LOVE in ACTION Nursing Report Fiscal Year 2022
Across the Delaware region, more than 4,000 ChristianaCare nursing caregivers show their love of health and commitment to service in our hospitals, primary care practices, home health agency and community As the pandemic lingered into a third year, these dedicated caregivers persevered through COVID-19 surges and a nationwide nurse staffing crisis to care for our patients and each other with love and excellence Undeterred, they also charted innovative new courses to improve patient outcomes and patient and caregiver experiences
As I write this message, our community is becoming increasingly more adept at coexisting with COVID-19. With fortitude, ChristianaCare nurses have come through the acute COVID-19 crisis wiser, nimbler and more committed to caring. They’ve found moments of joy amid sorrow and never lost sight of nursing’s core purpose of caring I am so proud of our caregivers They always rise to the occasion, proving what I know and see to be true every day: nurses are extraordinary people who are committed to being exceptional today and even better tomorrow.
One highlight for me is caregivers onboarding a new member of our care team: Moxi, the collaborative robot or “cobot.” We are currently piloting two cobots at Christiana Hospital The pilot earned ChristianaCare our largest ever single grant from the American Nurses Foundation — read more about Moxi and the grant on page 23. We are excited to see where robotics will take health care in the future and thrilled to take a lead role in finding out
ChristianaCare Nursing Report 2022 | 1 Table of contents A Message from Ric 1 Love in Action 2 For the Love of Health 3 Exemplary Professional Practice 4 Empirical Outcomes 8 Transformational Leadership 12 Structural Empowerment 15 New Knowledge, Innovations and Improvements 21 A Message from Ric Cuming
Ed D RN, NEA-BC, FAAN
In a 2022 Gallup Poll, the American public once again named nursing the most trusted profession — and for good reason Nurses are among the most courageous, determined, compassionate and creative professionals working today
ChristianaCare chief nurse executive and president of ChristianaCare HomeHealth
ChristianaCare’s report for fiscal year 2022 (July 1, 2021–June 30, 2022) shares numerous examples of our nursing caregivers’ love and excellence — accomplishments that illustrate why ChristianaCare is Magnet® designated three times over for Christiana and Wilmington Hospitals, Ambulatory Services and ChristianaCare HomeHealth Among them are our nursing team’s leadership in vaccinating more than 57,000 people across our region, flexibility in assuming new roles and responsibilities to meet staffing and COVID-19 needs, and innovation in creating new evidence-based models of care. All the while, our remarkable caregivers developed an excellent Nursing Strategic Plan for the fiscal year that charts our course for the next 12 months.
Throughout fiscal year 2022 (FY 22), ChristianaCare nursing caregivers leaned in with love and excellence to meet every moment of the pandemic’s second year
ChristianaCare’s mission is to serve our neighbors as expert partners in their health. Acute care, ambulatory and HomeHealth caregivers help steer this mission through robust and regular strategic planning and benchmarking. Through it all, we are guided by our vision — to create health together so every person can flourish — and the health system’s newly created aspirations for what we hope to accomplish in service of our mission and vision
VISION STATEMENT To be the transformati and intellectual fo imp ving health through the ving art and science nursing.
Aspiring to health and excellence — a strategic path
Developed by nursing leadership during the pandemic’s first year, our Capacity Assistance Program is implemented when any crisis threatens to overwhelm day-today acute care operations. The program ensures uninterrupted bedside care during crises by enlisting an adequate number of nursing caregivers with competencies necessary to provide exceptional care. In FY 22, more than 300 nurses and 80 medical assistants and patient care technicians, who might otherwise work in non-patient care areas, put their bedside training to work when we had the highest patient volumes and staff absences of the pandemic.
ChristianaCare nurses steered the health system’s statewide vaccination effort, organizing and running vaccination events, often with only a few days’ notice Nurses held community vaccination events at our John H. Ammon Medical Education Center and visited churches, farmers markets, festivals and small businesses to vaccinate our neighbors. And our school-based health centers, led by nurse practitioners, helped students get immunized. In total, nurses administered more than 57,300 COVID-19 shots throughout our community
S u ualEm ow ANAC d Ad l e dn m Q yRe ul s nsormaton L d h p N w o e e n t o n s d ro m n E l yP fes onaP c i e E d c Bas d e w Me g t & MISSION TATEMENT W the nurses ChristianaCar vide high-qualit exceptional car xperience ery patient, y, by partnering with our neighbors, colleagues and each other fEthc AN S pndSanda d e ch h a r CHRISTIANACARENURS NG PROFESSIONALPRACTICEMODELTheChristianaCareWaProfessional Go ernance St ctur mp w a O tco T f m i na eade h K w d g o n Imp oveme ts E emp a Po s Pa tc Caring d c d a R a w Sa t y Me o R g i o D t E ope V e &Be v C Wa & G A MISSION W the nurses of ChristianaCare, pr vide high-quality exceptiona car xperience every patient, every da by partnering with our neighbors, colleagues and each other VISION be the transformativ and intellectual fo impr ving health through the ev ving art and science nursing. ChristianaCareNursing ProfessionalPracticeModel New PPMEarlier PPM LOVE in ACTION DISPARITIESEND RADICALLYSIMPLIFYACCESS TRANSFORMATIONGROWTHACCELERATEANDKEEPHEALTHYPEOPLEATHOME ENABLECAREGIVEREVERYTOTHRIVE STRENGTHENTHECORE
For the Love of Health
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Returning to the front lines
Protecting our community
A new tree grows ChristianaCare’s Professional Practice Model (PPM) has grown in new ways after a reevaluation of the model that aligns with caregiver feedback. The new PPM incorporates additional elements core to nursing, including recognition, research and safety, and shifts elements to better align with ChristianaCare Nursing values and practice
Making > Tomorrow > Happen
The ChristianaCare Center for Virtual Health goes far beyond video visits. The Center’s team of nurse practitioners, physicians, specialists and pharmacists offers via phone or text about 95% of what’s done at an office visit In total, last year, ChristianaCare caregivers counted more than 51,000 virtual visits across the system.
Hospital care at home ChristianaCare has joined an elite group of health systems nationwide offering at-home hospital care Clinical research studies show patients receiving in-home care experienced fewer readmissions, lower mortality rates, reduced falls and lower costs than those receiving hospital-based Offeringcare the highest level of in-home acute care in Delaware, our Hospital Care at Home program launched in December 2021. A team of physicians, nurse practitioners, registered nurses and others provides a combination of virtual and in-person care, paired with mobile imaging and lab services, delivery of meals and nutrition and pharmacy medication and management. Virtual technology and home health equipment brought into the patient’s home ensure 24/7 monitoring and care that mirror a traditional hospital setting.
