“Sustainability of Magnetic Forces in Today’s Healthcare Environment” was the focus of the Greater New York Nassau Suffolk Organization of Nurse Executives panel presentation on Feb. 29 at Molloy College School of Nursing in Rockville Centre, N.Y.
“When we meet for our GNYNSONE educational programs for members and potential members, we have the opportunity to learn from and network with one another,” said GNYNSONE president Jill Goldstein, RN, MA, MS, vice president of congregate care at VNSNY, to more than 100 nursing students and nurse leaders. “It also helps us to think about and create new possibilities and enhance our practice in our own organizations.”
Sheila Smyth-Giambanco, RN, MA, ACNS-BC, assistant professor of nursing at Molloy College and co-chairwoman of the GNYNSONE program committee, welcomed Margaret McClure, RN, EdD, FAAN, a professor at New York University School of Nursing and College of Medicine, and recognized her as the first nurse leader to identify the essential properties of Magnet in the early 1980s. “Nursing has made great strides since the inception of the Magnet program, and the Magnet process changes to match the complexity of our healthcare system,” McClure said. “I am in awe every day of what nurses accomplish.”
Pragmatic and operational
From a CNO perspective, Pat Hogan, RN, MA, NEA-BC, senior vice president and CNO at Good Samaritan Hospital in West Islip, N.Y., discussed the importance of performing a gap analysis after learning about Magnet requirements; knowing who your excellent writers are; engaging Magnet champions right from the start; expecting and dealing with negativity; and answering Magnet questions entirely.
“When you pick an initiative, be sure to look at the predata first, and don’t do any future changes without looking at your pre- and postmeasurements,” Hogan said. “If you aren’t on the Magnet journey, you can still apply the Magnet best practices in guiding your quality improvements and changes.”
It’s critical to involve other disciplines in the process, embrace shared governance and recognize that the journey requires a culture change, which takes time and effort, said Hogan, who has been involved in two Magnet designations at Good Samaritan. “It’s also about innovation in practice. Nothing happens without risks and failures before there are successful outcomes,” she said.
Having been involved in two redesignations at Huntingon (N.Y.) Hospital, Amy Loeb, RN-BC, BSN, CHPN, NE-BC, nurse manager of the family-centered/med/surg unit, highlighted nurse advocacy at every level, leadership guidance and input from direct-care nurses as key elements of transformational leadership. Loeb equated the process to a ski jump, where someone can refuse to participate or be pushed off the cliff. “The best option is a completely different one, where the person chooses to jump and lands with grace and beauty. That option is only possible if leaders support and prepare nurses so they know what they need to do to solve problems and make decisions,” Loeb said.Joined by GNYNSONE president Jill Goldstein, RN, vice president of Congregate Care at VNSNY, left, and GNYNSONE program committee co-chairwoman Sheila Smith-Giambanco, RN, assistant professor of nursing, Molloy College, right, are panelists and Jeannine D. Muldoon, RN, dean, division of nursing, Molloy College, center. Program panelists are, second from left, Margaret Ochotorena, RN, Magnet program coordinator, St. Francis Hospital; Pat Hogan, RN, senior vice president and CNO, Good Samaritan Hospital; Maureen Altieri, RN, Magnet coordinator, Good Samaritan Hospital; and Amy Loeb, RN, nurse manager, family-centered med-surg unit, Huntington Hospital.
As a result, unit staff at Huntington have significantly improved RN satisfaction and patient satisfaction in education and eliminated hospital-acquired pressure ulcers for seven consecutive quarters.
“Exemplary professional practice is the true essence of Magnet organizations,” said Margaret Ochotorena, RN, MSN, NE-BC, Magnet program director at St. Francis Hospital in Roslyn, N.Y., who has been involved in two designations at the facility. Magnet facilities are required to demonstrate that empirical outcomes related to nurse-sensitive indicators; RN satisfaction and patient satisfaction outperform national benchmarks. “One such initiative is our skin champions program led by the wound ostomy continence nurse specialist. This program engages and educates nursing staff on evidence-based interventions that prevent pressure ulcers and empower nurses, resulting in the achievement of outstanding outcomes,” Ochotorena said.
Good Samaritan Magnet coordinator Maureen Altieri, RN, MSN, director of professional practice, discussed the importance of facilities’ demonstrating application of existing evidence, development of new evidence and visible contributions to the science of nursing. “‘Are your nurses on the IRB at your facility? Do you have a librarian that can support nurse research efforts? Do you have doctoral-prepared nurse researchers to mentor direct care nurses through the research process?'” Altieri asked.
For information, visit www.GNYNSONE.com.