Twilight (The Flamingo Hotel)
Monday, 29 January 2007
6:30 PM - 8:00 PM
Twilight (The Flamingo Hotel)
Tuesday, 30 January 2007
4:30 PM - 6:00 PM

Applying system learning from individual hospital RN Satisfaction Reports

Janette A. Orton, MS, RN, CPHQ1, Katreena Collette Merrill, BSN, RN2, and Nancy Woods Kershner, MSN, RN1. (1) Clinical Operations, Intermountain Healthcare, 36 South State Street, Suite 1600, Salt Lake City, UT 84111, (2) Quality Department, Intermountain Healthcare, 1034 North 500 West, Provo, UT 84604

Educational Objectives: At the end of this session the participant will be able to ·         Describe how one hospital system evaluated multiple hospital RN Satisfaction reports to apply system wide learning ·         Describe how your system might coordinate multiple reports to provide system vs. hospital learning   Purpose: This presentation will describe how one hospital system evaluated 11 individual hospital RN satisfaction reports with the purpose of understanding areas for improvement, sharing the information and implementing system changes.   Presentation of relevant and current knowledgeIn 2004 our hospital system began the NDNQI nursing satisfaction survey.  Individual hospitals desired to benchmark against each other and also compare to the system results.  As no system reports are available from NDNQI for the RN Satisfaction survey, a system data manager used the 11 individual hospital reports to compile a system score for each component in Table 1, 2 & 3 of the survey.  In addition, a system score was developed for each unit type (e.g. Critical Care, Pediatrics, etc).  The system score and hospital scores were then compared to the NDNQI results.  Color shading was used to identify system and hospital performance that were “below the lowest confidence intervals” or “in the top quartile” as determined by national performance.  By using this methodology, three areas of potential performance improvement were identified throughout the system as a whole (Pay, Satisfaction with CNO and Career development opportunities).  Action plans at a system level were developed to improve these specific RN satisfaction results.  A standard power point presentation was developed to share this information at all levels of the healthcare system (system, facility and nursing department). By the time the reports were prepared, evaluated, shared and teams developed, six months had passed before the next annual survey. The next survey demonstrated one of the three areas reported had improved to above the lower control limit (Career development opportunities), one (pay) remained the same but had not been expected to improve because of a change in the annual pay adjustment cycle, and one remained below (Satisfied with CNO) the lower confidence interval.      Summary:  System-wide learning and performance improvement can occur through a consistent methodology using the NDNQI RN Satisfaction Survey.   Implications to practice: Sharing the data across a system allows hospitals and units to have open conversation and sharing of best practice to improve to RN practice environment.

See more of Improving RN Satisfaction and Retention
See more of The NDNQI Data Use Conference (January 29-31, 2007)