Description: Culture of OwnershipAt Columbus Community Hospital (CCH) the culture of ownership and collaboration between perioperative nurses and nurses within other areas of the hospital greatly improved through process improvements resulting in our Pathways to Excellence Designation. Improved performance was evident as the perioperative nurses excelled at creating this culture of ownership.
Method: Based on decreased communication between departments during the perioperative period, the Surgical Services unit implemented a hospital-wide standardization of nurse to nurse communication handoff with the Surgical “Situation, Background, Assessment, Recommendation, and Thank-you” (SBART) tool. These changes along with other perioperative nurse lead modifications were highlighted in the Pathways to Excellence Designation. As part of the designation, Element of Performance 3.3 was described as how the organization involves direct care nurses in resolving a safety issues within the organization.
Assessment: This element helped improve staff engagement significantly. Surgical bedside nurse lead changes were assessed. Outcomes: The CCH Pathways to Excellence Designation measured the perioperative nurses culture of ownership evidenced by a 100% survey participation, mandatory compliance for the use of the Surgical SBART, and other perioperative lead changes in the operative setting. The changes lead by bedside surgical staff resulted in an enhanced culture of ownership among perioperative nurses Implications: Perioperative nurses have been empowered to take ownership of their nursing practice. The culture of ownership must be upheld by the perioperative nurse so as to engage staff in promoting patient safety and supporting positive patient outcomes.