners. We’ve retained 100% of the 15 providers who’ve already completed the fellowship, enabling us to fill open positions in Primary Care. Current fellows finish in July 2020 and will also interview for open positions.
Nursing Advancement Scholarship Program As ChristianaCare continues to invest in the ongoing professional development of our nursing staff, the Nursing Advancement Scholarship Program includes partnerships with nationally recognized nursing programs.
Congratulations to our 2019 Scholarship recipients! Jennifer Benson, MSN Wilmington University Newark - Women and Children Services Project Manager
Sawdia Letnianczyn, MSN Wilmington University Newark – Surgical Critical Care Complex Assistant Nurse Manager
Lisa Ann Campbell, FNP Wilmington University Newark – 5A Medical RNIII
Dusty Sweetman, MSN Wilmington University Wilmington - Behavioral Health Inpatient RNII
Tania Dossantos, MSN Wilmington University Newark – 5B Medical RNIII
ChristianaCare Nursing Annual Report 2019 | 29
Nurse residencies Our paid residency programs support newly graduated nurses in their transition to practice. As of November 2019, all newly graduated registered nurses have been hired to ChristianaCare through our Nurse Residency program. We onboarded nearly 200 nurses in 2019.
Acute Care Nurse Residency Tracks in 2019 Float Pool Nurse Residency Medical/Surgical Nurse Residency Transitional Care Nurse Residency Postpartum Nurse Residency
Critical Care Nurse Residency Tracks in 2019 Critical Care Nurse Residency Emergency Department Nurse Residency Labor and Delivery Nurse Residency Neonatal Nurse Residency Perioperative Nurse Residency
Six Nurses Earn Doctoral Degrees in 2019 ChristianaCare is pleased to acknowledge our six nurse colleagues who received doctoral degrees in 2019, reflecting their commitment to being exceptional today and even better tomorrow. Jamie Ayala, DNP, RN-BC, NE-BC University of Delaware Wilmington – Nurse Manager Center for Rehabilitation
Jessey Jennings, DNP, APRN, FNP-BC Drexel University Wilmington – Nurse Practitioner 4N Medical
Courtney Crannell, DNP, RN, OCN, NE-BC Wilmington University Newark – Nurse Manager 6E Oncology
Shabnam McQuerrey, DNP, BSN, RN University of Delaware Newark – Registered Nurse Neonatal Intensive Care Unit
Jenna Heaney, DNP, APRN, ACNP-BC, CCRN, SCRN Wilmington University Newark – Nurse Practitioner II Medical Intensive Care Unit
Karen Toulson, DNP, MSN, MBA, RN, CEN, NE-BC Drexel University Newark – Clinical Operations Director Emergency Services
30 | Structural Empowerment
Nurses climbing the Clinical Ladder The Nursing Professional Advancement Program’s clinical ladder recognizes and rewards experience, knowledge and clinical expertise. The model allows frontline nurses to continually improve their skills and practice at the top of their nursing license. ChristianaCare is proud to acknowledge our nurse colleagues who achieved RNIII and RNIV status in 2019.
RNIII Elizabeth Acton, MSN, RN, VA-BC
Kerr Krista, BSN, RN-BC
Brian Ross, BSN, RN, CCRN
Ellen Alvarez, BSN, RN, CCRN, TNCC, WTA
David McKenna, BSN, RN, CEN, TCRN, CCRN
Rhonda Ross, BSN, RN-BC
Mary E. Austin, BSN, MSN, RNC-NIC
Theresa Mead, BSN, RN, PCCN
Amanda Baez, BSN, RN-BC
Katharine Meisterich, MSN, RN-BC, CCRN
Justin Bartels, BSN, BA, RN-BC Karly Ann Biggs, BSN, RN, CEN Kyleen Bohon, BSN, RN-BC Japhia Bowman, BSN, RN-BC Lydia Butcofsky, MA, BSN, RN, CEN Madison Cebula, BSN, RN, PCCN Stephanie Cressman, BSN, RN-BC Kathleen Fetters, BSN, RN-BC, WTA-C Shannon Ferrari, BSN, RN-BC Beth Fraticelli, MSN, RN-BC Kristen Green, BSN, RN-BC Lorin Hollinger, BSN, RN, OCN Jini Hong, MBA, MSN, RN-BC Brandon Hoskins, MSN, MSM, RN, CEN, CCRN Brenda Johnson, BSN, RN, CPAN Bradley Jones, BSN, RN-BC Lisa Katrowski, BSN, RN-BC
Kelsie Milillo, BSN, RN, CCRN Nathalie Miller, BSN, RNC-NIC Cathryn Minnich, BSN, RN, CCRN Elizabeth Mitchell, BSN, RN-BC Nilgun Onal, MBA, MSN, RN, CMSRN Jordan Prieto, BSN, RN-BC Kathleen Quirk, MSN, RN-BC Alexandra Rachko, BSN, RN-BC Pamela D. Ramagano, MSN, RN, CNOR
