what’s inside:

It has been another wonderful year for nursing at UPMC. Your dedication to patients and families, your colleagues, and the profession has been tremendous. I am so proud to be part of this amazing nursing team. Your 2012 accomplishments are so numerous that it would be impossible to mention them all. Some of the highlights include:

• UPMC was named to U.S. News & World Report’s Honor Rollof America’s Best Hospitals, ranking in the top 10 among thethousandsofeligiblehospitalsnationwide.

• Children’sHospitalofPittsburghofUPMCachievedMagnet®Designation.

• UPMCShadysideSchoolofNursingwasredesignatedasaCenterofExcellencebytheNationalLeagueforNursing(NLN).

• TheUPMCNurseResidencyProgramwasawardedthe2012AchievementAwardfromtheHospitalandHealthsystemAssociationofPennsylvania.

• 96 percent of all UPMC nurses have been integrated into theMy Nursing Career.

>> 95nursesearnedaBachelorofScienceinnursing.

>> 1,349nursesearnedpromotionsand/orhadcareerladdermovement.

• The career ladder for nursing support staff, called My Career:Patient Care Support, was launched, impacting more than2,000employees.

• Morethan750nursescelebratedNursesWeekatthe2012 Nurses Week Conference: Nurses: Advocating, Leading, Caring.

• Approximately1,100contacthourswereawardedfornursesparticipatingincontinuingeducationatourSystem Nursing Grand Rounds.

• More than 7,000 nursing student experiences were completedatUPMClocations.

• Curriculum standardization continues at the three UPMC SchoolsofNursing.

• UPMCnursesprecepted106summerstudentnurseinterns.

• More than 400 UPMC nurses participated in the Nursing PeerReviewSeriesthatanalyzescomplexpatientcasescenariosusingbestevidence.

Message from the Chief Nurse Executive

UPMC Nursing VisionUPMCNursingwillcreatethebestpatientexperience,nationallyandinternationally,throughtheselection,development,retention,andrewardofthehighest-performingnurses,whilecreatingsystemsandprogramsthatcreateconsistencyandexcellenceinpatientcare.

• UPMC Nursing collaborated with Human Resources and launchedaleadershippilotprogram.

• UPMCAcademicServicePartnershipCouncilactivitieswereshowcasednationally,including:

>> AONE45thAnnualMeetingandExpositionpodiumpresentation

>> AmericanAssociationofCollegesofNursingMaster’sEducationAnnualConferencepodiumpresentation

>> KeynoteaddressfortheParson’sLectureSeriesattheUniversityofSouthCarolina

• Morethan1,500nurseswerehired,andapproximately450ofourhireswerepreviousemployeeswhoreturnedtoUPMC.

• UPMC nurses were selected to showcase outcomes with three po-diumpresentationsandeightposterpresentationsattheAONE45thAnnualMeetingandExposition;morethananyotherhospitalorhealthsystematthisnationalconferencefortwoconsecutiveyears.

• TheeRecordPACU/FrequentAssessmentDocumentationOptimizationProjectachieveda31percentreductioninrequireddocumentationfields.

• Nursesreportedhavingpresented67podiumandprofessionalpresenta-tionsatvariousinternational,national,regional,andlocalconferences.

• Nursespublished17articlesandtwobookchapters.

• Nurses volunteered at various community events and programsthroughouttheregion.

As we begin a new year, in this issue of Pathways to Excellence, I thought it would be important to recognize your accomplishments and share with you the outline of our strategic plan, the roadmap for our successful future (see Strategic Plan article in this issue). This plan was developed in collaboration with the various nursing leaders across the system. Together we can make our future the best yet.

Happy New Year!

Holly L. Lorenz, MSN, RNChiefNurseExecutive,UPMC

Pathways to Excellence

CREATINGNEWREALITIESFORNURSING JANUARY 2013

StrategicPlanPage 2

CommunityEducationClassesPage 5

UPMCPreceptorAcademyPage 7

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CREATINGNEWREALITIESFORNURSING JANUARY 2013Page 2

This graphic represents the outline of the UPMC Nursing Strategic Plan.

TheUPMCNursingStrategicPlanisorganizedintothreesections:AreasofFocus,OrganizationalSolutions,andOutcomes.Duringaretreatthispastyear,thechiefnursingofficers’LeadershipTeamandmorethan100UPMCnurseleaderscollaboratedtobuildourplanforthefuture.

I. Areas of Focus (based upon the American Nurses Credentialing Center’s (ANCC) Magnet® Model)Transformational leadershipfocusesonleadingpeoplewheretheyneedtobe,whichmaybedifferentfromwheretheywanttobe.AtUPMC,webelievethateverynurseisaleader.UPMCnursesareleadingpatients,staff,peers,and/orcolleagueseachandeveryday.ThisleadershipbeliefisinstilledatorientationandthenreinforcedduringtheNurseResidencyProgramfornewlylicensedandhiredUPMCnurses.Webuilduponthisfoundationthroughoutthenurse’scareerwithourvariousprofessionaldevelopmentprograms.Transfor-mationalleadershipalsocenteredontheknowledgeandskillsneededtomanagethecontrolleddestabilizationandrapidlychanginghealthcareenvironment.Examplesacrossthecarecontinuummayincludemanagingcomplexpatientassignmentsforbesidenurses,managingthecareforapanelofpatientsforambulatorycare,providing

populationmanagementwiththehealthplanandredesigningthecoordinationofcareforourpatients.