Evidence-based care in real time During the pandemic, nursing professional development specialists and clinical nurse specialists quickly developed evidence-based guidelines and education materials for caregivers working at the bedside to help non-intubated COVID-19 patients learn to turn themselves with minimal assistance. Called awake self-prone positioning (ASPP), the process is used with COVID-19 patients showing early signs of respiratory failure. Christiana Hospital’s Rapid Response Team worked closely with unit charge nurses and intermediate-care nurses to help implement ASPP with patients. The ASPP guideline has become an established part of caring for patients with COVID-19 and is fully integrated into practice in units caring for them.
Love and excellence offered virtually
Serving through crisis When the omicron variant resulted in an unprecedented demand for services, ChristianaCare implemented Crisis Standards of Care for several months For crisis situations only, Crisis Standards of Care guide decision making when demand for care surpasses available resources and other contingency strategies have been exhausted. Our extraordinary nursing caregivers adapted swiftly and fluidly to the standards that allow flexibility and support in care models, documentation requirements, workflows, admissions and discharge criteria, supply allocations, staff redeployments and resource distributions. Through it all, they were unrelenting in their attention to safety for our patients and caregivers
Making Tomorrow Happen is ChristianaCare’s model for putting our core values of love and excellence into every action, every day Our dedication to Making Tomorrow Happen guides us 24/7, 365 days a year. The model is evidenced in 14,000 caregivers across all roles working together to remove problems and inefficiencies that prevent us from achieving joy in our work and best outcomes for the people we serve. Grounded in Making Tomorrow Happen, nursing caregivers commit to being exceptional today and even better tomorrow through continuous improvement and embodiment of all Magnet pillars.
Core to every Magnet®-designated institution is exemplary professional practice within nursing ChristianaCare’s nursing and HomeHealth teams deeply understand the role of nursing as it applies to patients, families, communities and caregivers Always applying new knowledge and evidence-based approaches, our caregivers embody the essence of Magnet: determined to be exceptional today and even better tomorrow.
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Exemplary Professional Practice
Teach-back grows ChristianaCare’s evidence-based Teach-back initiative continues to move forward, stewarded by nurses.
Caring for patients, protecting caregivers ChristianaCare nursing is also leading the launch of a screening assessment — Dynamic Appraisal of Situational Aggression (DASA) — that identifies aggression, objectively and proactively, among patients. The screening will enable caregivers to create interventions and individualized care plans that help patients and protect frontline caregivers DASA is a collaborative effort among nursing’s Workforce Connection Council, iLEAD, Nursing Informatics, Psychiatric/Behavioral Health Services and the Workplace Civility steer and subcommittees. In the coming year, two units on our Newark and Wilmington campuses will implement DASA, with a systemwide rollout to follow Systemwide Teach-back screensaver
• Working with external affairs to create public-facing signage to communicate that caregiver safety is a top priority
• Completed more than 2,400 Teach-back rounds.
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Civility, safety and respect — our top priority ChristianaCare’s nurses join other caregivers in addressing violence against health care workers. In FY 22, nursing caregivers are leading the design and implementation of multiple initiatives that support health care workers and create a safe work environment across all our campuses, including:
In FY 22 nursing caregivers:
• Trained more than 300 nurse leaders in observations.
• Developing a pilot using a validated screening assessment called Dynamic Appraisal of Situational Aggression to identify aggression, objectively and proactively, among patients
• Expanding the use of staff duress badges to additional inpatient units and in our emergency departments to non-nursing caregivers
• Training hundreds of caregivers in Nonviolent Crisis Intervention® with Advanced Physical Skills, an evidence-based de-escalation and crisis prevention training developed by the Crisis Prevention Institute
• Standardizing the process for caregivers to press charges in the event of violence and direct verbal threats against them
• Conducted nearly 100 presentations for ambulatory practices and community outreach teams
Additionally, three ChristianaCare nurses — Mike Knorr, MSN, RN, PCCN, Amanda Williams, MSN, RN-BC and Christopher Otto, MSN, RN, CHFN, PCCN, CCRN — advocated in the Delaware General Assembly for the passage of HB 324. The legislation, which the governor signed in June, applies the felony offense of assault in the second degree to those who intentionally cause physical injury on health care workers while the caregivers are performing work-related duties
Two years after selecting a new partner for patient education content, ChristianaCare has seen fantastic adoption of our strategic content vendor Healthwise, a nonprofit that develops health content and patient education for health care providers and others
ChristianaCare’s mission is to serve our community as expert, caring partners in health We do this through love and excellence, which calls us to always consider innovation and clinical outcomes in our practices, organization and care for patients and their families
• More than 136,000 visits to the Healthwise library via ChristianCare.org and the patient portal
• 650 CareVio-ordered education resources delivered to patients — 85% of which were digitally delivered
• More than 655,000 leaflets provided to patients and families.
The info patients need when they need it
Preventable harm rates Through FY 22, our Nursing Quality and Safety Council continued to engage caregivers in monitoring and preventing harm in several areas: catheter-associated urinary tract infections, hospital-acquired pressure injuries, central line–associated bloodstream infections, and falls.
The success of ChristianaCare’s Nursing Practice Bundle takes full stakeholder engagement To encourage active involvement among all groups, our Nursing Excellence team recently revised nursing’s RACI chart, a project management tool that identifies who is responsible, accountable, consulted and informed on projects Based on input from all involved caregivers, it clearly outlines everyone’s role in the design, maintenance and implementation of the Nursing Practice Bundle. The chart is being piloted in Acute Care with plans to eventually expand to ChristianaCare HomeHealth and the Medical Group.
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Empirical Outcomes
Overall, our harm rate for the year decreased from 1.94 in FY 21 to 1.85 this year.
