Below are the finalists in the Teaching category for the Nursing Spectrum 2009 Nursing Excellence awards. A recognition gala is planned for May 6 at the Sheraton Society Hill in Philadelphia.
Marianne Casale, RN, MSN, AOCN, CS
Oncology Clinical Nurse Specialist
The Chester County Hospital
A clinical specialist on a 36-bed oncology med/surg unit since 2007, Casale has helped the nursing staff engage in necessary oncology education. After a needs assessment, she determined the staff needed to learn the basics. She began to teach the ONS oncology course to the 50 nurses and has set a goal to teach the entire course in a two-year period. She plans to help the staff study and pass the ONS certification. She also provides education to the ancillary staff with the understanding of the importance that all members of the care team must be knowledgable and caring. Attendance at the courses has been 100% among the units RNs. In order to meet with all nurses, Casale comes in on all shifts, weekends, and holidays. She also has held individual sessions with staff members that need the extra attention. When teaching staff members, she also regularly brings in baked goods to share. Since beginning the ONS program, several staff nurses have joined ONS and now attend meetings regularly. Four staff nurses also went to the recent ONS national conference. As an example of the staffs engagement, the unit has been decorated the past two years for Christmas with different-colored ribbons that represent all of the cancers.
Patricia Heslop, RN, MSN, APN-C, CCRN
Clinical Specialist and Outcomes Manager for Cardiac Care
South Jersey Healthcare
As clinical specialist and outcomes manager for cardiac care, Heslop is responsible for the continued education and professional development of about 80 RNs in three distinct cardiac units: acute, stepdown, and critical care. With nearly 40 years at SJH, Heslop plays a critical role in the continued professional development and long-term learning of SJH nurses through education, mentoring, leadership, role modeling, and excellence in clinical nursing practice. Nurses strive to be like her. One coworker said Heslop takes nurses under her wing and personalizes the education to meet their needs and patients needs.
Heslop doesnt just get educators to teach the certification review courses, she recruits certified staff members to teach and mentors them through the process. It makes the material more accessible and relevant. Through her efforts, decreases in the rates of central line-related bloodstream infections and ventilator-associated pneumonia were achieved, as well as increases in patient and staff satisfaction. The nurse turnover and vacancy rates have decreased in all three units, and national certification has increased.
In 2008, Joint Commission certifications in stroke care and heart failure care were awarded to SJH, honors Heslop was essential in achieving by elevating nurses confidence and taking the reputation of nursing within SJH to new heights. Acknowledging some congestive heart failure patients resistance to ambulation, she facilitated a pet therapy program, designed to encourage CHF patients to ambulate by walking a therapy dog. This program spawned a nursing research project that is under development to determine if pet therapy is effective in encouraging and increasing the ambulation of CHF patients.
Jeanie Kelly, RN
Albert Einstein Healthcare Network
Coworkers often joke with admiration that Kelly knows every policy and procedure in the hospital. Kelly puts patients first while educating nurses on proper and safe practices for positive outcomes. An important resource for nurses for more than 40 years, Kelly works tirelessly as a mentor and stays involved in numerous committees. She is part of the historical culture and composition of the hospital, according to those who work with her daily.
Among some of the words used to describe her are powerful, strong, influential, confident, and courageous. Known as someone who is never too busy to help, Kelly is an articulate communicator with an impressive attention to detail and a joy for the staff nurses and for the patients they care for each day. While treating nurses with dignity and respect, Kelly is known for passing along kudos where appropriate and also challenging nurses to do better in other areas.
Kelly has high standards in nursing and patient care that she does not compromise, and coworkers say she ensures direct care nurses have a voice in the direction of nursing practice. I hope she clones herself before she retires, said one nurse.
Lynne Malcomb, BSN
Staff Development Coordinator
Lourdes Health System
Coworkers call Malcomb uniquely selfless and a person who embodies the true spirit of the caring nurse. Malcomb, a 35-year nursing veteran, serves as staff development coordinator for maternal child health services. She has served as a model of excellence and professionalism in nursing education for countless numbers of nurses in the past 12 years. Newly hired nurses, new graduate nurses, and staff nurses seeking professional growth and development look to her as a resource and support person on days, nights, or weekends. Recently, an opportunity for improvement was identified via the patient-satisfaction survey results. Malcomb assessed the situation, discussed it with the nurse director of the maternal-child health services Unit, then created and implemented an educational plan that enlightened the staff nurses by allowing them to clearly zero in on the identified learning needs of the patients. From the time the issue was identified to the time the education was delivered spanned one week. Because of her expediency and commitment to the importance of this educational piece, the nurses immediately began to improve the patient satisfaction scores. Malcomb often goes anywhere shes needed. Its not unusual to see her in the nursery weighing a baby or helping a nurse set up a chest tube on the post-surgical unit. Malcomb has embraced the multitude of changes in professional nursing and encourages others to do the same. She also takes teens on church retreats, and chaperones church events. Two of the teens in her church group were inspired by Malcomb to become nurses, with one enrolled at Drexel University in Philadelphia and the other at Rutgers University in Newark, N.J. She is working to bring a parish nursing program to her church and is recruiting retired nurses to join her in the health ministry to help counsel, conduct referrals, assist seniors in navigating the health system, and create a program to address childhood obesity.
Cathy Moore, RN, MSN, APRN-BC, CNS, CCRN
Clinical Nurse Specialist
Bayhealth Medical Center
Moore, who serves as a clinical nurse specialist for cardiovascular intensive and intermediate care, has worked in the facility since 1980 in multiple specialties. In her current role as CNS, she teaches nurses, physicians, patients, and families at the bedside. Her goal is to teach nurses to care for patients through the art and science of nursing. Moore serves on the rules and regulations sub-committee for the state board of nursing and is a frequent guest lecturer on various topics in critical care at the state and local level. She is a key member of the nursing leadership team who leads the charge to transform nursing care and practice to an evidenced-based culture. She was instrumental in the development, design and education of the staff in this new service line. This successful program has helped the facility earn Best in Cardiac Surgery status by Healthgrades for two consecutive years. Under her guidance, she has taught the staff to use research to guide nursing practice. She has incorporated the use of evidence-based practice into patient care rounds, which she conducts daily. She is conducting research on the use of a nurse-driven protocol to decrease the incidence of hospital-acquired urinary tract infections and presented a poster at the state nursing research conference on the topic. Moore views all nurses as teachers and fosters their inquisitive nature and desire to learn. She is at the staffs side when new or difficult patient situations arise to teach, coach, and support them through the crisis. With the clinical crisis averted, she will sit with the nurse and talk about the issue. Invariably, the staff member will come out of Moores office loaded with current research on how best to manage a clinical situation, should it ever arise again.