Nursing Magnet Award

Doctors Hospital was exceedingly honored by the ANCC’s Designation as a Magnet® Hospital in 2019.

Magnet® designation and subsequent re-designation represent the highest standard of care that remains consistent for our patients. It has provided us with more than an external prestigious distinction; internally it has made our hospital a hub for empowering our nurses to reach their full potential and nursing excellence.

Achieving this performance-driven designation creates a hospital environment that inspires the nurses to attain higher patient satisfaction scores, lower complication rates, shorter lengths of stay for the patient and improved clinical outcomes. It provides opportunities for nurses to practice with greater autonomy, improved engagement, increased opportunities for professional development and education, higher nurse satisfaction scores and lower nurse turnover and vacancy.

Our Commitment to Excellence

Our Commitment to Excellence

Doctors Hospital nurses are committed to serving our patients and our community, as reflected in our mission statement . . . “to improve the health and well-being of individuals and to promote the sanctity and preservation of life in the communities we serve.”

Our commitment to providing nursing excellence through evidence-based leading practices results in high-quality competent care, sensitivity to diversity and the achievement of positive clinical outcomes. In our pursuit of excellence, we have created a practice environment that supports research and innovation and enhances the professional practice of nursing.

Nursing Contributions

Nurses are the heartbeat of our hospital. They make invaluable contributions to Doctors Hospital’s outstanding reputation for clinical and service excellence through their initiatives which have been classified under the four Magnet® model components with an emphasis on empirical outcomes:

Transformational Leadership

Transformational leaders achieve superior results through idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration.

Improved Organizational Performance

An APRN wound care nurse, and her APRN supervisor had identified that the COVID-19 pandemic had introduced unprecedented skin alterations in patients infected and hospitalized. The demand for expertise of the APRN wound care nurse had increased significantly and was continuing to grow. The nurse and the supervisor met with their director, to review the increasing demand for pressure injury prevention in the growing, complex patient population and presented a proposal for a second APRN for wound care.

The goals for the proposed APRN addition were consistent with the hospital and nursing strategic plans and, following a cost-benefit analysis, the APRN supervisor obtained approval to create the position. Shortly thereafter another APRN joined the wound care team. Since that time, the APRNs in wound care have instituted multiple evidence-based initiatives that have improved patient outcomes and reduced suffering. In addition, the initiatives avoid the hospital cost incurred with hospital-acquired conditions such as pressure injuries.

Four healthcare professionals communicating in a hallway

Structural Empowerment

Structural empowerment involves the creation of a workplace environment that supports exemplary professional practice, new knowledge, and improved outcomes.

Improved Patient Experience With Empirical Outcomes

Nurses’ affiliations with nursing professional organizations have many benefits, including the availability of specialty-focused, evidence-based clinical guidelines. One of our nurses is a member of the American Society of Peri-Anesthesia Nurses (ASPAN) and regularly refers to the organization’s resources for evidence-based guidelines and standards for professional nursing practice. When she identified that some outpatients were having unplanned admissions from the PACU for urinary retention, she searched the organization’s resources and found an evidence-based, clinical guideline specific to the problem. Following approval and implementation, the guideline resulted in reducing the rate of unplanned admissions to zero!

Exemplary Practice

Patient and family-centeredness, inter-professional collaboration, effective and efficient care services, and high-quality patient outcomes are hallmarks of exemplary professional practice.

Patient and Family Centeredness

The patient-family connection is vital for the well-being of hospitalized patients and their families. However, pandemic restrictions aimed at mitigating the spread of COVID included limitation of visitors in hospitals. The nurses began using their own phones to provide an opportunity to maintain the patient-family connection for our sickest patients. They met family members in the hospital lobby to obtain patients’ personal phones to keep in the unit. They also advocated for and received iPads to use to connect patients and families. Through their efforts, the nurses were able to maintain the patient-family connection through a very turbulent period in healthcare.

Three healthcare professionals mid-surgery, with the camera focusing on one

Partnering With Our Patients

The principles and values of the Professional Practice Model provide the foundation for the structures and processes that define the delivery of nursing care model. The model establishes the priorities for the delivery of the nursing care at Doctors Hospital and emphasizes the status of patients and their families as partners with nurses and the nurses’ roles in inter-professional collaboration to achieve the best possible outcomes for the patients.

Improved Patient Safety With Empirical Outcomes

The Med/Surg HAPI Solutions team met for the first time. Comprised of clinical nurses from each Med/Surg unit and led by the wound care APRNs, the goal of the team was to improve nursing practice specifically related to the prevention of pressure injuries. As part of the meetings, they reviewed and discussed data related to pressure injuries along with evidence-based interventions for injury prevention. A clinical nurse from 3 South was a member of the team. In the first meeting, he suggested that each case of pressure injury be reviewed and discussed to better understand the contributing variables to the incidence. As the meetings progressed, the nurse participated in the development of a harmonized approach for the Med/Surg units in skin care and pressure injury prevention. Team members took these initiatives back to their units and educated and supported their peers in making changes. As a result of the nurse's input, the incidence of pressure injuries on 3 South decreased to zero.

Chart with data

New Knowledge, Innovations and Improvements

Nurses engage in evidence based practice projects, research, performance improvement and innovations to incorporate best clinical practices and operational processes.

Improved Processes

In 2021, Project Think Tank began at Doctors Hospital to assist nurses in bringing a new idea to practice. Think tank members assist nurses in the development of their idea and advise the fit of the project as evidence based, research, or performance improvement.

Improved Patient Experience

Improvements in total joint arthroplasty have shifted the paradigm from sickness to wellness for patients who now receive hospital care for hours as compared to days or weeks in the past. The nurses on 3 South wanted to determine the efficacy of discharge teaching for this patient population since the patient and designated caregiver would be assuming care upon discharge. In this performance improvement project, nurses contacted patients at least two days following discharge and requested that they respond to questions from a valid, reliable discharge teaching scale. Patients were generally satisfied with the delivery and content of their discharge teaching but the data showed an inverse correlation between patient age and satisfaction. To examine the issue further, the nurses did a retrospective IRB approved research study to determine any other variables that contributed to the patients’ satisfaction with discharge teaching. The data from the study validated the inverse correlation found in the improvement project and also detected that patients who attended teaching in a classroom were more satisfied with the delivery of teaching. As an outcome of this project, the nurses on 3 South set up a permanent classroom and, now, encourage all patients to attend in person. A follow-up series of phone calls were made to discharge patients to determine their satisfaction with discharge teaching.

Younger nurse with an older patient sitting on a wheelchair

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