Megan Russell, BSN, RN, VA-BC Gemma Ryder, BSN, RN, CEN Justine Shockley, BSN, RN-BC Alison Smith, BSN, RN, CCRN Lori Smith, BSN, BA, RN, CCRN Lauren Speakman, BSN, MBA, RN, CCRN Jacqueline Steen, BSN, RN, PCCN Kristina Sten, BSN, RN, OCN Jessica Tansey, BSN, RN-BC Jennifer Utz, BSN, RN, CNOR Bernadette Walsh, BSN, RN-BC Deborah Wambold, BSN, RN, CEN Amanda Wienner, BSN, RN, CCRN
Virginia Reader, BSN, RN-BC
Kimberlee Woods, MSN, RN, PCCN
Laura Ritchie, BSN, RN, VA-BC
Amanda Wuilleumier, BSN, RN-BC
Dawn Robbins, BSN-RN-BC Lea Robbins, MSN, RN, CCRN Tyesha Rodriguez-Gist, BSN, RN, CCRN Courtney Rogers, BSN, RN-BC
RNIV Lisa Markiewicz, MSN, MSM, RN, CCRN Jessica L. Schwartz, MSN, PCCN, TMU
ChristianaCare Nursing Annual Report 2019 | 31
AWARDS AND RECOGNITION
American Nurses Credentialing Center accreditation for nurse residency programs The nurse residency programs in our Emergency Department and Neonatal Intensive Care Unit earned Accreditation with Distinction in Practice Transition Programs by the ANCC. They join the Critical Care nurse residency, certified in 2017. We are currently in the application phase of accreditation for our Medical/Surgical, Progressive and Float Pool nurse residencies, with a virtual site visit planned for summer 2020.
2019 DAISY Awards for Extraordinary Nurses Presented by ChristianaCare’s Professional Nurse Council, DAISY Awards for Extraordinary Nurses acknowledge nurses who meet and exceed patient and family needs and expectations by displaying exceptional clinical skills, compassion, respect and partnership. ChristianaCare is one of more than 4,300 healthcare facilities and schools of nursing in all 50 states and 27 other countries to honor nurses with the DAISY Award. Congratulations to our 2019 Daisy Award honorees! Patricia Bowker, BSN, RN, CCRN 3E Medical Intensive Care Unit, Christiana Hospital
Kellie Kessler, MSN, RN, CCRN 2019 DAISY Nurse Leader Award Winner Radiology Nursing, Christiana Hospital
Melanie Chichester, BSN, RNC-OB Labor & Delivery, Christiana Hospital
Susie McCalla, BSN, RN 6E Oncology/Hematology, Christiana Hospital
Kimberly Cibroski, BSN, RN, CEN Emergency Department, Christiana Hospital
Nikki Recchioni, BSN, RN, CEN, CPEN, TCRN Emergency Department, Christiana Hospital
Taylor Dale, BSN, RN-BC, 5A Medical Stepdown Unit, Christiana Hospital Barbara Dean, BSN, RN-NIC, CPLC Neonatal Intensive Care Unit, Christiana Hospital Tyler Greenfield, BSN, RN Heart Failure Unit 5E, Christiana Hospital Valerie Hughes, BSN, RN-BC, CCM ChristianaCare CareVio
32 | Awards and Recognition
Sierra Savoy, BSN, RN Labor and Delivery, Christiana Hospital Kristin Syanene, BSN, RN, SCRN 6C Stroke Treatment & Recovery Unit, Christiana Hospital 2B Transitional Surgical Unit 2019 DAISY Team Award Winner The entire unit was recognized, with 40 plus people
DAISY AWARD WINNERS
ChristianaCare Nursing Annual Report 2019 | 33
Beacons of Excellence A national honor from the American Association of Critical-Care Nurses, Beacon Awards celebrate nursing teams that go above and beyond to provide respectful, expert care. In 2019, ChristianaCare’s Cardiovascular Critical Care Complex earned an unprecedented third consecutive gold-level Beacon Award. In addition to the CVCCC, six other ChristianaCare units are Beacon-designated: Medical Intensive Care Unit, Transitional Medical Unit, Cardiology Short Stay Unit, Transitional Surgical Unit, Neuro Critical Care Unit and Surgical Critical Care Complex.
Seven of the eight Beacon Award Winning patient care units in Delaware are at ChristianaCare. Excellence: The ChristianaCare Way Awards spotlight excellence
The annual ChristianaCare Way Awards program challenges our caregivers to partner in identifying opportunities for improvement and finding solutions that benefit the people we serve. Together, teams of nurses, physicians and other caregivers bring love, excellence and creativity in driving improvements that promote optimal health, exceptional experiences and organizational vitality for our patients and community. Congratulations to the nurses on 2019 winning teams — nurses led, co-lead or were team members on the following award-winning initiatives.