Nursing Practice Bundle
Transforming pain preference protocols
Recently, the Joint Commission updated its medication standards, allowing patient preference in medication administration practices. Welcomed by caregivers, the policy empowers nurses to accommodate a patient’s preference for medication For ChristianaCare, a team of Nursing, Pharmacy, IT, providers, Medication Safety and Accreditation revised ChristianaCare’s pain preference protocol Their work involved changing medication orders, nursing documentation and health system policy and process in pain medication administration practices. This practice change was implemented in December 2021 and feedback from caregivers has been overwhelmingly positive — nurses appreciate the ability to honor patient preference
12 months: HH New Castle Team 3, N 6B, N 5D, HH New Castle Team 7, N 6E, HH New Castle Team 5, HH Camden Team 3, N Surgical Critical Care Complex, N 6A 24 months: HH Private Duty Nursing, N 4D, W 5N, W 8S 36 months: W 4W, N 5E, W Intensive Care Unit, W Rehab (6W), N Medical Intensive Care Unit, N Transitional Neuro Unit, N Neuro Critical Care Unit, C Intensive Care Unit, C Progressive Care Unit 48 months: W 3M 60 months: N 3A, W 6S 84 months: N 7E, N Bone Marrow Transplant Unit, W 4N/5W 96 months: W 7S Central Line-Associated Bloodstream Infection (CLABSI)
All Falls 12 months: N 2M, N OB Triage, C Intensive Care Unit 24 months: N Transitional Surgical Unit 72 months: N Neonatal Intensive Care Unit Antenatal Steroids 36 months: N 2M awarded a total of 145 Zero Harm Awards across our FY areas with cases for 12, 24, 36, 48, 60, 72, 84 or 96 Our our commitment to and we are proud Zero Harm awardees at our Wilmington (W), Newark (N) and Cecil County (C) campuses and HomeHealth (HH).
patients are safer because of
to acknowledge all 2022
12 months: N Medical Intensive Care Unit, N Neonatal Intensive Care Unit, C Medical Specialty Unit, N 6A, N 5B 24 months: N Bone Marrow Transplant Unit, N Transitional Neuro Unit, W Rehab (6W), N 6B, N 3A, HH New Castle Team 5, W 4N/5W, W 4W 36 months: HH New Castle Team 6, N 5D, C Progressive Care Unit 48 months: W Intensive Care Unit, W 3M, N Transitional Surgical Unit, HH Camden Team 1, HH CD Team 3, HH New Castle Team 2, HH New Castle Team 3, HH New Castle Team 4, HH New Castle Team 7, HH Private Duty Nursing months: W 6S 84 months: N 2C, N 7E, W 7S Methicillin-Resistant Staphylococcus Aureus (MRSA) 12 months: W 5N, W 4W, N Cardiovascular Critical Care Complex, W 4N/5W, C Progressive Care Unit 24 months: N 5A/4C, N 5D, N 6B, N Surgical Critical Care Complex, W 3M 36 months: N Bone Marrow Transplant Unit, N 5C, C Surgical Specialty Unit 48 months: N Transitional Surgical Unit, W Intensive Care Unit
consecutive months.
zero
Zero Harm Awards ChristianaCare’s Zero Harm committee
caregivers’
ChristianaCare Nursing Report 2022 | 1110 60 months: N 4D 72 months: N 4B 84 months: N 2C, N 7E 96 months: N 3A, W 7S, W Rehab (6W) Clostridium Difficile (C. Difficile) 12 months: N 5B/3B, W 4N/5W, N Surgical Critical Care Complex, C Clinical Decision Unit, N 5D, N Bone Marrow Transplant Unit, C Medical Specialty Unit, C Progressive Care Unit, C Surgical Specialty Unit 24 months: W 7N, N Medical Intensive Care Unit, N 6B, W 3M 36 months: N Transitional Neuro Unit, W Intensive Care Unit, C Intensive Care Unit 48 months: N Transitional Surgical Unit 60 months: W Rehab (6W) 96 months: W 7S Falls With Major Injury 12 months: N Cardiovascular Critical Care Complex, W 7N, HH Camden Team 1, N 3A, N 6E, N 6A, W 4N/5W, N 4E, C Clinical Decision Unit, N 6A 24 months: Cecil Emergency Department, N 5B/3B, W Rehab (6W), N 5E, C Progressive Care Unit, C Medical Specialty Unit, N 5C 36 months: N Neuro Critical Care Unit, N 2C, C Intensive Care Unit, C Maternal Infant Child, Wilmington Emergency Department, C Behavioral Health Unit 48 months: N 6C Medical Observation Unit, N P6M 60 months: N 5A/4C, W 4W, N 6B, N Surgical Critical Care Complex, W 3M, N 6M/7M 96 months: N 4D, N 7E, N Cardiac Short Stay Unit, Middletown Emergency Department, N Medial Intensive Care Unit, N Transitional Surgical Unit, N 2M, W Intensive Care Unit
of preventable patient harm
three campuses and HomeHealth in
72
Catheter-Associated Urinary Tract Infection (CAUTI)
22. The awards are for
zero harm,
• Created an APC mentoring program Education, Development and Advancement Council
• Launched a six-month APC Primary Care onboarding orientation for primary care APCs to slowly ramp up their responsibilities and patient panels as new APCs become familiar with practicing in a primary care setting For APCs with more than two years’ experience in primary care, the orientation is 12 weeks.
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Chair: Elizabeth Shearon, MSN, RN-BC
Council AdvancedhighlightsPracticeRegistered Nurse Council
• Partnered in the development of the perfect care process for monitoring ventilator-associated pneumonia
Chair: Alyssa Hancock MSN, APRN, FNP-C
Chair: Ellen Alvarez, MEd, BSN, RN, CCRN, WTA-C
• Revised nursing’s certification policy
• Provided feedback and decision making to increase data transparency and improve nursing practice and clinical outcomes for numerous quality and safety initiatives.
• Designed and hosted quarterly advanced practice clinicians (APC)-specific orientation to introduce new-to-ChristianaCare APCs to the health system and ground them in APCfocused programs and procedures, governance structure and more
• Awarded the Preceptor Excellence Awards and Dot Fowler Award at the Excellence in Nursing Awards ceremonies
• Collaborated with Medication Safety and provided feedback regarding administration of IV heparin infusions
• Implemented design changes to NEWS Alerts and the NEWS note template
Structural EmpowermentTeam maeExemplaryProfessionalPracticeTitavonIegdelwonKweN,nons&ImprovementsTeam Practice Councils PracticeCouncilsCitcaPrceouncils Practice Councils N rsing Assem ly NursingAdDeENursingAssemblyValueCouncilducationvelopment&vancementCouncilProfessionalNurseCouncil Off-ShiftCouncil NursesRAdvancedPracticeegisteredCouncilQualityandSafetyCouncil NursingProfessional GovernanceStructure Technology & ReInnovationCouncilsearchand Evidence-BasedPracticeCouncilNursingExecutiveCouncil AdministrativeCouncil ConnectionWorkforceCouncil Transformational LeadershipTeam
• Performed several Nurse Honor Guard ceremonies on the request of families when one of our nurse caregivers passes away
• Celebrated Nurses Month with excellence awards, a virtual 5K, roving snack carts and Excellence in Nursing recognition events across the campuses Quality and Safety Council
Transformational Leadership
• Finalized the RN III Reinstatement Guidelines.
