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2015
Healthy Nurses: An Ethical Imperative
ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAANVirginia Organization of Nurse Executives and Leaders
Spring 2015 Conference June 2, 2015
The Imperative to “Get It Right”
Healthy Nurses: A Key Component of Quality
Quality &
Safety
Nurse Satisfaction
Patient Satisfaction
Patient Outcomes
© 2015 Press Ganey Associates, Inc.
Higher Nursing hours PPD Leads to Better Patient Experience
# of Nursing Hours
Patient Experience Scores - Top vs Bottom Decile in Number of Nursing Hrs Per Pt Day
Overall Patient Experience Rat-ing
Likelihood to Recommend Friendliness and Courtesy of Nurses
84
86
88
90
92
94
96
89.487.8
92.093.4
92.4
94.7
Patient Experience Scores for Top vs Bottom Decile in Number of Nursing Hours Per Patient Day
Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)
Patie
nt E
xper
ienc
e Av
erag
e Sc
ore
Overall Patient Experience Rat-ing
Likelihood to Recommend Friendliness and Courtesy of Nurses
84
86
88
90
92
94
96
89.888.0
91.992.9
91.9
94.7
Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)
Patie
nt E
xper
ienc
e Av
erag
e Sc
ore
Higher Percent of RN Hours Leads to Better Patient Experience
% Staffing Hours Supplied by RNs
Patient Experience Score for Top vs. Bottom Decile in Percent of Hours Supplied by RNs
© 2015 Press Ganey Associates, Inc.
Overall Patient Experience Rating Likelihood to Recommend Friendliness and Courtesy of Nurses
80
82
84
86
88
90
92
94
96
87.7
85.4
90.4
93.692.6
94.9
Bottom Decile (0-9th percentile) Top Decile (90-99th percentile)
Mea
n Sc
ore
RNs and Patients Tend to Agree…
RN Perceived Quality of Care
Patient Experience Scores for Top vs. Bottom Decile in RN Perception of Quality of Care
© 2015 Press Ganey Associates, Inc.
Nurse Staffing Levels Have a Broad Impact on Patient Experience
Discharge.313
Nurses.404
Tests.397
Overall.396
Issues.426
-1 -0.8 -0.6 -0.4 -0.2 0 0.2 0.4 0.6 0.8 1
VeryStrong
Strong Moderate Modest Weak Weak Modest Moderate Strong VeryStrong
Pearson Correlations of RN Staffing with Patient Experience Domains
© 2015 Press Ganey Associates, Inc.
“The Nurse Owes The
Same Duties To Self As Others”
To view: NursingWorld.orgTo purchase: NursesBooks.org
• A statement of the ethical obligations and duties of every nurse
• The profession’s non-negotiable ethical standard
• An expression of nursing’s own understanding of its commitment to society
ANA’s Programmatic Pillars
Defining a “Healthy Nurse”
A “healthy nurse” is one who actively focuses on creating and
maintaining a balance and synergy of physical, intellectual,
emotional, social, spiritual, personal and professional
wellbeing.
ANAhra.org
Take ANA’s Health Risk Appraisal!
NursingWorld.org/HealthyNurse
SAFE
EMPOWERING
SATISFYING
Healthy Work Environment
“The nurse […] establishes, maintains
and improves the ethical environment of the work setting and conditions of
employment that are conducive to safe, quality
health care.”
Fostering Healthy Work Environments
NURSE FATIGUE
STAFFINGWORKPLACE VIOLENCE & INCIVILITY
SAFE PATIENT HANDLING &
MOBILITY
Ebola and Healthy Work Environments
U.S. Guantanamo Bay Detention Camp
Ethical Duty and Healthy Work Environments
Better health
Better care
Reduced cost
What is the Desired Future We Seek?
Nurses Leading the Way on Quality
Healthy Work Environment
Ethical Practice
Teamwork and
Collaboration
Evidence-Based
Practice
Safe Staffing
Healthy Nurse
It’s All Connected
Patient-Centered Outcomes
Nu
rse
Sat
isfa
ctio
nP
atient S
atisfaction
HEALTH FOR ALL.
Nurses ADVANCING our profession to IMPROVE
To join ANA, visit:
NursingWorld.org/JoinANA
