Nursing | Homestead Hospital | Baptist Health South Florida https://bapth.lt/2RvB448
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Nursing at Homestead Hospital


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Homestead Hospital is proud to be a Magnet-designated hospital and join other organizations across the world that have demonstrated nursing excellence, superior patient outcomes and a collaborative work environment. Magnet Recognition from the American Nurses Credentialing Center is the highest and most prestigious distinction a healthcare organization can receive for nursing excellence and high-quality patient care.

Achieving the performance-driven designation brings wide-ranging benefits. For patients, Magnet hospitals deliver higher patient satisfaction, a safer environment, lower complication rates, shorter length of stay and improved clinical outcomes. For nurses, Magnet designation leads to greater nurse autonomy, improved engagement, increased opportunities for professional development and education, higher nurse satisfaction and lower nurse turnover and vacancy.

Our Nursing Mission

The Homestead Hospital nursing staff is committed to being a leader in providing quality and evidence-based patient- and family-centered care by utilizing the comfort theory.

Our Nursing Philosophy

The philosophy of Nursing Services at Homestead Hospital reflects the values of our nursing staff and institution. Through shared governance, Homestead Hospital nurses provide nursing excellence using a professional practice model that is focused on patient- and family-centered care. Our nurses define their practice through collaboration, professional development, clinical practice, communication and a defined care delivery system.

 

 
 

 

Through shared decision-making at all levels, nurses collaborate with each other, the interprofessional team as well as with patients and families to achieve common goals.

  • Nurses work in partnerships with the community to provide quality care that is culturally sensitive and meets the needs of a culturally diverse population.
  • Nurses are accountable and support their ongoing personal and professional development.
  • The contributions and accomplishments of nurses are recognized and made visible.
  • Nurses practice in an environment where quality, patient safety, evidence-based practice and research are emphasized and supported to achieve the best outcomes.
  • Nurses foster an environment of open communication, which allows for teamwork and effective partnerships with other team members as well as with patients and families.
  • Nurses integrate the use of the comfort theory in the delivery of caring, compassionate and competent care that is centered on patients and families.
  • Nurses across all levels play a leadership role within the organization.

Nursing Contributions

Our nurses have made invaluable contributions in 2018-2019 to Homestead Hospital’s outstanding reputation for clinical and service excellence through initiatives that can be categorized under the five Magnet Model Components:

TRANSFORMATIONAL LEADERSHIP
Advocating for Patients

  • The Homestead Hospital Magnet Designation department developed a nurse-practitioner led inpatient acute pain management consultative service program that utilizes pain management best practices.
  • Through the efforts of a nurse-led interprofessional Safe Sleep Task Force, the Mother and Baby Unit began distributing sleep sacks and safe sleep education materials to new parents to decrease sleep-related deaths in the community.

Mentorship and Collaboration

  • The hospital’s Workplace-of-Choice team formalized a mentoring process and recruited and trained a pool of 33 mentors to cultivate a supportive culture across the organization.  Collaboration in healthcare has been shown to improve patient care and outcomes.

STRUCTURAL EMPOWERMENT
Professional Development

  • Homestead Hospital’s overall RN certification rate is 51 percent and overall BSN and higher degree rate is 77 percent. Nurses with advanced education are better prepared to care for patients in an increasingly complex healthcare delivery system.

Teaching and Role Development

  • Through an educational intervention, the hospital’s Med-Surg 5 unit maintained a central line-associated bloodstream infection rate of zero for 12 months after the intervention.

