Multifaceted Approaches Achieve Transformational Leadership Success

Saturday, 29 October 2011

LaGaunda C. Jones, RN, BSN, MS
Atlanta VA Medical Center (Magnet designated), Decatur, GA
Rita D. Walker, RN, BSN, MSHA
Atlanta VA Medical Center, Decatur, GA
Tesla Graham, RN, MSN
Outpatient Oncology unit, Atlanta Veterans Medical Center, Decatur, GA

Learning Objective 1: The learner will be able to discuss diverse interventions to achieve increased nurse quality indicators for RN satisfaction.

Learning Objective 2: The learner will be able to define outcome measures derived from the NDNQI and how this tool can be utilized to evaluate nurse leadership interventions.

Background: Within large bureaucratic organizations transformational leadership requires innovative approaches to meet the needs of the staff members as well as the mission, vision and strategic goals of the organization. The effective Nurse Leader employs multiple interventions to achieve staff satisfaction and unit cohesion to support nurse retention and patient satisfaction. In an outpatient care setting staff interactions were not consistent with the vision of the organization. Objectives: Transform the Hematology/Oncology Infusion center to a more caring and enjoyable environment evidenced by: improved RN to RN interactions improve RN to MD interactions and improved teamwork between co-workers. Methods: The project utilized interventions for quality improvement outcomes. For a period of eighteen months (February 2009 - August 2010) interventions were implemented with nursing and physician staff of a Hematology/Oncology Infusion center. Nursing staff presented in-services on the Forces of Magnetism. Discussions of the practical application of Dr. Jean Watson's theory of Human Caring in the clinical setting and Caritas Literacy Skills development were completed. Staffs were held accountable for their behavior. Data analysis: Data from the National Data Base of Nursing Quality Indicators (NDNQI) for the unit were compared from 2009 to 2010. Results: Demonstrated increased scores in all areas ranging from 1.90 % to 11.25 %; RN to RN interactions 7.37%, RN to MD 1.9%, Job enjoyment 8.75%, decision making 11.25%, teamwork between co-workers 8.97%, and view of nursing management 5.75%. Based on the T-scores, all scores met high satisfaction criteria. Conclusion/Nursing Implications: Data from the National Data Base of Nursing Quality Indicators is a valuable tool to evaluate and monitor the achievement of nursing leadership objectives. The methods employed significantly contributed to positive outcomes. An inference of correlation can be made to patient satisfaction based on the literature.