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Viewpoint MA-2007.Qxd Volume 29 Number 2 MARCH/APRIL 2007 Inside FEATURES Page 3 On the Road: Our Magnet Journey Discover how the Cleveland Clinic achieved and has maintained its Magnet status. Page 7 Using the SBAR Communication Technique To Improve Nurse-Physician Phone Communication: Marianne Sherman, MS, RN,C A Pilot Study Is the SBAR tool an effective communication technique? One pilot study attempts to identify the pros and cons. The University of Colorado Hospital investment in achieving a culture that fos- (UCH) is an academic medical facility ters these traits. It is considered the “GOLD Page 10 located in Denver that includes multiple Standard” for nursing work environments Serving Vulnerable outpatient care areas. It became the 44th and excellence in nursing (Goode et al., Populations: Improving hospital to receive Magnet Recognition® 2005). This translates to professional pride Pediatric Immunization in 2002 and was re-designated in 2005. in performance along with a desire to foster Rates in a Safely-Net Delivery System Historically, Magnet recognition focused clinical advances and excellence in care. Studies by the American Nurses Association Denver Health Community on nursing care of patients in the hospital Health Services targets a high- Tacute care settings. Magnet now looks at (ANA) (1983) and others (Kramer & risk pediatric population and nursing care throughout an organization. Schmalenbey, 2004, 2005), and a review of institutes recommended vaccines With the emphasis on patient care moving the Magnet literature (ANA, 1998; for low-income children in the to the outpatient arena, there is a great American Nurses Credentialing Center Denver area. opportunity for ambulatory care nurses to [ANCC], 2006; American Organization of demonstrate how Magnet organizational Nurse Executives [AONE], 2003; Colorado AAACN News qualities can have a positive impact on Center for Nursing Excellence, 2006) have Page 13 their nursing practice. The Magnet jour- identified consistent positive trends and New Products Released at ney offers ambulatory care nurses the outcomes associated with Magnet organiza- Conference tions. Examples of these positive trends are opportunity to demonstrate how Magnet Page 18 organizational qualities can positively shown in Table 1 (page 14). Real Nurses, Real Issues, impact patient outcomes and their own Real Solutions professional development. The Journey to Magnet Recognition The American Nurses Credentialing What is Magnet Recognition? Center (ANCC) oversees the Magnet desig- NEW spotlighton Organizations that receive Magnet nation process. The ANCC selection criteria Recognition emphasize strong professional are based on 14 quality indicators called the nursing values, quality patient care, and continued on page 14 PracticePractice Lost in a staffing maze? Don’t wander aim- lessly in your search for the best staffing The Official Publication of the American Academy of Ambulatory Care Nursing model. See page 19 to find what you’ve been seeking. From the PRESIDENT Celebrating The Tipping Point Thank you for the opportunity to serve as AAACN President. Last year in my President’s Address, I invited all AAACN members to start a positive epidemic as Reader Services connectors, mavens, and salespeople, and together AAACN Viewpoint we would lead the way in shaping the future of The American Academy of Ambulatory Care Nursing ambulatory care. And together as a team, we did just East Holly Avenue Box 56 that. Our Board of Directors, our management firm, Pitman, NJ 08071-0056 (800) AMB-NURS and each of you, our members, contributed to Fax (856) 589-7463 TAAACN’s Tipping Point. This column, my last, cele- E-mail: aaacn@ajj.com Web site: www.aaacn.org brates achieving the “tipping point” and is dedicated to all our members who worked together on behalf of Beth Ann Swan AAACN Viewpoint is owned and published bimonthly by the American Academy of AAACN – to be the voice of ambulatory care nursing – real nurses, real issues, Ambulatory Care Nursing (AAACN). The and real solutions. newsletter is distributed to members as a direct benefit of membership. Postage paid at I asked each member to: Bellmawr, NJ, and additional mailing offices. • Be the tipping point for AAACN membership in your organization; recruit Advertising one member this year, and we will double our membership. Through the Contact Tom Greene, Advertising Just 1 Campaign, we recruited many new members, and we finished the Representative, (856) 256-2367. 