Exemplary Professional Practiceistheessenceofnursingpractice.TheANCCdefinesexemplaryprofes-sionalpracticeas“aschematicdescriptionofasystem,theory,orphenomenonthatdepictshownursespractice,collaborate,communicate,anddevelopprofessionallytoprovidethehighestqualitycareforthoseservedbytheorganization.”Inthissection,thefocusisonthecaredeliverysystem,staffing,scheduling,budgetingprocesses,thecultureofsafety,diversity,workplaceadvocacy,quality

caremonitoring,andimprovement.Thisintegratestheartandscienceofnursing.

Structural EmpowermentistheMagnet®Modelcomponentthataddresseshowanorganization’sstructuresandprocessessupportandencourageastrongprofessionalpractice,aswellasinnovativeeffortstoimproveoutcomesandaddressorganizationalpriorities.Thisisdemonstratedbynurseshavingapositiveimageinthecommunity,aswellasintheworkplace.Buildingrelationshipsandpartnershipsacrossthecarecontinuumisessential.Examplesincludesharedgovernancecouncils,theMyNursingCareerladder,physicianpartnerships,policies,andcommunityinvolvement.

New Knowledge, Innovation, and Technologyfocusisontheintegrationofevidence-basedpracticeandresearchintoclinicalandoperationalprocesses.Thisalsoincludeshowweleveragetheuseoftechnologytosupportourpracticewhichincludes,butisnotlimitedto,theelectronichealthrecord.UPMCisfortunatetobenationallyrecognizedforourtechnologicaladvancesinhealthcare.

Overview of UPMC Nursing Strategic Plan

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UPMC Nursing Strategic Plan

Outcomes: Turnover Overtime Agency

Recruitment Cost

Waste

Outcomes: Pt. outcomes

Quality Pt. satisfaction

Staff satisfaction Morale

Profitability Productivity

Areas of Focus Organizational

Solutions Leadership Development

Executive/Managerial Succession planning

Nursing Grand Rounds Recruitment

New Hire Selection Schools of Nursing Targeted Initiatives

Performance Management

My Nursing Career Retention Strategies

Academic Partnerships Clinical Rotations

RN Residency Student Intern Program

Advanced Practice Nurse

Healthy Workforce

Health Status of Nurses Inclusion

Work-life Balance

Exemplary Professional

Practice

Transformational Leadership

Structural Empowerment

New Knowledge, Innovation and

Technology

Operational Imperatives Benchmarking/Dashboards

Labor Strategy/Safe Work Hours/ Evidence Based Practice Website and Newsletters

Technology

1!

Pathways toExcellence

CREATINGNEWREALITIESFORNURSING JANUARY 2013Page 3Page 3

II. Organizational Solutions arethetacticsweusetoachieveouroutcomes.Thekeyoperationalimperativeslistedundertheorganiza-tionalsolutionssectionsupportsoneormoreareasoffocusdiscussedearlier.Thesestrategiesarecontinuouslybeingupdatedandevaluatedtovalidatetheyaremeetingtheneedsofourpatients,employees,andtherapidlychanginghealthcareenvironment.Thearrowsrepresentthemovementandportabilityofthevariousoutcomesandprogramsacrossthesystem.

This graphic lists the strategies and tactics under their respective areas of focus for the UPMC Nursing Strategic Plan.

III. Outcomes Atthecoreorcenterofourstrategicplanareourexpectedoutcomes.Togetherweshouldbestrivingtomakeanimpactintheseareasoffocuseachandeveryday.

Wewillcontinuetohighlightourvarioustacticsandaccomplishments.Yourindividualandcollectivesupportisessentialtoachievingouroutcomesandrealizingourstrategicplan.

It Takes a Community:A Nurse’s Partnership to Improve Children’s HealthBy Tim Powell, RN

AccordingtotheCentersforDiseaseControlandPrevention,childhoodobesityhasmorethantripledinthepast30years.Asayouth’slifestyleandapproachtohealthbecomesmoreintricate,ittakesmorethanacommunitytoraiseachild.Ittakesthecommunity,thescholasticsystem,andthehealthcarefacilitytobeinvolvedinanattempttorectifythisepidemicofchildobesity.Asaregisterednurse,Ibegantobecomemoreawareofthegrowingepidemicaffectingouryouth.Ibeganpresentingslideshowsonhealthyeatingandexercisetochildrenatsummeryouthcampsandsummerfreefoodprogramsaroundthecity.TheUPMCHeartandVascularInstitute(HVI)tooknoticeofmyefforts.

TheHVIhasanunderstandingoftheriskfactorsthatunderliethedevelopmentofchildobesity.Withthecollaborationofmyself,HVIcardiologists,UPMCregistereddietitiansandphysicaltherapists,andregisterednurses,theHVIhasdevelopedaprogramdedicatedtoencouragingchildren’shealth.TheChildren’sHealthandNutritionalGoalsandEducation(CHANGE)programwascreatedtopositivelyimpactcardiovascularhealthinthecommunitybyreachingchildren.Theprogramincludesnutritionalandphysicaleducationcurriculumthatcanbeimplementedinschoolsforgradeskindergartenthroughninth.Theprogramalsofeaturesnutritionalandphysicaleduca-tionworkshopsforparents,aswellasschools.Workshopsincludetopicssuchasteachingtheproperwaytoreadnutritionalfactlabelsandunderstandinghow“ChooseMyPlate”worksforchildren.TheCHANGEprogramemphasizescollaborationamongschools,com-munities,andhealthcareproviderstopromoteahealthylifestyle,includingloweringBMIinyoungchildren.TheCHANGEprogramisapartofHVI’scommunityoutreachprogramcalledCOACHorCommunityOutreachandCardiovascularHealth.

