Texas Health 2014 Nurse Annual Report

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Staying the Cou�s � 2014 Texas Health Nurse Annual Report


Letter from Joan What an honor it is for me to share with you the 2014 Texas Health Nurse Annual Report. The year featured great advances and challenges for Nursing. Through it all, Texas Health’s outstanding nurses stayed the course. With our Professional Practice Model as our compass, we moved boldly ahead developing new programs and strengthening existing initiatives. We blazed new trails with our care management redesign, laid professional development tracks with My Nursing Journey and mapped a strong route for patient education through new patient engagement technology. Our road took a challenging turn when one of our hospitals became the first in the nation to diagnose and treat a patient with Ebola. The road became steeper as two of our nurses contracted and recovered from the disease. During this major detour, Texas Health nurses throughout the system pressed on, providing compassionate, quality care for our patients and supporting each other. Throughout the year, Nursing Congress worked to move us all in the same direction and our Faith Community nurses reached out to serve congregations across North Texas. Nurses throughout the system took paths to greater professional development, through opportunities such as the Nursing Career Advancement Program and TCU Evidence-Based Fellowships. We finished the year strong with plans for even greater success in 2015. I am proud of our 2014 journey and the tenacity Texas Health nurses showed in staying the course.

Regards,

Joan Clark D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN Senior Vice President and Chief Nurse Executive Texas Health Resources


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ON THE COVER: Elizabeth Perez, B.S.N., R.N.,

PROFESSIONAL DEVELOPMENT Mapping a course for success through a broad range of professional development opportunities

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SHARED DECISION-MAKING

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QUALITY-CARING MODEL

Working together to choose the best route for Texas Health Nursing

Pressing on to provide compassionate care to patients, the community and each other

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TEAMWORK

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Individual Accomplishments, Achievements & Research

Combining forces to step up and strengthen care and practice

Emergency Department, Texas Health Arlington Memorial Hospital, moves ahead while keeping an eye on the foundation of the past.



PROFESSIONAL DEVELOPMENT

Mapping a course for success Texas Health Resources nurses mapped a bold course for professional development in 2014.


PROFESSIONAL DEVELOPMENT Versant® Residents

Starting strong Versant® nurse residents get a head start on their careers through this evidence-based practice model that transforms and transitions new graduate RNs into safe, competent nursing practitioners. In 2014, almost 240 newly graduated RNs began the program. Since the initial Versant cohort in 2009 at Texas Health Arlington Memorial Hospital, 890 nurse residents have completed the residency program.

Nursing Education

Sharpening skills for the road ahead Texas Health Resources University (THRU) coordinated programs and partnerships reaching more than 4,000 nurses in 2014. More than 189 educational offerings were available to Nursing in which CNE credit was provided, offering more than 30 new courses that were not offered in 2013. THRU continues to collaborate with Nursing to provide evidenced-based education that improves patient care and outcomes. The Texas Health Charge Nurse Series: Leading the Way, which was launched in 2014, is just one example of how THRU works to prepare nursing leaders of the future.

My Nursing Journey

Putting careers on track To better support nurses in creating their annual professional development plan, a team of nurses created a program featuring a set of professional development tracks to serve as a guide. My Nursing Journey has four designated tracks, which are designed to give nurses another tool for achieving their professional goals. Each track includes practical competencies, resources and measures for success. The four tracks include: • Clinical • Education • Leadership • Informatics Nurses can select a track that aligns with their interests and level of experience. Nurses received training on the program in 2014 and will select a professional development track during their annual review in 2015.

MY NURSING JOURNEY CAREER TRACKS

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TCU Evidence-Based Practice Fellows

Making new paths Eleven Texas Health nurses participated in the 2014 class of TCU Evidence-Based Practice Fellows. Sponsored by the TCU Harris College of Nursing and Health Sciences, the fellowship brings together staff nurses from hospitals throughout North Texas to learn techniques for applying evidence-based practice into their own practice settings. Texas Health’s 2013-2014 TCU Evidence-Based Practice Fellows included:

Jessica Villarreal, B.S.N., R.N., Texas Health Arlington Memorial Hospital, was the gold poster winner for her project as a TCU EvidenceBased Practice Fellow. Villareal’s research project, “A Comparison of Immersion (Tub) vs. Sponge Bathing in Healthy Term Newborns,” showed that the use of immersion (tub) bathing for healthy term newborns results in NIPs score improvement (reduced stress) and a warmer 10-minute post-bath temperature.

Jessica Villarreal, Texas Health Arlington Memorial Hospital, Gold Poster Winner

Carmen Lombard, Texas Health Harris Methodist Hospital Southwest Fort Worth

Kimberly Williams, Texas Health Harris Methodist Hospital Fort Worth, Podium Presentation

Janet Larrimore, Texas Health Presbyterian Hospital Denton

Natalie Perry, Texas Health Harris Methodist Hospital Hurst-Euless-Bedford, Podium Presentation

Michelle Johnson, Texas Health Harris Methodist Hospital Fort Worth, Podium Presentation, Silver Abstract Winner

Wilson Pinto-Lima, Texas Health Huguley Hospital Fort Worth South Racel Lomboy, Texas Health Harris Methodist Hospital Hurst-Euless-Bedford

Laura Jones, Texas Health Harris Methodist Hospital Alliance Melecia Diliberto, Texas Health Presbyterian Hospital Dallas, Podium Presentation

Jennifer Lyles, Texas Health Presbyterian Hospital Dallas, Podium Presentation, Silver Poster Winner

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PROFESSIONAL DEVELOPMENT Professional Practice Model

A creative course of action Texas Health’s Professional Practice Model, developed in 2013, was celebrated in 2014 with a systemwide art contest. The purpose of the contest was for nurses to create an artistic rendition that represents the Texas Health Nursing Professional Practice Model or any of its components. Each entity chose a winning entry, and the winning entries were on display and judged at the Nursing Congress meeting during Nurses Week. Texas Health Harris Methodist Hospital Southwest Fort Worth was selected as the winning, systemwide entry.

AONE CIT

Having the inside track on innovation American Organization of Nurse Executive’s (AONE’s) Care Innovation and Transformation (CIT) Program improves patient care, hospital performance and employee satisfaction through the engagement of frontline staff, collaboration, innovation and leadership development. Several Texas Health hospitals have teams working to innovate and measure change, strengthening the organization.

Texas Health Southwest

Regina Harrison, R.N., M.S.N., Chest Pain/ Heart Failure/ Stroke Program coordinator, and Jennifer

• CIT team: Amanda May, B.S.N., RN-BC; Felicia Burk, B.S.N., R.N.; Catherine Hunter, R.N.; Whitney Patxot, R.N.; Steve Hale, P.C.T.; Lauren Nipper, P.C.T.; Gina Adair B.S.N., R.N., manager, Progressive Care Unit

Day, R.N., M.S.N., ACNP-BC, CCRN, CEN, Intensive

• Projects included: improving teamwork with monthly unit outings and increasing CTO as a team; and improving accuracy of door signage.

Worth nurses—from the First Annual Celebration of

Care Unit manager, display the winning pieces of artwork—a quilt and sculpture made by Texas Health Harris Methodist Hospital Southwest Fort the PPM Art Competition.

Texas Health Specialty Hospital • CIT team: Mavis Jones, R.N., CCRN; Crystal Schramm, R.N., CMSRN; Karan Rider, B.S.N., R.N.; Sarah Choate, R.N., CMSRN • Projects included: IRB approved research project surrounding nurse and patient perception of the Duffy caring factors from the Nursing Professional Practice Model ; and input on design of the Texas Health Specialty Hospital renovations.

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Nursing Excellence Fund

Support for the journey The Nursing Excellence Fund received $860,039 in pledges and gifts through Sept. 30, 2014. This fund provides educational scholarships for nurses in the University of Texas at Arlington Academic Partnership BSN Program and the Clinical Nurse Leader program. A total of $302,638 from the fund was utilized in 2014 (through Sept. 30, 2014).

NCAP

Going down a road to professional advancement Texas Health’s Nursing Career Advancement Program (NCAP) recognizes and rewards bedside nurses for their dedication to their hospital, profession and education. In 2014, almost 550 nurses participated in the program.

*Number of nurses new to the program in 2014:

226

*Number of nurses who advanced in 2014: 36 *Percentage of Texas Health nurses in the program in 2014: 15.2%

Beena Daniel, R.N., Texas Health Presbyterian Hospital Plano, and her guest, dine at the annual NCAP Banquet.

