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Magnet 2025 Flashcards

(90 cards)

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1
Q

As Magnet organizations mature, and structure and processes become more hardwired, a greater emphasis will be placed on _______ at the time of re-designation.

A

Outcomes

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2
Q

Magnet organizations must submit demographic information regarding their nursing staff, including:

A

Certifications and highest degree held

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3
Q

Where are Quality Improvement findings discussed with staff?

A

Unit practice committee meetings, staff meetings, Gemba Boards, QIPS, Clinical Management Team (CMT) meetings.

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4
Q

What quality indicators (Nursing Sensitive Indicators) is your clinical area measuring?

A

CLABSI, CAUTI, Pressure Injuries, Falls, C-Diff.

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5
Q

How is staff satisfaction measured at the unit level?

A

-Nursing Satisfaction Survey
-Employee Engagement Survey
-Culture of Safety Survey

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6
Q

Describe 2 improvement projects related to HAIs your clinical area addressed in the last two years and the outcome of each project.

A

1.Pressure injury prevention for c-collars
2. Foley care

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7
Q

UH compares it’s empirical outcome data to national benchmarks. True or False?

A

True

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8
Q

We monitor patient satisfaction data related to:

A

Explaining things carefully, responsiveness, careful listening, courtesy and respect, communication about meds, discharge information, and care transitions.

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9
Q

Can you describe at least 2 unit or hospital improvements you are proud of? And why?

A

-Medfusion pump project
-Delirium project
-CRRT improvement
-Preceptor program

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10
Q

How do nurse in your clinical area access resources for help with unstable patients or during challenging situations?

A

Charge Nurse, Educators, Mid-levels, physician team, PCC, and Nursing Director.

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11
Q

How do nurses in your clinical area access resources for help with ethical dilemmas?

A

Ethics Consult, Charge Nurse, PCC, Nursing Director.

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12
Q

How do nurses in your clinical area access resources for help with workplace issues?

A

PCC, Director, ACNO, CNE, Human Resources, Integrity Hotline

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13
Q

How do nurses in your clinical area access resources for help with research ideas?

A

Nursing Research Director, Nurse Educator, Nurse Residency Program (NRP), EBP Research Council, UH Research Department, Physician Colleagues, PCC, Director, ACNO, and CNE.

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14
Q

What types of resources do nurses have access to assist them in reviewing current research literature?

A

Internet, databases (EBSCO), Dynamic Health

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15
Q

Our nursing professional practice model depicts how our nurses _____.

A

Practice, Collaborate, and Communicate.

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16
Q

Simply stated our professional practice model is “What UH nurses do every day?” True or False

A

True

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17
Q

What is our care delivery system based on?

A

Patient and Family Centered Care.

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18
Q

Name components of our professional practice model

A

Patient Family and Centered Care, Quality Care, Collaborative Care, Diversity, Evidence Based Practice, and Accountability.

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19
Q

Name 3 factors that are considered when developing annual budget for a department?

A

Orientation needs, new services, new programs, expansion of existing programs, unit volume, educational programs, equipment needs, patient safety and performance improvement activities.

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20
Q

The American Nurses Association (ANA) developed a document to help nurses understand our profession’s ethical obligations. What is this document?

A

Code of Ethics for Nurses.

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21
Q

How are policies/procedures developed?

A

Review of evidence/literature, professional standards of practice, presented and reviewed in committees prior to approval by CNE.

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22
Q

How is adequate staffing ensured?

A

-ACNO
-Nursing Director
-PCC
-House Supervisor
-STARS Float Pool

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23
Q

In clinical areas _____ teams meet to assess patient status, present assessment data and develop a comprehensive care plan.

A

Interdisciplinary

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24
Q

How is staff satisfaction measured at the unit level?

A

-Nursing Satisfaction Survey
-Employee Engagement Survey
-Culture of Safety Survey

