Texas Health 2013 Nurse Annual Report
WALK AYEAR IN OUR SHOES 2013 Annual Report TEXAS HEALTH NURSE Letter from Joan It is with great pride that I share with you the 2013 Texas Health Nurse Annual Report, where we’re taking a look at the journey of Texas Health nurses throughout the year. We took major steps in 2013 to grow as a systemwide nursing service and leverage our strength as one of the largest faith-based health care systems in the country. WE STEPPED UP, WE STEPPED OUT AND WE STEPPED FORWARD IN 2013. We stepped up to sharing leadership with hospital presidents and chief medical officers, with our chief nursing officers serving as one-third of the “triad” leadership model. We stepped out to serve our communities through our Faith Community Nursing program, our volunteerism when storms devastated our towns and our work at hundreds of health fairs and other events. We stepped forward with the development of Texas Health’s first systemwide professional practice model and the expansion of our Versant® Residency program throughout the system. These are just a few of the ways that Texas Health nurses advanced our profession, practice and pride in 2013. As you read through this year’s report, I hope you will get a sense of the drive and compassion of Texas Health nurses. It was a great privilege for me to walk through 2013 as a Texas Health nurse. Regards, Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN Senior vice president and chief nurse executive Texas Health Resources 2 IF OUR SHOES could talk We’ve put a lot of miles on our shoes in 2013. They’ve carried us swiftly to patients in need, slowly to difficult conversations and confidently to meet the challenges of each day. We’ve stood firm when strength was required and walked gently when grace was needed. Whether in our orange Nikes, sturdy black Danscos or stylish Alegrias, we have served as Individuals Caring for Individuals, Together, one step at a time in 2013. PROFESSIONAL DEVELOPMENT 6 Advancing professionalism through a variety of programs was a top priority in 2013. QUALITY-CARING MODEL 18 28 Caring took on greater meaning in 2013, with a new nursing theory and deadly storms. INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS & RESEARCH SHARED DECISION-MAKING 14 Joining together in shaping environments and improving care gained strength in 2013. TEAMWORK 24 2013 solidified Texas Health nurses’ strong reputation for working together. Texas Health nurses made an impact in 2013. Putting our best foot forward Texas Health nurses believe that learning does not stop when they earn a diploma. They are committed to studying hard, and advancing their knowledge, skills and contributions to the nursing profession. They donâ€™t settle for less than their best. PROFESSIONAL DEVELOPMENT Texas Health is committed to providing nurses the resources they need to develop, maintain and expand nursing competence and to make the most of their careers. From educational opportunities and creation of a systemwide professional practice model to the Nursing Career Advancement Program and fellowships, nurses took advantage of a broad spectrum of professional development opportunities in 2013. On sure footing In one of the most significant advances for Nursing at Texas Health, more than 20 nurses from throughout the system, many of them frontline nurses, developed a new, systemwide professional practice model (PPM) for Texas Health. The committee worked for more than four months to create the PPM, which serves as a firm foundation for Nursing practice at Texas Health. While five Texas Health entities had their own PPMs, creating a model for the whole system to follow was a top priority for 2013. Texas Health’s systemwide PPM features the phrase “Patient and Family Centered Care” in the middle, surrounded by a heart formed by Texas Health’s values. Hands featuring various elements of professional practice encircle the heart. Quality-Caring Model – by Dr. Joanne Duffy Texas Health’s nursing theory is the Quality-Caring Model developed by Dr. Joanne Duffy. A nursing theory has principles that underlie the art of nursing and drive the science behind our practice. Teamwork Teamwork is how nurses communicate and collaborate with all members of the health care team. Valuing diversity and using TeamSTEPPS are two key strategies of teamwork at Texas Health. As the organization moves into population health management and becomes more active in accountable care, teamwork will be increasingly important. 6 Professional Development Texas Health is committed to helping nurses develop their individual knowledge and skills, as well as to advancing the professional practice of nursing and engaging nurses in lifelong learning and development. Shared Decision-Making Shared governance (the establishment of councils) is the structure at Texas Health for shared decision-making. Shared decision-making is the process that occurs at those councils. Shared Leadership is the ultimate outcome. Jon Walker, R.N., preceptor at Texas Health Arlington Memorial Hospital, talks with Versant resident Val Greenwood, R.N. Getting their feet wet Texas Health’s Center for Learning & Career Development launched the first systemwide cohort of 120 Versant® nurse residents in February 2013. Having a systemwide cohort allows Texas Health to provide more consistent training and reduce