*Number of nurses at each NCAP level in 2014 Level 3

184

Level 4 Level 5 Level 6

339

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1 *Through Oct. 31, 2014

Enjoying the NCAP Banquet from Texas Health Harris Methodist Hospital Cleburne were Denise Black, M.S.N., A.P.R.N., ACNS-BC; April Davis, daughter of Nettie Davis; Dianna Kunce-Collins, M.S.N., R.N., RNC-OB; and Nettie Davis, B.S.N., R.N.

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SHARED DECISION-MAKING

Choosing the best route —together Texas Health Resources nurses united to make decisions impacting their practice in 2014.



SHARED DECISION-MAKING Nursing Congress

Moving in the same direction Led by Kelly St. Clair, R.N., C.M.S.R.N., Texas Health Kaufman, and Sarah Choate, R.N., CMSRN, Texas Health Specialty Hospital, Texas Health Resources’ Nursing Congress met four times in 2014 to share best practices, provide feedback on new initiatives, and contribute to entity and system goals. Nursing Congress consists of seven representatives, the majority of whom are frontline nurses, from each of Texas Health’s entities, as well as members of Nursing leadership. Accomplishments for Nursing Congress in 2014 included: •

Hosting the Second Annual Evidence-Based Practice Showcase and the First Annual Professional Practice Model Art Contest

Sharing best practices

Serving as primary resource for peer-to-peer review pilot project creation

Working with Supply Chain Management in a true interdisciplinary role to advance the importance of Nursing’s input on products used at the bedside

Providing feedback on the method for implementing acuity audits

Serving as a resource for Infection Prevention for discussing PPE

Nursing Town Hall Meetings

“This is your captain speaking”

Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive, Texas Health Resources, hosted six Nursing Town Hall meetings in 2014. Videoconferenced to 14 locations, the meetings provide an opportunity for Clark and other leaders to share information on upcoming Nursing initiatives, and for nurses throughout the system to provide feedback on those initiatives. Approximately 200 nurses from throughout the system attended the meetings each month. 12


Triads

Triple-threat travel guides The unique triad model of leadership places the hospital chief nursing officer as an equal peer with the other two triad members, with each having defined areas of responsibility and accountability.

The triad at Texas Health Harris Methodist Hospital Fort Worth in 2104 was comprised of (left to right) Joseph Prosser, M.D., chief medical officer; Lillie Biggins, M.S.N., B.S.N, R.N., FACHE, president; and Elaine Nelson, M.S.N., R.N., CCRN, NEA-BC, chief nursing officer.

Nursing Executive Team

A sure compass Consisting of CNOs and other key Nursing leaders, the NET (Nursing Executive Team) meets monthly to guide the implementation of the Nursing Strategic Plan and create the vision for the future of Texas Health Nursing. Members of the 2014 NET included: •

Rosemarie Aznavorian, M.S.N., R.N., CENP, CCWP, CCRN-K, chief nursing officer, Texas Health Central Staffing

• Joan

Kelly, M.S.N., R.N., chief nursing officer, Texas Health Plano

• Raymond

Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive, Texas Health Resources

• Cynthia

Claussen, M.S.N., R.N., chief nursing officer, Texas Health Kaufman

• Mary

• Denise

• Tammy

Hay, R.N., B.S.N., CASC, senior vice president, Texas Health Partners

• Debra

McCarthy, D.N.P., M.B.A., M.H.A., B.S.N., CEN, chief nursing officer, Texas Health Stephenville Beth Mitchell, M.S.N., R.N., BC, CPHIM, chief nursing informatics officer, Texas Health Resources

Collier, R.N., B.S.N., M.S.B., NEA-BC, FACHE, chief nursing officer, Texas Health Huguley

• Tanya

Lori Donovan, M.S.N., R.N., CNOR, chief nursing officer, Texas Health Arlington Memorial, and interim chief nursing officer, Texas Health HEB

• Elaine

Mitchell, program director of Nursing Finance, Texas Health Resources Nelson, M.S.N., R.N., CCRN, NEA-BC, chief nursing officer, Texas Health Fort Worth Normand, M.H.A., B.S.N., R.N., chief nursing officer, Texas Health Cleburne

Duffey, M.S.N., R.N., NEA-BC, chief nursing officer, Texas Health Specialty Hospital

• Lorrie

• Cole

Edmonson, D.N.P., R.N., FACHE, NEA-BC, chief nursing officer, Texas Health Dallas

• Mary

• Christy

• Kendra

• Valarie

• Paula

• Pamela

Escandon, M.B.A., R.N., CENP, chief nursing officer, Texas Health Allen Gilbert, R.N., chief nursing officer, Texas Health Azle

Robinson, Ph.D., R.N.-BC, chief nursing officer, Texas South Southwest Slatton, M.S.N., R.N., CDE, chief nursing officer, Texas Health Alliance Spears, , D.N.Sc., R.N., NEA-BC, vice president of Professional Practice, Research, and Magnet Program, Texas Health Resources

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QUALITY-CARING MODEL

Pressing On Texas Health nurses stayed strong and steady caring for their patients, the community and each other in 2014.


QUALITY-CARING MODEL Quality-caring for patients and each other As the first hospital in the United States to diagnose and then care for a patient with the Ebola virus, Texas Health Presbyterian Hospital Dallas experienced overwhelming attention in October 2014. The focus became even more intense as two Texas Health Dallas nurses contracted the virus. Under intense pressure, Texas Health Dallas nurses showed great grace, courage and dedication. They pulled together to provide quality, compassionate care for all the hospital’s patients in the midst of the storm. The Texas Health Resources Nursing family strengthened their commitment to each other and provided support for their Dallas colleagues. From gift baskets to posters to prayers to online messages, Texas Health nurses worked to care for their own. In addition to encouragement from the Texas Health family, Texas Health Dallas nurses received encouraging messages, posters and banners from health care providers throughout the region. President Barack Obama called the nurses, and former President George W. Bush stopped by the hospital to encourage the hospital’s caregivers.

Employees join in prayer for Texas Health Dallas.

The hospital has stayed the course to continue improving the health of the people in the communities it serves.

HCAHPS Survey

Tracking progress The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey provides an opportunity for patients to rate their experience at Texas Health Resources entities. Nursing related scores for 2014 (inpatient score at wholly owned hospitals, systemwide results) included:

80%

76%

77%

88%

Nurse communication overall

Nurses explained in a way I could understand

Nurses listened carefully to me

Nurses treated me with courtesy and respect

TOP BOX

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TOP BOX

TOP BOX

TOP BOX


Faith Community nurse Margaret Landry, R.N., visits a hospice patient, sharing spiritual readings and prayers in his home. Landry serves the Our Redeemer Lutheran Church congregation in Irving.

Faith Community Nursing

Meeting needs at the intersection of faith and Nursing Faith Community Nursing at Texas Health Resources expanded in 2014 with the implementation of zone coordinators and naming of Faith Community Nursing liaisons at 11 of Texas Health’s wholly owned hospitals. Twenty-one new Faith Community nurses were trained through the organization’s Foundations of Faith Community Nursing courses in 2014. Texas Health maintained 54 active covenants during the year with 81 trained Faith Community nurses, along with 145 nurse volunteers, serving the covenant congregations. Through these congregations, Texas Health has the opportunity to touch more than 92,000 individuals in North Texas. The mission of Faith Community Nursing at Texas Health is the intentional integration of the practice of faith with the practice of Nursing to improve the health of the communities the organization serves.

SANE Program

Lining up support Texas Health Resources’ systemwide Sexual Assault Nurse Examiner (SANE) program received support for significant expansion in 2014. The Moody Foundation made a $1.5 million gift to the Texas Health Foundation that will be used to provide SANE certification for approximately 30 Texas Health nurses. In addition, the Dealey Foundation made a $100,000 challenge grant, which was matched, to support the SANE program. In 2014, Texas Health had SANE programs established or being established at five hospitals: •

Texas Health Harris Methodist Hospital Fort Worth (also covering Texas Health Harris Methodist Hospital Southwest Fort Worth)

Texas Health Presbyterian Hospital Dallas

Texas Health Presbyterian Hospital Kaufman

Texas Health Presbyterian Hospital Plano

Texas Health is working to provide comprehensive sexual assault services in every Texas Health community throughout North Texas in 2015. 17


QUALITY-CARING MODEL EMMI

Getting patient education on course Texas Health Resources launched new patient engagement technology designed to better meet patient education needs in 2014. Emmi Solutions™ provides both interactive videos and print materials for patient education. The technology is a major advance for patient education at Texas Health. Through this tool, individuals are empowered to take a more active role in their health care, resulting in documented improved health outcomes. Emmi focuses on plain language, making health information easier for patients and their families to understand.

