Abstract

Session presented on Sunday, March 19, 2017:

Clear and concise communication is a key component of a professional work environment; especially in healthcare, where communication lapses can lead to patient safety events. Transparent two-way communication is a key part of establishing and maintaining a healthy work environment. A critical part of this transparency is giving a voice to frontline staff and valuing the input they provide. An example of the impact of transparent, two-way communication and its link to a healthy work environment is the evaluation of the Johns Hopkins Nursing Professional Practice Model (JHNPPM). A professional practice model provides the framework to guide nursing practice and support frontline staff, but only if nurses are aware of it. A pilot evaluation of the JHNPPM was conducted to gauge nurses' familiarity and engagement with the existing PPM. While nurses spoke eloquently about their practice, evoking similar themes contained in the PPM, few could speak to the model or its components. Instead of creating an educational campaign around the existing PPM, which is the traditional approach according to the literature, the leadership of Johns Hopkins Nursing supported the revision of the PPM using the voices of frontline nurses. If the professional practice model was in their words, nurses would not have to learn about a model, they would simply speak to their practice. To begin this task, nurses who volunteer as Magnet Ambassadors were asked to record informal conversations with peers on their units and talk about what it means to be a Hopkins nurse. Conversations were anonymized, transcribed, and a thematic analysis was performed on the qualitative data. Results of the analysis were vetted by the Magnet Ambassadors (MAs) and brought to nursing leadership for input and clarification until a new PPM evolved. The PPM workgroup consistently championed for the voices of the nurses to remain in the forefront of the process. By continuously reviewing progress with the MAs, the workgroup increased their engagement in the process, and built a high level of trust with nurses who realized their voices were being heard and honored. MAs commented on the increase in positivity in their units when nurses realized their voices were the driving force behind the new model. Maintaining transparent, two-way communication has led to the creation of a meaningful professional practice model that supports a healthy work environment. Learning Objectives: The learner will be able to identify three critical elements of skilled communication present in a healthy work environment. The learner will be able to summarize two methods used in the case study to support skilled communication and a healthy work environment.

Author Details

Deborah Dang, RN; Tracey M. Long, RN-BC, CPH; Carolyn J. Cumpsty-Fowler, MPH; Jennifer R. Day, RN

Sigma Membership

Non-member

Lead Author Affiliation

The Johns Hopkins Hospital, Baltimore, Maryland, USA

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Honoring Frontline Voices, Professional Practice Model, Transparent Two-Way Communication

Conference Name

Creating Healthy Work Environments 2017

Conference Host

Sigma Theta Tau International

Conference Location

Indianapolis, Indiana, USA

Conference Year

2017

Rights Holder

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All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Toward a healthy work environment: Honoring the voices of frontline nurses

Indianapolis, Indiana, USA

Session presented on Sunday, March 19, 2017:

Clear and concise communication is a key component of a professional work environment; especially in healthcare, where communication lapses can lead to patient safety events. Transparent two-way communication is a key part of establishing and maintaining a healthy work environment. A critical part of this transparency is giving a voice to frontline staff and valuing the input they provide. An example of the impact of transparent, two-way communication and its link to a healthy work environment is the evaluation of the Johns Hopkins Nursing Professional Practice Model (JHNPPM). A professional practice model provides the framework to guide nursing practice and support frontline staff, but only if nurses are aware of it. A pilot evaluation of the JHNPPM was conducted to gauge nurses' familiarity and engagement with the existing PPM. While nurses spoke eloquently about their practice, evoking similar themes contained in the PPM, few could speak to the model or its components. Instead of creating an educational campaign around the existing PPM, which is the traditional approach according to the literature, the leadership of Johns Hopkins Nursing supported the revision of the PPM using the voices of frontline nurses. If the professional practice model was in their words, nurses would not have to learn about a model, they would simply speak to their practice. To begin this task, nurses who volunteer as Magnet Ambassadors were asked to record informal conversations with peers on their units and talk about what it means to be a Hopkins nurse. Conversations were anonymized, transcribed, and a thematic analysis was performed on the qualitative data. Results of the analysis were vetted by the Magnet Ambassadors (MAs) and brought to nursing leadership for input and clarification until a new PPM evolved. The PPM workgroup consistently championed for the voices of the nurses to remain in the forefront of the process. By continuously reviewing progress with the MAs, the workgroup increased their engagement in the process, and built a high level of trust with nurses who realized their voices were being heard and honored. MAs commented on the increase in positivity in their units when nurses realized their voices were the driving force behind the new model. Maintaining transparent, two-way communication has led to the creation of a meaningful professional practice model that supports a healthy work environment. Learning Objectives: The learner will be able to identify three critical elements of skilled communication present in a healthy work environment. The learner will be able to summarize two methods used in the case study to support skilled communication and a healthy work environment.