Professional Nurse Council Chair: Michelle Metcalf, BSN, RN-BC
• Continued to recognize monthly DAISY honorees with DAISY Awards for our nurses and ROSE awards for nurse partners, including patient care technicians, medical assistants, unit clerks and others
Driven by purpose, ChristianaCare’s transformational nursing leaders have the vision, influence, clinical knowledge and expertise to create, lead and nurture a nursing culture and practice for the future
• Provided recommendations on nursing practice end-of-life care
Chair: Sebastian Molina-Flores, RN
The foundational elements encourage partnership — within the health system and with the communities we serve — as well as innovative and unique strategies, structures, systems, policies and programs that improve patient outcomes and community health
Susan Mascioli, MS, BSN, RN, NEA-BC, CPHQ, LSSBB, vice president, Nursing Quality and Safety
This scholarship is for full-time BSN students at Delaware State University (DSU), one of the nation’s premier historically Black colleges and universities Scholarship recipients are awarded a student nurse extern position after one semester of clinical training and accepted into our Nurse Residency Program after finishing DSU’s program. Since starting in 2019, the Nursing Scholars Program has awarded scholarships to 11 students, among them our FY 22 scholarships recipients: Jalen Chandler Jada Jenkins Michelle Markland Cierra Wright Nurse Residency Program
ChristianaCare environments are grounded in the health system’s mission, vision and values
ChristianaCare’s scholarships support the career growth of nurses and provide an opportunity for nurses interested in roles that require advanced degrees. Currently, 26 nurses are enrolled in the program, including the FY 22 scholarship recipients:
Kristen Foulk, MSN, MS, RN, PCCN-K, NE-BC, vice president of Patient Care Services, Neurosciences, Surgical Services, Trauma Program, Hemodialysis and Vascular Access/Infusion Services, Newark Campus
• Developed numerous approaches to reduce duplicate tasks or tasks that nurses chart as incomplete
Kristie Cudmore, MSN, RN, CEN, nurse manager of Progressive Care Unit, Intensive Care Unit and Hemodialysis, Cecil County Campus
ChristianaCare Nursing Report 2022 | 1514 Technology and Innovation Council
Michelle Collins, DNP, APRN, CNS, ACNS-BC, NPD-BC, NEA-BC, LSSBB, vice president, Nursing Excellence and Magnet Designation
Doreen Nord, MSN, RN, CEN, NPD-BC, nurse manager, Wilmington Hospital Emergency Department
Nursing Advancement Scholarships
Joan Pirrung, MSN, APRN, ACNS-BC, HMA Fellow, chief nursing officer, Cecil County Campus
Ritanne Elentrio, MSN, RN, clinical director for Community Health, ChristianaCare HomeHealth
Melissa MacMurray, BSN, RN, BS, PCCN, nurse manager of Perioperative Service’s Endoscopy Department
Jessica Dickerson, MSN, RN-BC, CNL, nurse manager of the Clinical Decision Unit, Interventional Radiology, Vascular Access Nursing and WOC Nursing, Cecil County Campus
Allen D. Smith, MSN, MSM, RN, CCNS-BC joined ChristianaCare as vice president Patient Care Services, Heart & Vascular Services
Nursing scholarships and residencies
Structural Empowerment
Systemwide promotions to nurse leadership
Emily Riddick, MSN, RN-BC, CPXP, nurse manager, 3B Medical Unit
Amy Kohl, MSN, RN, CCRN, NEA-BC, director of clinical operations, Perioperative Services
Amanda Williams, MSN, RN-BC, nurse manager, 5B Medical Unit
• Continued a capstone project that partners clinical nurse specialists and Nursing Informatics to rework bedside workflow.
Clinical Nurse Specialists, Direct Care Cayla Brooks, BSN, RN, SCRN Master of Science in Nursing, Nurse Educator Shelley McVey, BSN, RN-BC Ashley Jackson, BSN, RN Nurse Practitioner Scholarships
• Supported the implementation of Moxi cobots to assist nurses with time-consuming tasks that don’t require training (see page 23 for more on Moxi).
Lauri Littleton, DNP, RN-BC, NE-BC, vice president of Patient Care Services for Women’s & Children’s Services
Michelle Olkkola, MSN, RN, nurse manager, Postpartum Unit, Center for Women’s & Children’s Health
Jaime McLaughlin, BSN, RN, PCCN, CCRN Julien Oreste, BSN, RN Ashley Perez, BSN, RN Nursing Scholars Program
FY 22 saw the most significant enhancement of the Nurse Residency Program since achieving our first ANCC Practice Transition Program accreditation for the Critical Care Nurse Residency in 2017. Over summer 2021, nurse residents in all workplace settings across all three campuses participated in the Nurse Residency Program as a group — 153 in total — instead of individual campus-oriented cohorts We provide this experience to all newly graduated registered nurses who have fewer than 12 months of prior acute care experience.
Doctoral degreesCecil County Campus bolsters nursing
Ramanpreet
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FY 22 saw the implementation of numerous new campus partnerships with Cecil College that introduce soon-to-be-caregivers to the nursing field, support their education or onboard them to working in the health system
RN
RN,
Zachary Vogl, BSN,
It allows clinical nurses to improve their skills and practice at the top of their nursing licenses The first of its kind in Delaware, our model includes nurses in primary care practices, specialty care practices and ChristianaCare HomeHealth
RN KathrynIV Shady MSN, RN, OCN, CCLS RN JenniferIII Carr BSN, RN, PCCN Darlene Deel MSN, RN-BC, CLC Danielle Feely, BSN, RNC-MNN Betelhem (Betty) Fitru MSN-VA-BC Christine Flanagan BSN, RN-BC Natalie Galinskie, MSN, RN, CED Kristin Garber, MSN, RN-BC, CLC Lyrae Graham BSN, RN-BC Allison Hall, BSN, RN Emily Held MBA, MSN, RN-BC, CADC, CCDP Nicole Keeports, BSN, RN-BC Kathleen Luckner BSN, RN, CCRN Anna R. Massimiano, BSN, RN-BC Cheri Morrow, BSN, RN, CCRN
Wilmington Emergency Department University of Delaware Kaur, DNP, CMSRN
ChristianaCare offers a four-tiered Clinical Ladder that recognizes and rewards experience, knowledge and clinical expertise
RN-BC
SCRN, PCCN
6A Ace Group University of Delaware
Jennifer Papi, MSN, CCRN
RN, VA-BC
DNP, RN
Elizabeth Renna, BSN, Rieger, BSN,
Hillary Robinson BSN, Jenna Tigue, BSN, Trickey, BSN,
Jessica Renee Nolden, DNP, FNP, CEN Care Unit & MRI University of Delaware
Climbing the Clinical Ladder
Lauren Marie Lenoir, CEN
High School Nursing Collaborative ChristianaCare’s new High School Nursing Collaborative introduces young people to nursing careers and aims to build a more diverse and health-equity-minded workforce. Ten high school juniors and seniors from William Penn and Freire Charter participated in the program in FY 22. They attended 16 hours of classes, broadening their exposure to nursing. Barbara Feeny, MSN, RN-BC, HN-BC, nursing professional development and education manager, was part of a three-person team to develop the program
RN-BC
RN,
RN,
Jessica Marie Tansey, DNP, FNP, Medical University of Delaware
RN-BC 5D
Radiology
Kaitlin O’Connor, BSN, CCRN Nickens BSN,
DNP, RN
HomeHealth Nurse Fellowship
SCRN, PCCN Jacqueline
Christiana Emergency Department University of Delaware
Sheavone Boyd,
These include a Perioperative Internship, ChristianaCare-Cecil College Nursing Scholarship and a Senior Certified Nursing Assistant Residency Advanced Practice Clinician Fellowships ChristianaCare offers numerous fellowships for advanced practice clinicians (APCs), including our nine-month Primary Care APC Fellowship for newly graduated nurse practitioners and physician assistants (PAs). Four fellows completed the program in FY 22. Two APCs are currently enrolled in the Acute Neurosciences Fellowship program, a six-month program for new APCs or those with fewer than two years of experience in Neurosciences and/or ICU specific experience.