Gladis Mundackal, R.N., Texas Health Harris Methodist Hospital Alliance, shares Emmi Solutions™ education technology with a patient.

Community Service

Taking it on the road A number of nurses who took their caring skills out into the community received Texas Health Resources’ Community Service Award at the 2014 Face-to-Face meetings. Nurse winners included:

Robin Beardsley, B.S.N., R.N., CCRN, Texas Health Harris Methodist Hospital Fort Worth, for her service with the Colonial Golf Tournament

Kathy Edwards, RNC-MNN, Texas Health Harris Methodist Hospital Alliance, for her service with the Keller Independent School District, Fellowship of the Parks and Pregnancy Help 4 U

Aracely Kundmueller, B.S.N., R.N., Texas Health Harris Methodist Hospital Southwest Fort Worth, for her service with the Faith Community Nursing program, Catholic Charities of Fort Worth, Young Professionals Organization and “WorthEating” program

Becky O’Shea, M.S., R.N., OCN, AOCNS, CBCN, Oncology CNS, Texas Health Presbyterian Hospital Denton, for her service with the American Cancer Society’s Relay for Life

Robert Potter, B.S.N., R.N., CEN, LP, Texas Health Harris Methodist Hospital Azle, for his service in establishing the Azle Minor Care Clinic

Erin Prendergast, B.S.N., R.N., Texas Health Presbyterian Hospital Dallas, for service with the organization she founded, On Butterflies’ Wings

Joan Shinkus Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, Texas Health Resources, for her service with the Arlington Public Library

Michelle Snell, B.S.N., R.N., Texas Health Presbyterian Hospital Plano, for her service with faith communities across the Dallas-Fort Worth area

Erin Prendergast, B.S.N., R.N., (left) Breast Center at

Texas Health Presbyterian

Hospital Dallas, received

the Texas Health Resources Community Service

Award for her program On

Butterflies’ Wings, which

combines her passion for

butterfly gardening and

dedication to giving her

breast cancer patients hope.

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Texas Health Resources’ 2014 Great 100 Nurses Gina M. Adair, R.N. Texas Health Southwest

Bobbi Hardman, B.S.N., R.N., CEN Texas Health Azle

Joyce Lee, M.S.N., R.N., OC Texas Health Dallas

Nicole Andrews, M.S.N., R.N. Texas Health Fort Worth

Kristine Hatfield, M.S.N., M.H.A., R.N., CNOR Texas Health Azle

Michelle Phillips, M.B.A., B.S.N., R.N., CPAN Texas Health Dallas

Greg Brossett, B.S.N., R.N., CEN Texas Health Fort Worth

Jessica M. Hill, B.S.N., R.N. Texas Health Southlake

Nikita T. Preston, B.S.N., R.N. Texas Health Dallas

Jennifer Bruce, B.S.N., R.N.-BC SCRN Texas Health Fort Worth

Beverly Hughes, R.N. Texas Health Allen

Erin Prendergast, B.S.N., R.N. Texas Health Dallas

Kelly Curtis, R.N. Texas Health Fort Worth

Mary L. Irvin, R.N. Texas Health Southlake

Michele Reuber, R.N. Texas Health Plano

Monika Decker, B.S.N., R.N.-BC Texas Health Fort Worth

Mavis Jones, R.N., CCRN Texas Health Specialty Hospital

Cynthia Ruddell, R.N., CIC Texas Health Southlake

Emily Estill, B.S.N., R.N.-C Texas Health HEB

Amber King, B.S.N., R.N.-C Texas Health Dallas

Mary Savard, M.B.A., B.S.N., R.N., CNOR Texas Health Southlake

Erin Frazier, B.S.N., R.N., PCCN Texas Health Fort Worth

Caerisaa Kirkland, R.N. Texas Health Plano

Gina Sundstrom, M.S.N., R.N. Texas Health Dallas

Nicole Garner, R.N. Texas Health Center for Diagnostics & Surgery Plano

Aracely Kundmueller, R.N. Texas Health Southwest

Amy Thomas, B.S.N., R.N.-C Texas Health Dallas

Dusty Hamblin, B.S.N., CEN Texas Health Plano

Janet Larrimore, B.S.N., R.N. Texas Health Denton

Angela Vasquez-Barnett, R.N., CCRN Texas Health Plano 19


TEAMWORK

All together for advancing care Texas Health Resources nurses combined forces and stepped up for improving care in 2014.



TEAMWORK

Care Management Redesign

On the right track to improved outcomes Building on the success of the organization’s clinical nurse leader (CNL) program, Texas Health Resources made a foundational change in 2014 in how patient care is managed. The organization began implementing a bold care management redesign with a goal of improving outcomes by providing consistent evidence-based care to each patient across the system. The redesign includes a number of key features designed to improve outcomes across the care continuum:

Centralized Utilization Management and Clinical Denial activities

Risk stratification criteria for assigning care coordination intervention

Seven-day-a-week care coordination and care transition management functions

Daily interdisciplinary patient progression discussion (daily care briefings)

Active communication with pre / post-acute care providers

Assignment of a primary care physician

Follow up appointments arranged prior to transition

In the redesigned model, the CNL coordinates all parts of a patient’s care, communicating with all caregivers, patients and family members, and works to help patients receive safe, quality care.

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Magnet Conference®

Highlighting our track record More than 50 Texas Health nurses attended the national Magnet Conference®, held in Dallas Oct. 8-11, 2014. Texas Health celebrated Texas Health Arlington Memorial Hospital receiving the Magnet® designation in 2014, as well as Texas Health Harris Methodist Hospital Fort Worth earning its third Magnet® re-designation. Texas Health Arlington Memorial Hospital Nurses greet Magnet® appraisers with pride and enthusiasm.

Celebration is in order as Lori Donovan, M.S.N., R.N., CNOR, chief nursing officer, Texas Health Arlington Memorial, and Julie Holland, M.S.N., R.N., manager of Nursing Admin Services and Magnet® Program coordinator, Texas Health Arlington Memorial, find out the hospital has earned Magnet® designation.

Research

Hot on the trail of research success Texas Health Resources hosted the organization’s first systemwide Nursing Research Symposium on June 20 at Texas Health Presbyterian Hospital Dallas. More than 150 nurses attended the all-day event, which included posters, podium presentations and break-out sessions. Attendees learned about research, evidence-based practice, the Magnet journey and how Texas Health nurses are changing practice.

Central Staffing Office

Beating a path to more efficient staffing Texas Health Resources’ Central Staffing Office (CSO) continued to grow in 2014, onboarding and cross-training 310 staff and managing 405 field staff. More than 40 CSO staff members were hired in 2014, providing $385,000 in cost savings to the system. The CSO managed more than 21,000 Nursing Department sick calls during the year. In a major step forward in managing staffing and patient flow, the CSO and Patient Logistics Department merged in 2014. The merger will help provide a 360 degree view of staffing, acuity, productivity, contract labor, bed control and transfers. 23


Texas Health Presbyterian Hospital Dallas: An exceptional year For Texas Health Presbyterian Hospital Dallas, 2014 was an exceptional year. As Chief Nursing Officer Dr. Cole Edmonson noted, “2014 will go down in history as the year we fought, with strength and courage, an insidious virus under the harsh glare of the international media spotlight. I am extremely proud of our entire nursing staff and organization for their bravery, team caring and commitment.” Although the events of October 2014 received much international attention, the hospital’s nursing team had many accomplishments throughout the year to celebrate. Below are a few notable examples: •

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Texas Health Dallas was the first hospital in the world to fully implement the Resuscitation Quality Initiative (RQI), a computer/manikin-based CPR training program developed by the American Heart Association to improve patient outcomes. Texas Health Dallas fully implemented the Clinical Nurse Leader (CNL) program.

Seventy-two percent of all Texas Health Dallas nurses have their bachelor of science in nursing.

More than 400 Texas Health Dallas nurses now hold specialty certifications.

Texas Health Dallas nurses led the redesigned Emergency Department care delivery model.

NDNQI nurse satisfaction scores ranked above the 75th percentile with most above the 90th percentile.

The Margot Perot Center for Women and Infants implemented family-centered care.

Texas Health Dallas achieved NICHE certification.

Texas Health Dallas’ Sexual Assault Nurse Examiner program has become a model for programs throughout the state.