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Transforma)onal  Leadership  

• Leadership  Development  

• Succession  Planning  • Na9onal/Interna9onal  Visibility  

• External  Forces  • Financial  Implica9ons  • Communica9on  • Magnet  /Pathways  to  Excellence  

Exemplary  Professional  Prac)ce  

• Professional  Prac9ce  Model  

• Care  Delivery  Models  • Staffing,  Scheduling  and  Budge9ng  Processes  

• Interdisciplinary  Care  • Accountability,  Competency  and  Autonomy  

• Ethics,  Privacy,  Security  and  Confiden9ality  

• Diversity  and  Workplace  Advocacy  

• Quality  Care  Monitoring  and  Improvement  

• Culture  of  Safety  

Structural  Empowerment  

• Professional          Engagement:  • Shared  Governance  • Engagement  Survey  • Interdisciplinary  Clinical          Exper9se  (Collabora9on            among  caregivers)  • Commitment  to          Professional            Development:  • Formal  educa9on  • Career  progression  • Teaching  &  Role        Development:                                        Student  experience  • Demonstrate        Commitment  to  the        Community    • Recogni9on  of  Nursing  

New Knowledge and Innova)on  

• Pa9ent  Flow/Capacity  • New  Technology  • Innova9on  • Nursing  Research  &  EPB  • Balancing  Demands  Resources/Staffing/  Technology/Dollars  

UPMC Nursing Strategies and Tactics

1" 1  to  3  year  )meline  

1  

•  Pt.  outcomes  •  Quality  •  Pt.  sa1sfac1on  

•  Staff  sa1sfac1on  •  Morale  •  Profitability  •  Produc1vity  

•  Turnover  •  Over1me  •  Agency    

•  Recruitment  •  Cost  •  Waste  

DECREASE  

INCREASE  

Save the Date

2013 UPMC Nurses Week ConferenceWednesday,May1,throughFriday,May3,2013

HerbermanConferenceCenteratUPMCCancerPavilion,UPMCShadyside

Pathways toExcellence

CREATINGNEWREALITIESFORNURSING JANUARY 2013Page 4

UpontryingtoimplementtheCHANGEprogram,itwasfoundthatsomelocalcharterschoolsdidnothaveastructuredcurriculumofphysicaleducationandnutritionthroughhealthclasses.Onelocalcharterschoolinparticular,theUrbanLeagueofGreaterPittsburghCharterSchool,hadbeenseekingastructuredcurriculumsimilartoHVI’sCHANGEprogram.Inadditiontowantingsuchacurriculum,theschoolhadanissueofnothavingadequateequipmentforthechildren.AsaninitiativetoimplementtheCHANGEprogramandrevitalizecommunityeffortsinthearea,HVIdecidedtoprovidefundingforthecostofequipmentfortheschoolandcreateanactivitycenterontheschool’sproperty.

MoneywasraisedbyHVIthroughfundraisingeffortswithinthehospital,aswellastheUrbanLeagueofGreaterPittsburghCharterSchool.Morethan$10,000wasraisedandtheschoolnowhasavibrantactivityareawithpush-upbars,pull-upbars,aworkoutbench,balancebeams,andaknee-upapparatus.ThecombinationoftheCHANGEprogramandtheactivitycenterhasallowedtheschooltoprovideameansofhealthawarenessforchildrenthatcouldn’tbedonepreviously.Aribbon-cuttingceremonywasrecentlyheldtocelebratethenewactivityareaandthebeginningoftheschool’sambitiouseffortstodecreasechildhoodobesityandtocelebratestudents’greaterawarenessofhealthyliving.

ReadthePittsburgh Courierarticledetailingthisproject.

Building Bedside Curiosity at UPMC Hamot By Deb Hess, RN, MSN, CNS

Howessentialitistobuildacultureofclinicalcuriosityinordertomovethepracticeofnursingforward.AtUPMCHamot,wearecreatinganenvironmentthatfostersthiskindofapproach.Oureffortshaveresultedinthefollowingprograms:

Intro to Evidence-Based Practice (EBP)Ispeaktoeverygroupofnewnursehiresduringourhospital-widenursingorientationprogram,encouragingthemtobringtheircurios-itytothebedside,askingthemtoquestionwhyaninterventionisnotimprovingthepatient’scondition,andcoachingthemtothinkaboutwhatcouldbedonedifferently.IreviewtheEBPmodelandletthemknowthatthereisaprocessandaplacetotaketheirclinicalquestions.IshareexamplesofpracticechangesthatnurseshavemadeacrossthecountryandatUPMCHamot.WehavecreatedavideothatIusetoshowhowournurseshaveimprovedpractice.This“IntrotoEBP”isacrucialbuildingblockinourapproach,asitconveysthemessagethatwearethekindoforganizationthatexpectsandencouragesthistypeofbehavior.

EBP CouncilPriortothisyear,Iwasthechairwomanofthehospital-wideEBPCouncil.Thisyear,wetransitionedtostaffnursesleadingthecoun-cils.OurEBPCouncildevelopedtheEBPmodelandguidelines,createdworksheetsforappraisalofresearchandnon-researcharticles,anddevelopedtheEBPCouncilmembers’knowledgeofEBPandresearchprocesses.Wecountonthenursesofthiscounciltocommu-nicatewhatgoesonatthemeetingstothenursesontheirunitsandtobringbacktheconcernsofthenursestoourcouncil.

Nursing Research WorkshopsIhaveworkedwiththedirectorofStaffDevelopment,JeanBulmer,todevelopaworkshoptoteachnursesaboutevidence-basedpracticeandresearch.Thecourseconsistsoftwo,four-hoursessionsinwhichweclarifythedifferencesbetweenEBP,research,andqualityimprovement.Wediscussthedifferenttypesofresearch,providecoachingonhowtodoaliteraturereview,andworkonhowtoreadandcritiquearesearchstudy.Therearemanygroupactivitiesdesignedtohelpbuildskillsandconfidence.