Ena
RN, PMH-BC Claire
Congratulations to the following nurses who advanced on the ladder this year:
HomeHealth’s Nurse Fellowship is a six-month didactic and clinical program for experienced RNs to receive professional development in home health care Five nurses graduated from the program in 2022. HomeHealth’s residency equips new HomeHealth RNs — those who are newly graduated or have less than one year’s experience — with the knowledge and tools to become successful in this specialty area. Two RN residents participated in the program in 2022.
POETS Consultation: Anticoagulation Post-op Management
The annual ChristianaCare Way Awards recognize outstanding performance improvement work by nurses and other caregivers. They demonstrate our commitment to being exceptional today and even better tomorrow. This year, 57 teams submitted entries. Awardwinning initiatives with nurse leads, co-leads or team members are listed here.
Streamlining the Structural Heart Team to Enhance Efficiency and Patient Experience Value Award No Pressure! A Systemwide Initiative to Reduce HAPI Health Equity Award
An Initiative to Optimize 2020-21 Influenza Vaccination Rates in People with HIV Transformation Award
ChristianaCare Way Awards
Hypertension
Readmissions
Pandemic:
Control BP:
Primum
Advancing & Leading the NursingAmbulatoryMSN,KellieProfessionKessler,RN,CCRNCare Stacey Strazzella, BSN, RN, MSN,DawnInformaticsCCRNRobinson,RN,MEDSURG-BC Inpatient/Acute CareBSN,IngridNursingBSN,EmilyNursingGear,RNNewcomerHausner,RN,PCCN
Depression
ChristianaCare Nursing Report 2022 | 1918 Awards and RecognitionsMagnetevery day, in every way ChristianaCare caregivers celebrate the health system’s third Magnet redesignation for Christiana and Wilmington Hospitals, Ambulatory Services and ChristianaCare HomeHealth at the 2021 ANCC National Magnet Conference®
President’s Award
High School Senior Transition: A Collaborative School-Based Health Center Initiative Good Catch Award
Expediting
3 Trauma Center Population Health
In FY 22, more than 50 ChristianaCare nurses, representing the full spectrum of care areas and all levels of the nursing practice, were recognized in the Delaware Today list of Top Nurses for 2022. Congratulations to all awardees and a special shoutout to the following category winners who were the top “vote getters” in their categories.
Bending and Blending: An Innovative Approach to Training During a Pandemic Magnet Exemplary Professional Practice Award - Gold Nasogastric Tube Securement Device Pilot: Back to Basics Magnet Exemplary Professional Practice Award - Silver Floating the Tube: Taking the Pressure Off of the Nares Magnet LeadershipTransformationalAward Implementing DABIR to Reduce Surgical Related HAPI in the CVOR and CVCCC Magnet New Knowledge, Innovations & Improvement Award - Gold Morphine-ng Toward a New Standard in Neonates and Pediatrics Magnet New Knowledge, Innovations & Improvement Award -Silver Home and Heart – Virtual Nurse Visits Are Where It Starts People’s Choice Award
Delaware Today celebrates nurses
Right Place, Right Patient, Right Time: Managing Mild TBI in a Level Award Multi-Component Strategy for Improving Control Award - Gold Improving Screening During the Maximizing Connections Health Quality Award - Bronze Home Is Heaven: Stopping the Merry-GoRound of Exceptional Experience Award Patient Care by Decreasing Lab Result Time Organizational Vitality Award Non Nocere: Avoiding Harm Through Clinical Documentation Improvement Strategic Partnership Award - Gold De-labeling Penicillin Allergies in Patients Undergoing Spine Surgery Strategic Partnership Award - Silver Collaborative Implementation of Outpatient Monoclonal Antibody Therapy for COVID-19 Extraordinary People Award Call for One and One for Call Innovative Tools Award - Gold Standardized Image Retention and Documentation Innovative Tools Award - Silver Alexa, Can You Help Me Take Better Care of Myself at Home?
Magnet EmpowermentStructuralAward
Optimal Health Quality
Optimal
Of the six Beacon Award–winning patient care units currently in the state of Delaware, five are at ChristianaCare: Transitional Medical Unit (silver); Surgical Critical Care Complex (silver); Transitional Surgical Unit (silver); and the Cardiovascular Critical Care Complex (three-time gold winner) and the MICU
Denise Lyons, DNP, APRN, AGCNS-BC, LSSBB Manager, We Improve Senior Health program 2021 DAISY TEAM Award Medical Intensive Care Unit
“Meaningful recognition takes on even greater relevance and importance as we continue to meet the challenges of the COVID-19 pandemic. Being recognized as a Beacon unit underscores these teams’ ongoing commitment to providing safe, patient-centered and evidence-based care to patients and families. This achievement is a tremendous honor to those who have worked so hard to achieve excellence in patient care and positive patient outcomes.”