The hospital had 16 nursing research projects and three evidence-based practice fellows.

Texas Health Dallas nurses made 50 poster presentations and 34 podium presentations; nurses were published in 29 publications.


Texas Health Harris Methodist Hospital Southwest Fort Worth: Care innovation and transformation American Organization of Nurse Executive’s (AONE’s) Care Innovation and Transformation (CIT) Program improves patient care, hospital performance and employee satisfaction through the engagement of frontline staff, collaboration, innovation and leadership development. The program teaches nursing and interdisciplinary teams how to innovate and measure change, strengthening the organization from the bottom-up. CIT participants meet in-person four times over a period of two years. In addition, the participants interact regularly through monthly conference calls, webinars, the CIT listserv and other communication tools. Each CIT cohort is a collection of hospital or health care organization teams from across the nation that move together as a learning community through the two-year program. Texas Health Harris Methodist Hospital Southwest Fort Worth has an active CIT team that addressed a number of issues in 2014. Texas Health Southwest CIT team: •

Amanda May, B.S.N., RN-BC

Felicia Burk, B.S.N., R.N.

Catherine Hunter, R.N.

Whitney Patxot, R.N.

Steve Hale, P.C.T.

Lauren Nipper, P.C.T.

Gina Adair, B.S.N., R.N.

Projects included: •

Improving teamwork — The CIT team coordinated monthly unit outings and increased Community Time Off usage as a team.

Improving accuracy of door signage — This project helped patients and family members, as well as employees.

Pulse oximeter process —The CIT team improved processes to ensure staff had the pulse ximeter equipment needed to do the job.

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Texas Health Presbyterian Hospital Plano: Faces of nursing A big nursing family tree Margaret Eckert, R.N., a patient care facilitator in the telemetry unit at Texas Health Plano, has a “nursing family tree” that dates back five generations, beginning in 1863 with her great-greatgreat-aunt Martha, who was a certified nursing assistant and American National Red Cross nurse. The generations of nurses in Eckert’s family have worked at almost every hospital in the Dallas area over the past 150 years. Eckert joined the family tradition when she received her bachelor of science in nursing from Texas Women’s University in 1999 and joined the Texas Health Plano family nine years ago as an antepartum nurse. She is currently pursuing her master’s degree as a clinical nurse leader.

Recognized for excellence Carole Inman’s mom was a nurse. Inman’s first job was as a nurse’s aid at a hospital when she was 15. From that moment, Inman knew she wanted to be a nurse. When she told her mom, her mom was thrilled. Her only advice: work hard. Inman has been doing just that ever since. Inman was recognized for her hard work in 2014 as she earned D Magazine’s 2014 Excellence in Dallas/Fort Worth Nursing Award for Orthopedics. Inman, who has worked as Texas Health Plano’s joint replacement program coordinator for the past six years (16 years of total service at Texas Health Plano), was one of 456 nominees for the annual award.

Caring for their own When Julie Prater, R.N., a nurse in the Newborn Nursery at Texas Health Plano, was diagnosed with brain cancer in June 2014, it wasn’t the only medical condition that Julie was worrying about: the 32-year-old nurse was also eight weeks pregnant with her second child. Prater underwent brain surgery and radiation and was blessed by the birth of a healthy baby girl in December. Throughout Prater’s fight, her co-workers in the Newborn Nursery at Texas Health Plano pulled together to help in practical ways, taking meals to her family and helping care for her children.

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INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS AND RESEARCH Research Barriers to Follow-Up Care in the Elderly in the Rural Community — Hardman, R.; Texas Health Azle Caring at the Bedside — Thomas, D.; Jones, M.; Newcomb, P.; Texas Health Specialty Hospital Decision Validity, Feasibility and Usefulness of the Vaginal Delivery Safety Checklist — True, B.; Texas Health Arlington Memorial Depression Treatment with Internet Application — Hewes, C.; Texas Health Dallas Effect of Rolled/Folded Blankets on Skin Temperatures — Kelly, P.; Texas Health Dallas Evidence-based Practices and Research Knowledge among Nurses in North Texas — Sleutel, M.; Wilson, M.; Texas Health Resources Genetic and Genomic Competencies of Nurses in Acute-care Practice — Newcomb, P.; Texas Health Resources Heart Failure Readmissions — Kiss, C.; Texas Health Dallas How can RN-delivered Massage Impact Professional Quality of Life for Nurses? (Collaborative study with Texas Health Allen, Texas Health Kaufman and Texas Health Plano) — Wilson, M.; Texas Health Dallas Humpty Dumpty Sat on a Wall: Identifying why our Low-risk Patients Fall — Walsh, J.; Texas Health Plano Hydrotherapy Research (Tub Therapy for Childbirth) — Mitchell, M.; Ratliff, L.; Morrow, C.; Baldwin, K.; Texas Health Cleburne Increasing Physical Mobility and Activity for Medical Surgical Inpatients — Phillips, G.; Texas Health Dallas Microbial Contamination of Infant Pacifiers — Brooks, C.; Texas Health Dallas Nitrous Oxide for Laboring Patients in Lieu of Narcotics — Curlee, K.; Keever, M.; Pinyan, T.; Baldwin, K.; Texas Health Cleburne A Population Based Approach to Post-cesarean Surgical Site Infections — Glowicz, J.; Texas Health Denton A Re-evaluation of Interruptions and Distractions during Medication Preparation and Administration — Walsh, J.; Texas Health Plano Reducing Post-operative Pain: Implementing a Set of Evidence-based Multi-disciplinary Interventions — Sleutel, M.; Texas Health Denton Safe Zone Implementation in Contact Patient Isolation Rooms: Can the Simplicity of Duct Tape Improve the Patient Experience? — Stengem, D.; Hafley, J.; Newcomb, P.; Texas Health Fort Worth Wired to the Workplace: Exploring Nurse Manager Beliefs about Connectedness to the Workplace (Collaborative study of Texas Health Fort Worth, Texas Health Arlington Memorial, Texas Health Dallas, Texas Health Denton and Texas Health Plano nurse managers and directors) — Haley, A.; Texas Health Fort Worth

PODIUM PRESENTATIONS Baldwin, K.; Texas Health Cleburne. Breaking Down Silos in Cleburne. TNA Conference, Dallas, Texas, April 2014. Baldwin, K.; Black, D.; Hammond, S.; Texas Health Cleburne. Integrating Android Tablets into Transitional Care Management. Texas Clinical Nurse Specialists Conference, Austin, Texas, January 2014.

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INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS AND RESEARCH

Baldwin, K.; Hammond, S.; Texas Health Cleburne. Integrating Android Tablets into Transitional Care Management. National Association of Clinical Nurse Specialists Annual Conference, Orlando, Florida, March 2014. Geriatricks Conference, Dallas, Texas, October 2014. Baldwin, K.; Underhill, J.; Texas Health Southwest. Preventing Shaken Baby Syndrome through PURPLE Crying. 14th International Conference on Shaken Baby Syndrome/Head Trauma, Denver, Colo., September 2014. Black, D.; Bonds, P.; Normand, L.; Texas Health Cleburne. A Hospital who Brought Back the White Hats. Versant Conference, Arlington, Va., November 2014. Clark, J.; Texas Health Resources. CNL and Care Management Redesign: Unleashing the Power of the CNL in a Multi-Hospital System. CNLA Conference, Dallas, Texas, October 2014. Unity Through Engagement: How Frontline Staff Have Led the Way to Health System Integration. Magnet Conference®, Dallas, Texas, October 2014. Sustaining CNL Academic-Practice Partnerships: Challenges and Successes. CNL Summit, Garden Cove, Calif., January 2014. Cochrane, C.; Newcomb, P.; True, B.; Sleutel, M.; Texas Health Fort Worth. Development and Testing of a Vaginal Delivery Safety Checklist. 2014 AWHONN Annual Texas State Section Conference, Fort Worth, Texas, May 2014. Vaginal Delivery Safety Checklist. Texas ACOG, Austin, Texas, September 2014. Donovan, L.; Texas Health Arlington Memorial. Vision for Nursing. University of Texas at Arlington College of Nursing Graduation Ceremony, Arlington, Texas, May 2014. Edmonson, C.; Kelly, P.; Texas Health Dallas. A Tale of Two Genomes (Genetic Education for Nursing Organizations Magnetized in Excellence Standards). ANCC Magnet Conference®, Dallas, Texas, October 2014. Edmonson, C.; Texas Health Dallas. Civility: Interventions and Approaches. International Nursing Administration and Research Conference, Dallas, Texas, November 2014. Franks, C.; Texas Health Alliance. CNL Driven Discharge Process Improvement: How a Microsystem Assessment Helped Improve the Discharge Process on a Medical Surgical Floor. 2014 Regional CNLA Conference, Dallas, Texas, October 2014.

