University of Washington Medical Center Thriving through Research and EBP: Engaging and EmPOWERing Nurses _______ Cindy Sayre, PhD, RN University of Washington Medical Center

A Few Words About Me

Nursing in 2011 Insurance Documentation Complex Burden Technologies Regulatory Compliance Increasing Acuity More With Less

To Thrive in 2018

A Few Words About Power Power Ability to act or produce an effect Possession of control, authority, or influence over others The ability to do; having access to whatever is needed for the doing Loma Linda Merriam-Webster.com. Merriam-Webster, n.d. Web. 7 Jan. 2018 Brown & Kanter, 1982.

A Few Words About Power Empowerment authority or power given to someone to do something the process of becoming stronger and more confident, especially in controlling one’s life and claiming one’s rights Loma Linda Merriam-Webster.com. Merriam-Webster, n.d. Web. 7 Jan. 2018 Brown & Kanter, 1982.

Powerlessness Powerlessness-”a nursing diagnosis accepted by the North American Nursing Diagnosis Association, defined as the perception that one's own action will not significantly affect an outcome; a perceived lack of control over a current situation or immediate happening”. https://medical-dictionary.thefreedictionary.com

A Few Words About Power Powerlessness may breed bossiness breeds apathy and burnout loss of productive capacity as commitment and involvement are curtailed Brown & Kanter, 1982.

Power https://www.youtube.com/watch?v=AVMgkMO-IDs

Formal vs Informal

Personal Empowerment

Personal Empowerment Define your Goal: Make It Meaningful Take Action Assess Your Impact Repeat Your Efforts “Attain personal empowerment by demonstrating influence” Winch, 2014

Structural Empowerment “Employees who are empowered are more committed to the organization, more accountable for their work, and better able to fulfill job demands in an effective manner.” Degner, 2005 “Empowerment is thought to occur when an organization sincerely engages people and progressively responds to this engagement with mutual interest and intention to promote growth.” Erickson, 2003

Structural Empowerment Organizations provide access to: Information Resources Support Opportunities to Learn and Develop

Empowerment Empowered Through Research and EBP Nurses ‘In the Know”-Use data to generate ideas for projects Provide resources and support for projects (content experts; rooms; paid time) Support-Assist teams to overcome organizational barriers Opportunities to learn and develop-embrace the missteps. Role model and support a “fail faster” culture

Empowerment Empowered Through Research and EBP Create an environment that promotes: Autonomy and discretion (“flexible, creative, adaptive contributions”) Recognition “visability and notice” Relevance “being central to pressing organizational problems” Close contact with project sponsors Brown & Kanter, 1982

Empowerment Megan- Co-lead of Staffing Committee wants to improve “break culture”. Supported by Assistant Administrator and Clinical Nurse Researcher to design a survey. Supported by Nursing Leadership to establish “Break Week” “I think empowered is exactly the right word for how I’ve felt over the past 3 years of our work.” When we first dared to take on a cultural issue like breaks our first thought was that we would be fighting against administration to get anything done. However, in addition to find a great partner in our work, I've personally been given the support and mentoring I've needed every step of the way. Our break work has turned me into a more inquisitive, engaged and leadership-minded nurse (who finally knows how to use Excel!)

Empowerment Christy- Participated in training and implementation for Structured Interdisciplinary Bedside Rounding (SIBR) “I was given the opportunity to observe and coach providers and nurses, while collecting feedback to give to the SIBR group as to what was working, and what could be improved upon.”   I worked on and off on the SIBR project for several years and iterations.  Working side by side with both providers and my nurse colleagues created an even stronger sense of collaboration and level playing field.  I felt that the input from nursing – our voices- really could make a difference not just for us nurses, but also the providers and ultimately our patients. And the work continues every day, with nurses involved in rounds, contributing to the plan of care each day for our patients.  

Empowerment Chantelle-Developed an Intensity Index to facilitate load-leveling of patient assignments. “Participating in research and evidence based practice initiatives has made me appreciate the power that data can give nurses. My experiences have made me feel like I have a seat at the head table of leadership at UWMC (as a bedside RN), and I can  influence my work environment.”  

Keys to Success Engage nurse managers Simple projects for quick wins Align projects with strategic plan/staff passion Organizational Needs Your Passion Your Project

Keys to Success Identify experts to assist with study/project design Provide centralized funding

Power

Discussion casayre@uw.edu