The annual Excellence in Nursing Awards spotlight exceptional ChristianaCare nurses For the first time since 2019, ChristianaCare celebrated the awards with events for recipients on all our campuses. In total, 100 nurses received awards. Beacon Award
— AACN President Beth Wathen, MSN, RN, CCRN-K
Our Newark Campus’s Medical Intensive Care Unit earned its fifth consecutive Beacon Award for Excellence from the American Association of Critical-Care Nurses The award is the highest achievement in critical care nursing The unit was Delaware’s first Beacon Award–winning unit, and it holds the most Beacon Awards statewide. It is also the only unit nationwide to earn five consecutive Beacon awards
The international 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’s Professional Nurse Council selects ChristianaCare awardees from patient, family and colleague nominations. Congratulations to our FY2022 DAISY Award recipients (left to right, top to bottom below)
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Rougui Barry, BSN, RN 4W Surgical, Wilmington Campus Meredith Farone, BSN, RN William J. Holloway Community Program Boyd Fleming, BSN, RN 2C Surgical Unit Laura Giannini, BSN, RN Emergency Department, Newark Campus Louie Gutierrez, ADN, RN 6S Stepdown Unit, Wilmington Campus Lauren Hayes, MSN, RN-BC Surgical Critical Care Complex Angel Johnson, BSN, RN, SCRN Neuro Critical Care Unit, Newark Campus Tori Mathias, BSN, RN Cardiovascular Critical Care Complex Andrea (Andie) Welch, BSN, RN Unit 7E Spine & Joint Replacement Center, Newark Campus Brittany Wynne, BSN, RN Medical Intensive Care Unit, Newark Campus 2021 DAISY Lifetime Achievement Award
Magnet Nurse of the Year® & Dot Fowler Award
DAISY Awards
This year, ChristianaCare’s Magnet Nurse of the Year is Ellen Alvarez, MEd, BSN, RN, CCRN, WTA-C. Alvarez is an RN IV in the Medical Intensive Care Unit (MICU), chair of the Education, Development, and Advancement professional governance council and a certified Wound Treatment Associate Her work leading HAPI reduction in the MICU has resulted in improved patient outcomes and cost savings for ChristianaCare. Alvarez also received the 2022 Dot Fowler Award, which is given annually to an exemplary RN III or RN IV who demonstrates commitment to excellence in their practice area Excellence in Nursing Awards
Sharon Anderson, MS, RN, FACHE, chief virtual health officer for ChristianaCare, was honored with a 2021 Lifetime Achievement Award from the New Castle County Chamber of Commerce.
Development support Nursing: the best cause ever The Junior Board of ChristianaCare has a long-standing relationship with the health system. In 2022, the Junior Board chose “Celebrate Nurses” for its 2022 Nursing Innovations Junior Board Cause and gave a generous grant for ChristianaCare’s new Integrative Care Program The gift helps us provide resources, support and education to our nurse caregivers. Junior Board members presented the $82,000 gift in June to Danielle Weber, chief nursing officer; Stacy Noel, nursing integrative care manager; Maria Brown, nursing excellence manager; and Paige Merring, nursing excellence manager
Thanks in part to nursing’s love and excellence, ChristianaCare earned its second consecutive Healthgrades America’s 50 Best Hospitals Award™ — making us among the top 1% of more than 4,500 hospitals nationwide with year-over-year superior clinical performance.
National and regional nursing-specific awards
New Knowledge, Innovations and Improvements
We’ve got Moxi!
The Junior Board also awarded a $25,000 grant to nursing’s Patient & Family Health Education team to create a Health Literacy Consumer Campaign designed to grow health literacy among consumers Among the elements of the campaign are simple, friendly educational health literacy messages developed with patients and posters in Spanish and English placed throughout the health system to encourage questions.
ChristianaCare welcomed a new player to our nursing team: Moxi, the collaborative robot, or “cobot.” We are the first health system in the Philadelphia region piloting cobots, which perform deliveries and simple tasks so that nurses and other clinical staff have more time for what they do best: caring for patients.
ChristianaCare caregivers at all levels and in all service areas nurture and contribute to a culture that values new knowledge, innovation and improvement We never rest on our laurels. Rather, we always strive to contribute to advances in health care and the science of nursing that will improve patient and caregiver experiences, community health and wellbeing and the future of our profession.
Scoring high on Healthgrades
Danielle Altares Sarik, Ph.D., APRN, CPNP-PC, was appointed to the Institute of Pediatric Nursing Committee and selected as a 2021/2022 Fellow for the George Washington University Center for Health Policy and Media Engagement
Our Moxi pilot launched in early 2022 with two cobots funded through the generosity of donors, including Good Samaritan, Inc. and E.J. “Woody” Rice. In our Moxi pilot’s first ten weeks, the two cobots have, in total: • completed 2,743 deliveries. • worked 20 hours each day. • returned 912 hours back to caregivers to spend on patient care.
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Evalyne Mwangi, MSN, RN, PCCN, clinical nurse III on our Newark Campus, received the Association of Critical Care Nurses Circle of Excellence Award
A landmark $1.5 million grant from the American Nurses Foundation — the largest single grant in the history of Nursing at ChristianaCare — will enable ChristianaCare to deploy a total five Moxi cobots at Christiana Hospital to 11 inpatient units. The foundation grant will also support ChristianaCare research that studies the impact of cobots on nursing practice, with the goal of scaling the technology if successful
Preventing Osteoporosis — A nurse-led Lean Six Sigma Healthcare Greenbelt project Angela Godek, MSN, RN, ONC, wanted to improve the percentage of women following through on dual-energy x-ray absorptiometry test (DXA), critical to helping prevent osteoporosis, at one of the ChristianaCare Primary Care practices She developed and implemented a replicable education program for providers and timely education and outreach protocol for patients, improving the rate of noncompliance for the bone density tests from 67% to 36%, improving both potential patient outcomes and cost of poor quality (COPQ).
Purpose-driven posters
MatrixCare makes excellent care more efficient ChristianaCare caregivers are enjoying more streamlined record keeping thanks to the agency’s new electronic health record system: MatrixCare. An interdisciplinary team of HomeHealth caregivers drove a rigorous planning and implementation process for an October go-live of the system. MatrixCare integrates with all HomeHealth platforms and is available to caregivers on iPads furnished by HomeHealth. Easy to use, the platform swiftly syncs information from iPads to office, a major improvement over the old system, and gives caregivers simultaneous access to their own and patients’ schedules for real-time, conflictfree scheduling
Advancing evidence-based practice
Nurse-led research
“Alexa, can you help me take better care of myself at home?”
In FY 22, ChristianaCare’s APRN Council hosted two pharmacology conferences, one in September 2021 and one in April 2022. Both virtual, the events were designed for physicians, pharmacists, psychologists, physician assistants, nurses and nurse practitioners within the ChristianaCare system Topics covered included addiction medicine, new pharmacological best practices for various clinical conditions and more to encourage evidence-based, guideline-driven care and practice
ChristianaCare nurse-led conferences
For the first time this year, ChristianaCare’s Nurse Residents are applying the Johns Hopkins Nursing Evidence-based Care Practice (EBP) model to ask and answer importance questions about their practice. Residents selected an area of their practice to explore how it aligns with EBP recommendations and created posters highlighting their questions, identifying elements of EBP, summarizing literature on the issue and sharing any recommendations based on their comparative review. A total of 16 completed projects were submitted (150 residents between all 16 projects were involved). Projects included topics such as Alarm Fatigue, Premature Infant Retinopathy, Staffing Ratio Impact on Nurse Burnout and Caregiver Resources to Support Patients with Autism
The nurse scientist is in ChristianaCare’s nurse scientists are eager to share their expertise with nursing caregivers interested in developing rigorous research projects and advancing an evidence-based practice. In FY 22, they began offering 1:1 office hours to support caregivers with research, evidence-based practice and scholarly activities.