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25
Name 1 unit based or hospital wide family centered care initiative within the past 2 years.
Family room?
26
Who can request an ethics consult?
Any nurse, physician, staff member, patient or family member.
27
Provide an example that shows, how the Professional Practice Model is applied in your clinical area with your patients.
-professional development with ongoing learning and use of evidence-based practice -Aim to improve patient outcomes by having discussions and debriefs after significant events
28
Examples of Improvements in the work environment to make it a safer and healthier place to be a nurse.
-Workplace Violence Committee -Trauma Informed Care Committee -Recharge rooms -Duress buttons -BERT teams, BERT and SAMA training -Code white training
29
How do nurses participate in peer feedback?
The Performance Colleague Feedback process allows staff to provide feedback in confidence, facilitate 1:1 discussions and constructively analyze and feedback allowing self-reflection and goal setting.
30
Direct care nurses protect the human rights of participants in research protocols. True or False?
True
31
Nurses at all levels use published research findings in their practice. True or False?
True
32
Magnet organizations integrate evidence-based practice identified in research into clinical and operational processes. True or False?
True
33
How would you describe nurse staffing on the units at this time?
Safe staffing through ratios, STARS Float pool department, Directors and PCCs consider patient acuity.
34
What is your patient care delivery model, and describe how this is operationalized on your unit?
Patient and family centered care. Give a personalized example of how you individualized the care. (Don't make it hard.)
35
Give an example of how you are involved in the patient and family plan of care.
Participation in family conference, patient and family training, and goal settings; identifying priorities; working with Care Coordination to facilitate equipment and placement' coordinating with pharmacy.
36
How do nurses influence recruitment and retention?
Through word-of-mouth, preceptorship of students, participation in interviews, shadowing, sharing info about our Magnet status, voicing their input in decisions around practice, as well as ownership and accountability to their practice.
37
Who are the expert resources? How do you access them?
Wound care nurses, pressure injury champions, VAT team, pain nurse, ECMO team, SNIII, charge nurse, mentors, nurse educators, PCC, and directors. Resource contacts are available by email, phone, EPIC secure chat, or in person.
38
Give examples of interdisciplinary performance improvement activities.
Sepsis SDO, maternal designation, Simulation, Clinical Safety and Effectiveness projects, integrative modalities, discharge before noon, fall prevention, HAIs.
39
Describe ways in which peer feedback and self-appraisal are used at UH?
Peer feedback & Self-evaluation takes place at entry level of nursing at UH and is incorporated into our annual performance evaluation process. In addition, the clinical narrative is used as a tool for self-reflection and goal setting as part of the clinical advancement program.
40
What does UH do to meet the needs of such a diverse patient population?
-24/7 access to language interpretation at no cost (in person, video, over 200 languages) -Assistive listening devices called pocket talkers -Document translation services -1557 coordinator staffed in President's office to address any complaints regarding civil rights, sexual orientation, and gender identity. -SmartForm at registration -Policy for accommodating persons with service animals.
41
How are problems related to unsafe or unprofessional conduct managed?
-Problems can be reported through our E-RAF system and directly to Nursing Directors. -Staff can report issues via the confidential integrity hotline. -Employee relations within HR department -Internal peer review process -Organizational chain of command
42
Give examples of what has been done to improve workplace safety and safe patient handling
-Creation of Workplace Violence Committee -Trauma Informed Care Committee -Provision of AirTap system and equipment for bariatric patients -Transfer Training -BERT training and BERT teams
43
Describe difference between research, evidence-based practice and performance improvement
Research: Scientific process, generates new knowledge for broad application EBP: Practice Question, Evidence, Translation (PET) process, synthesizes the best evidence for adoption in practice Performance improvement: Plan-do-study-act (PDSA), six sigma, learn principles, produces evidence for application at the local level
44
How is research disseminated at UH?
Research Symposium and Research Council meetings.
45
What are nurse-sensitive indicators related to your unit?
-CAUTI -CLABSI -Restraints -C-Diff -Pressure injuries -Delirium -Falls -Pain
46
Provide examples of strategies used on your unit to improve outcomes related to nurse-sensitive indicators.
-CAUTI,CLABSI bundles -Restraint reduction initiative -C-Diff reduction -Falls and pressure injury reduction initiatives
47
Give examples of improvement projects on your unit? What were the strategies and how do you know they have been effective?
-CRRT -Delirium -Preceptor program
48
What makes you proud of your unit?
Open for interpretation :)
49
Nurses have ______ access to assist them in reviewing current research literature.
Internet, research databases (EBSCO), and Dynamic Health
50
Nurses at all levels use published research findings in their practice. True or False.
True
51
Magnet organizations integrate evidence based practice in research into clinical and operational processes. True or False?
True
52
Can you provide an example of a process improvement project you or your unit is currently working on?
CRRT guidlines/protocol Preceptor program
53
What is an example of how UH encourages the development of new knowledge and improvement in care or the work setting?
-NRP projects -Quality initiatives -Unit council projects -Research day -Nursing Research Council -EBP council -EBP academy -Research Fellowship
54
Who is our Chief Nurse Executive (CNE)?
Dina Perez-Graham, MSN, RN
55
How can nurses access their nurse leaders?
-Nurse Managers (PCC) available most shifts -Staff has access to their Nursing directors -House Supervisor coverage 24 hours a day -Leadership rounds -Huddles