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Gettel, V.; Texas Health Alliance. Recharge and Refresh Using the Positive Power of Compassion Satisfaction. National Magnet Conference®, Dallas, Texas, October 2014. Hailey, A.; Gardner, C.; Prichard, C.; Texas Health Fort Worth. Wired to the Workplace. International Nursing Administration Research Conference, Dallas, Texas, November 2014. Hafley, J.; Texas Health Fort Worth. Building and Leading a Team to Decrease t-PA Usage for PICC Line Clots. CNL Summit, Garden Cove, Calif., January 2014. Hardman, R.; Texas Health Azle. Primary Care Following Hospital Discharge. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Kaur, G.; Texas Health Dallas. A Significant Decline in Central Line-associated Blood Stream Infections Using Alcohol-impregnated Port Protectors at a Large Non-profit Acute Care Hospital. APIC’s 41st Annual Conference, Anaheim, Calif., June 2014. Kaur, G.; Smith, T.; Griffin, T.; Texas Health Dallas. Clostridium Difficile Infection: Tackling “The Perfect Storm” through a Collaborative Approach. Quest/ Premier Sprint Webinar Three-part Series on Sharing Best Practices to Improve the Prevention, Early Identification and Treatment of CDI, September 2014. Kelly, P.; Texas Health Dallas. Targeted Therapies: Hitting the Genomic Bullseye. International Society of Nurses in Genetics, Scottsdale, Ariz., November 2014. We are Family: Family History Assessment in the Endoscopy Unit. North Texas Society of Gastroenterology Nurses and Associates, Dallas, Texas, October 2014. Mitchell, M.B.; Texas Health Resources. The Ebola Response, Lessons and Changes. CDC/ONC webinar, November 2014. Focus on Outcomes: The Davies Experience. DFW CI Academy, October 2014. Collaboration of CMIO and CNIO. Epic UGM, September 2014. Balancing the Quality and Safety Conundrum. ANIA, April 2014. Mumba, M.; Texas Health HEB. Measured Noise Levels in the Hospital with Correlating Patient Perception. Sigma Theta Tau International Research Congress, Hong Kong, July 2014.


Neely, B.; Texas Health Fort Worth. Journey to Improving Core Measure Compliance: From Opposition to Ownership. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Newcomb, P.; Sleutel, M.; Walsh, J.; Texas Health Resources. Ready, Set, Magnet®: Discovering Qualities Linked to Favorable Evidence-based Nursing Practice Environments. ANCC National Magnet Conference®, Dallas, Texas, October 2014. Padden, J.; Texas Health Resources. Emerging Diseases. HIMSS Texas Regional Conference, September 2014. Paulos, C.; Jackson, T.; Texas Health Resources. Faith Community Health Promoters and Nurses Collaborate to Bring Health & Wellness to North Texas Congregations. Health Ministries Association National Conference, Silver Springs, Md., September 2014. Philip, G.; Texas Health Dallas. Discharge Planning to Prevent Readmissions and Improve Patient Satisfaction. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Raquepo, F.; Aquino, L.; Texas Health Fort Worth. Factors Associated with Breastfeeding among Mothers of Infants Hospitalized in an NICU. Infant Health Summit, Dallas, Texas, September 2014. Reynolds, B.; Texas Health Dallas. Standard Preceptor Training Curriculum Presentation: Beginning Behaviors and Ways of Thinking. Additional Preceptor Training Insight Presentation: Preceptor’s Role in a Designated Education Unit. North Texas Preceptor Academy, Dallas, Texas, May 2014. Beginning Behaviors and Ways of Thinking. VA North Texas Health Care System: Precepting in Health Care, Dallas, Texas, July 2014. Preceptor’s Role in a Designated Education Unit. North Texas Consortium of Schools of Nursing and Practice Partners: Summer Institute, Dallas, Texas, August 2014. Rust, L.; Texas Health Resources. Preparing for EMRAM Stage 7 Designation. Texas Epic Collaborative, Fort Worth, Texas, August 2014. Ei…Ei…OB MSE (OB Triage). Epic UGM, Madison, Wis., September 2014. Schaedler, V.; Texas Health Plano. The THR Baby Friendly Journey. The International Children’s Conference, Florida, 2014. Shellnutt, C.; Texas Health Dallas. Orchestrating Better Outcomes for the Transfusion Dependent GAVE Patient. Society of Gastroenterology Nurses and Associates 41st Annual Course, Memphis, Tenn., May 2014. Panel

Discussion on Endoscope Reprocessing. North Texas Society of Gastroenterology Nurses and Associates, Dallas, Texas, October 2014. Sleutel, M.; Dodd, R.; Texas Health Resources. The Presence of our Past: Surprising Stories behind Key Historical Moments in Obstetrics. Association of Women’s Health Obstetrics and Neonatal Nursing, September 2014. Snyder, A.; Texas Health Fort Worth. Establishing a Hospital Wide Guideline for Gastric Residual Volumes. Texas CNS Conference, Austin, Texas, January 2014. Stengem, D.; Texas Health Fort Worth. The Role of the CNL in Creating a Culture of Certification and Professional Development. CNL Summit, Garden Cove, Calif., January 2014. Teague, M.; Texas Health Arlington Memorial. Secrets of Nursing. Tarrant County Community College School of Nursing Pinning Ceremony, December 2014. Thomas, G.; Texas Health Dallas. Discharge Planning to Prevent Readmissions and Improve Patient Satisfaction. CNL Summit, Garden Cove, Calif., January 2014. True, B.; Texas Health Arlington Memorial. Liability and the Perinatal Nurse. AWHONN Annual Texas State Section Conference, Fort Worth, Texas, May 2014. Uytico, F.; Texas Health Dallas. A Clinical Nurse Leader’s Role in Advancing Quality Stroke Care at a Mico, Macro and Meso Systems Level. CNL Summit, Garden Cove, Calif., January 2014. Weinstein, G.; Faust, A.; Ferguson, J.; Berg, J.; Rose, M.; McCorstin, P.; Texas Health Dallas. Outcomes Associated with Multidisciplinary Teamwork in the ICU. Texas CNS Conference, Austin, Texas, January 2014.

POSTER PRESENTATIONS Alexander, G.; Texas Health Fort Worth. Optimizing Care for Geriatric Hip Fracture Patients with Intermediate Care. NAON, Las Vegas, Nev., May 2014. Allen, Y.; Texas Health Fort Worth. Utilization of Fascia Iliaca Compartment Blocks in Geriatric Hip Fracture Patients. NAON, Las Vegas, Nev., May 2014. NICHE, San Diego, Calif., April 2014.

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INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS AND RESEARCH

Alvarez, J.; Texas Health Fort Worth. One Unit’s Journey to Reducing Falls in the Orthopedic Unit. NAON, Las Vegas, Nevada, May 2014. Biglione, S.; Parish, S.; Sleutel, M.; Larrimore, J.; Forryan, N.; Texas Health Denton. A Multimodal Plan to Improve Perioperative Pain Mangement in Adult Patients Undergoing Surgery at Texas Health Presbyterian Hospital Denton. Texas Society of Health-System Pharmacists Annual Seminar, Houston, Texas, April 2014. Blair, S.; Texas Health Fort Worth. Phase 3-Orbiting. Nursing 2014 Symposium, Las Vegas, Nev., March 2014. Buller, L.; Texas Health Fort Worth. Cystic Fibrosis Interprofessional Patient Led Rounds. Nursing Management Congress, Chicago, Ill., October 2014. Palliative Care in Elderly Patients Presenting with STEMI. Geriatrics, 2014 Care of the Older Adult, Dallas, Texas, October 2014. Canon, L.; Texas Health Fort Worth. Perinatal Palliative Care: Innovation at the Forefront. The 27th Annual Gravens Conference on the Physical and Developmental Environment of the High Risk Infant. Clearwater Beach, Fla., February 2014. Perinatal Palliative Care: More than Just End of Life Care. National Association of Neonatal Nurses, Phoenix, Ariz., September 2014. Cook, P.; Texas Health Fort Worth. Spinal Anesthesia or General Anesthesia in Total Joint Replacements? —You Decide. NAON, Las Vegas, Nev., May 2014. Cox, L.; Kelly, P.; Ferguson, J.; Pecenka, M.; Sam, B.; McCorstin, P.; Texas Health Dallas. The Sound of Silence: Reducing ICU Noise with Simulation and Competency Assessment. Summer Institute on Evidence-based Practice, San Antonio, Texas, August 2014. Eidson, S.; Texas Health Fort Worth. NICU Care Partners: Families and Primary Nurses Working Together. National Association of Neonatal Nurses, Phoenix, Ariz., September 2014. Gardner, C.; Texas Health Fort Worth. Using unlicensed Assistive Personnel in Improving Patient Outcomes. Nursing Management Congress, Chicago, Ill., October 2014. Hall, D.; Texas Health Dallas. SHHHH…Noise Reduction in the Neonatal Intensive Care Unit, an Evidence-based