Publications and presentations Publications Kristen Allen. (2022, March, April, May). “What I Have Learned as a New HIV Primary Care Nurse.” DNA Reporter 47(2): 5. Karen Allicock, Danielle Coyne, Anna Garton, Erin Hare and Maureen Seckel. (2021, October).
ChristianaCare HomeHealth’s nationally recognized Home Care Coach™ is improving patient engagement and reducing rehospitalization rates, says new research by HomeHealth caregivers Bonnie Chauvot, LPN, Terry Gonzon, Argenette Harper, Mindy Hope, Ann Painter, MSN, RN, Pam Szczerba, PT, MPT, COS-C, Lindsay Thompson, PT, and Denise Woods, MSM, PT, COS-C. Their recent research aimed at understanding the benefits of using the Alexa Skill based, voice-driven tool with HomeHealth patients found most patients using Home Care Coach™ believed it helpful in understanding and following their care plan. Additionally, HomeHealth saw a 60% decrease in emergency department and/or urgent care visits, a 58% decrease in 30-day rehospitalization rates and a 31% improvement in adherence to prescribed medications for patients using Home Care Coach™.
“Awake Self-Prone Positioning: Implementation During the COVID-19 Pandemic.” Critical Care Nurse 41(5): 23–33. Susan Birkhoff, Cynthia Waddington, Jordan William, Leslie Verucci, Maureen Dominelli and Richard Caplan. (2021, July). “The Effects of Virtual Reality on Anxiety and Self-Efficacy Among Patients with Cancer: A Pilot Study.” Oncology Nursing Forum 48(4): 431–39. Susan Birkhoff, Julie McCulloh Nair, Kelly Bald, Tracey Frankum, Sophie Sanchez and Alicia Salvatore. (2021, April–June). “Facilitators and Challenges in the Adoption of a Virtual Nurse Visit in the Home Health Setting.” Home Health Services Quarterly 40(2): 105–20.
Lindsey Bloom and Maureen Seckel. (2022, March). “Placement of Nasogastric Feeding Tube and Postinsertion Care Review.” AACN Advanced Critical Care 33(1): 68–84.
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“Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021.” Critical Care Medicine 41(4): 1063–1143. Catherine Fernald, Austin Mount-Campbell and Monica Rochman. (2021, November).
“Healthcare‘s Resilience During the COVID-19 Pandemic: Case Study of Nursing Adaptation.” IEEE Xplore digital library. Barbara Griffin and Joshua Sheets. (2022, March, April, May). “Maternal HIV Care.” DNA Reporter 47(2): 6. Nancy Homan. (2021). “Development and Evaluation of a Nurse Practitioner-Directed Perioperative Hyperglycemia Pathway in an Academic Medical Center.” Wilmington University, Doctor of Nursing Practice Julie McCulloh Nair, Alex Waad, Stacey Byam and Madeline Maher. (2021, November–December). “Barriers to Care and Root Cause Analysis of LGBTQ+ Patients’ Experiences: A Qualitative Study.” Nursing Research 70(6): 417–24. Greg O’Neill. (2021, September, October, November). “Health Literacy: A Crisis of Misunderstanding.” DNA Reporter 46(4): 1–2. Christopher Otto. (2021, September, October, November). “The Code of Ethics for Nurses as a Guide for Turbulent Times.” DNA Reporter 46(4): 3-4. Christopher Otto. (2021, December and 2022, January, February). “Celebrating Delaware’s Nurses.” DNA Reporter 47(1): 3. Kaci Rainey and Susan Birkhoff. (2021, February). “Turn the Beat On: An Evidence-Based Practice Journey Implementing Metronome Use in Emergency Department Cardiac Arrest.” Worldviews on Evidence Based Nursing 18(1): 68–70. Maureen Seckel. (2021, August). “Ask the Experts: Awake Self-Prone Positioning and the Evidence.” Critical Care Nurse 41(4): 76–79.
Brittany Anderson. (2022, March). Taking the Pressure Off: HAPI Reduction Strategies in the Perioperative Setting Poster presentation at the National Association of Clinical Nurse Specialists 2022 National Conference in Baltimore, MD. Karen Brady and Ashley Oncay. (2022, March). STOP—Simulation Training for Operating Room Emergency Protocols Poster presentation at the Association of periOperative Registered Nurses Global Surgical Conference and Expo 2022 in New Orleans, LA. Christine Brown. (2022, March). Aspire to Teach-Back: Pioneering the Path to Patient Understanding with NPD Leading the Way Poster presentation at the Association for Nursing Professional Development 2022 Annual Convention: Aspire to Trailblaze in San Antonio, TX. Christine Brown. (2021, October). Getting Started with Teach-Back. Virtual presentation for the Delaware CTR ACCEL Innovative Discoveries Series Oona Campanelli. (2022, June). Senior Student Passport 2 Health: A Comprehensive Wellness Website for Young Adults. Virtual poster presentation at the 2022 National School-Based Health Care Conference Emily Colonna. (2022, March). Neuro Preceptor Bootcamp. Poster presentation at the American Association of Neuroscience Nurses Annual Conference in Phoenix, AZ
Jennifer Davis. (2021, December). Tips for Keeping to Your Factor Schedule around the Holidays: Be Holly, Jolly & Infused. Presentation for the Brandywine Valley Hemophilia Foundation in Mendenhall, PA Jennifer Davis. (2021, October). Harnessing the Power of Social Media to Find a Living Kidney Donor Virtual presentation at the ChristianaCare Kidney Transplant Symposium Angela Godek and Rajiv Rangarajan. (2021, December). Increase Compliance for Bone Density Testing. Lean Six Sigma Green Belt presentation. Mary Jones-Gant, Linsey O’Donnell and Lynnae Duffalo. (2021, November). Integration of Palliative Care Evidence-Informed Consensus Guidelines into an Adult Cystic Fibrosis Clinic. Virtual poster presentation at the North Atlantic Cystic Fibrosis Conference. Monica Rochman, Catherine Fernald and Austin Mount-Campbell. (2021, November). Clinical Nurse Perspective on Implicit Rationing of Nursing Professional Standards of Care: A Qualitative Study. Presentation at the ChristianaCare Annual Nursing Research Conference in Newark, DE Kathleen Luckner. (2022, March). Arterial Line Stabilization: Rising to the Challenge. Poster presentation at the National Association of Clinical Nurse Specialists 2022 Annual Conference in Baltimore, MD
Presentations
DNA Reporter 46(4): 6. Kristen Callaghan and Alana DiSabatino. (2021, September, October, November). “Health Literacy in School-Based Health Centers.” DNA Reporter 46(4): 16–17. Suzanne Cope, Jami Jones and Nannette Sloan. (2021). “CareVio Partners with Medecision to Successfully Achieve NCQA Accreditation.” Medecision website. Laura Dechant. (2021). “Varicocele Embolization, Assisting. Vena Cava Stenting, Assisting.” Lippincott Procedures Online Laura Evans, Andrew Rhodes, Waleed Alhazzani, Maureen Seckel, et al. (2021, November).
