1. The Voice of Nursing Community of Practice Forums (CoP) Forums
Northwest Kaiser Sunnyside Medical Center
September 25, 2014
Lauren Bridge, CNO
Janet Reeder, RN, Executive Consultant Nursing Operations

2. Our Team Voice of Nursing Leaders Lauren Bridge, CNO
Janet Reeder, RN, Executive Consultant Nursing Operations
Adrienne Enghouse, RN, Labor Partner
Kris Becker, RN, ED and Critical Care Director (Infrastructure)
Kathy Raven, RN, Med/Surg Director
Jessica Alexander, RN, Director of Informatics
Alison Reid, RN, Operating Room Director
Melody Routley, RN, Acting Director for Nursing Professional Development (Education)
Bethany Carey, Sr. Consultant for Service & Care Experience (Evaluation)
Beth Parmenter, RN, Oncology Manager (Insipiration)
Nurse Managers – all units
Leslie Kilian, Sr. Consultant, Hospital Strategic Program Management Office (HSPMO)
Sarah Bellamy, PI Consultant, HSPMO

3. Voice of Nursing Current Work
Inspiration
Nurse’s Week Activities
CNO Sunflower Awards and Tea/Round Table
Nursing Salon
Book Club
RBC Roll-Out
Infrastructure
Development of new Nursing Governance Structure
Revisiting participation and function of Nursing Councils
Embedding PPM elements into council charters
RBC Model of Care
Education
Nursing Leadership
Nursing Councils
Charge Nurses
Champions
Ongoing Communication
Evaluation
Dyad Rounding Successes
HCAHPS Avatar data related to nursing
Use UBT structure to drive engagement with measurable outcomes
Inspiration:
Nurse’s Week Activities
History of Nursing:
History of Nursing Display Case in main hospital lobby
Presentation made at Nurse’s Week
Marilyn Chow presentation
Daisy Awards
Presentation to Daisy Award recipients
Recipients awarded quarterly
Extraordinary Nursing Award
Honoree celebrated
Nursing Certifications
Banner acknowledging all RNs with certifications
On-Going Activities:
Sunflower awards with CNO tea/round table
Nursing Salon
Book Club
RBC Roll-out
Infrastructure
Nursing Governance
Developing new structure that will visually communicate relationship between patients/families, staff, councils and leadership
Revisiting purpose of all councils to determine appropriate content, participation and structure
Embedding PPM elements into council charters
Purchased and provided copies of Advancing Professional Nursing Practice (by Glembocki & Fitzpatrick) to team members and using it to align RBC and the PPM. We will have our first wave of departments go through training in early March and go live between May – June.
Champions: Front line nursing champions being identified
RBC Model of care
Education
Nursing Leadership:
Voice of Nursing Workshop in February
Nursing Leadership Retreat
Marie Manthey conference
Nursing Councils:
Introduction to Voice of Nursing/PPM and the Nursing Wheel
Re-aligning council structure
Charge Nurses:
June - PPM Overview
August – Introduction by Linda Leavell
October – Presentation on ANA Standards
On-Going Communication/Education
RN Orientation: Discuss professional role competence including ANA standards and ethics along with the PPM
Share information about certification offerings and process
Encourage completion of foundational classes (Therapeutic Relationships, Crucial Conversations/ Accountabilities)
Evaluation
(This is an area of opportunity for us.)
Dyad Rounding
HCAHPS Avatar data related to nursing
Use UBT structure to drive engagement in RBC model of care with measurable outcomes

4. “Grassroots” Engagement!
Results As 9/25/14
Our vision is coming to life!
Focus has been on Inspiration and Infrastructure
Outcomes:
Dyad Rounding
Achieved house-wide goal of 80%
“Grassroots” Engagement!
Book club
Nursing Salon
RBC Kick-Off
Increased curiosity/dialogue around PPM, research and EBP
Our vision is coming to life!
Focus has been on Inspiration and Infrastructure
Outcomes:
“Grassroots” Engagement!
Book club being established in support of RBC
Nursing Salon
3 RN and 3 Ancillary units excited to go live with RBC
Increased dialogue around research and EBP
Sense of curiosity about PPM/EBP
Dyad Rounding
Went from 63% average in January to 85% in August.
Nurses credited for facilitating success
Nursing Communication
HCAHPS/AVATAR Data - NKE refresh planned (increases seen in May)

5. Strategy: Slow and Steady
What We Have Learned….
Strategy: Slow and Steady
Principles of Implementation:
Must speak to nurses – support for their passion for nursing
Keep the dialogue open and the conversation interactive
Nurses need to feel empowered to affect change in their practice
“The key to successful implementation in our facility has been, and continues to be, early engagement of respected, formal and informal nursing leaders.”
– Adrienne Enghouse
Labor Partner
Intentionally used a slow/soft approach.

6. What We Need Help With… Challenges: Questions/Requests for Assistance:
Time of uncertainty for both labor and management
Initiative fatigue
Questions/Requests for Assistance:
Has anyone begun to embed PPM into job descriptions?
How do we continue to provide inspiration for this work? Looking for creative ideas…
Evaluation: Are we measuring correct outcomes to determine efficacy of the PPM?

7. Q & A