56
What is one way staff nurses give input to improve the work environment and patient care?
Unit Practice Council, Leader Rounds, Nurse Advisory, Waggl Surveys, and staff provide feedback during rounds.
57
The CNE is visible and accessible in what ways?
Emails, Daily leadership huddle, unit rounds, professional governance structure.
58
Provide 2 examples to show that leaders (CNE, ACNO, director, manager, PCC) listen to staff and advocate for them to improve care.
Tele pack process, daily leadership huddle, additional positions added to STARS, workflows and documentation changes in EPIC, product evaluations prior to equipment purchases
59
How is the Nursing strategic plan and philosophy aligned with the mission, vision, and values of UH?
The Nursing Strategic Plan and philosophy utilize the UH mission, vision, and values to create the framework and plan for nursing and are closely linked to the UH strategic plan.
60
How is your development as a nurse fostered at UH?
Nurse Residency Program and Nursing Professional Development activities such as: Certification review courses, TCAR, TNCC, Transplant Course, Online NCPD Courses (HealthStream), Charge nurse classes, Preceptor classes, and access to Nurse Educators.
61
The ANCC Magnet designation is the highest international recognition of nursing excellence. True or False?
True
62
Magnet is a one-time designation. it never expires. True or False?
False
63
Magnet hospitals must apply for Magnet re-designation after how many years?
4 years
64
Name the Magnet Model components.
-Transformational Leadership -Structural Empowerment -Exemplary Professional Practice -New Knowledge, Innovations and Improvements -Empirical Outcomes
65
UH received its first Magnet designation in which year:
2010
66
UH is preparing for our 4th designation. True or False?
True
67
Give examples of how the input of nurses has affected the work environment?
HAI rounds, workflows and documentation changes in PEIC, input from staff on products (product eval committee).
68
Describe ways in which your nursing leadership has improved the work environment?
Advocating for staffing, equipment purchases, AIRtap, Recharge rooms.
69
What guides the practice of nursing at UH?
-UH mission, vision, and values -Nursing Professional Practice Model -Community and population needs
70
What do you like about working at UH?
open to your interpretation :)
71
What is one way staff nurses give input to improve the work environment and patient care?
Unit Practice Council Staff Meetings Leader Rounds Nurse Advisory
72
Nurses at UH are involved in Professional Governance and shared decision-making. True or False?
True
73
Identify a nurse on your unit that is involved in a professional organization.
Your staff may be involved in one of these organizations or others: AACN, ENA, PNASA, OCNS, AMSN, TNA, ANA
74
Professional certification is encouraged at UH. True or False?
True
75
UH does NOT provide career development opportunities for non-nurse employees interested in becoming a nurse. True or False?
False
76
UH provides tuition reimbursement and scholarships are available through the UH foundation. True or False?
True
77
Can you provide an example of how UH supports community educational activities?
-Camps, Career Days, Health Fairs, Walks -Stop the bleed classes -UH-safe kids day -SWISD Health fair -Head for the Cure -Jr. league for SA fall fest
78
Name one of the Councils in the Nursing Professional Governance structure.
-Nurse cabinet -Nurse advisory -Nursing quality council -Nursing Ethics -Nightshift council -EBP council -Nursing research -Recruitment, retention, and recognition council
79
Name 3 sources used to help councils/committees to make decisions.
Nursing practice act, professional organization standards, current research/literature, benchmarking data, regulatory and accrediting agency standards.
80
CAP is the name of the program that we use to recognize nurses for advancing clinically/professionally. True or False?
True
81
How does UH foster your development as a nurse?
Nurse residency program, nursing professional development activities-charge nurse course, certification review courses, online courses (healthstream), access to nurse educators, trauma nurse fellowship, med-surg fellowship
82
How are nurses recognized at UH?
-Unit based morale/retention committee -Daisy awards -O.C. Tanner-E-cards, silver award, gold award -Employee of the quarter and Employee of the year -The light award -Certified nurses day celebration -annual nursing excellence awards -Beacon award
83
Provide an example to show that nurses are committed to lifelong learning in your unit.
of nurses who are certified, nurses enrolled in a degree program, nurses on the CAP, nurses attending/presenting at conferences.
84
What is the structure that supports nurse involvement in decision-making?
Professional Governance (PG)
85
How does your unit recognize professional accomplishments?
Announcement, plaque, employee of the month
86
What were the major accomplishments of your unit councils?
CRRT protocol, medication safety guardrails on medfusion and baxters
87
Describe the professional practice model.
The professional practice model (PPM) is a comprehensive framework to guide care delivery across the disciplines in patient care services.
88
How do nurses participate in shared decision-making (individually and through groups)?
Nurses participate in decision-making through unit-based activities, clinic rounds, members of professional governance, as a role of resource nurse.
89
How does UH support nurses' participation in professional organizations and pursuit of formal education and certification?
-Flexible scheduling -Tuition reimbursement -continuing education support of $800 annually -Scholarships via UH Foundation -Academic tuition discounts -Certification and recertification exam reimbursement for nationally-recognized professional and specialty nursing organizations.
90
How do nurses get results bout nurse satisfaction data and patient satisfaction data? In what ways are the findings discussed and analyzed?
Nurse satisfaction result and patient satisfaction results shared at staff meetings, huddles, email distributions, and presentations during professional governance. Analyzed through Gemba or creation of unit work groups to develop action plans.

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