34 | Awards and Recognition
ChristianaCare Way Awards
Magnet New Knowledge, Innovations & Improvement Silver Award CLABSI - Breaking the Chain of Infection Transitional Medical Unit
Magnet New Knowledge, Innovations & Improvement Gold Award Decreasing Pressure Injuries Utilizing Tilt in Space Wheelchairs Surgical Critical Care Complex, Transitional Neuro Unit and Neuro Critical Care Unit
Magnet Transformational Leadership Silver Award Transitional Surgical Unit (TSU) Interunit Transfer Process Transitional Surgical Unit (TSU) Interunit Transfer Process
Magnet Transformational Leadership Gold Award Organizing Success and “Actioneering” Change 6A
Magnet Exemplary Professional Practice Silver Award C. the Diff-erence on 4E
Magnet Exemplary Professional Practice Gold Award Lions and Tigers and Falls….Oh My! Emergency Department ChristianaCare Nursing Annual Report 2019 | 35
ChristianaCare Way Awards Magnet Structural Empowerment Award “Turning” Down the Prevalence of Unit Acquired Pressure Injuries on 5B
Exceptional Experience Award Improving Patient Satisfaction in OB-Triage Women and Children’s
Extraordinary People Award #HitMeWithYourFluShot: How Many People Can Christiana Vaccinate in One Day? Infection Prevention, Employee Health, Nursing, Pharmacy, Hospital Medicine, Pediatrics, Emergency Medicine, External Affairs, Occupational Safety, Environmental Sciences, Information Technology, Facilities
Health Equity Award Providing Reproductive Health Education to English Language Learners ChristianaCare School-Based Health Centers
Innovative Tools Award Predictive Modeling to Determine the Future: Reducing Cancer Readmission 6E
Operational Improvement Gold Award Improve Revisit Documentation Timeliness in Home Health ChristianaCare HomeHealth, Quality/Risk Management
Operational Improvement Silver Award Smooth Moves Through the NCCU and TNU Neuro Critical Care Unit, Transitional Neuro Unit
Optimal Health Safety Gold Award The Team Approach to Fall Prevention Department of Nursing, Nursing Professional Development and Education, Patient Escort
Optimal Health Safety Silver Award Changing Stylet Feeding Tube Insertion to Reduce Patient Harm Radiology, Critical Care, iLead, MICU, WICU 36 | Awards and Recognition
Magnet Awards
Optimal Health Quality Gold Award Reduce the Ventilator Associated Event Rate in SCCC and NCCU by 50% by March 2019 Infection Prevention
Optimal Health Quality Silver Award Sleepless in WICU: Initiation of a Sleep Protocol to Minimize Delirium Wilmington Intensive Care Unit
Organizational Vitality Silver Award Reduce Write-Offs for Patients with Inpatient Only Procedures Perioperative Services
Population Health Award Heart Failure Readmission Reduction Program Heart Failure/Cardiology, CareVio, Heart Failure Unit/Nursing, Behavioral Health, ChristianaCare HomeHealth, Hospital Medicine, Pharmacy, Center for Strategic Information Management, Case Management/Navigator, Physical and Occupational Therapies, Cardiac Rehabilitation, SNF Cardiology
Strategic Partnerships Award Hunger Relief: Addressing Social Health Issues Quality & Patient Safety
ChristianaCare Nursing Annual Report 2019 | 37
Magnet Awards Transformation Award Improving A1c Control in Primary Care Primary Care
Value Gold Award Creating Value for a High Risk Diabetic Population CareVio High Risk Diabetes Team
Value Silver Award Implementing Care Standards for the Diagnosis & Treatment of Syncope IT Clinical Application Services, Cardiac Short Stay Unit, Wilmington Cardiology
National and regional nursing-specific awards Jamie Ayala, DNP, RN, NE-BC, RN-BC, was accepted into the American Organization for Nursing Leadership (AONL) Nurse Manager Fellowship program. Lori Davis-Palmer, MSN, RN, COS-C, was selected for an AONL Nurse Director Fellowship. Tyler Greenfield, RNII, of Christiana Hospital’s Heart Failure Unit 5E, was recognized by Independence Blue Cross in its first annual Celebrate Caring campaign. Cynthia Griffin, MS, BSN, RN, was appointed to the American Academy of Ambulatory Care Nursing’s Ambulatory RN Role Value Proposition Task Force. Denise Lyons, DNP, APRN, AGCNS-BC, LSSBB was appointed Affiliated Assistant Professor at the University of Delaware. Christopher Otto, MSN, RN, CHFN, PCCN, CCRN, was appointed to the Delaware Board of Nursing Jennifer Painter, DNP, APRN, CNS, NEA-BC, RN-BC, OCN, AOCNS, LSSBB, was spotlighted by Delaware Business Times as one of its DBT40 Class of 2019. Monica F. Rochman, PhD, RN, was appointed Affiliated Assistant Professor at the University of Delaware. Maureen A. Seckel, APRN, ACNS-BC, CCNS, CCRN, FCCM, FCNS, earned the first EvidenceBased Practice/Quality Improvement of the Year Award from the National Association of Clinical Nurse Specialists.
