Synergistic Dynamic Duo(s): Developing Geriatric Nursing Leaders Utilizing NICHE & HELP Senior Care Models, a Mentor-Guided Fellowship project

Saturday, 16 November 2013

Abbey J Baum-Beigie, RN, MSN, ANP-BC
Bethany Medical Center, Canton, OH
Catherine Roscoe-Herbert, DNP, RN, GNP-BC, CNS
Center for Geriatric Medicine, University Hospitals Case Medial Center, Cleveland, OH

Learning Objective 1: The learner will be able to describe how the fellow achieved success within the three domains of the Geriatric Nursing Leadership Academy (GNLA) fellowship experience.

Learning Objective 2: The learner will be able to identify outcomes associated with the inter-professional delirium quality improvement project.

The Geriatric Nursing Leadership Academy (GNLA) mentor-guided fellowship embraces and capitalizes on the concept of nursing leadership. Dynamic relationships established the basis for achieving success within the three domains of the fellowship experience: 1.) Individual Leadership Development; 2.) Inter-professional Team Project; 3.) Expanding Scope of Influence: Organization, Community, and Profession. Demonstrated achievement in each domain supported the overall fellow leadership development. The poster presentation illustrates fellow’s nursing leadership development utilizing a clinical quality improvement project incorporating implementation of synergistic senior care models designed to improve care for older adults.

Purpose

The leadership development aimed to educate a minimum of 30 nurses (RN & LPN) using a blend of innovative senior care models and delirium assessment tools (i.e.) the Confusion Assessment Method (CAM), at a 76-bed nursing facility and a 60-bed skilled nursing facility. Nurses from long-term care, assisted living, and a skilled nursing facility were targeted.

 Methods

Evidenced-based Nurses Improving Care for Healthsystem Elders (NICHE) and Hospital Elder Life Program (HELP) models provided core curriculum. IRB exemption status awarded for project. Kouzes and Posner’s (2007) Model, five practices of exemplary leadership, guided the inter-professional team development. Multiple two-phase delirium education sessions were taught with pre/post-test format across three major settings. Continuing education contact hours were awarded.

 Project Summary

The individual nursing leadership was demonstrated through development of an inter-professional team project, “Blended Innovative Senior Care Models: An approach to educate nurses caring for older adults with delirium, nursing home and beyond.” The leadership Scope of Influence had wide-spread impact. Greater than 86% of participants demonstrated improved post-test scores, signifying enhanced practice knowledge and skills. A 500-bed acute care facility joined the NICHE leadership training program. New geriatric program initiated at hospitals and NH with education and leadership committee involvement.