G
s al I s b lo
ues in Nursing & Hea
Transformational Leadership
Structural Empowerment
Empirical Outcomes New Knowledge, Innovations, & Improvements
lth
Ca re
Exemplary Professional Practice
ironment v n E Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery
Env
ironment
Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery
Env
ironment
Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery
2007 - 2008 NURSING VACANCY & TURNOVER RATES
12.00% 10.00%
9.70% 7.60%
8.00% 6.00%
5.98% 3.93%
4.00% 2.00% 0.00% 2007 RN TURNOVER RATE
2008 YTD RN VACANCY RATE
Env
ironment
Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery
Efforts of the interdisciplinary falls team, coordinated by the Nursing Division have included an increase in weekend staffing, implementation of hourly rounding, and improved patient education. Improved communication, including standardized shift-to-shift reports, debriefing post-fall, and unit-based report cards have also assisted in a steady reduction of the inpatient fall rate at HSS.
Rate of Falls & Falls with Injury 3.5 3
3.2 2.7
2.5
2.4
2
2.0
1.5 1 0.5 0
0.18 1st Q. 08
0.07 2nd Q. 08 Falls
0.08 3rd Q. 08
0.23 4th Q. 08
Falls with Injury
There was a steady decrease in the rate of inpatient falls, from 3.2 during the 1st quarter, to 2.0 in the 4th quarter of 2008. The rate of patient falls with injury is very low, and was consistently below 1% for each quarter of 2008.
SATISFACTION WITH NURSING CARE 92
Nu rse Frie ndl ine ss so fR esp ons e to Ca lls Att ent ion to S pec ial Ne eds Att itud e to wa rds Re que sts Ke pt P atie nt I nfo rme d
Nu rse sS kill Ov era ll R atin go fR NC are
Pro mp tne s
SATISFACTION WITH NURSING CARE
92
90
2007
88
2008
86
84
82
80
78
76
2008 Total Education Attendees = 7,686 Orientation
CPR Continuing Education Grand Rounds
Perioperative Inservice Patient Safety Inservice
Pilot Programs Redesign of Care
e office of Professional Development provided on-site education to 7,686 nursing staff in 2008. New RN orientation (202)
CPR Heartsaver/BLS recertification training (265)
Continuing Education programs (93)
Grand Rounds presentations (104)
Perioperative Patient Safety in-service initiatives (3,947)
Inpatient Patient Safety in-service initiatives (2,533)
Unit-based pilot programs(451)
Redesign of Care at the Bedside training (91)
sing staff also attended several national conferences in 2008, which include,
Env
ironment
Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery
Env
ironment
Management Governance
Professional Relationships
Values
Recognition Reward
Care Delivery