2006 calendar year with 2,071 members, the 2nd highest in our history. As Back Issues To order, call (800) AMB-NURS or an organization, we worked on new membership marketing and recruit- (856) 256-2350. ment, as well as the development of a group membership. In addition, we Editorial Content focused on member retention strategies. AAACN encourages the submission of news • Start the epidemic in your organization. Attend the 2007 AAACN Annual items and photos of interest to AAACN mem- bers. By virtue of your submission, you agree Conference in Las Vegas with a colleague, and we will double our confer- to the usage and editing of your submission ence attendance. As I write this column, we are projected to have record for possible publication in AAACN's newslet- ter, Web site, and other promotional and edu- attendance in Las Vegas. cational materials. • Contact a new colleague that you met at the conference and share a best To send comments, questions, or article sug- practice, policy, or leadership tool. I heard from many members following gestions, or if you would like to write for us, contact Editor Rebecca Linn Pyle at the 2006 conference who were energized and reached out to contacts beckypyle@msn.com they made at the conference. Listservs were active as well. AAACN Publications and • Share a AAACN education resource with a colleague. We worked to help Products you do this by updating the education resources flyer, adding a column in To order, visit our Web site: www.aaacn.org. Viewpoint titled “Spotlight on Practice” to highlight a practice setting and Reprints how ambulatory care nurses can benefit from AAACN education resources For permission to reprint an article, call (800) AMB-NURS or (856) 256-2350. in creative and innovative ways. We’ve also included excerpts of education Subscriptions resources on the AAACN Web site. The “AAACN Telehealth Nursing We offer institutional subscriptions only. The Practice Pearl of Wisdom” was another new feature added to Viewpoint. We cost per year is $80 U.S., $100 outside U.S. To subscribe, call (800) AMB-NURS or (856) developed new editions of the following publications: The AAACN Core 256-2350. Curriculum for Ambulatory Care Nursing (2nd Ed.), Ambulatory Care Nursing Indexing Administration and Practice Standards (2007), Telehealth Nursing Practice AAACN Viewpoint is indexed in the Administration and Practice Standards (2007), the Ambulatory Care Nursing Cumulative Index to Nursing and Allied Health Literature (CINAHL). Review Questions (formerly Self-Assessment) (2007), and the Telehealth © Copyright 2007 by AAACN. All rights Nursing Practice Resource Directory. AAACN education resources have been reserved. Reproduction in whole or part, elec- available at many national conferences due to participation of our volun- tronic or mechanical without written permission of the publisher is prohibited. The opinions teer leaders. expressed in AAACN Viewpoint are those of the • Spend time thinking about how to make your messages about AAACN contributors, authors and/or advertisers, and do not necessarily reflect the views of AAACN, membership compelling and more contagious. Reach as many ambulatory AAACN Viewpoint, or its editorial staff. care nurses as possible and tell them about AAACN. In my Publication Management by November/December 2006 President’s Column in Viewpoint, I highlighted Anthony J. Jannetti, Inc. all our volunteer leaders who participated in national advocacy activities on behalf of AAACN and contributed to starting the epidemic. Also from this American Academy of Ambulatory Care Nursing continued on page 12 Real Nurses. Real Issues. Real Solutions. 2 VIEWPOINT MARCH/APRIL 2007 Gloria Gresko, RN • Promote positive outcomes for patients (American Nurses’ Credentialing Center [ANCC], 2007). Refrigerator magnets have been widely used as a mar- As of January 2007, 224 hospitals in the United States keting device for telehealth call centers. Staff at Nurse on have been recognized as ANCC Magnet hospitals, includ- Call (NOC) from the Cleveland Clinic pass out hundreds of ing the Cleveland Clinic (ANCC, 2003). Magnet designa- magnets at health fairs and local community centers to tion is in effect for a 4-year term, and our expiration date is attract consumers to our services. Since November 2005, quickly approaching. The processes for re-designation are our focus has been on a different kind of magnet – The identical to those of the original application and require Magnet Recognition Program®. In collaboration with all the the submission of written documentation and a site visit nursing divisions within our health care organization and (ANCC, 2004). Maintaining our Magnet status is a Rled by our Chief Nursing Officer (CNO), we have started hospital-wide, organizational goal. From our past, we know on the arduous yet exciting journey toward the achieve- that the appraisal process is a valuable and rewarding ment of Magnet designation. experience for the entire hospital. Uniting with the admin- The term “Magnet” in the Magnet Recognition istration and ancillary departments
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