Nurse Research Residency ProgramWeinitiatedthefirstNurseResearchResidencyPrograminNovem-ber2010.Nursesmustsubmitanapplicationwithanidentifiedareatheywouldliketopursue,inordertobeconsideredfortheprogram.Theresidencyprovidesbedsidenursestime—eighthourseveryotherweekfor12weeks—toworkontheirprojectwiththeguidanceanddirectionofadvancedpracticementors.TwoofourMICUnurses

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Pathways toExcellence

Currentlythereare270seniornursesinvolvedin190seniorprojectsatvariousstagesofdevelopmentatUPMCHamot.Theseprojectscoverawiderangeoftopics,suchaspreventionofpressureulcers,earlyrecognitionofsepsis,compliancewithcoremeasures,andimprovingpainmanagement.

ItisanexcitingtimefornursingatUPMCHamot.Wearecommittedtoprovidingthebestcaretoourpatients.Growingintoacultureofbedsidecuriosityisthefirststepinthisprocess.

Community Education Classes: An Important Strategy to Teach Patients After Discharge Asnurses,oneofourprimaryresponsibilitiesistoteachourpatientstocareforthemselvesafterdischarge.Becausetimeispreciousduringthehospitalstay,itisdifficulttodoextensiveteaching.Considerreferringyourpatienttoacommunityeducationclassafterdischarge.Diabetesmanagement,healthynutrition,andpostpartumcareareafewofthemanyclassesUPMCofferstopatients.

AnewUPMCClassesandEventswebpagewaslaunchedrecently.ConsumerscanlogintoUPMC.com/classes,searchforanupcomingclassorevent,includingsupportgroups,andregisteron-line.Ifacourserequiresafee,itcanbepaidonlinewithacreditcard.Consumersreceivereminderemailsandconfirmationoftheirsched-uledclass.ThewebpagealsocanbefoundatUPMC.comunderPatient&VisitorResources.

Pleaseencourageyourpatientstosearchthewebpagetoseewhatofferingsareavailable.Yourrecommendationmayinfluenceyourpatienttoattendaclassandgettheimportantinformationtheyneedafterdischarge.

pursuedaresearchstudyonimprovingoutcomeswithsepsispatients.Thisgrewfromtheirexperiencesincaringforthesepatientsandtheirpassionforimprovingtheircare.Asaresultoftheirefforts,survivalanddispositiontodischargehasimproved.Thesenurses,KimRainesandLisaHurst,willpresenttheirworkatthenextNationalTeachingInstituteConference.

NellNipperisthenurseeducatorforUPMCHamotWomen’sHospital.ShehasbeeninstrumentalininvolvingherL&DandNICUnursesinimplementingthelatestevidence-basedpractices.Threeevidence-basedprojectsbythisgroupofnurseswereacceptedasposterpresentationsattheAcademyofNeonatalNursingMotherBabyConferenceinChicagoinSeptember,andattheObstetricsConferenceinPittsburghinOctober.

Research DaysUPMCholdsatwo-dayeventtoshowcaseourresearchstudiesandevidence-basedinitiativeseachyearinApril.Postersaredisplayedandoralpresentationsaregivenbyresidents,fellows,medicalstudents,studentnurseanesthetists,andnurses.Nursinghasarealpresenceatthisevent,with14to20posterseachyearcomingfromnursesinavarietyofspecialties.

Theposters“UseofECGGuidancetoConfirmAccuratePosition-ingofPICC’s”bytheVascularAccessNurseTeamand“MinimizingBloodWasteWhenDrawingBloodfromPICCs”byRebeccaJeannette,MICU,arejusttwoexamplesofprojectspresentedatthisyear’sResearchDays.

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Congratulations to our 2012 Cameos of Caring Award Recipients

UPMChasmorethan12,000nurseswhoarecommittedtocompassionatecareanddedicatedtoachievingthebestpossiblepatientoutcomes.OnSaturday,Nov.3,33oftheseextraordinarynurseswillbehonoredatthe14thAnnualCameosofCaring®AwardsGalaattheDavidL.LawrenceConventionCenter.

SponsoredbytheUniversityofPittsburghSchoolofNursing,CameosofCaringrecognizesexceptionalnurseswhoarecommittedtoqualitypatientcare.Thisprestigiousawardsprogramservestoincreasepublicawarenessaboutthenursingprofessionandstrivestoencourageanewgenerationofnursestomeetthedemandforexcellenceinhealthcare.

UPMC’s awardees:• Meg Allin, UPMC Hamot

• Brian Bachowski, UPMC East

• Helen Baker, UPMC Senior Communities

• Nancy Broadway, Magee-Womens Hospital of UPMC

• Paula Jo Calhoun, UPMC Bedford Memorial

• Susan DeRubis, UPMC Presbyterian

• David Dziamniski, UPMC Shadyside

• Diane Lynn Hranicky, Western Psychiatric Institute and Clinic of UPMC

• Maryann Hunt, UPMC Horizon

• Jenna Rose Jasek, UPMC McKeesport

• Fiona Kirwan, UPMC Beacon Hospital

• Denise Koch, UPMC St. Margaret

• Joyce Marasco, UPMC Rehabilitation Institute

• Teresa Mingrone, Children’s Hospital of Pittsburgh of UPMC

• Ed Monroe, UPMC Mercy

• Julie Neuhart-Haught, UPMC CancerCenter

• Vito Ranieri, University of Pittsburgh Physicians Department of Anesthesiology

• Nicole Santucci, UPMC Passavant

• Dawn Scagline-Valentino, UPMC Visiting Nurses Association

• Tammy Thomas, UPMC Northwest

• Giusy Vaglica, ISMETT

Advanced Practice Awardees:• Kellie Antinori-Lent, UPMC Shadyside

• Mary Reilly Burgunder, UPMC Visiting Nurses Association

• Aaron Ostrowski, University of Pittsburgh Physicians Department of Anesthesiology

