1. KPOC – Irvine Medical Center: Nursing Professional Practice and Engagement
PURPOSE
PROCESS
LEARNINGS
NDNQI Nurse Engagement Survey:
KPOC- Irvine Medical Center Overall Hospital Results
Trended Improvement Over 3 Years for All 11 Categories
After the inception of Voice of Nursing (VON) in 2014, this team took responsibility of evaluating and working to improve practice as measured by the NDNQI.
The VON team determined that in order to improve practice and measures, each unit would need to identify their opportunities for improvement and create a unit specific action plan. Unit specific action plans were made through a labor and management partnership in 2015 based on the 2014 NDNQI results and 2015 thereafter.
In late 2016 & early 2017, new action plans where created based on 2016 results; however, this time the team decided to have organizational alignment and for all to focus on two specific categories.
Importance of emphasizing the significance of NDNQI results to nursing staff
Positive impact of Peer to Peer approach for endorsing participation in the NDNQI survey
Importance of nursing staff participation in developing the action plan
Importance of following up with staff and managers on the action plan (at least quarterly) and facilitate re-education as needed
National Database of Nursing Quality IndicatorsTM (NDNQI®)
As outlined by the American Nurses Association (ANA) Code of Ethics for Nurses and Nursing Scope & Standards of Practice, “nursing has a responsibility to measure, evaluate, and improve practice” (The American Nurses Association, Inc., 2017).
Guided by American Nurses Association (ANA), The National Database of Nursing Quality Indicators (NDNQI®) was developed by nurses for nurses. The NDNQI survey allows us to evaluate nursing care at a unit level and in comparison to nursing care on a national level.
Measures:
Commitment to Job, Organization, and Profession
Satisfaction with the Job, Organization, and Profession
Nurse Engagement (Satisfaction) Drives:
Safety
Clinical Outcomes
Patient Experience
NDNQI Nurse Engagement Survey:
KPOC- Irvine Medical Center/ 3MSB Med Surg
Non-Magnet Benchmark
FUTURE PLANS
VON Champions to solicit feedback from staff on NDNQI survey experience and ways to improve staff perception of it
Develop unit-specific action plans based on unit-specific results
Present staff with a calendar of the dates indicating when the various surveys will occur for the year
Provide definitions of terms that staff claimed can be misunderstood (i.e.: “Nurse leader” vs “Nurse manager”)
Explore ways to provide staff with more time during work to complete the NDNQI survey (i.e.: Providing coverage through staffing)
Example of Action Planning
Increased Survey Participation
Jillian Malabanan, BSN, RN
SCAL/Irvine Medical Center
Reference: The American Nurses Association, Inc. (2017). The National Database of Nursing Quality Indicators® (NDNQI®). Retrieved from