Agee, Angela, ADN, RN, CMSRN

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Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingProject LeaRN: Clinical Nurses Engaging inScholarly Visits to Transform Practice in TheirOwn Setting(poster)Angela Agee ADN, RN, CMSRNLehigh Valley Health Network, Angela_L.Agee@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtAgee, A. (2016, Sept. 29). Project LeaRN: Clinical Nurses Engaging in Scholarly Visits to Transform Practice in Their Own Setting. Posterpresented at: Academy of Medical Surgical Nurses Annual Convention, Washington, DC.   Project LeaRN Details What Project LeaRN Has Meant to Me© 2016 Lehigh Valley Health NetworkSelected References:1.  American Nurses Credentialing Center. The Magnet Model® Components and Sources of Evidence: Magnet Recognition Program®. Silver Spring, MD: 2013.2.  Hitchings K, Jones K. How Project LeaRN promotes lifelong learning. American Nurse Today. 2015;10(3):44-46.  3.  Institute of Medicine. The Future of Nursing: Leading Change, Advancing Health. October 5, 2010. www.ion.edu/Reports/2010/Thefuture-of-nursing-leading-change-advancing-health.aspx.4.  Swenty CF, Schaar GL, Phillips LA, Embree JL, MCCool IA, Shirey MR. Nursing sabbatical in the acute care setting: what is the evidence? Nurs Forum. 2011;46(3):195-204.InspirationRecommendation from the Institute of Medicine’s 2010 report, “The Future of Nursing: Leading Change, Advancing Health"                 “Ensure that nurses engage in lifelong learning”Project LeaRNEnables experienced nurses to make scholarly visits to other health facilities to observe and learn best practicesFundingThe Carl R. & Anne C. Anderson TrustEvidencePractice-based sabbaticals have succeeded from a cost-benefit perspective in business, industry, and academia. Though rare in the acute hospital setting, such sabbaticals are intended to boost retention, revitalization, and renewal; promote loyalty and organizational commitment; decrease burnout; and enhance employee productivity and satisfaction.Selection of ExperiencesAligned with patient care priorities ParticipantsClinical nurses with a minimum of 5 years seniorityImplicationsAligns with several Magnet Recognition Program® sources of evidence: •  Transformational leaders and clinical nurses pursue resources that support nursing and organizational goals. •  Clinical nurses gain new knowledge by evaluating and incorporating evidence into their practice. •  Innovations in nursing are supported, encouraged, and implemented in the organization.By Karen Jones, BSN, RN, CCRNAfter graduating with my baccalaureate degree in nursing, I was hired by Lehigh Valley Hospital (LVH) as a clinical nurse on a medical-surgical orthopedic trauma unit. After 4 years, I began my critical care experience on the open heart unit, where I remain 26 years later. About 4 years ago, my unit initiated two new services:  left ventricular assist device (LVAD) and extracorporeal membrane oxygenation (ECMO. These services were ideal for our first Project LeaRN experience. I was thrilled to be chosen as a participant. The other participant works on the transitional open heart unit. From the start, we were involved in planning our experience. We investigated multiple hospitals, but chose the Texas Heart Institute (THI) in Houston because of its well-established programs for mechanical heart devices—and because our LVAD surgeon trained there. THI staff were extremely receptive and excited to mentor us. Our THI visit involved 2 travel days and 3 full days observing care delivery. We identified four general visit objectives and multiple specific objectives and questions related to various skill competencies. Before our visit, we conveyed these objectives to our THI point person. We got answers not only to our identified questions but also to many more, including some we couldn’t have anticipated. One of our goals was to identify a mentor with whom to communicate during initiation and continued development of our LVAD and ECMO programs. As it turned out, we gained many mentors, not just one. Our visit was no vacation. We spent 3 long days observing patient care in this amazing place. Even after we returned to LVH, our Project LeaRN experience was far from over. We were required to complete a post-trip report template, comparing the original trip objectives to our trip activities, learnings, and take-home documents. Most important was the template’s last column—the “so what”— actions taken at LVH based on our Project LeaRN experience. Not only did Project LeaRN allow me to gain significant clinical knowledge, but it also fostered my formal presentation skills. My travel colleague and I prepared a presentation, which we offered to our unit colleagues and, separately, to our chief nursing officer and senior nursing leadership team. Also, we became members of the LVH ECMO and LVAD committees and faculty members for our ECMO and LVAD classes.When I started working on the open heart unit 24 years ago, people told me I’d quickly grow bored there because it would be the “same old thing.” Well, I’ve never been bored! Who could have predicted back then the new surgical techniques and technologies, such as ECMO and LVAD,  that now exist? Or that I’d get the chance to travel from Pennsylvania to Texas for a 3-day learning experience at a world renowned center of excellence? Or that I’d be able to offer a formal presentation about my experience to more than 750 nurses at the ANCC National Magnet Conference®? Most of all, who could have predicted that after 26 years, my passion for nursing would be greater than ever?Lehigh Valley Health Network, Allentown, PAProject LeaRN:Clinical Nurses Engaging in Scholarly Visits to Transform Practice in Their Own Setting    Project LeaRN Site VisitsTOPIC HOST ORGANIZATION LVHN RESULTSPediatric Burn Care Delivery ModelArizona Burn Center at Maricopa Medical Center, Phoenix, AZA new care delivery model that integrates the burn care and pediatric specialties to assure consistent best practice standards of careExtracorporeal Membrane Oxygenation (ECMO) and Left Ventricular Assist Device (LVAD)Texas Heart Institute, Houston, TXImplementation of ECMO and LVAD programs; ECMO volumes exceed projected numbers and outcomes outperform Extracorporeal Life Support Organization benchmarksCesarean Section surgeriesBrigham and Women's Hospital, Boston, MAStandardization of Cesarean Section surgeries  in accordance with American Operating Registered Nurses (AORN) standardsMobile CommunicationsUniversity of Iowa Hospitals and Clinics, Iowa City, IAIn process - considering use of smartphone technology in clinical areasReliable and Variable Rounder Care Delivery ModelUniversity of Pittsburgh Medical Center, Pittsburgh, PANew care delivery model for ancillary personnelPressure Ulcer ReductionVirginia Commonwealth University Medical Center, Richmond, VAInvolvement of unit Skin Champions in monthly prevalence auditsRevision of skin care and pressure ulcer prevention education for Skin ChampionsUnit weekly skin safety huddles with Certified Wound, Ostomy, Continence Nurses (CWOCN) and staffTarget Zero Program (Error Prevention, Zero  Harm)Colorado Children's Hospital, Colorado Anschutz Medical Campus, Aurora, COEducation of "All Teach, All Learn" approachNew 'Hospital Acquired Conditions' group auditing toolMagnetTM Since2002

Project LeaRN: Clinical Nurses Engaging in Scholarly Visits to Transform Practice in Their Own Setting(poster)

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1690&context=patient-care-services-nursing

Project LeaRN: Clinical Nurses Engaging in Scholarly Visits to Transform Practice in Their Own Setting(poster)

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Lehigh Valley Health Network: LVHN Scholarly Works