• Anne Pedersen, UPMC Hamot

• Ellen Reynolds, Children’s Hospital of Pittsburgh of UPMC

• Lisa Simonian, UPMC Hamot

• Kristine Keefer Wolff, UPMC Presbyterian

Donate Life Awardee:• Christine Angeletti, Children’s Hospital of

Pittsburgh of UPMC

Nurse Educator Awardees:• MaryDee Fisher, UPMC St. Margaret School of Nursing

• Wendeline Grbach, UPMC Shadyside School of Nursing

• Mayra Toney, Mercy Hospital School of Nursing

Case Manager Awardee:

• Diane Stapel, UPMC Health Plan

ProceedsfromthegalasupporttheCameosofCaringEndowedNursingScholarship,whichhelpsnursesfurthertheireducation.

This year’s recipients of the nursing scholarship include:

• Robert Bauer, UPMC McKeesport

• Stephanie Deible, UPMC Shadyside

• Mandy Droppa, UPMC Mercy

• Angela Panos, UPMC Presbyterian

• Marsena Pelton, UPMC CancerCenter

• Carrie Pierce, UPMC Shadyside

• Brittany Quattrone, UPMC Mercy

• Laurie Ratica, UPMC Shadyside

• Kerry Ryan, UPMC Presbyterian

• Jessica Sarno, UPMC Shadyside

• Jessica Schaefer-Hensler, UPMC Mercy

• Amy Walsh, UPMC

• Carmen Wilson, UPMC Shadyside

Pathways toExcellence

CREATINGNEWREALITIESFORNURSING JANUARY 2013Page 7

UPMC Preceptor Academy Holds Continuing Education Event on Crucial Conversations TheUPMCPreceptorAcademywasinitiatedforthepurposeofsupportingandcelebratingourexemplarypreceptors.Themissionoftheacademyistodevelop,empower,andrecognizesuccessfulpreceptorsthroughrespectfulcommunication,education,andsupport.ThefirstclassofthePreceptorAcademywasinductedearlierthisyear.

Staffnurseswhoserveaspreceptorsandwhoperformatthesuperior/topperformerlevelwerenominatedformembershipinthePreceptorAcademyearlylastspring.Inducteescommittoparticipatinginatleasttwoofthethreeannualcontinuingeducationevents.Thefirstevent,theinductioncelebration,washeldinMay2012withareceptionattheUniversityClubinPittsburgh,andacontinuingeducationof-feringondevelopingone’sownprofessionalportfolio.

ThesecondPreceptorAcademyeventwasheldinNovember2012atthePassavantHospitalFoundationConferenceCenter.SusanHoolahan,chiefnursingofficerandvicepresidentofPatientCareServicesatUPMCPassavantpresentedanoverviewofcrucialconversations.Acrucialconversationisbetweentwoormorepeoplewhenthestakesarehigh,opinionsvary,andemotionsrunstrong(Patterson,Gremnny,McMillian,&Switzler,2002).CathyWitsberger,advancedpracticenurse,UPMCPresbyterian,discussedessentialelementsofgivingfeedback.

Themostpopularsegmentoftheafternoonwasavideoportrayalofanorienteewhoisstrugglingwithhisclinicaldecision-makingandprioritization.Thevideoshowsaconversationbetweenhispreceptorandanothernurseaboutgivinghimthenecessaryfeedbackregardinghisprogress.Thefollowingstaffstarredinthevideo:FredTasota,advancedpracticenurse,UPMCPresbyterian,astheorientee;BrendaSmith,instructor,UPMCShadysideSchoolofNursing,asthestaffnurse;andLaurenSaul,advancedpracticenurse,UPMCShadyside,asthepreceptor.ThevideowasdirectedbyWendyGrbach,instruc-tor,UPMCShadysideSchoolofNursing,andwasfilmedatUPMCShadysideSchoolofNursing’sSimulationLab.

WendyLucas,advancedpracticenurse,UPMCShadyside,ledthePreceptorAcademyparticipantsinstayingvigilantinmonitoringorienteeprogressduringorientation.Participantsbegantodraftaunit-specificorientationblueprintfortheirunitswithWendy’sguid-ance.DenisePetras,director,OrganizationalDevelopment,NursingEducationforUPMCPresbyterian,finishedtheafternoon’sprogramwithadiscussionofcapturingperformancethroughdocumentation.

Thefinalcontinuingeducationprogramforthisyear’sPreceptorAcademyinducteeswillbeheldThursdayJan.10,2013,andwillfocusonmentoring.

Wearepreparingforopeningnominationsforthe2013PreceptorAcademy.Staffwhoconsistentlyperformatthesuperiorortopperformerlevel,andwhohavecompletedaformalpreceptororclinicalcoachclass,maybenominatedbytheirunitdirectors.Pleasecheckwithyournursingeducationteamfordatesofupcomingclinicalcoachandpreceptorclasses.

