362 - 2020 Vision: Perioperative Managers and Educators Advancing High Performance Teams
Description: Clinical IssuePerioperative Management and Educators each bring unique talents and perspectives to the dynamic workplace in a quest to develop high functioning teams. A clearly defined role and practice area is key to a positive and productive, conflict-free partnership. This is a hot topic from the 2019 Expo Clinical Nurse Educator Specialty Assembly meeting and current practice nationally. Managers and Educators struggle with the differences and similarities between the roles. Clear definitions and a method for determining the roles and responsibilities is key to effective teamwork.Description of Team-The perioperative leadership team consists of two directors, three managers, a business manager, and an nurse educator. Preparation and Planning-The team identified clear roles and a decision algorithm to determine if the clinical question was performance or education based and the collaborative steps required towards a solution. Each team member has a voice and opportunity to identify important criteria. AssessmentMuch confusion and overlapping of function and work dissatisfaction occurred without clear delineation of role and unified approach to clinical and staff issues. A team agreement on a decision algorithm for which role could best address the issue was proposed.ImplementationEach time a new product or issue arose, the team reviewed the algorithm to determine which category of leadership could best address it (performance versus education). Use of the algorithm by leadership and newer business managers resulted in a clear understanding by the team of which role should address the issue or question. Example: Five successive staff nservices on wound classification. Staff member A documents wound classification incorrectly. Algorithm denotes that this is performance issue and requires individual coaching not another inservice for the entire team. OutcomeThe basic algorithm method for determining performance(management) or education pathways and solutions has led to a cohesive leadership approach to patient care, patient experience, and staff challenges. The additional outcome of a more cohesive and supportive team (one voice) approach improved role satisfaction for the leadership team. Implications for Perioperative NursingA shared team-centered algorithm that clearly defines performance and education roles and goals results in improved approach to staff management and development and decreases the potential for conflict, role dissatisfaction, and role-confusion.