260 - RN Engagement Through RBC/UBC in Perioperative Services
Description: Perioperative Services embarked in Wave 1 of the Relationship Based Care (RBC) journey at City of Hope (COH) in 2018 – 2019 with a vision of being a collaborative and supportive interdisciplinary team providing safe and compassionate care for our patients and families, colleagues and ourselves.? Relationship-Based Care is a philosophy and care delivery model developed by Creative Health Care Management. It uses the power of human connection to create caring and healing environments in which patients and their loved ones are truly the center of caring practice. RBC looks to increase engagement for Nurses and currently the key indicator for engagement our organization is using are the National Database of Nursing Quality Indicators (NDNQI) Survey Results. Participating in Wave 1 allows us to leverage raw NDNQI data for 2019 compared to 2017 for the Operating Room (OR); we see an increase in Autonomy 4.36 (2017) to 4.46 (2019). The Perioperative Services team selected three projects to focus on through their Unit Based Council (UBC) that form a strong connection between ourselves, our co-workers and our patient. For each of these projects the surgical services teams worked collaboratively to deepen connections and strengthens the deep meaning and strategies behind these three crucial relationships: care of self, care of colleague, and care of patients & families. For Relationship to Self, the focus is on thriving personally and the team explored the use of Smoke Evacuators in the OR through Evidence Based Practice Research. With Relationship to my Co-workers, the focus is on caring and connecting and the team promoted the organization’s Values in Action Recognition Program on team level. For Relationship to Patient/Family, the team focused on creating a loving and connected environment through Surgical TIES (Together In Excellence We Soar) and Patient Speaker. We can see increased Perioperative Staff Engagement in five NDNQI Survey Questions that tie to the relationship based care work: active staff development or continuing education programs for nurses; high standards of nursing care are expected by the administration; a clear philosophy of nursing that pervades the patient care environment; a clear philosophy of nursing that pervades the patient care environment; and as RNs, we have sufficient input into the program of care for each of our patients. Implications for perioperative nursing: The OR is a stressful and fast paced environment. At COH, we care for patients suffering from cancer. The demands of working in an OR and caring for oncology patients can take its toll on the caregivers. These stressors negatively affect staff satisfaction and productivity. To safely and efficiently care for our unique patient population, our staff has been given the tools and resources that help promote workplace and personal wellness which positively impact staff engagement and ultimately, patient experience.
Co-Authors: Sherry Walker, Rachel Stolo, Paul Liming, Amy Altomare