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Practice Initiative. 2014 AWHONN Annual Texas State Section Conference, Fort Worth, Texas, May 2014. Hardman, R.; Texas Health Azle. Barriers to Primary Care Follow-Up in the Elderly Population. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Howard, M.; Texas Health Denton. The Effects of Multidisciplinary Team Education on Total Joint Surgery Patient Length of Stay. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Jenkins, J.; Edmonson, C.; Texas Health Dallas. A Time for Action: Relevancy of Genomics for Nurse Executives. American Organization of Nurse Executives, Orlando, Fla., March 2014. Jestes, E.; Texas Health Plano. Barriers to Real Time Chatting in the Electronic Health Record. Doctors of Nursing Practice National Conference, Nashville, Tenn., October 2014. Kuberski, C.; Kelly, P.; Texas Health Dallas. Stiff Person Syndrome: A Rare Paraneoplastic Neurological Syndrome. Oncology Nursing Society Congress, Anaheim, Calif., May 2014. Larrimore, J.; Sleutel, M.; Biglione, S.; Qureshi, M.; Turner, R.; Texas Health Denton. Reducing Post-operative Pain: Implementing Evidence-based, Multi-disciplinary Interventions. Pathways Conference, San Antonio, Texas, May 2014. McCorstin, P.; Tilahun, B.; Faust, A.; Texas Health Dallas. Correlation of MRSA Nasal Colonization and MRSA-associated Lower Respiratory Tract Infections. SCCM, San Francisco, Calif., January 2014. McNally, J.; Texas Health HEB. Using Creative Destruction to Reduce Fall Rates. Versant Annual Client Conference, Arlington, Va., November 2014. McNeill, C.; Texas Health Fort Worth. Development of a Geriatric Functional Trauma Status Scoring System. 23rd SoCRA Annual Conference, Orlando, Fla., August 2014. McWilliams-Ross, K.; Texas Health Fort Worth. Implementation of an Open Fracture Protocol at a Level 2 Trauma Center. NAON, Las Vegas, Nev., May 2014. Reducing Foley Utilization in Geriatric Hip Fracture


Patients — Are we Preventing CAUTIs? NAON, Las Vegas, Nev., May 2014.

of Patient and Nurse Perceptions of Caring Factors. 2014 Regional CNLA Conference, Dallas, Texas, October 2014.

Nichols, D.; Lesh, K.; Robison, S.; Texas Health Plano. Perinatal Safety Initiative to Reduce Third and Fourth Degree Perineal Lacerations. 2014 International Forum on Quality and Patient Safety, Paris, France, April 2014.

Tran, D.; Texas Health Dallas. Reducing CAUTIs in the Adult Acute Care Setting: Strategies for Appropriate Catheter Use and Duration. 2014 Improvement Science Summit, San Antonio, Texas, August 2014. 23rd AMSN Convention, Orlando, Fla., September 2014.

Salone, C.; Texas Health Southwest. Improving Staff Satisfaction and the Culture of Teamwork. CNLA Conference, Annaheim, Calif., January 2014. Shivers, A.; Texas Health Fort Worth. Reducing Foley Utilization in Geriatric Hip Fracture Patients: Are we Preventing Catheter Acquired Urinary Tract Infections? NAON, Las Vegas, Nev., May 2014. Sinde, P.; McClure, A.; Juarez, Y.; Texas Health Cleburne. Improving Patient Understanding and Compliance through Formalized Discharge Education. NPSF Annual Patient Safety Congress, Orlando, Fla., May 2014. South, R.; Texas Health Plano. Good Elevation Required for Pre-term Infants. NANN Conference, Phoenix, Ariz., September 2014. Spears, M.; McClure, A.; Texas Health Cleburne. Keep Moving! A Mobility Project. NPSF Annual Patient Safety Congress, Orlando, Fla., May 2014. Spears, M; Texas Health Cleburne. Let’s Get Moving! A Poster on Mobility in Post-Op Patients Preventing PNA. 2014 NTL Patient Safety Foundation Annual Symposium, Fla., March 2014. Stengem, D.; Texas Health Fort Worth. Process Improvement Techniques to Efficiently Initiate and Facilitate Daily Care Briefings by the CNL in an Acute Care Microsystem. 2014 Regional CNLA Conference, Dallas, Texas, October 2014. Sublette, C.; Texas Health Fort Worth. A Guiding Light Through a Journey of Darkness. 19th Biennial International Perinatal Bereavement Conference, San Antonio, Texas, November 2014. A New Recipe for Lemonade. Second Congress on Pediatric Palliative Care —A Global Gathering, Rome, Italy, November 2014. Thomas, D.; Texas Health Specialty Hospital. Comparison

True, B.; Sleutel, M.; Texas Health Arlington Memorial. Development of a Vaginal Delivery Safety Checklist. Nursing Administration Research Conference, Dallas, Texas, November 2014. Watson, M.; Russe, C.; Texas Health Plano. A Comprehensive Approach to Concussion Management. 2014 Annual Trauma Conference, San Antonio, Texas, September 2014. Wilson, M.; Roll, J.; Corbett, C.; Barbosa-Leiker, C.; Texas Health Dallas. Factors Associated with Goal Achievement for Patients with Persistent Pain who Engage in an Online Self-management Program. 33rd Annual Scientific Meeting of the American Pain Society, Tampa, Fla., April 2014.

PUBLICATIONS Baldwin, K.M.; Black, D.L.; Hammond, S.L.; Texas Health Cleburne. Developing a Rural Transitional Care Community Case Management Program Using Clinical Nurse Specialists, Clinical Nurse Specialists, 2014. Bird, L.; Texas Health Dallas. Letter to Editor: Helping the Aging Population, Nursing, March 2014. Clark, J.; Bujnowski, A.; Texas Health Resources. Nursing and the Science of Prevention for Population Health, Nursing Administration Quarterly, 2014. Clark, J.; Mitchell, M.B.; Texas Health Resources. A New Partnership: Collaboration of the CNO and CNIO, Nurse Leader, February 2014. Claussen, D.; Texas Health Kaufman. Crow, B.; Garner, D.; Texas Health Plano. Early Warning Signs and the Electronic Health Record, Nursing Critical Care, March 2014.

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INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS AND RESEARCH Danielson, B.; Williamson, S.; Kaur, G.; Johnson, N.; Texas Health Dallas. A Significant Decline in Central Line-associated Bloodstream Infections Using Alcohol-impregnated Port Protectors at a Large Non-profit Acute Care Hospital, American Journal of Infection Control, June 2014. Dellasega, C.; Volpe, R.; Edmonson, C.; Hopkins, M.; Texas Health Dallas. An Exploration of Relational Aggression in the Nursing Workforce, Journal of Nursing Administration, April 2014. Drake, K.; Texas Health Fort Worth. Data to Decision, Nursing Management, September 2014. Guest Editorial, Nursing Management, October 2014. Dykes, C.; Texas Health Fort Worth. Using Clinical Research to Improve the Lives of Trauma Patients in North Central Texas, SoCRA Source, August 2014. Edmonson, C.; Texas Health Dallas. Changing the Conversation: Cultivating Nurses for Boards, Texas Nursing Voice, January, February, March 2014. Contributing author, Developing the Scholarly Project, DNP Textbook: The Doctorate of Nursing Practice Scholarly Project: A Framework for Success, Jones & Bartlett Learning, Burlington, Maine. Hammond, S.L.; Texas Health Cleburne. Staying Home after Discharge: Nurse-led Versus Physician-led Transitional Care Models, Nurse Leader, September 2014. Kaur, G.; Texas Health Dallas. Best Practice: Decreasing Intensive Care Unit Central Line-associated Bloodstream Infections using the LEAN Six Sigma Methodology, Texas Hospital Association Online Updates, August 2014. Kelly, P.; Texas Health Dallas. Stiff Person Syndrome: A Case Report, Clinical Journal of Oncology Nursing, August 2014. BRCA Testing: State of the Science, The Nurse Practitioner, November 2014. Kelly, P.; Edmonson, C.; Texas Health Dallas. Genomics Tale: How One Hospital Implemented the Method for Introducing New Competencies (MINC) study, Competency Focus, May 2014. Martin, S.; Smith, A.; Newcomb, P.; Miller, J.; Texas Health Fort Worth. Effects of Therapeutic Suggestion under Anesthesia on Outcomes in Children Post-tonsillectomy,

