unit council redesign – expanding the concept of shared ... · unit council redesign –...

11/3/2018

1

proprietary and confidential

Unit Council Redesign –Expanding the Concept of Shared Governance

Jamie Vincent, APRN-CNS, RNC-OB, C-EFM

Perinatal Clinical Nurse Specialist


Objectives:

1) Identify one innovative approach to improving staff engagement in shared governance through unit council redesign.

2) From the unit council model presented, outline one barrier to implementing this innovative unit council model.

3) From the unit council model presented, outline one benefit to implementing this innovative unit council model.

2


Disclosures

• I have nothing to disclose

3

11/3/2018

2

proprietary and confidential 4


Magnet® Designation


Unit Council Previous State

• Traditional governance model

• In place since 2006

• Required long membership commitment

• Inconsistent budget allocations between units

6

11/3/2018

3




Poor

EngagementVenue for

Complaints

Commitment

Phobia

Low Enthusiasm

11/3/2018

4


The Paradox

10

“Unit Council is such a

clique”

“I don’t want to be on

the council”

“What are they working

on?


The Dysfunction

• Projects not aligned with organizational goals

• Spotty communication

• Frustration

11


Time for a Change

• Passion existed outside of council

• Is there a better way to design this?

• What do we need to do?

August 2015

11/3/2018

5


Forming a Work Group

• Unit council chairs (3)

• Council coaches/unit supervisors (2)

• Nurse educator

• Nurse managers (2)

• Nursing director

September 2015


Brainstorming the New Model

Patient

Satisfaction

Quality &

Safe

ty

Staff

Satisfaction


Creating a Model

11/3/2018

6


Defining Project Pathways

Recognition

25 year perks

Scheduling

HAI’s

Sepsis Falls

HAPI’s

Noise reduction

Call light response

RN communication


Standardizing a Budget

Leadership approved new council budget:

• Budgeted hours to support 3 concurrent projects

• Allocation adjusted according to unit size

• Chair given additional time

December 2015


Standardizing a Budget

Monthly

Hours

Yearly

Hours

Chair 6 72Project leads

(4 hours x 3 potential

leads)12 144

Project members

(3 hours x 6 members –

or 2 members/project)18 216

Total 36 432

11/3/2018

7


Clarifying Roles

Project Lead

Chair

Coach

Leadership

• Unit Supervisors

• Manager

• Director

• Chief Nursing Officer

December 2015


Building the Foundation

• SBAR tool

• Unit project pathway

• Budget Log

• Reporting tool

• Role definitions

• Pit Crew – resources

• Charter

December 2015


Defining a Project Pathway

• Identify idea

• Complete SBAR

• Determine resources

• Chair and Coach meet with project lead

• Map out project timeline/next steps

• Report progress

December 2015

11/3/2018

8


Defining the Project Pathway

Unit Council Toolkit


Providing Focused Education

4 hour class for Chairs and Coaches

• Overview of change

• Review of toolkit

• Introduction to

o Project management

o Data measurement

o Presentation skills

March 2016


Developing Communication Venue

Audience:

• CNO

• Directors

• Managers

• Frontline leaders

• CNS/Educators

5 minute project presentations

June 2016

11/3/2018

9


Learning From Our Experiences

• Training didn’t touch everyone

• Leaders lost their sounding board/group

• Difficulty articulating the new structure

December 2016



Training didn’t touch everyone

Small group training

Course Revision

Large group training



Leaders lost their sounding board/group

11/3/2018

10


Learning From Our Roadblocks

Roadblock 3

Name confusion

Roadblock 2

Difficulty articulating

change

Roadblock 1

Resistance to change


Current State

Unit Councils Experiencing Success

o Inclusive and flexible

oProjects align with health system priorities

oLeadership more aware of projects

oSuccessful spread of projects

oProfessional growth

2017


Current State

Improved Communication

• Project Boards

• Chatterbox

• Huddles

• Presentations

11/3/2018

11


Current State

Project Sharing

• Poster presentations

• Leadership meetings

• Peer sharing

• Nurses Week


Current State

Professional Development

• Presentation skills

• Project management skills

• Communication skills


Mother Baby Unit Council Projects

33

Standardization Newborn

Supply Carts

“Ask me about STS”

BFHI Button Campaign

Bedside Bath

Bedside Procedures

Well-Baby Nursery Layout

Staff Recognition for BD

VTO Binder

Patient driven DC

Education

11/3/2018

12


Labor and Delivery Unit Council Projects

34

Holiday Rotation Schedule

Cord Blood Labeling

Skin to Skin in the OR

Bedside Tabletop Stands

Bedside Reference Cards

Surgical Prep Drying TimeNeonatal Early Onset

Sepsis


RN Satisfaction Scores, 2014 - 2016

40

78

0

20

40

60

80

100

Inpatient Units 2014 Inpatient Units 2016

Perc

ent

Comparison of RN Satisfaction for Interprofessional Relationships,

2014 to 2016


Timeline

• 7 months from idea to implementation

• Continual improvements and adjustments

• The fuel for our success:o New opportunities for staff engagement and professional growth

o Alignment with organizational priorities

o Support of leadership

11/3/2018

13


Thank you!

37


Arial Bold Body

Text 12pt

38

Questions?

unit council redesign – expanding the concept of shared ... · unit council redesign –...

Documents