Nurses can reduce a growing UPMC expense by placing soiled linens in blue bagsUPMChospitalsuseanincredibleamountoftowels,sheets,wash-cloths,patientgowns,andothertypesoflinenstocareforpatients.Whenlinenislostormisused,UPMCpaysashortfallchargetoitslinenprovider.Recently,thatshortfallchargehasgrowntobecome

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CREATINGNEWREALITIESFORNURSING JANUARY 2013Page 8

Nursing Research GuidanceSubmittedbyJanCipkala-Gaffin,PhD,andBetsyGeorge,PhD,onbehalfoftheNurseResearchAdvisoryCommittee

Areyouinvolvedinresearchorhaveplanstoconductaresearchstudyinthefuture?Doyouknowthefirststeptotake?ContacttheSystemEvidence-BasedNursing(EBN)Council.Eachbusinessunithasarepresentativeonthiscouncil.

AsubgroupoftheEBNistheNurseResearchAdvisoryCommit-tee.ThisgroupiscomposedofnursesfromUPMCandnursingfacultymembersfromacademicpartners.Thecommittee’spri-maryserviceistoreviewnursingresearchthatwillbeconductedatUPMC.PriortosubmissiontotheUniversityInternalReviewBoard(IRB)researchproposalsmustbeapprovedbythiscom-mittee.Itisrecommendedthatthenursingprincipalinvestigatorsubmittheirstudyatleasttwoweekspriortothecouncilmeet-ingswhichareheldthesecondTuesdayofeachmonth.Ifnursesareinvolvedinanyaspectofresearchpleasecontactyourcouncilrepresentative.Notificationoftheexecutionofastudyrequiresapprovalbyyourbusinessunit’sCNO.

Theultimategoalofthisprocessistomentorstaffinresearchandmonitorresearchactivitiesandassociatedresourcesacrosstheorganization.Allmembersofthecommitteestrivetoupholdtheethicsofresearchandtoprotectthepatientsandnursesinvolvedinresearchstudies.

Somerecentexamplesofnurse-ledresearchstudiesare:

• TheEffectofVisitationinthePACUonNurseSatisfaction.

• SoundMaskingtoImprovePatientSleep.

• AnEvaluationoftheEffectivenessofMindfulness-BasedStressReduction(MBSR)onLungTransplantPatients.

asignificantexpensetotalinghundredsofthousandsofdollarsperquarter.“Thisismoneythatcanbebetterspentinotherways,suchasstaffdevelopment,support,andeducationorequipmentpurchases,”saysHollyLorenz,chiefnurseexecutive,UPMC.“Fortunately,therearesimplestepswecantaketoeliminatethesecostlyshortfallchargesforlinens.”

• Placeallsoiledlineninblue-coloredsoiledlinenbagssoitcanbecleanedandreused.

• Regardlessoftheappearanceofthelinen,placeitthebluesoiledlinenbag.Evenlinenssoiledwithbloodorotherbodilyfluidsshouldbeplacedinthebluebags.

• Donotplacesoiledlinensintheredbiohazardbags,norinregularrefusecontainers.UPMCpaysaseparateratetodisposeofmaterialintheredbiohazardbags.

ItisimportanttorememberthatParisCompaniesofDuBois,Pa.,whichsupplieslinensforthemajorityofUPMChospitals,chargesUPMCforunreturnedlinens.“Nursesplayahugeroleinensuringwecaneliminatethisshortfallchargebyplacingsoiledlinensinthebluebags.Thankyouforyoursupportformakingthishappen,”saysMs.Lorenz.

Nurses Helping Nurses: A Thank You from UPMC EastAwarmholidaythankyoutothemanynurseswhocameouttoUPMCEasttohelpusopenthehospital.WhenweopenedinJuly2012,wehadmanymorepatientsthananticipated.Nursesfromthroughoutthesystem,fromalmosteveryUPMChospital,cametohelpus.Oftentheycamewithoutmuchnoticewhichwasn’teasy.Theycamewithasmileandgraciouslytookcareofourpatientsandbecamepartofourteam.ThankyoutoallofyouwhocameandespeciallythoseofyoufromWorkSourceandUPMCShadysidewhospentseveralmonthsatUPMCEast,byoursideaspartnersduringouropening.Wecouldn’thavedoneitwithoutyou!

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I SPY: Recognizing Nursing Colleagues Across UPMC

Children’s Hospital of Pittsburgh of UPMC AwardsCongratulationstoJessica Marson, RN,forreceivingtheRichardL.Simmons,MD,SpeakUpforPatientSafetyAward.

CongratulationstoEvelyn Kurpiewski, RN,forwinningtheStudentNurseInternEssayAward.

Cheryl Martin, RN, BSN, CEN; Lorissa Zeli, BSN, RN; Cassandra Rennick, BSN, RN, CPEN; and Jeff Beveridge, BSN, RN, CPEN,tookfirstplacefortheirposter“ImprovingPediatricTrauma:AnIntroductiontoRole-TaggingandRole-BasedCoordinationWithintheTraumaBay”attheUPMCTraumaNursesConferenceinPittsburgh.

PublicationsTracy Pasek, RN, MSN, CCNS, CCRN, CIMI; Jodi Licata, RN, MSN, CNL, CCRN; Julianne Balach, RN, BSN, CCRN; Marnie Burkett, RN, MSN, CCRN; Nicole Gargarella, RN, BSN, CCRN; and Coleen McSteen, RN, BSN, CCRN, authored“ShowingWeCareWithHugsandKisses” in Critical Care Nurse,October2012.

UPMC Hamot AwardsNellann Nipper, BSN, RN-BC,wasselectedastherecipientoftheExcellenceinNeonatalNursingPracticeAwardbytheAcademyofNeonatalNursing.

Sandra Leamer-Newhouse, RN, WCC,wasselectedtoreceivetheOutstandingWorkinDiabetesAwardattheWOWonWoundsConferencesponsoredbytheWoundCareEducationInstituteinLasVegas,Nev.