Excellence in wound, ostomy and continence nursing The Wound, Ostomy and Continence Nursing Certification Board (WOCNCB) recognized ChristianaCare with its WOCNCB 2019 Employer Recognition Award. The honor is awarded annually to an organization that has demonstrated exemplary support of the certification process in wound, ostomy and continence nursing.
38 | Awards and Recognition
Champions of Service receive Jefferson Awards In April, ChristianaCare’s 2019 Champions of Service awards ceremony celebrated extraordinary ChristianaCare people who serve the community. Among the awards given were Multiplying Good’s national Jefferson Awards, which honor individuals for excellence in community and public service.
Jefferson Award Winners •
Andrea B. Jones, MSN, RN, 7N Inpatient Behavioral Health, Wilmington Hospital
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Judith Lind-Maloney, MSN, RN, CCRN, Perioperative Services, Christiana Hospital
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Daniel L. Hamm, Jr., MSN, RN, Thoracic Surgery, Helen F. Graham Cancer Center and Research Institute
Jefferson Award Nominees •
Sheila Jordan Koiv, RN, ChristianaCare HomeHealth
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Christy L. Poole, MHA, BSN, RN, CRNI, Value Institute
Project Engage earns national recognition ChristianaCare’s Project Engage program received national recognition in the Addiction Policy Forum’s Delaware Innovations to Address Addiction report. Project Engage provides early intervention and referrals to substance use disorder treatment. The program identifies individuals at reachable moments in the hospital, working closely with nurses in hospital departments and nurse practitioners Lisa Wallace, MSN, APRN, FNP-BC, and Debra A. Lamoureux, MSN, APRN, FNP-BC, who conduct addiction medicine consults for patients
ChristianaCare Nursing Annual Report 2019 | 39
DEVELOPMENT SUPPORT
Giving supports nurse advancements Marylee Phillips helps nurses achieve their dreams ChristianaCare donor Marylee Phillips is passionate about ChristianaCare nurses and helping individuals who want to be a nurse realize their dream. She’s supported our Nursing Advancement Scholarship Program for many years, including 2019. “My late husband had several trips to Christiana due to diabetes complications,” she said. During one hospitalization, the couple learned about the scholarship program. “We decided this was a good way to share some of what we have and give back to ChristianaCare for everything,” said Phillips, who has supported scholarships ever since. “I have also designated ChristianaCare in my life insurance policies so that my giving continues after I pass away.” One of her former neighbors is now a ChristianaCare nurse, thanks to scholarship support. “He told me how grateful he is to ChristianaCare for the opportunity to become a nurse,” Phillips said. “I will continue to give so people can realize their dreams like he did. As generations age in place, we need more nurses, more skilled care and more heroes in our hospitals.”
Cathi Hodgins’ gift to Nursing Scholarships helps nurses get ahead Cathi Hodgins first experienced ChristianaCare as the daughter of a patient nearly 20 years ago. Compelled by the compassionate excellent care she and her mother received, Hodgins has supported the health system ever since as a donor and Trustee. A member of the 1888 Society — donors who have included ChristianaCare in their estate plans — Hodgins ardently champions the health system’s nurses. Not only does Her 1888 Society commitment support nursing education, and in 2019 Hodgins gave to the Nursing Advancement Scholarship Program. “I was hospitalized in the fall and my nurse was a delight,” said Hodgins. “She is pursuing her BSN and so enthusiastic about working at ChristianaCare – she inspired me to give to support nursing scholarships.” The Nursing Advancement Scholarship Program supports nursing and allied health professionals. Hodgins, owner of Kitchens By Design, an award-winning interior design firm in Wilmington, worked full time while earning a bachelor’s degree in interior design. “I know what it’s like to work and study, and it makes me feel good to help ChristianaCare nurses do both.”
40 | Development Support
NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS
Advancing nursing knowledge through research and the redesign of systems and practices to ensure safe, effective and efficient care Magnet organizations have an ethical and professional responsibility to contribute to care delivery advancements, the organization for which they work, and the nursing profession in terms of new knowledge, innovations, and improvements. Current systems and practices need to be redesigned and redefined for consistent and future success. The New Knowledge, Innovations and Improvements component includes new models of care, application of existing evidence, new evidence and visible contributions to the science of nursing.
Magnet Conference presentation — The Pressure is Off: TRAPI Prevention At the May 2019 ANCC National Magnet Conference, ChristianaCare’s Susan Mascioli, MS, BSN, RN, NEA-BC, CPHQ, LSSBB and Lois Dixon, MSN, APRN, NP-C, RN-BC, CWOCN, presented on an interprofessional collaboration they led to address an increasing trend of hospital acquired tracheostomy related pressure injuries (TRAPI). The goal, which was achieved, of this evidence-based performance improvement project was to eliminate TRAPI’s systemwide.