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Journal of Perianesthesia Nursing, 2014. McWilliams-Ross, K.; Texas Health Fort Worth. Substantial Improvement in Prophylactic Antibiotic Administration for Open Fracture Patients: Results of a Performance Improvement Program, Journal of Orthopedic Trauma, 2014. Moran, K.; Texas Health Dallas. Chapter author, Developing the Scholarly Project, DNP Textbook: The, Doctorate of Nursing Practice Scholarly Project: A Framework for Success, Jones & Bartlett Learning, Burlington, Maine. Morse, E.; Sands, T.; Kelly, P.; Krogh, M.; Texas Health Dallas. Letter to Editor: Reconsidering Recommendations for Blanket Warming, AORN, March 2014. Newcomb, P.; Canclini, S.; Cauble, D.; Raudonis, B.; Golden, P.; Texas Health Fort Worth. Pilot Trial of an Electronic Family Medical History in U.S. Faith-based Communities, Journal of Primary Care and Community Health, February 2014. Newcomb, P.; Hudlow, R.; Heilskov, J.; Li, H.; Martinez, D.; Texas Health Fort Worth. A Children’s Book to Assist the Assent Process for Genetic Testing, Journal of Pediatric Health Care, 2014. Normand, L.K.; Black, D.L.; Baldwin, K.M.; Crenshaw, J.T.; Texas Health Cleburne. Redefining “Charge Nurse” within the Front Line, Nursing Management, September 2014. Padden, J., Texas Health Fort Worth. Predictive Analytics, ANIA Nursing Informatics Today, October 2014. Powers, C.; Normand, L.; Whitcomb, K.; Texas Health Cleburne. Is Clique Behavior Sabotaging your Nursing Team? Nursing Management, 2014. Prichard, C.; Newcomb, P.; Texas Health Fort Worth. Hand Massage with Essential Oils Reduces Anxiety and Depression in Family Members of Patients in the Trauma ICU: A Pilot Study, AJCC, September 2014. Rainer, J., Texas Health Dallas. Speaking Up: Factors and Issues in Nurses Advocating for Patients when Patients are in Jeopardy, Journal of Nursing Care Quality, August 2014.


Shields, S., Texas Health Fort Worth. Mobile Health Outreach: A Community and Corporate Collaboration, Oncology Issues Journal, May/June 2014. Tran, D., Texas Health Dallas. Career Ladders: Staff Pay for Performance, Alliance of Cardiovascular Professionals E-Journal, November 2014. Wilson, M.; Sleutel, M.; Newcomb, P; Walsh, J.; Behan, D.; Wells, J.; Texas Health Resources. Empowering Nurses with Evidence-based Practice Environments: Surveying Magnet®, Pathway to Excellence and NonMagnet Facilities in One Health Care System., Worldviews on Evidence-based Nursing, 2014.

ACHIEVEMENTS L. Annette Cox, M.S.N., R.N.; Patricia Kelly, D.N.P., APRN, CNS, AOCN; Jenna Ferguson, B.S.N., R.N.; Michelle Pecenka, B.S.N., R.N.; Blessy Sam, B.S.N., R.N., CCRN; Phyllis McCorstin, M.S.N., APRN-CNS, CCNS, CCRN; Texas Health Dallas. First Place Abstract Award, 2014 Summer Institute on Evidence-Based Practice Michelle Hampton, Ph.D., R.N., CCRN; Texas Health Fort Worth. Fern Kyba Research Fellowship

Ten Texas Health nurses were honored with D Magazine’s 2014 Excellence in Nursing Awards:

WINNER Education – Phyllis McCorstin, Texas Health Dallas Orthopedics – Carole Inman, Texas Health Plano

FINALIST Emergency Medicine – Roland Zachary, Texas Health HEB General Practice – Cheryl R. Canady, Texas Health Center for Diagnostics and Surgery Leadership – Elizabeth Asturi, Texas Health Dallas Leadership – Mary Beth Mitchell, Texas Health Resources Neonatal – Tori Sanders, Texas Health Dallas Oncology – Carolyn Kuberski, Texas Health Dallas Psychiatric – Bonnie Kobilansky, Texas Health Resources Women’s Health – Erin Prendergast, Texas Health Dallas

LEADERSHIP Gina Alexander, R.N., B.S.N., ONC; Texas Health Fort Worth, vice president, NAON (SC 217) Jonni Alvarez, M.S.N., R.N., CMSRN, ONC, NE-BC; Texas Health Fort Worth, treasurer, NAON (SC 217)

Patricia Kelly, D.N.P., APRN, CNS, AOCN; Susan Cooper, B.S.N., R.N., CPAN; Mary Krogh, R.N., CPAN; Elizabeth Morse, B.S.N., R.N., CPAN; Julie Balluck, M.S.N., R.N., NEA-BC, CPAN.; Texas Health Dallas. Mary Hanna Journalism Award, Journal of Perianesthesia Nursing

Meera Ananthaswamy, Ph.D., M.H.A/M.B.A., R.N., FACHE; Texas Health Dallas, chair, Northcentral Workforce Board

Joycie Lee, M.S.N., R.N., OCN; Texas Health Dallas. Award Finalist, Annual Process Excellence for “Reducing Chemotherapy Lead Time”

Jody Bauer, R.N.; Texas Health Plano, president, ENA Dallas

Elaine Nelson, M.S.N., R.N., CRN, NEA-BC.; Texas Health Fort Worth. The Fort Worth Business Press Great Women of Texas Barbara True, M.N., CNS, RNC-OB, C-EFM; Martha Sleutel, Ph.D., R.N., CNS; Cindy Cochrane, M.S., WMHPBC, RNC-OB; Patricia Newcomb, Ph.D., R.N., CPNP; Texas Health Arlington Memorial. $10,000 grant and award for Patient Safety American Excess Insurance Exchange Risk Management Award

Elizabeth Asturi, M.S.N., R.N.; NE-BC; Texas Health Dallas, treasurer, North Texas Organization of Nurse Executives

Lucy Bird, M.S.N., R.N.; Texas Health Dallas, president, Dallas Orthopedic Nurses Inc. Rachel Berns, M.S.N., RNC-NIC; Texas Health Dallas, vice president, North Texas National Association of Neonatal Nurses Lynne Brown, R.N., B.S.N., CNOR; Texas Health HEB, president, AORN, MidCities Chapter Sally Carmen, D.N.P., R.N., APRN, CNL; Texas Health Fort Worth, coordinator, TCU Evidence-based Practice Fellowship Mary Carrizalez, B.S.N., R.N., M.B.A., RNC-NIC, CCRN; Texas Health Arlington Memorial, board member, Perinatal Nursing Symposium, Academy of Neonatal Nurses 33


INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS AND RESEARCH Sarah Choate, R.N.; Texas Health Specialty Hospital, CMSRN of Distinction Award Taskforce member

Sheri Hammond, M.S.N., APRN, ACNS-BC, CCRN; chair, Ascension Committee, Texas Clinical Nurse Specialists

Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN; Texas Health Resources, member of Communications Committee and contributing editor of the North Texas ACHE Publication, North Texas Chapter of the American College of Healthcare Executives; reviewer for the Foster McGaw Award, American Hospital Association; Magnet® appraiser, American Nurses’ Credentialing Center; Council for the Advancement of Nursing Science, Academy Fellow, Fellow Selection Committee, American Academy of Nursing; System Chief Nurse Executive Steering Committee, seed grant reviewer, American Organization of Nurse Executives; board member, Texas Tech University Advisory Board.