ChristianaCare Nursing Report 2022 | 2726 Christine Brown. (2021, September, October, November). “Just to Be Safe, Use Teach-Back.”
Lisa Wallace. (2021, October). Managing Opioid Use Disorder in the Perioperative Setting. Presentation at the Delaware Association of Nurse Anesthetists Fall Meeting in Lewes, DE Lisa Wallace. (2021, August). Opioid Use Disorder in the Pregnant Female. Presentation for the ChristianaCare OB-GYN Resident Education Series. Deborah Wambold and Christine Schrei. (2021, October). Escape the Room—Escaping Traditional Education in Nursing Virtual lecture at the Delaware Organization of Nurse Leaders Monthly Meeting
Maureen Seckel. (2022, May). What You Need to Know about the New Sepsis Guidelines. Presentation at the American Association of Critical Care Nurses National Teaching Institute in Houston, TX. Maureen Seckel. (2022, March). Sepsis Update for 2022. Presentation at the National Association of Clinical Nurse Specialists 2022 National Conference in Baltimore, MD. Maureen Seckel. (2022, January). 2021 Sepsis Guideline Update. Virtual presentation for the Global Library of Critical Care Nursing Lectures with the World Federation of Critical Care Nurses Maureen Seckel. (2021, November). COVID-19 Respiratory Support and Oxygenation Review. Virtual presentation for the Society of Critical Care Medicine COVID-19 Resources.
ChristianaCare Nursing
Allison Steuber, Ryan Miller and Catherine Mazzella. (2022, May). Navigating Beyond the Crisis: Using Tiered Staffing and a Novel Orientation Approach to Improve Care. Presentation at the American Association of Critical Care Nurses National Teaching Institute in Houston, TX. Barbara Vogel. (2022, March). Thoracic Outlet Syndrome. Virtual presentation at the Society for Vascular Nursing Virtual Roundtable. Barbara Vogel. (2021, August). Professional Development from Novice to Expert. Presentation at the Society for Vascular Nursing 2021 Annual Conference in San Diego, CA.
Maureen Seckel. (2022, May). What’s New 2021 Surviving Sepsis Guidelines. Presentation at the Delaware Society of Critical Care Medicine Conference in Dover, DE
Denise Lyons, Kevin Kain, Kathy Schell and Patricia Curtin. (2021, November). Reducing Acute Care Fall Rate by Creating a Standardized Approach; A Collaborative Approach to Reduce LOS for Hip Fracture Patients; Orthostatic Hypotension and Older Patients at Risk for Falls.
Poster presentations at the 2021 American Nurses Credentialing Center National Magnet Conference in Atlanta, GA. Alexandra Mapp, Amanda Joie, Greg O’Neill, Alicia Salvatore and Kristen Callaghan. (2022, April). Developing a Health Communication Campaign to Improve Patient Provider Communication: Formative Research Findings. Presentation at the Health Care Systems Research Network Conference in Pasadena, CA Reina McAndrew and Mary Ciechanowski. (2021, September). Neurologic Assessments of Challenging Patients. Virtual presentation and video at the 8th Annual Neurovascular Symposium Julie McCulloh Nair, Alex Waad, Stacey Byam and Madeline Maher. (2021, November). When the Parade Is Over: LGBTQ+ Patient Experiences and Service Recovery Strategies. Presentation at the ChristianaCare Annual Nursing Research Conference in Newark, DE Julie McCulloh Nair, Alex Waad, Stacey Byam and Madeline Maher. (2022, April). When the Parade Is Over: LGBTQ+ Patient Experiences and Service Recovery Strategies. Presentation at the Eastern Nursing Research Society 2022 Annual Scientific Sessions Conference in Providence, RI Kacey Morgan, Camille Mahoney, Kristina Sten and Susan Birkhoff. (2022, April). Enriching the Professional Development of Oncology Clinical Nurses Serving as Co-Investigators in a Virtual Reality Study. Poster presentation at the 2022 Oncology Nursing Society Congress in Anaheim, CA Christopher Otto. (2022, February). The Emerging Nurse Leader’s Role in Shared Governance. Virtual presentation for the Delaware Organization for Nursing Leadership Emerging Nurse Leader Fellowship Christopher Otto. (2022, February). Overview of the Future of Nursing 2020–2030 Report. Virtual presentation for the Delaware Organization for Nursing Leadership Emerging Nurse Leader Fellowship Juliana Rahmer, Jonathan Miller, Christina Hendler, Jenna Heaney and Emily Link. (2022, May). APC M2M E-Program: Matching Mentees to Mentors. Poster presentation for Vizient Clinical Workforce Conference in St. Petersburg, FL. Maureen Seckel. (2022, June). All About Sepsis. Virtual presentation at the Lippincott Nursing 2022 Virtual Conference. Maureen Seckel. (2022, May). Top Sepsis Studies and the New Sepsis Guidelines. Presentation at the American Association of Critical Care Nurses National Teaching Institute in Houston, TX.
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ChristianaCare, PO Box 1668, Wilmington, DE 19899 | 800-693-CARE 22NUR1 WeExcellencecommittobeing exceptional today and even better tomorrow. We seek new knowledge, ask for feedback and are open to change. We use resources wisely and effectively. We are curious and continuously look for ways to innovate. We are true to our word and follow through on our commitments. WeLoveanticipate the needs of others and help with compassion and generosity. We embrace diversity and show respect to Weeveryone.listen actively, seek to understand and assume good intentions. We tell the truth with courage and empathy. We accept responsibility for our attitudes and actions. We Serve Together Guided by Our Values of Love & Excellence. We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable and equitable systems of care that our neighbors value. The ChristianaCare Way