CareVio improves quality, reduces hospitalizations, lowers costs ChristianaCare’s nationally recognized nurse-led care management program is on the forefront of the health system’s population health strategy, managing more than 100,000 lives and delivering better care at lower costs. Renamed in 2019 from Care Link to CareVio, the program is a robust information technology platform that harnesses real-time health data from all available sources. CareVio uses a prediction analytics engine to coordinate care, identify populations most at-risk and help prevent the need for hospitalizations and emergency department visits through preventive care and, when appropriate, home care. This novel, data-driven approach to care coordination incorporates artificial intelligence and machine learning to assist real-time delivery of services.
“The success of our care management program stems from a culture at ChristianaCare that places the patient and their family at the center of all we do.” Sharon Anderson, MS, BSN, RN, CareVio president and ChristianaCare’s chief virtual health officer. ChristianaCare Nursing Annual Report 2019 | 41
BUILDING A SYSTEMWIDE EVIDENCE-BASED PRACTICE
Building a systemwide evidence-based practice ChristianaCare’s Nursing Research and Evidence-Based Practice (EBP) Program continued to drive the Institute of Medicine’s goal that 90% of all clinical practice be evidence-based by 2020. The program created two new resources to educate nurses about the Johns Hopkins Nursing Evidence-Based Practice Model, which ChristianaCare adopted in 2018. The first is a web-based video of the model for nurses to watch and learn from. The second is an Introductory Evidence-Based Practice Workshop for novice nurses.
Mentorship enhances evidence-based beliefs, implementation and sustainability The EBP Mentor Workshop Series trains interested nurses to be evidence-based practice mentors. Once trained, mentors are paired with point-of-care nurses to help stimulate, facilitate and educate nursing staff toward a culture of EBP, including implementing EBP, promoting sustainability and overcoming barriers to best practice. Evidence-based practice mentorship is a key strategy in building an organizational culture for evidence-based practice. Eleven nurses trained in 2019 to be mentors.
EBP mentors: •
Jamie Ayala, DNP, RN-BC, NE-BC
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Bridget Bieber, MSN, RN, CCRN, NPD-BC
Denise Lottero, MSN, MSM, RN, NE-BC, CNOR
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Laura Dechant, DNP, APRN, CCRN, CCNS, FCNS
Denise Lyons, DNP, APRN, AGCNS-BC, LSSBB
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Doreen Mankus, MSN, RN, CEN
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Anna Garton, MSN, APRN, AGCNS-BC, PCCN, SCRN
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Dannette Mitchell, MSN, APRN, ACNS-BC, CCRN
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Erin Hare, MSN, RN, CCRN
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Jennifer Keith, BSN, RN-BC
Maureen Moffett, MSN, APRN, ACCNS-N, RNC-NIC, CEFM
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Doreen Nord, MSN, RN, CEN
Evidence-based research projects DAISY Award Honoree and Nominee Behavioral Characteristics: A Qualitative Study Julie McCulloh Nair, Ph.D., RN, APHN-BC, CCRE; Paige Merring BSN, RN, CCRN; Bradley Jones, BSN, RN-BC; Senem Guney, Ph.D., CPXP; Vic Kasoff, MBA, CPXP. This study utilized patient nomination data and DAISY honoree insight to identify and gain better understanding of the characteristics and behavioral traits of DAISY nurses.
Metronome Implementation in Emergency Department Cardiac Arrest Patients Kaci Rainey, MSN, RN, CEN, TCRN, and Susan Birkhoff, Ph.D., RN This nurse-led interdisciplinary evidence-based practice initiative aimed to standardize health care provider’s chest compression delivery during in-hospital cardiac arrest events in alignment with the American Heart Association’s recommended chest compressions rate of 100-120 beats per minute by incorporating auditory cues from a metronome. 42 | Building a System-wide Evidence-Based Practice
Ask it in a poster! The Department of Nursing Research and Evidence-Based Practice and Nursing Research Evidence-Based Practice Council introduces practicing nurses to the Johns Hopkins Nursing Evidence Based Practice Model through a two-day “Ask it in a Poster” course. The educational course introduces nurses to the first two phases of the Johns Hopkins Nursing Evidence Based Practice and helps them design and present a poster. In 2019, 10 posters were submitted, and Christiana Emergency Department nurses won all four prizes!
1st Place and People’s Choice: Jessica Nolden, ADN, RN, CEN, and Gemma Ryder, BSN, RN, CEN, for Increasing Family Presence During Resuscitation
2nd Place: Mitchell Williams, BSN, RN, CEN, and Ellie Thompson, BSN, RN, CEN, for “You Have to Use a Butterfly!” Decreasing Hemolysis of Lab Specimens in the ED
3rd Place: : TJ Czapp, ADN, RN, and Brenda Hollingsworth, MSN, RN, for Pump! Pump! Pump It Up!
