SE - Structural Empowerment

SE5-Commitment to Professional Development: Describe and demonstrate the structure(s) and process(es) used by nursing to develop and provide continuing education programs for nurses at all levels and settings. Include how the organization provides onsite internal electronic and classroom methods. Do not include orientation.

Rita Smith DNP, RN, NEA-C, CNO and the Division of Nursing are fully committed to the ongoing education of our nursing staff. Ms. Smith has been extremely supportive of education for nurses hospital-wide and has provided nurse educators to the specialty areas. These educators are listed on the table below:

SE5-Table 1

These Educators are experts in their field of practice and provide specialized education to their areas. Their efforts are supplemented by the Educational Center for Professional Development (ECPD). The nurses in this area are listed below:

SE5-Table 2

These nurses primarily assume responsibility for hospital-wide orientation, nurse competencies and other continuing education endeavors many which are listed in 0010.

MC Strategies is a web in-service learning system that is utilized by nursing for continuing education. This system allows the educators to prepare their own programs and place them on the system. Annual competency and practice updates can be scheduled around work and family; students can study anywhere they have access to a computer and Internet connection. There is also flexibility to join discussions in the bulletin board and there are threaded discussion areas at any hour. eLearning accommodates different learning styles and facilitates learning through a variety of activities. It also allows for effective communication with the nursing staff, evaluation of staff competencies, and the ability to establish and develop action plans, and monitor improvements. Action plans assist with remediation when and if necessary. The reports generated allow for tracking and recording staff performance and allows the staff access to see their progress as well. They can track CEUs obtained and mandatory educational issues. Example of a reporting tool is in (Appendix SE5-A). Tools that are available with our core include:

  1. Employee Information
  2. Assignments and Testing
  3. Assessments with Remediation
  4. Acknowledgements and Discussions
  5. Transcripts and Credits Earned
  6. Report Analytics

Educational Needs Assessments

Another methodology that is used to assess and develop the nursing staff is the Educational Planning Survey. This survey is utilized by the Educational Center for Professional Development to determine a focus for their educational pursuits. Questions on the survey pertain to topics of interest for education, as well as the type of program which best befits the individuals learning style. There is a section for the Nurse Manager to comment on his/her perspective of their staff’s educational needs. (Appendix SE5-B)

The Leadership Team also performs an Educational Needs Assessment. The Nurse Managers/Directors completed a form whereby they prioritize the topics they would like presented. They are further asked to expand on the selected topics of interest in order to pinpoint exact areas of concern. (See OO9 for further information on needs assessment).

The Operating Room Educator has also developed an Educational Assessment which ascertains the strengths and weaknesses of the OR team. As a result of this survey, an operating room educational curriculum was developed. Vikki Ebanks MSN, RN, CNOR integrated the topics into weekly in-services. The themes are Unit Specific Policies, AORN Standards and Educational Enrichment. Furthermore, Ms. Ebanks enrolled the unit in AORN (Association of Operating Room Nurses) Periop-101 so that staff nurses and the Nurse Manager of the unit could expand their education. Enrollment in this process will also allow the operating room to teach inexperienced staff how to function in an operating room suite.

Continuing education for leadership, educators and APNs

MC-Strategies contain a leadership module that we are providing to our nursing leaders. (See below for curriculum elements). These are eLearning modules that they can access at their convenience. Persons selected to partake of these educational modules are: Cristina Simeone BSN, RN, Kim Palestis BSN, RN, CEN, Amber Bioffo RN, Selena Bray BSN, RN-C, and Erin Salmond BSN, RN.

Leadership Development Educational Series

(MC Strategies)

SE5-Table 3

The Journal Club is also a process utilized to provide continuing education for all nurses. The Joint Academic-Leadership Journal Club was started to incorporate the nurse educators and Advanced Practice Nurses in the process. They meet on a monthly basis and discuss one Journal article. The selection and presentation of the article is be rotated among Journal Club members. The topics are decided at the beginning of the year and distributed among Club members. The goals are:

  1. Promote awareness of contemporary leadership
  2. Increase collegiality among group members
  3. Enhance the development of an annual leadership learning plan and possible leader certification

Topics recently discussed included: Preparing nurse leaders for 2020 and Growing Future Nurse Leaders to Build and Sustain Healthy Work Environments at the Unit Level.

Nursing Specialty Conferences

Nursing Specialty Conferences are conducted at the Medical Center on a routine basis. Through these conferences, our nursing staff has the opportunity to learn the latest evidence-based practice in all of their specialty areas. These conferences cover a range of subjects, for example, stroke education, trauma, ECG interpretation and critical care topics. These specialty conferences are provided free to our nursing staff and very often they are provided with continuing education credits Reference SE5-A.

The Maternal and Child Health Division has a plan to pursue “Baby-Friendly” status within the next two years. As part of their educational plan all nurses on the Post Partum Unit, Labor and Delivery and the NICU must complete breastfeeding training. This is an online educational program which consists of 19 modules and is to be completed by every nurse by October 15, 2012. Each nurse will obtain 9.5 CEUs for completing the modules. April Major RN, RNC, IBCLC, Lactation Consultant is orchestrating these sessions and is available for questions. Appendix SE5-C(1) and SE5-C(2).

Randa Francis MSN, RN, CNM prepared a course for the Maternal Child Health Nurses on Basic Electronic Fetal Monitoring and Patterns Interpretation. It was a five hour course presented in two sessions (October 22, 2011 and November 7, 2011). A total of 23 nurses (attended the sessions. The purpose of the course was to update the nursing staff on the new National Institute of Child Health and Human Development (NICHD) nomenclature for assessing and documenting fetal heart rate patterns that will:

  1. Reduce the incidence of medical error
  2. Reduce the incidence of inappropriate management
  3. Improve communication among all care givers

The nurses participating in this program received 4.16 contact hours. Course objectives included understanding fetal heart rate physiology, recognizing common fetal heart rate patterns, systematically assessing fetal heart rate patterns, identifying interventions to improve fetal oxygenation and evaluating maternal and fetal responses to interventions. (Appendix SE5-D)

The S.T.A.B.L.E. program is a neonatal post-resuscitation and pre-transport stabilization program. It has been taught in the United States and many other regions of the world. “STABLE” stands for the six program modules: Sugar and Safe Care, Temperature, Airway, Blood Pressure, Laboratory Work and Emotional Support for the family. Safe patient care is stressed throughout the program. S.T.A.B.L.E. is offered to our staff on an annual basis. There are two (2) instructors of S.T.A.B.L.E at the Medical Center; Mary Daley MSN, RN, staff nurse in the NICU and Michele Dickerson BSN, RN, RNC-NIC Nurse Educator in the NICU.

Nursing sponsored seminar

Jersey City Medical Center sponsored a one-day seminar entitled:Structural Empowerment: Engaging and Inspiring Nurses to Create Meaningful Change in your Magnet Organization (Appendix SE5-E).

  The seminar was held on March 23, 2012 and over 100 nurses from across the state participated, twenty were nurses from the Medical Center. The seminar was co-sponsored by New Jersey Hospital Association (NJHA) and the New Jersey Council of Magnet Organizations (NJCOMO).

Panel Magnet Nursing Seminar

Panel Magnet Nursing Seminar

The planning committee/speakers are outlined in the table below:

SE5-Table 4

Nursing Outside Conferences

Nursing staff is encouraged to attend regional and national conferences in order to network nationwide with nurses and to broader their there knowledge base. Many of these conferences are sponsored by professional organizations and therefore nurses receive updated information on their specialty. The National Magnet Conference and the Regional Trauma Symposium are just a few which our nurses have attended. See the complete listing in SE4.