Community Involvement

  • Homestead Hospital had 185 nurses provide 1,425.5 hours of community service. Outreach activities included appearances on the PBS television show, the Health Channel, and participation in various health fairs, first aid stations, health/chronic disease education seminars and mentoring activities.
  • Clinical nurses established and led a hospital-wide Diversity and Inclusion Committee that organized two educational events on the care of autistic and LGBTQ patients.
homestead hospital assisting the community

Nursing Recognition

  • Homestead Hospital has earned the Certified Nurse in the Operating Room (CNOR) Strong designation from the Competency and Credentialing Institute (CCI) for the sixth time (2013, 2015, 2016, 2017, 2018 and 2019) and is listed as a CNOR Strong facility on the CCI website map. In Surgical Services, more than 56 percent of the nurses are CNOR certified.

EXEMPLARY PROFESSIONAL PRACTICE
Professional Practice

  • Homestead Hospital achieved 95 percent participation in the 2018 National Database of Nursing Quality Indicators (NDNQI) RN Survey. These survey results and the annual RN and direct care RN engagement survey denoted high engagement and work environment satisfaction among nurses.  Engaged and satisfied nurses can lead to quality improvements and better patient care.

Care Delivery

  • Through various performance improvement initiatives, Homestead Hospital’s overall observation length-of-stay average decreased, which directly benefits patients.
  • By partnering with community representatives and organizations, the Bereavement Support Group Committee established monthly bereavement support group meetings (in English and Spanish), so the healthcare team could provide a resource for employees, families and community members who need bereavement support.

Interprofessional Care

  • The Emergency Department conducted a trial using a device that improved blood culture testing methods.

Nurse Autonomy

  • Homestead Hospital nurses implemented the external female urinary collection device, giving clinical nurses the autonomy to select less invasive means of managing female fluid output and incontinence needs. This initiative contributed to an overall decrease of urinary catheter usage and resulted in zero catheter-related urinary tract infections in some units.

Safety Culture

  • The Infection Control committee implemented the hand hygiene Targeted Solutions Tool, improving hand hygiene compliance and decreasing infection rates.
  • Our nurses participated in the 2019 Global Handwashing Day and obtained 700 signatures.

NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS
Research

  • The Evidence-Based Practice and Research Council initiated six research projects and presented two publications, five posters and one podium presentation at regional and national conferences. Conducting and advancing nursing research are important for delivering the most effective nursing care.
  • The research study “Implementation of an Inpatient Diabetes Team: Impact on Hypoglycemia Recurrence,” conducted by the Diabetes Care team, demonstrated that patients seen by the team (consisting of a diabetes nurse educator and diabetes nurse practitioner) had lower rates of hypoglycemia recurrence.

Evidence-based Practice

  • The Obstetric Code Blue Task Force developed and implemented the obstetric code blue policy and procedure to promote maternal/fetal safety during a cardiac arrest.

Innovation

  • Homestead Hospital nurses were actively involved in the design and opening of two new departments to improve patient care: Transitional Stay Unit and Inpatient Rehabilitation Unit.

EMPIRICAL OUTCOMES

  • The Perinatal unit practice council implemented an evidence-based, nurse-driven intervention utilizing the peanut ball that reduced the time of the second stage of labor for women delivering at Homestead Hospital.  
  • Through interprofessional collaboration and the addition of the Transition-of-Care Coordinator role, the Multidisciplinary Cardiovascular Collaboration Committee reduced the 30-day readmission rate of patients treated for heart failure.
  • The Multidisciplinary Stroke Committee improved the turn-around time for the administration of lifesaving clot-busting medication for the treatment of stroke in the Emergency Department. The team also established a Stroke Unit to provide outstanding patient care.  
  • The Infection Control Committee deployed an educational campaign that reduced the hospital-wide Clostridium difficile infection rate.
  • Perinatal Services participated in the Enhanced Recovery after Surgery (ERAS) pilot for elective C-section patients, which decreased the average length-of-stay and reduced the use of opioids for pain among C-section patients.
  • For hospital-acquired pressure injury (HAPI), medical-device HAPI and catheter-associated urinary tract infection, five out of five departments at Homestead Hospital exceeded the majority of national benchmarks during the last eight quarters. These positive results reflect the outcome of professional nursing care.