ChristianaCare Nursing Annual Report 2019 | 43
Research Training Boot Camp strengthens nursing research ChristianaCare’s interprofessional Research Boot Camp presents interested nurses and other caregivers with the infrastructure, education and support to successfully complete a feasible, ethical and relevant research protocol. Nurses in the training aim to enhance patient outcomes or nurse experience by applying research methods to questions relating to the practice of nursing. All program-generated research studies focus on nursing practice and align with ChristianaCare Nursing’s Strategic Plan and Annual Operating Plan goals.
2019 Boot Camp participants are: Christopher Otto, MSN, RN, CHFN, PCCN, CCRN, with Monica F. Rochman, Ph.D., RN A prospective, observational, cross-sectional study of decisional involvement and dissonance among home healthcare registered nurses to identifying opportunities for improved outcomes Traci Williams, BSN, RN-BC, with Matthew Morgan, BS, Christopher Grogan BSN, RN-BC, and Monica F. Rochman, Ph.D., RN A retrospective descriptive study of patients’ visitation frequency in an inpatient behavioral health unit.
44 | Publications and Presentations
PUBLICATIONS AND PRESENTATIONS
Presentations – Research Susan Birkhoff, Cynthia Waddington, Jordan Polifroni-Williams, Leslie Verucci, & Maureen Dominelli. (2019, November). Effects of a Pre-Treatment Virtual Reality Educational Video on Anxiety and Perceived Self-Efficacy for First-Time Chemotherapy Patients. Poster presentation at the Delaware IDEA Symposium. Danielle Coyne and Amy Tuer. (2019, November). Novice Nurse Support Group: A pilot study. Podium presentation at the 14th Annual Nursing Research Conference, Newark, Delaware. Denise Lyons. (2019, November). The Prevalence of Orthostatic Hypotension Among Hospitalized Older Adults at Risk for Falling. Poster presentation at the Gerontological Society of America, Austin, Texas. Julie McCulloh Nair. (2019, July). Peer Mentoring in Undergraduate Nursing Education: An Innovative Strategy to Promote Successful Role Transition. Poster presentation at the International Nursing Research Congress, Melbourne, Australia. Julie McCulloh Nair. (2019, July). Peer Mentoring in Undergraduate Nursing Education: An Innovative Strategy to Promote Successful Role Transition. Podium presentation at the Nursing Science conference, Los Angeles. Kathryn Shady, Julie McCulloh Nair and Courtney Crannell. (2019, April). The Feasibility of Using Lavender Aromatherapy Patches with Inpatient Hematology/Oncology Patients. Poster presentation at Oncology Nursing Society Congress in Anaheim, California. Kathryn Shady, Julie McCulloh Nair and Courtney Crannell. (2019, November). Lavender Aromatherapy: Examining the Effects of Lavender Oil Patches on Patients in the Hematology-Oncology Setting. Podium presentation at the 14th Annual Nursing Research Conference, Newark, Delaware.
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Presentations — Evidence-based Practice Darcy Burbage. (2019, September). Implementing a Survivorship Program for Individuals with Recurrent Breast Cancer. Poster presentation at the European Oncology Nursing Society, Barcelona, Spain. Karin Cooney-Newton, Maureen Seckel and Erin Hare. (2019, May). Implementing a Validated Score for Compassionate Extubation. Poster presentation at the National Teaching Institute and Critical Care Exposition, Orlando. Laura Dechant. (2019, March). A Pathway to Success: CNS Role in Reducing NSTEMI Readmissions and LOS. Podium presentation at NACNS 2019 Annual Conference: A Catalyst for Practice Change: The CNS, Orlando. Carolyn Gutzmirtl. (2019, April). Use of the Female External Urinary Collection Device in the ICU. Poster presentation at the American Nurses Association Quality and Innovation Conference, Orlando. Kathleen Hackett. (2019, November). Improving Compliance to the Wake up and Breathe Protocol. Poster presentation at 14th Annual Nursing Research Conference, Newark, Delaware. Kathleen Hackett and Jill Kane. (2019, October). Improving Compliance to the Wake up and Breathe Protocol. Poster presentation at Southeastern PA Chapter of AACN, Atlantic City, New Jersey. Susan Hutchinson. (2019, May). Development and Evaluation of a Post-Discharge Telephone Follow-Up Process for Patients Status Post Peripheral Vascular Intervention at an Academic Medical Center in Delaware. Lecture at VIR/Radiology Leadership Meeting at ChristianaCare, Newark, New Jersey. Denise Lyons. (2019, October). GAPN Systems Leadership: Creating an Age-Friendly Health System. Poster presentation at the Gerontological Advanced Practice Nurses Association Annual Conference, Las Vegas, Nevada Maureen Seckel. (2019, October). Implementing a Validated Tool for Compassionate Extubation. Poster presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Maureen Seckel. (2019, October). Validating Evidence-Based Practice: Developing and Implementing Metrics for ABC Bundle Compliance. Poster presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Kaci Rainey. (2019, May). Metronome Implementation in Cardiac Arrest Patients in the Emergency Department. Podium presentation at the ChristianaCare Research and EBP Symposium, Newark, Delaware.