Michelle Hampton, Ph.D., R.N., CCRN; Texas Health Fort Worth, Delegate to the House of Delegates, TNA District 3

Sheree Henson, M.S.N., R.N.-BC; Texas Health Southwest, board member, TNA District 3; member, TNA State Committee for Continuing Nurse Education; member, DFW Great 100 Committee Juanita Hernandez, R.N.; Texas Health Southwest, National Task Force CMSRN

Linda Cole, R.N., OCN; Texas Health Dallas, immediate past president and political liaison, Oncology Nursing Society, Dallas Chapter

Laura Hixon, B.S.N., R.N.; Texas Health Arlington Memorial, president, NAON, Fort Worth Chapter

Janet Craun, R.N., CNOR; Texas Health Southwest, treasurer, AORN, Fort Worth Chapter

Cassandra Howard, B.S.N., R.N.-BC, MAOM; Texas Health Resources, Nominating Committee member, Health Ministries Association

Linda Dunn, R.N., B.S.N., M.H.A., OCN, NE-BC; Texas Health Cleburne, member, Board of Directors, Texas Nursing Association, District 3 Cole Edmonson, D.N.P., R.N., FACHE, NEA-BC; Texas Health Dallas, executive nurse fellow, Robert Wood Johnson Foundation; president, Texas Organization of Nurse Executives; president, DFW Great 100 Nurses, Inc.; co-chair Texas Team

Linda Humphries, M.S.N., ACNS-BC, CCRN; Texas Health Southwest, chair of Membership Committee, Texas Clinical Nurse Specialists Board; Chisolm Trail American Red Cross Nursing Team Debbie Johnson, B.S.N., RNC-NIC; Texas Health Dallas, secretary, North Texas National Association of Neonatal Nurses

Cindy Ekes, B.S.N., M.A., NEA-BC; Texas Health Dallas, board member, North Texas Organization of Nurse Executives

Patricia Kelly, D.N.P., APRN, CNS, AOCN; Texas Health Dallas, editor, Genetics SIG Newsletter, National Oncology Nursing Society; ANCC Advanced Genetics Expert Panel, American Nurses Credentialing Center

Jennifer Foster, B.S.N., RNC-NIC; Texas Health Dallas, president, North Texas National Association of Neonatal Nurses

Norma MacDougall, R.N.; Texas Health Fort Worth, treasurer, Association of Neonatal Nurses, Fort Worth Chapter

Cory Franks, M.S.N., R.N., CNL; Texas Health Alliance, president, CNLA, North Texas Chapter

June Marshall, D.N.P., R.N., NEA-BC; Texas Health Dallas, board member, Texas Nurses Association

Cavelle Frederick, M.S.N., R.N., CNOR; Texas Health Dallas, board member, American Operating Room Nurses, Dallas Chapter

DeVonna McNeill, M.S.N., R.N.-BC, RNC-OB; Texas Health Fort Worth, Continuing Education Committee, Texas Nurses Association

Rosemary Galdiano, R.N., MPH, OCN; Texas Health Fort Worth, president of the board of directors, North Texas Area Community Health Centers, Inc.

Sandy Minchew, B.S.N., R.N., CNOR; Texas Health Dallas, past president, American Operating Room Nurses, Dallas Chapter

Rose Gaylor, R.N., CNOR; Texas Health Dallas, president, AORN, Dallas Chapter

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Carol Hardin, M.S.N., R.N.; Texas Health Dallas, vice president, Texas Nurses Association, District 4

Jamie Glass, B.S.N., RNC-NIC; Texas Health Dallas, president elect, North Texas Association of Neonatal Nurses

Mary Beth Mitchell, M.S.N., R.N.-BC, CPHIMS; Texas Health Resources, president, ANIA, DFW Chapter; chair, HIMSS NI Committee, National Committee


Sarah Moody, M.S., R.N., NEA-BC; Texas Health Dallas, treasurer, Texas Nurses Association Sue Moore, M.S.N., R.N., R.N.-BC; Texas Health Fort Worth, treasurer, DFW ANPD Cynthia Murphy, B.S.N., M.B.A., R.N., CRRN, SCRN; Texas Health Dallas, immediate past president and program development board member, Dallas Chapter AANN. Cochair Education Provider Committee, AANN Brunella Neely, M.S.N., R.N., CMSRN, CNL; Texas Health Fort Worth, secretary, CNLA, North Texas Chapter Elaine Nelson, M.S.N., R.N., CRN, NEA-BC; Texas Health Fort Worth, president elect, TNA District 3 Lorrie Normand, D.N.P., R.N., NEA-BC; Texas Health Cleburne, Texas Team, inaugural class for Nurses on Boards; director, NCONE Board; Texas Team Campaign for Action Rural Health Initiative Joni Padden, M.S.N., APRN, ACNS-BC, CIN-BC, CPHIMS; Texas Health Resources, Sepsis Initiative CME event panel member, Fort Worth, Texas, August 2014.

Julie Rumer, R.N.; Texas Health Fort Worth, Social Media Committee officer, Association of Neonatal Nurses, Fort Worth Chapter Christine Russe, M.S.N, CEN, CPEN; Texas Health Plano, immediate past president, ENA State Council; president, ENA, Dallas County; chair, ENA Nursing Practice/ Government Affairs Committee, Dallas County Lola Rust, B.S.N., R.N.; Texas Health Resources, Davies Selection Committee, HIMSS Beth Samuelson, R.N.-C; Texas Health Dallas, secretary, American Association of Neuroscience Nurses Sue Sebazco, R.N., M.B.S., CIC; Texas Health Arlington Memorial, State of Texas Advisory Panel Member, Health Care Associated Infections/Preventable Adverse Events Cathleen Shellnut, B.S., R.N., CGRN; Texas Health Dallas, president, North Texas Society of Gastroenterology Nurses and Associates Deborah Stabell Tran, M.S., B.S.N., R.N., SCRN; Texas Health Dallas, president, Dallas Chapter AANN

Gretta Pardue, M.S.N., R.N.; Texas Health Dallas, board member, North Texas Association of Filipino Nurses

Karen Sullivan, R.N.; Texas Health Plano, secretary, AACN, Dallas Board Chapter

Sherry Parkhurst, M.S., B.S.N., R.N.-BC; Texas Health Fort Worth, Recognition Committee member, Association of Nursing Professional Development

Kari Swanson, B.S.N., RNC-NIC; Texas Health Dallas, membership director, North Texas Association of Neonatal Nurses

Michelle Pecenka, B.S.N., R.N.; Texas Health Dallas, board member, North Texas Organization of Nurse Executives

Michelle Thompson, R.N.; Texas Health Fort Worth, vice president, Association of Neonatal Nurses, Fort Worth Chapter

Charlsea Prichard, M.S.N., R.N., CCRN, CCAP, NE-BC; Texas Health Fort Worth, Beacon Review Board, ANCC Jennifer Rainer, M.B.A., M.S.N., R.N., CPHQ, NEA-BC; Texas Health Dallas, chair, Patient and Family Support Committee, Society of Critical Care Medicine Neelam Rajani, B.S.N., R.N., CGRN; Texas Health Dallas, secretary, NTSGNA

Josh Tippy, B.S.N., R.N.; Texas Health Dallas, Texas Chapter of the American Assembly for Men in Nursing Katie Torres, R.N., B.S.N., ONC; Texas Health Fort Worth, secretary, National Association of Orthopaedic Nurses (SC 217)

Florence Raquepo, B.S.N., R.N.; Texas Health Fort Worth, president, Association of Neonatal Nurses, Forth Worth Chapter

Barbara True, M.N., CNS, RNC-OB, C-EFM; Texas Health Arlington Memorial, 2014 Texas State Conference Planning Committee, AWHONN. AWHONN representative on Maternity Care and Patient Safety National Advisory Board, American Academy of Family Physicians

Lauren Reid, R.N.; Texas Health Fort Worth, Social Media Committee officer, Association of Neonatal Nurses, Fort Worth Chapter

Catherine Warthan, R.N.; Texas Health Fort Worth, membership officer, Association of Neonatal Nurses, Fort Worth Chapter

Amanda Robbins, M.S.N., R.N., APRN, GCNS-BC; Texas Health Fort Worth, chair of the Elder Abuse Taskforce, Fort Worth Safe Communities Coalition

Kathy Wright, R.N.; Texas Health Plano, president elect, AACN, Dallas Board Chapter

Schelia Rucker, R.N.; Texas Health Arlington Memorial, president, AORN, MidCities Chapter 35


Texas Health Nurses: Improving the health of the people in the communities we serve Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served. The system’s primary service area consists of 16 counties in north central Texas, home to more than 6.8 million people. Texas Health has 24 acute-care and shortstay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 20,500 employees of fully-owned/operated facilities plus 2,100 employees of consolidated joint ventures. Texas Health also has 20 outpatient facilities and more than 250 other community access points.


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