Recognizing Excellence: A Systematic Approach to Developing and Maintaining Peer Recognition for Excellence in Clinical Practice in Oncology Nursing

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Recognizing Excellence: A Systematic

Approach to Developing and Maintaining

Peer Recognition for Excellence in Clinical

Practice in Oncology Nursing

Megan Mikula, RN, BSN, OCN®

Mary Fleury, RN, BSN, OCN®

Legna Hernandez, RN, BSN Rebecca Cohen, RN, BSN, OCN®

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Discover What’s Next in Nursing

NIH Clinical Center Nursing Department

Objectives

• To share our unit’s story for recognizing excellence. • To equip participants with a model for a unit based

staff recognition award for excellence in clinical

practice that can be implemented within an oncology unit or program of care, using survey, nomination, and submission evaluation tools.

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3SE Day Hospital

• Outpatient treatment center at the National

Institutes of Health, Clinical Center in Bethesda,

MD

• Serve hematology/oncology /transplant patients

on clinical trials for the National Cancer Institute

and the National Heart Lung and Blood Institute

• Open 365 days per year

• 42 treatment chairs/beds

• 29 full and part time nurses on staff

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Why develop an award?

• The Day Hospital is a fast paced, high throughput area

• Nurses caring for chronically ill patients risk “caregiver role strain” and burnout

• Validation of positive contributions to patients and peers is needed

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Evidence for Staff Recognition

• High functioning groups

– Consistently and genuinely recognize peer contributions – Value actions that embody excellence in attaining the

organizational mission

• Employee Recognition and Rewards are effective in improving service quality and customer satisfaction

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Evidence for Staff Recognition

The core of feedback associated with meaningful recognition involves acknowledging one’s behaviors and the impact these actions had on others, ensuring the feedback is relevant to the recognized situation, and is equal to the person’s contribution.

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Purpose of 3SE Award

• To retain talented staff

• To praise outstanding contributions that

– Positively affect the patient experience – Positively affect the image of nursing

• To objectively select award recipients based on individual merit; and his/her impact to the unit, patients and nurses

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Staff Survey

• Recognized need for staff involvement in program development to ensure staying power

• Survey Monkey® was used to assess program needs • 74% Response Rate!!!

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Staff Survey

• How would you like to be recognized? – 76% - Letter to their personnel file • How often should peers be recognized?

– 65% - Monthly

• Who should be recognized? – 94% - Nurses

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Staff Survey

• What do you think the program should be called?

– Excellence in Practice aka EIP

• When you think of “clinical excellence”, what

characteristics come to mind?

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Excellence in Practice Award~3SE Day Hospital

Expert Skills Specialization Continued Education Excellent Cust omer Service Evidence Based

Practice Adaptation to Change Q u a l i t y Im p r o v e m e n t P er for m a n ce

Im pr ovem en t Good Management Ser v e a s Ro l e M o d el a n d men t o r

Attention to Detail When Caring for Complex Patients or Situations Critical Thinking Skills

teamwork

E ffect ive C om m u n ica t ion S k ills Compassion and Understanding

C a r i n g a n d C o m p a s s i o n Respect for Patient Rights Knowledge Skills

Excel l ent Ti me M anagement B e i n g t h e B e s t Professionalism Safe Patient Outcomes Positive Patient Satisfaction PAT I ENT AD VOCACY Persistent Optimism Safety

Genuine Openness to Ideas and Input from Others H olistic T hinking Lov e of Peopl e

Ex c el l en t Cl in ic a l Sk il l s Team Player Commitment to Exceptional Patient Care Quick Thinking Knowing your Limitations Vast Clinical Knowledge PROMT Community Service and Advancing the Nursing Profession In q u isit iv e a n d In sig h t f u l

Conscientious Effective Communication Knowledgeable about Cancer and Cancer Care Good

Listener Th o r o u g h A s s es s men t Patient Kind A nticipates N eeds of Others

H a r d W or k in g a n d C a r in g Team Pl ayer C o o l U n d e r P r e s s u r e Goes Above and Beyond the Call of Duty Doer Problem Solver Sense of Humor

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Nominations

• A nomination form is available for all nurses

• All nurses are eligible to nominate and all nurses are eligible to receive the award regardless of level on the clinical ladder

• Handwritten or electronic submissions are accepted

• A group e-mail address is available to aid in the submission process

• Nominations are accepted on a rolling basis

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Evaluation & Selection Process

• After the submission deadline, each nomination is

evaluated by the Excellence in Practice (EIP) Committee • The unit defined EIP qualities are grouped into the pillars

of people, quality, service, safety, and leadership

• This creates the basis for a Nomination Evaluation Tool using a Likert-like scale

• The tool allows for a total possible score of 50 points and the highest scoring submission is awarded EIP for the

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Time to Celebrate!!!

• A brief reception is held on the unit to announce the recipient

• It’s a surprise to the winner as well as most other staff and nominators when the ceremony takes place

• A picture of the nurse and the letter of

accommodation are framed and displayed in the conference room

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Process Improvement

• Frequency has been changed from monthly to quarterly

• EIP Committee has been formed to sustain the project

• Planning checklist has been created to keep track of the process and allow for alternating leadership of each quarter’s award

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Outcomes

• Since it’s inception in January 2009, 17 nurses have received the EIP award

• The award has sustained professionalism and

teamwork during management turnover, increased patient census and associated staff growth

• Consistently, nurses state they value EIP and want to see it continue on the unit

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Next Steps

• Administer an anonymous survey to reappraise the initial aims of the award

• Assess eventual direction of EIP

• Present this session to our Recognition and

Retention Committee to share the work and propose EIP as a model for a house wide unit based award

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References

Kopelman, R.E., Gardberg, N.A., & Brandwein, A.C., (2011). Using a recognition and reward initiative to improve service quality: A quasi-experimental field study in a public higher education institution. Public Personnel Management, 40(2), 133-149.

Lefton, C. (2012). Strengthening the workforce through meaningful recognition. Nursing Economics, 30(6), 331-338.

American Association of Critical-Care Nurses (AACN). (2005). AACN standards for establishing and sustaining healthy work environments: A journey to excellence. Retrieved from:

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Thank you!

• Thank you to Linda Bedker for planting the seed • Thank you to Georgie Cusack for recognizing our

“excellence” and mentoring us in the abstract and presentation process

• Questions or Comments?

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