46 | Publications and Presentations
Presentations — Education Christine Brown. (2019, May). Health Literacy in the Nursing Curriculum. Lecture given at the 13th Annual Nurse Educator Update, Dover, Delaware. Darcy Burbage. (2019, May). From Prevention to Palliative Care: Optimizing the Breast Cancer Patient Experience with Nurse Navigation. Lecture at the 5th Annual Oncology Nurse Advisor/Oncology Nursing Society Nurse Navigation Summit, Philadelphia. Laura Dechant. (2019, October). CCRN-PCCN Certification Review: Cardiovascular II. Podium presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Laura Dechant. (2019, October). EKG Interpretation Made Simple. Podium presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Catherine Donahue Smith. (2019, February). Care of Patients with DM. Lecture at Wilmington University, Wilmington, Delaware. Catherine Donahue Smith. (2019, April). Osteoporosis. Lecture at APRN Pharm Update at Christiana Care Health System, Newark, Delaware. Lija Gireesh. (2019, September). Role of Occupational Health Professional in Managing Substance Use Disorders Among Health Care Workers. Podium presentation at the Association of Occupational Health Professionals in Healthcare, Baltimore. Helen Hawrylack and Amanda Griffith. (2019, October). The Road to Beacon: The Journey of Gold. Podium presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Helen Hawrylack. (2019, October). Healing Touch – Presenting the Evidence. Podium presentation at the Trends Acute and Critical Care Nursing Conference in Atlantic City, New Jersey. Helen Hawrylack. (2019, October). Self-Care Setting Healthy Boundaries to Manage Stress and Anxiety. Podium presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. Debra Howard and Carolyn Zsoldos. (2019, October). Downtime: Establishing Sanity-Saving Workflows. Podium presentation at the Cerner Health Conference, Kansas City, Missouri. Doreen Mankus. (2019, April). Elevating Education in the Emergency Department. Poster presentation at the American Nurses Association Quality and Innovation Conference, Orlando. Reina McAndrew. (2019, October). The Nurse’s Role in Early Management of Acute Ischemic Stroke. Podium presentation at the John Scholz Stroke Education Conference, Newark, Delaware. Maureen Seckel. (2019, September). Sepsis, CMS, and the Research. Podium presentation at ChristianaCare’s 1st Annual Sepsis Symposium, Newark, Delaware. Maureen Seckel. (2019, May). Top Ten Sepsis Studies 2018-2019. Podium presentation at the National Teaching Institute and Critical Care Exposition, Orlando. Maureen Seckel. (2019, May). Top Ten Sepsis Studies 2018-2019. Podium presentation at the Trends Acute and Critical Care Nursing Conference, Atlantic City, New Jersey. 47 | Publications and Presentations
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Presentations – Performance Improvement Darcy Burbage. (2019, June). It’s Everyone Business: Capturing the Conversation Surrounding Goals of Care in an Inpatient Palliative Care Program. Podium presentation at Multinational Association of Supportive Care in Cancer Conference, San Francisco. Jessica Dickerson, Jacqueline Day and Maria Brown. (2019, April). Move to Improve. Poster presentation at the American Nurses Association Quality and Innovation Conference, Orlando. Lauren Duddy. (2019, May). Improving Disease-Specific Nursing Orientation in an Intermediate Care Cardiac Observation Unit. Poster presentation at the American Nurses Association Quality and Innovation Conference, Orlando. Timothy Heckman. (2019, May). Ventilator-Associated Pneumonia: Prevention in the Midst of Change. Poster presentation at the National Teaching Institute and American Association of Critical Care Nurses, New Orleans, Louisiana. Denise Lyons. (2019, October). GAPN Systems Leadership: Creating a Standardized Approach to Prevent Falls Across the Continuum. Poster presentation at the Gerontological Advanced Practice Nurses Association Annual Conference, Las Vegas, Nevada. Tiffani Lee. (2019, August). Don’t Hesitate to Collaborate – A Stroke Unit’s Journey to Implementation of an Acute Neurology Service. Poster presentation at AANN 2019 Advances in Stroke Care Conference, Austin, Texas. Susan Mascioli and Lois Dixon. (2019, May). Pursuing Zero Harm – Tracheostomy Related Pressure Injury Bundle. Poster presentation at the American Nurses Association Quality Conference, Orlando. Gina Moore. (2019, October). Neonatal Antibiotic Stewardship: Standardization and Judicious Antibiotic Use. Poster presentation at the Vermont Oxford Network Annual Quality Congress, Chicago, Illinois. Susan Smallwood. (2019, May). Gerry Star Project: Improving the Safety of Memory Impaired Patients. Poster presentation at the National Teaching Institute and Critical Care Exposition, Orlando. Megan Smakulski and Sonya Stover. (2019, April). The Nursing Bundle Delivers Improved Patient Experience. Poster presentation at Pathway to Excellence, Orlando,
