Nursing

Three strategies to foster unit-based performance improvement initiatives

HCPro's Weekly Update on the ANCC Magnet Recognition Program®*, June 20, 2006

If your organization needs to increase staff nurse-led, unit-based performance improvement (PI) initiatives, you might appreciate some ideas about how to start. Carolyn K. Lewis, PhD, RN, CNAA, BC, assistant dean of the nursing division at the Bluegrass Community and Technical College in Lexington, KY, Principal of the P.R.I.N.E. Group, LLC, suggested 10 different strategies to get cooking with PI. Below, Dr. Lewis offers three strategies:

  1. First ask, "What nursing clinical problem repeats on the unit[s]?" Then, brainstorm any issues with nurse colleagues.
  2. Search the literature. Look for existing benchmarks for this particular problem and evidence-based, effective solutions. If no evidence exists, don't be discouraged-this is an opportunity to collect your own data, publish your findings, and close the gap in the literature.
  3. Determine whether the problem is nurse-sensitive. Ask, "Does nursing have the control to solve this problem?"

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