Академический Документы
Профессиональный Документы
Культура Документы
1
Oro Valley Hospital
Intensive Care Unit
Focus
o Interdependence of ICU staff
o Lack of huddle at beginning of shift
2
Decentralized
Laissez- faire
o Permissive leadership style
o Small amount of direction
o Lack of criticism
o Group decision making
Marquis, B.L., & Huston, C.J. (2017a). Leadership roles and management functions in nursing: Theory and application (9th
ed., pp. 47). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams & Wilkins.
3
Matrix organization structure
o Focus on both product and function
o formal vertical and horizontal chain of command
Marquis, B.L., & Huston, C.J. (2017b). Leadership roles and management functions in nursing: Theory and application (9th ed., pp. 303). Philadelphia, PA:
Wolters Kluwer health/ Lippincott Williams & Wilkins.
4
Patient Focus
o effective in learning and meeting patient needs-
caring, listening, educating, and responding to
special requests, and smooth service flow
o Care organized around patients needs
Staff Focus
o I am a valued member of the microsystem and
what I say matters.
o Educational skills workshops
o New Graduate Nurse Program
Marquis, B.L., & Huston, C.J. (2017c). Leadership roles and management functions in nursing: Theory and application (9th ed., pp. 364).
Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams & Wilkins.
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx 5
The care approach is interdisciplinary, but
we are not always able to work together as
an effective team.
Current state
o No beginning of shift huddle
o No interdisciplinary rounds
o Can easily get in contact with providers
o Collaboration occurs throughout shift on
individual basis
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
6
Convenient access to real time information is
essential for managing health and care
Technology on the unit
o Informational systems to personalize patient
care education
o Cerner
o Available access to medical records online
National Partnership for Women and Families. (2013). Top ten consumer benefits of heath information technology [Fact sheet]. Retrieved from
7
http://www.nationalpartnership.org/research-library/health-care/HIT/top-ten-consumer-benefits-of-hit.pdf
Some resources are available to support
improvement work, but we dont use them as
often as we could
Healthcare Improvement
o Benchmarking
o Fall risk bands
o Signage
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2017d). Leadership roles and management functions in nursing: Theory and application
(9th ed., pp. 547). Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams & Wilkins.
8
Outcomes are routinely measured and we
make changes based on data
Performance Appraisal
o Annual performance evaluation
o Eligible for salary increase
o Recognition for nurses
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
Marquis, B.L., & Huston, C.J. (2017e). Leadership roles and management functions in nursing: Theory and application (9th ed., pp. 551).
Philadelphia, PA: Wolters Kluwer health/ Lippincott Williams & Wilkins.
9
Disruption to current flow of unit
Individual nurse preference
Change of shift huddle benefits
o Stay informed
o Review Work
o Make plans for shift
Goal: Increase nurse communication and
general unit awareness
Dutka, P. (2016). The huddle: Its not just for football anymore. Nephrology Nursing Journal, 43(2). Retrieved from
https://www.ncbi.nlm.nih.gov/pubmed/27254972 11
Dutka, P. (2016). The huddle: Its not just for football anymore. Nephrology Nursing Journal, 43(2).
Institute for Healthcare Improvement.(2015). Clinical microsystem assessment tool. Retrieved from
http://www.ihi.org/resources/pages/tools/clinicalmicrosystemassessmenttool.aspx
http://www.ihi.org/resources/Pages/Tools/Huddles.aspx
Marquis, B.L., & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory
and application (9th ed., pp. 47, pp. 303, pp. 364, pp. 547, pp. 551). Philadelphia, PA: Wolters
National Partnership for Women and Families. (2013). Top ten consumer benefits of heath information
library/health-care/HIT/top-ten-consumer-benefits-of-hit.pdf
12