Presentations — Other Lija Gireesh. (2019, September). Achieving Meaningful Use by the Implementation of Electronic Health Record. Poster presentation at the Association of Occupational Health Professionals in Healthcare, Baltimore. Christopher Otto, Jennifer Marshalok and Michelle Collins. (2019, May). Strategic Planning in Shared Governance to Improve Work Environments. Podium presentation at the American Nurses Association Quality and Innovation Conference, Orlando. 48 | Publications and Presentations
Publications Darcy Burbage. (2019). Cancer Survivorship. In Esparaza, D. (Ed), Oncology Policies and Procedures 2nd ed. Oncology Nursing Press: Pittsburgh, Pennsylvania. Barbara Lubejko, Darcy Burbage, Cynthia Cantril and Lisa Sheldon. (2019). Novice Oncology Nurse Navigator: Core Elements in Establishing Training Needs and Building Competencies. Clinical Journal of Oncology Nursing. 23(4), p. 387-95. Karin Cooney-Newton and Maureen Seckel. (2019). Implementing a validated score for compassionate extubation. Critical Care Nurse. 39, e54. Danielle Coyne, Amy Tuer and Julie McCulloh Nair. (2019). Novice Nurse Support Group: A Pilot Study. Journal for Nurses in Professional Development. Edward Goldenberg, Stephen Meng, Heather Milea and Raveen Chawala. (2019). A Personalized Approach to Risk Stratification. Lipid Spin. Timothy Heckman, Sonya Stover, Jennifer Papi and Samantha Kelly. (2019). VentilatorAssociated Pneumonia: Prevention in the Midst of Change. Critical Care Nurse. 36(2). Susan Hutchinson. (2019). Development and Evaluation of a Post-Discharge Telephone Follow-Up Process for Patients Status Post Peripheral Vascular Intervention at an Academic Medical Center in Delaware. ProQuest. 14319666, p. 82. Andrea Jones. (2019). Loneliness: The Effects on Mental Health and Wellness and the Nursing Role. Delaware Nurses Association Reporter. 44(3), p. 5. Lauri Littleton and Catherine Fernald. (2019). Effective Nurse Leader Rounding Improves the Patient Experience. Nursing Management. 50(10), p. 11-4. Denise Lyons. (2020). We Improve Senior Health (WISH) Program. In T. Fulmer, K. Glassman, S. Greenberg, P. Rosenfeld, M. Gilmartin & M. Mezey (Eds.), Nurses Improving Care for Health system Elders (p. 289 – 299). New York, New York: Spring Publishing Company. Jennifer Painter, A. Sebach and Lisa Maxwell. (2019). Nurse Practitioner Transition to Practice: Development of a Residency Program. The Journal for Nurse Practitioners, 15(9), 688-691. https://doi.org/10.1016/j.nurpra.2019.05.003 Kathryn Shady, Nair McCulloh and Courtney Crannell. (2019). Lavender Aromatherapy: Examining the Effects of Lavender Oil Patches on Patients in the Hematology-Oncology Setting. Clinical Journal of Oncology Nursing. 23(5), p. 502-8. Traci Williams. (2019). Loneliness and Social Isolation: The Consequences of Being Lonely. Delaware Nurses Association Reporter. 44(3), p. 4.
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ChristianaCare Nurse-Led conferences Perioperative Nursing Conference ChristianaCare’s Perioperative Professional Value Council hosted the 11th annual Perioperative Perspective: Latest Trends and Practices with national speakers and breakout sessions on important current topics. The conference drew nursing professionals, student nurses and surgical technicians from across the area.
Nursing Research Conference In partnership with other Delaware health systems and universities, ChristianaCare held the 14th annual Nursing Research Conference. This year, we welcomed a wonderfully mixed group of nursing students, clinical nurses and advanced practice nurses, nurse leaders and researchers.
Advanced Practice Clinician Pharmacology Update ChristianaCare’s daylong 7th annual APC Pharmacology Update reviewed and identified current and new pharmacological and clinical approaches to management of common conditions in primary, acute and women’s and children’s health, with the goal of achieving safe prescribing practices and optimal clinical outcomes.
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The ChristianaCare Way We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value.
We Serve Together Guided by Our Values of Excellence & Love. Love
Excellence
We anticipate the needs of others and help with compassion and generosity.
We commit to being exceptional today and even better tomorrow.
We embrace diversity and show respect to everyone.
We seek new knowledge, ask for feedback and are open to change.
We listen actively, seek to understand and assume good intentions.
We use resources wisely and effectively.
We tell the truth with courage and empathy.
We are curious and continuously look for ways to innovate.
We accept responsibility for our attitudes and actions.
We are true to our word and follow through on our commitments.
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