PresentationsDebbie Hess, MSN, RN-BC,presented“LikeSandsthroughtheHourglass—CaringforYourPatientswithAorticStenosis”attheHeartofMatterSeminarinErie,Pa.

Ann Dudenhoeferpresented“SmokingCessation101”attheCardiacRehabForuminErie,Pa.

Marci Bradley, MSN, RN,andGinny Digello, MSN, RN,presentedtheirposter,“NursingMorbidityandMortalityConferences”atthePennsylvaniaOrganizationofNurseLeaders2012AnnualLeadershipSymposiumatStateCollege,Pa.

CertificationsJulie Hewitt, RN, BSN, CCRN, MICULynn Durst, BSN, RN-BC,Cardiovascularnursing,CardiovasculardiseasemanagementSusan Antonucci, RNC-OB/EFMSherri Buczynski, RNC-MNNMindy Clark, RNC-MNNLauren Martin, BSN, RNC-NICHeather Maus, RNC-OBDonna Raymer, RNC-OB

UPMC MercyDegreesLaura McNally, RN, 8E,receivedherbachelor’sdegreeinnurs-ingfromOhioUniversityinDecember2012.

Jennifer Rom, RN,11E,graduatedwithherbachelor’sdegreeinnursingfromChamberlainCollegeinOctober2012.

Courtney Stasko, clinician, 7F,receivedhermaster’sdegreeinnursingfromWaynesburgUniversityinOctober2012.

Awards Jonathan Rent, RN,9E,waschosenasthe2012UPMCDignity&RespectChampionforUPMCMercy.

Congratulationstothenurseswhoreceiveda2012UPMCMercyACESAward:Robert (Bob) Byers,professionalstaffnurse,EmergencyDepartmentCatherine Fasnacht,professionalstaffnurse,9ETheresa Leicht,professionalstaffnurse,RehabLaura McNally,professionalstaffnurse,8ECatherine Ortoleva,professionalstaffnurse,SDSCGwen Talkish,seniorprofessionalstaffnurse,EmergencyDepartment

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Certifications, Exams, and Licenses Danuta Clonan, RN, ICU,passedtheAdult,PediatricandNeonatalCriticalCareexamandreceivedcertificationinOctober2012.

Kelly Frank, RN,andLaura McNally, RN,bothfrom8E,completedtheUPMCchemotherapycourse.

Abby Di Gaetano, RN, ICU,passedtheAdult,PediatricandNeonatalCriticalCareexamandreceivedcertificationinOctober2012.

Melissa Gates, RN,Postpartum,receivedhernationalcertificationinMaternalandLow-RiskInfantNursinginSeptember2012.

Jen McDermott, RN,EmergencyDepartment,passedherCertifiedEmergencyNurseexaminNovember2012.

Katie Small, RN, NICU,recentlyreceivedhernationalcertificationinneonatalnursing.

The following registered nurses are now certified breastfeeding counselors: Tammy Allietta,LaborandDeliveryDanielle Bassett-Hilgert,OB/GYNErin McKenzie,OB/GYNAmy Milcic,LaborandDeliveryDebbie Newell,NICUJessie Paclawski,OB/GYNNancy Pettengill,CenterforNursingandPatientEducationSusan Slater,LaborandDeliveryPeggy Stein,CenterforNursingandPatientEducationAmie Teyssier,OB/GYNVicki Vukelich,LaborandDeliveryDee Walter,OB/GYNJoanne Walther,PostpartumStephanie Wilkinson,OB/GYNDarlene Zuk,NICU

PresentationsRashida Henderson,clinician,12E;Jason Mittenzwey,clinician,ICU;Kim Rogers,unitdirector,12E,andFrank Ricci,clinicaloperationsfellow,UPMCCenterforNursingExcellenceandInnovation,presented“EnhancingStaffEngagementandImprovingPatientOutcomesThroughtheDevelopmentofaUnit-BasedSharedGovernanceModel”tothedirectorsatUPMCSeniorCommunitiesinNovember2012.

Gwen Talkish,RN,EmergencyDepartment,presented“WhenCriticalSecondsCount,”totheInclusionandDiversityCouncilinDecember2012.

ThefollowingnursespresentedattheUPMCSt.MargaretFallInnovationSummit:HotTopicsinNursinginOctober2012:

Toni Heinen, RN,ICU,andAimee Skrtich,unitdirector,ICU,didapodiumpresentationrelatedtoICUmobility.

Rashida Henderson,clinician,12E,andJason Mittenzwey,clinician,ICU,didapodiumpresentationrelatedtounit-basedsharedgovernance.

Kathy Morouse,informaticsnurse,didapodiumpresentation,“UseofSmartPhonesintheClinicalSetting:TheUPMCMercyBlackBerryProject.”

UPMC PassavantAwardsKathryn Fowler, MLS, RNI,receivedtheNightingaleRN-BSNScholarshipattheNightingaleGalainOctober2012.ShehasbeenacceptedtoWaynesburgUniversity’sMSN—InformaticsprogramtobegininJanuary2013.

UPMC ShadysidePresentationsUPMCShadysidestaffpresentedatthe2012AmericanNursesCredentialingCenterMagnet®NationalConferenceinOcto-ber2012:

Kellie Antinori-Lent, MSN, RN, CDE:“EmpoweringNurses:OneArticleataTime”Jennifer Choura, MSN, CPAN:“MobileTechnologyUseinthePerianesthesiaAreatoIncreasePatientandFamilySatisfaction”Lenore Costello, DNP, RN:“CriticalIncidentStressManagementTeamDevelopment”Leeanna McKibben, MSN, RN:“UtilizingtheForcesofMagnetismtoEstablishaHigh-PerformingNewNursingUnit”Kelly Neal, DNP, FNPBC:“TheMagicofHELPingGeriatricPatients”

Lenore Costello willbepresentingherabstract“CriticalIncidentStressManagementTeam;CreatingaMagneticEn-vironmentThroughStaffSupportSatisfaction”attheSeventhAnnualNursingQualityConference.

