Magnet Review — All Sets

How do nurses provide equitable, culturally and socially sensitive patient care?

By recognizing and responding respectfully to each patient's cultural background, language, health literacy, identity, values, beliefs, family structure, and screening for social needs. The goal is equitable, individualized, patient-centered care. Specific examples using interpretation services, providing mammograms for women with disabilities, and participating in the C4C Transitions of Care program.

How is nurse satisfaction measured? How did your unit do in the last survey?

Through RN satisfaction survey, or now known as the Profession Practice Survey, and dissemination of unit results, identifying opportunities and strengths.

Structural Empowerment

The organization provides structures, resources, professional-development opportunities, shared decision-making, and community partnerships that empower nurses.

How does LOH support professional growth?

By sponsoring certification courses; tuition, PDP; conference, and certification reimbursement; and offering flexible scheduling.

What is LOH's nurse certification goal? What is your unit rate of certification?

51%, and unit dependent (look at dashboard)

How can a clinical nurse bring an issue to shared governance?

Through the unit practice council where the appropriate council member can bring it to their council (Quality, Nsg Science, R&R, Nurse Practice); A request can be made to add the issue to the council agenda. Council decisions are communicated back to staff through the unit practice council, the CUB, emails, meeting minutes, etc.

How are new nurses supported?

Through preceptorships, professional development support, and a CCNE-accredited nurse residency program.

How are LOH nurses recognized for their contributions?

Through the Nursing Newsletter, Safety Stars, DAISY Awards, Nurses Week Professional Practice Awards, Certification Day, Ortho Week, and Rehab Week.

How do nurses participate in recruitment and retention activities?

Through the Recruitment and Retention Council, reviewing unit data on turnover; shared governance; cross-training; high school student outreach, RN staff-satisfaction projects; precepting; giving feedback through the RN sat surveys with the development of action plans.

How do nurses participate in peer review?

Formally through the Quality Council annual process; informally during ACA reviews of HAC, medication errors, audits; shift reports and rounding.

Can you describe a nurse-led interdisciplinary project on your unit?

Some examples: Fall and HAPI prevention; patient experience projects; skin tears in the OR.

What are examples of nurses having the autonomy to make nursing care decisions within their scope of practice?

Using the hypoglycemia protocol; fall prevention interventions such as VCO; wound care prevention interventions; nonpharmacological pain reducing interventions; urinary catheter removal; and participating in performance-improvement activities.

How can nurses address ethical concerns?

By requesting an ethics consult, attending and participating in Schwartz Rounds, or accessing the Nursing Code of Ethics.

What workplace-violence prevention interventions are available at LOH?

CPI training, BERTs, mobile panic buttons on the 11th floor, safe patient-handling training, needlestick-prevention education, anti-bullying education, and corporate counseling.

New Knowledge and Innovation

The organization advances nursing practice through research, evidence generation, innovation, quality improvement, and adoption of new care models

What is the difference between evidence-based practice, quality improvement, and research?

EBP: uses the best available evidence, with clinical expertise and patient preferences to improve practice; QI: focuses on improving local processes or performance; Research: creates or contributes to new knowledge that can improve practice beyond one unit or department

What support do nurses have for EBP projects and research?

Nursing Quality Department; Nursing Science Council; Nurse Researcher; Librarian; Data Analyst; All the resources and education available on the Nursing Science and Innovation intranet site

What are examples of evidence-based practice or research projects on your unit?

Unit A4s for EBP projects (on Magnet Board); Research studies: Sleep study, Midnight Monday, weighted blankets, and aromatherapy.

How do nurses share evidence-based practice and research findings?

Through Magnet Grand Rounds, Nursing Science Council; UPC meetings, poster or podium presentations, and publications.

Can you provide an example of an innovation implemented involving nursing?

Nursing podcast; VCO; ambulatory patient experience surveys by phone; any new role, new product, new workflow.

How do nurses help improve the work environment or workflow?

Examples include redesigning the 12th-floor supply room; incorporating a child-life specialist into C4C; shift reports; creating a culture of safety with open communication, debriefs, non-punitive reporting; and measuring and improving continuously.

Exemplary Professional Practice

Nurses demonstrate high standards of autonomous, collaborative, evidence-based professional practice and patient-centered care.

Describe a unit improvement project (Refer to the Quality Board Poster)

We noticed an opportunity in ______. Staff reviewed the data and implemented the following interventions ______. Our next step is ______.

What does the Professional Practice Model (PPM) represent?

The PPM defines how NYU nurses practice, lead, and deliver care. It was shaped by nurses, feedback across the system, and six key themes emerged.

What resources are available to improve clinical practice on a unit?

The Nursing Quality Team, Professional Development, Wound Care Team, and Infection Control Practitioners.

What are your unit's RN satisfaction results? What are you doing to improve if needed?

Unit specific — look at dashboard

What is your unit's turnover rate?

Unit specific — look at dashboard

How do nurses collaborate with patients and families?

By treating patients as partners: shared decision making; fall TIPs education; bedside shift report; teach back; goal setting; reviewing patient experience scores and comments.

What are the six key themes that were identified by staff?

