Paper: Nurse Leadership Knowing as a Foundational Strategic Model toward Decreasing the Prevalence of Failure to Rescue (40th Biennial Convention (October 31st- November 4th, 2009))

Monday, November 2, 2009: 3:30 PM

Janet P. Jackson, MSN, RN
College of Health Sciences School of Nursing, Old Dominion University, Norfolk, VA
Kathie Zimbro, PhD, RN
Clinical and Business Intelligence, Sentara Healthcare, Norfolk, VA
Paul T. Clements, PhD, APRN, BC
College of Nursing and Health Professions, Drexel University, Philadelphia, PA

Presentation File (PDF Format)

Learning Objective 1: identify the seven patterns of Nurse Leadership Knowing.

Learning Objective 2: identify at least one application for each pattern of Nurse Leadership Knowing to incidence of patient related “failure to rescue”.

Failure to rescue continues to be a pervasive challenge for hospitals. Failure to rescue as defined by the Agency for Healthcare Research and Quality (AHRQ) includes failure to prevent clinical deterioration, such as death or permanent disability, from an illness or a complication of medical care. In spite of the significant advances in examination and understanding of this issue, hospitals are still frequently confronted by patient injuries, untoward outcomes, potential litigation, and altered views of corporate perception within the community. Nursing literature reflects the keen interest in recognizing the critical nature of vigilance, anticipation, and action by nurses to prevent failure to rescue. In direct response to the need for establishment of leadership structures and systems to ensure that there is organization-wide awareness of patient safety and performance gaps, Nurse Leadership Knowing is proposed as a foundational model for creating a culture of professional practice. It is proposed that a shift from reactive response to failure to rescue be replaced with enhanced proactive assessment and prevention. In addition to a case study as exemplar, an operational matrix for application of Nurse Leadership Knowing (including the recently established pattern of Emancipatory Knowing) will be presented as initiative for leadership development and enhanced patient safety.

References

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