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Jody Feigel willbepresentingherabstract“ExpandingtheClostridiumDifficileInfectionPreventionBundletoIncludePatientHandHygiene”attheNursingInnovationSummitFall2012:HotTopicsinNursing.

AwardsLori Massaro, clinicalsupervisor,StrokeManagement,UPMCPresbyterianShadyside,receivedthe2013MaryAnnScullyExcellenceinNursingAwardfromtheAmericanHeartAssociation.

Linda Armstrong, BSN, RN, RICNurse–ResourcePool,receivednationalrecognitionasaMosbyProtectorSuperhero,nominatedandselectedbyhercolleaguesandothernursesnationwide.

CertificationsLindsey Semler, RN, CCRN, CEN Coretta Bentz, BSN, RN, CCRN Tamara Moon, BSN, RN Catherine Michael, RN, PICC Katherine Chorik, BA, RN, OCN Sandra Babik, BSN, RN, CMSRN Eileen Schmitt-Metz, BSN, RN, CCTN

Congratulationsto Shelley Watters, DNP, RN, NEA-BC, and Trish George, BSN, MSOL, RN, NEA-BC, forearningtheirNEA-BCcertification.

UPMC St. MargaretPresentationsJanine Sharer, MSN, RN, presented“TheaterintheRound:UsingRolePlayingtoImprovePatientSatisfactionScores”attheAmericanNursesCredentialingCenterMagnet®ConferenceinOctober2012.

Aleta Himes, RN, CMSRN, CGRN, gaveapodiumpresenta-tiontitled“CeliacDisease:IsItJustAnotherAllergy?”attheSocietyofGastroenterologyNursesandAssociates40thAnnualCourse.

Mary Barkhymer, MHA, MSN, RN, CNOR; Lisa Lehman, MSN, RN; and Theresa Calderone, EdD, Med, MSN, RN-BC, presentedtheirposter“NurseCommunication—APlaceWhereCaringandTechnologyMeet”attheSWPONL2012AnnualEducationalConference.

Mary Barkhymer, MHA, MSN, RN, CNOR, and Jay Wright, MSN, RN, presentedtheirposter“BuildingaCollaborativeCulturewithNursingPeerReview”attheSouthwesternPennsylvaniaOrganizationofNurseLeaders2012AnnualEducationalConference.

Doris Cavlovich, MSN, RN, CCRN, presentedherposter“TheExperienceofWorkplaceViolencebyStudentNurses”attheProfessionalNurseEducatorGroup(PNEG)39thAnnualConference.

Mary Dee Fisher, DNP, RN, CPN, presenterherposter“ProfessionalValueDevelopmentinPre-LicensureNursingStudents”attheDoctorofNursingPracticeConference,CHPConference,andthe39thAnnualProfessionalNurseEducatorGroupConference.

Judith Tinelli, MSN, RN, ONC, CNL, CRRN, and Theresa Robosson, BSN, RN, presentedtheirposter“PrepfortheDischargeDay”attheAssociationofRehabilitationNursesNationalConference.

Judith Tinelli, MSN, RN, ONC, CNL, CRRN, waselectedSecretaryfortheAssociationofRehabilitationNursesSouthwesternPAChapterinMay2012.

CertificationsMichelle McClain, RN, CMSRN Becky Jahn, RN, CMSRN Megan Rupp, BSN, RN, CMSRN Judy Giannuzzi, BSN, RN, ACM

DegreesSharon Fritzley MSN, RN, receivedhermaster’sdegreeinnursinginAugust2012.

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Chief Nurse Executive HollyLorenz,MSN,RN

Editor DawndraJones,MSN,RN,NEA-BC

ContributorsLorraineBrock,MSN,RNDebHess,RN,MSN,CNSChristinaPaganelli-Haas

TimPowell,RNMelanieShatzer,DNP,RNChristineStanesic

Have a story idea? ContactDawndraJonesat412-647-1584.©UPMC2012

Editorial Advisory Board

UPMC is an equal opportunity employer. Policy prohibits discrimination or harassment on the basis of race, color, religion, national origin, ancestry, sex, age, marital status, family status, sexual orientation, disability, or veteran status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

DAISY Award RecipientsTheDAISYAwardforExtraordinaryNursesrecognizesthe“super-humanworknursesdoeveryday.”DAISYnomineesexemplifythekindofnursethatpatientsandfamilies,aswellastheentirehealthcareteam,recognizeasanoutstandingrolemodel.CongratulationstotheseDAISYrecipients:

Children’s Hospital of Pittsburgh of UPMCMark Walter, RN:TransportPatty Sapp, RN:7CCindy Earnest, RN:9B

UPMC HamotLisa Simonian, DNP, CRNP, SANE,EmergencyDepartmentKristen Rowles, BSN, RN-BC,HipandKneeUnitEmily Griffin, BSN,4SouthLauren Martin, BSN, RNC-NIC, NICU

UPMC MercyRuth Zabielski, RN,TBC

UPMC ShadysideIrene Vogel,PACUCarmen Wilson,3MainMadelyn Clark,3MainKelly Nicely,3Main

UPMC Shadyside School of NursingLori Bednarz Susan Moore

UPMC St. MargaretCarol Blehi, RN,OperatingRoomAndrew Ruffner, RN,EmergencyDepartmentMargaret Runco, RN, ONC,4B