Professionalism; Excellence; Collaboration; Wellness; Innovation; Compassion

Empirical Outcomes

Outcomes show, with data, that nursing excellence leads to better results for patients, nurses, and the organization. For Magnet purposes, we hope to outperform national benchmarks in: Patient outcomes (HACs, patient experience); Nurse outcomes (RN Sat, turnover, certification); Organizational outcomes (quality performance, operational efficiencies, strategic goals)

Quick Site Visit Reminders

Speak from your own experience; Use real examples when possible; Explain how clinical nurses were involved; Connect the work to patient care and safety; Know your unit Quality Board

Which informal opportunity can develop leadership skills? A) Council leadership role B) Clocking in early C) Attending staff huddle only

A — Council leadership role

True or False: Precepting a new nurse can support succession planning.

True

How do evaluations support professional growth? A) By creating mutual development goals B) By assigning more tasks C) By reviewing attendance only

A — By creating mutual development goals

Name two activities that prepare staff for future roles.

Examples: mentoring, nurse residency, preceptorship, certification preparation, continuing education, PDP participation, council leadership.

Can you give any examples of mentoring or succession planning activities on your unit?

Formally such as LOH mentoring program; informally such as council leadership opportunities; support and guidance from an experienced nurse mutual goal development during evaluations

How does LOH support nurse well-being?

The Employee Assistance Program; wellness carts; intranet wellness website and resources; code lavender; available quiet space, unit specific initiatives.

What Magnet designation is LOH pursuing?

LOH is pursuing its fourth Magnet designation. Redesignation occurs every four years.

What are the Magnet "Big 5" outcomes?

1. RN Satisfaction/Engagement 2. Inpatient Patient Experience 3. Ambulatory Patient Experience 4. Inpatient Nurse-Sensitive Indicators 5. Ambulatory Nurse-Sensitive Indicators

What are the five Magnet Model Components?

1. Transformational Leadership. 2. Structural Empowerment 3. Exemplary Professional Practice 4. New Knowledge, Innovations, and Improvements 5. Empirical Outcomes

Transformational Leadership

Nursing leaders create and communicate a compelling vision, guide change, and foster an environment where staff can excel.

What is NYU Langone Health's mission?

To Care. To Teach. To Discover.

Who is the NYULH system-wide CNO?

Dr. Debra Albert

Who is the CNO at LOH?

Dr. Kimberley Ennis.

The Nursing Strategic Plan and the Quality and Safety Performance Improvement Plan (QSPIP) provide guidance and goals used in formulating the unit's annual plan. Can you identify a unit initiative?

Unit specific — see A4s. Ex. HAC reduction, improvements in patient experience scores, etc.

Are your nurse leaders present and visible on the unit? How would you get in touch/communicate with them?

Monthly staff meetings, open office hours, shared governance councils; HAC meetings, email, Town Halls, PSIs for safety concerns, leader rounding on the units, annual planning day; HRO huddles, etc.

What is one example of staff working with a nurse manager/director/VP to improve unit operations?

Advocating for additional staff; advocating for wellness carts/activities; advocating for new bladder scanners/commode chairs; identifying safety concerns; redesign of supply rooms, etc.

What is mentoring? A) A short-term orientation process B) An experienced nurse providing ongoing guidance, advice, support, and role modeling C) A competency checklist

B — An experienced nurse providing ongoing guidance, advice, support, and role modeling

True or False: A mentor and preceptor are interchangeable roles.

False

Which activity is an example of mentoring? A) An experienced nurse guiding a colleague's certification and career goals B) Assigning a nurse to complete annual education C) Reviewing a supply inventory

A — An experienced nurse guiding a colleague's certification and career goals

What can a mentor provide? A) Information, advice, support, and ideas B) Only competency validation C) Only a daily assignment

A — Information, advice, support, and ideas

How does mentoring support professional identity? A) Through encouragement, role modeling, and career guidance B) By completing orientation paperwork C) By assigning overtime

A — Through encouragement, role modeling, and career guidance

Which is a primary purpose of a preceptor? A) Supporting onboarding and validating role-specific competency B) Providing long-term career counseling C) Leading performance evaluations

A — Supporting onboarding and validating role-specific competency

Mentoring — Key Takeaway

A mentor is an experienced nurse who supports another nurse's professional identity, growth, confidence, and career development over time.

What is succession planning? A) Scheduling staff shifts B) Identifying and developing future leaders C) Completing annual competencies

B — Identifying and developing future leaders

Which formal activity supports succession planning? A) LOH mentoring program B) Break coverage C) Supply ordering

A — LOH mentoring program

What is the difference between evidence-based practice, quality improvement, and research?

EBP: uses the best available evidence, with clinical expertise and patient preferences to improve practice; QI: focuses on improving local processes or performance; Research: creates or contributes to new knowledge that can improve practice beyond one unit or department

What model of Evidence-Based Practice is used at NYULH/LOH?

A. The John's Hopkins Evidence-Based Practice Model (JHEBP)

Can you describe the Johns Hopkins Evidence-Based Practice Model (JHEBP)?

It is a simple framework that follows 3 main steps (PET): 1. Practice Question: identify a clinical opportunity for improvement 2. Evidence: complete a literature review to evaluate the best available research, guidelines, recommendations 3. Translation: apply the findings to practice, considering staff and patient needs. Measure outcomes and adjust if needed (PDSA cycle= Plan-Do-Study-Act)