Nursing Spectrum will honor the 30 finalists in its 2010 Nursing Excellence Awards and choose a winner in each category June 8 at Martins Crosswinds in Greenbelt, Md.
The finalists in Teaching are as follows:
Anna Herbst, RN, MSN, CNE, BC
Inova Health System/Inova Alexandria (Va.) Hospital
Nominated by: Karen L. Batcheller
Anna Herbst, RN, MSN, CNE, BC, is lead educator in the hospital and oversees daily educational offerings within the facility. She provides education on system- and facility-specific initiatives, such as aspiration pneumonia prevention, human caring and medication reconciliation. She co-teaches the geriatric certification course twice a year, supports med/surg skills fairs, serves as CPR training center faculty and facilitates nursing student placement. Herbst also mentors graduate nursing students every semester. The foundation for the health systems nursing philosophy is Jean Watsons Human Caring Model. Through systemwide classes and individual mentoring, Herbst has been highly influential in implementing the core concepts of Human Caring care of patients, care of colleagues and care of self. She teaches beginning and advanced Human Caring theory workshops and is a certified caritas coach. Herbst has a gift for teaching. She mentors graduate nursing students interested in education. Watching her teach is an enlightening experience and a joy. Herbst is a transformational leader who inspires her colleagues and learners to reach beyond their daily work.
Ann Gunnett, RN, BC, MSN, MS
Professional Development Specialist
Johns Hopkins Bayview Medical Center, Baltimore
Nominated by: Mary Ann Greene
Ann Gunnett, RN, BC, MSN, MS, has led every project that has dealt with computer-based learning for the nursing staff. She introduced the concept of blended learning to nursing leadership a teaching strategy that demands the learner take a computer-based learning module and follow it with an in-person, supervised practice session. This allows for hands-on reinforcement of the learned content. Recently, the hospital updated its electronic documentation system. Gunnett analyzed the changes in the system and nursing practice routines for each specialty area, and she tailored education for each nursing group. Gunnett used a modular approach to allow for flexibility and efficient use of resources, for learners and educators. She incorporated user interactivity and designed practice scenarios based on the functionality needed. Scenarios reflected patients in the area of practice to enhance the applicability of the content. After the education, Gunnett provided support during the implementation to follow up on technical issues. The success of the implementation was recognized two weeks after the rollout by the Joint Commission, which conducted a surprise visit at that time. Gunnett shares her expertise. In 2008, she presented Effective Blended Learning at the eLearning Summit. She also has presented to professional audiences on the topics of IT education and interdisciplinary education.
Catherine A. Miller, RN, MSN, CCRN
Clinical Education Program Manager, ICU/SCU
Howard County General Hospital, Columbia, Md.
Nominated by: Deborah Fleischmann
ICU staff members routinely call on Catherine A. Miller, RN, MSN, CCRN, day and night to problem-solve bedside care challenges. She patiently coaches nurses during technically difficult activities, providing guidance and steering their critical thinking without taking over. Miller goes beyond her daily responsibilities as an educator. She took on training four young graduate nurses in the ICU during the past year. Despite ICU nurses skepticism of the process, Miller worked diligently with experienced nurses to coach them as preceptors while continuing her work with the graduates. Miller played a vital role in the hospitals recent conversion to a digital ECG management system. Although she was not the project lead, it quickly became apparent the ancillary services managers who were leading the project did not have the understanding of clinical processes critical to implementation. The product was relatively new, and the vendor had not fully developed training materials. So Miller wrote a detailed training program. She tested and retested the order entry and retrieval program, working closely with information technology analysts to create scenarios and validate interfaces. Miller played a major role in training the trainers, along with super- and end-users. Largely because of her diligence, persistence and attention to detail, the project was implemented successfully and on time. Miller came through again in the hospitals complete conversion of the IV pump system. Miller tested database scenarios and completely rewrote heparin protocols. Although the vendor supplied trainers, she provided additional staff training after their departure. During all of this, she also rewrote the critical care drug reference manual to be consistent with the dosing language on the new IV pumps.
Sally Grimm, RN, MSN, CEN
Clinical Educator, Emergency Department
Anne Arundel Medical Center, Annapolis, Md.
Nominated by: Jennifer King
Sally Grimm, RN, MSN, CEN, is a certified emergency nurse and holds advanced cardiac life support and pediatric advanced life support certifications. She is also a crisis prevention intervention trainer and has organized and conducted training for many employees within the ED and beyond. Grimm is seen as a role model, expert clinician, mentor and overall resource for the ED staff and educators throughout the organization. She is an invaluable member of the ED for new and seasoned staff. Grimm has helped to develop orientation materials for educators new to the role, mentored new educators and helped to develop a new job description for them. As the educator within the ED, Grimm recognized a challenge with orienting and retaining newly hired nursing graduates. She developed and implemented an ED-specific nursing graduate fellowship program the first of its kind at the organization. The fellowship not only includes talented speakers from all disciplines, but also interactive field trips, role playing with priority setting and patient care simulations all within a safe, confidential environment. New graduates received daily feedback on their progress and had face-to-face meetings with Grimm to discuss orientation and progression. Grimm not only functioned as the educator, but also as the mentor, friend and confidante to new graduates. The fellowship has made a positive impact in the satisfaction of ED preceptors and new graduates, turnover of new graduate nurses and the readiness of new graduates to function independently in the ED. Grimm also recognized the pipeline for future ED nurses did not exist in the organization, so she worked with the local community college to develop an elective course for students enrolled in nursing school that would showcase what ED nursing has to offer.
Kathleen L. Wright, RN, MSN, AOCNS
Clinical Nurse Specialist
Inova Fairfax Hospital, Falls Church, Va.
Nominated by: Deirdre Carolan Doerflinger
Kathleen L. Wright, RN, MSN, AOCNS, designs and implements best practice initiatives on a regular basis. Hospital-acquired pneumonia was identified as an area for improvement, and staff and administration developed a program for early identification of risk and ongoing assessment. When the project was ready for implementation, within days this stellar clinical nurse specialist had developed files with all the needed materials to facilitate the programs implementation. Wright returned with suggestions for more expedient and effective implementation processes, revised tools and materials in addition to packets for each unit, based on unit feedback. These tools and packets are currently in use throughout the facility. Wright also worked to reduce catheter-acquired urinary tract infections. She collaborated with infection control practitioners and spearheaded the development of educational materials to address the problem, research and evidence-based interventions. Wright designed a sticker to go on each patients chart with an indwelling urinary catheter, which addressed the date and time it was placed, reason for placement and planned removal or justification for maintaining the device to facilitate compliance with the practice change. Spearheading this initiative was complicated, but Wright still navigated the program to successful implementation. When she became aware of a possible catheter-acquired urinary tract infections study, Wright willingly became a part of the investigation. She contributes directly to the development of every nurse. Wright had a busy day recently but still managed to review a project on delirium and offered extremely helpful advice, which facilitated its movement through the approval process. Each clinical ladder applicant in the division has requested (and received) editing, mentoring, suggestions and support from Wright. Since her tenure as CNS, clinical ladder advancements have increased.