duplication while ensuring a current evidence-based curriculum unique to the organization. In 2009 Texas Health launched the first Versant® Nurse Residency at Texas Health Arlington Memorial Hospital. Since that initial cohort through 2012, nearly 300 nurse residents at five Texas Health hospitals have completed the residency program. The Versant® RN Residency is an evidence-based practice model that transforms and transitions new graduate RNs into safe, competent nursing practitioners. Back to class The Center for Learning coordinated programs and partnerships reaching more than 3,000 nurses in 2013, doubling nurse engagement in education offerings from 2012. The Center for Learning’s acquisition of more than 600 new continuing education courses from Texas Tech Health Sciences Center’s subsidiary Health.edu, Inter-professional Clinical Practice workshops, and Stroke Modules added to the diversity of nursing education, improving the quality of care and services within Texas Health. 7 Step on up Texas Healthâ€™s Nursing Career Advancement Program (NCAP) for direct patient caregivers recognizes and rewards bedside nurses for their dedication to their hospital, profession and education. In 2013, more than 450 nurses participated in the program: Nurses new to the program in 2013: 175 Nurses who advanced levels in 2013: 32 THE SYSTEM HAD NURSES AT THE FOLLOWING NCAP LEVELS IN 2013: # OF NURSES AT NCAP LEVELS 293 LEVEL 151 18 2 III IV V VI Nurses from Texas Health Presbyterian Hospital Kaufman celebrate at the NCAP banquet. Texas Health Presbyterian Hospital Denton nurses honored at the 2013 NCAP banquet. 8 Highlights of AONE Care Innovation and Transformation (CIT) projects TEXAS HEALTH PLANO CIT team: Catherine Bates, R.N., B.S.N.; Charmaine Sy, R.N., B.S.N.; Angie Marshall, M.M.H.A., R.N., B.S.N., C.C.R.N. Projects: • Designated log book and storage bin for inpatients’ medications from home • Timer located near sinks for hand washing • Medication side effect information sheets • New admission/discharge packet TEXAS HEALTH SOUTHWEST CIT team: Lori Weber, R.N.; Carol Erickson, R.N.; Erin Miller, R.N.; Dawn Keesee, R.N.; Misty Potts, R.N.; Darrin Askins, R.N.; Denise Gray, R.N.; Rose McCullough, R.N.; Nilsy Odicio, R.N.; Sabina Rawal, R.N.; Sri Poudel, R.N.; Tracey Johnson, R.N., C.N.L.; Holly Haddad, R.N., C.N.L.; Stephanie Norment, P.C.T.; Zstra Davis, P.C.T.; Ingrid Williams, U.S. Projects: Sympathy and birthday cards for patients • Buddy system • Charge nurse cabinet at front desk • Improving communication and teamwork between nurses and PCTs • TEXAS HEALTH SPECIALTY HOSPITAL CIT team: Crystal Schramm, R.N.; Mavis Jones, R.N.; Karan Rider, R.N.; Sarah Comeau, R.N.; Claudette Cook, R.N.; Sandy Clark, RPhT Projects: • Clean campaign video • Revision of 2012 HoverMatt project Learning from leaders To further enhance professional development for Texas Health nurses, Texas Health Senior Vice President and Chief Nurse Executive Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, coordinated a number of opportunities for nurses to learn more about industry trends, Texas Health Nursing programs and new initiatives in 2013. Along with chief nursing officers throughout the system, Clark hosted six Nursing Town Hall meetings, broadcast via videoconference to locations throughout the system on topics such as nurse research, civility in the workplace and fatigue management. Four nursespecific e-newsletters were produced during the year, and a Nursing Resource Center was maintained on Texas Health’s intranet. For the first time, all Texas Health nurses received a printed, systemwide Nursing annual report. 9 Funding excellence The Nursing Excellence Fund received just over $226,000 in pledges and gifts through Oct. 31, 2013. This unique fund provides educational scholarships for nurses in the University of Texas at Arlington Academic Partnership BSN Program and the Clinical Nurse Leader program. Almost $254,000 of the fund was disbursed in 2013 (through Oct. 31, 2013). The Shirley and Wesley R. Turner Continuing Nursing Education Scholarship Endowment was established in 2013 and will be awarded annually to a nurse seeking advanced nursing certification or wishing to travel and attend a continuing education conference. In addition, the Joe M. and Doris R. Dealey Family Foundation pledged a $100,000 challenge grant in 2013 to expand the SANE (sexual assault nurse examiner) program throughout the Texas Health system. Head over heels for evidence-based practice Texas Health’s TCU Evidence-Based Practice Fellows have a passion for research and continuous quality improvement. 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. In addition to educational sessions, each fellow selects a project designed to solve a clinical problem or question at their hospital to tackle during the fellowship. Texas Health’s 2012-2013 TCU Evidence-Based Practice Fellows included: Mary Tran, right, received a Poster Gold Award and Abstract Gold Award at the TCU Evidence-Based Practice Fellows’ graduation ceremony in September. Leanne Perry Terry Atwood Cassandra Howard Texas Health Fort Worth Texas Health Plano Texas Health HEB Sandra Bingham Amanda Johnston DeAnna Ritzie Texas Health Arlington Memorial Texas Health Arlington Memorial Texas Health Fort Worth Tracye Byars Roxanne Jones Veronica Schaedler Texas Health HEB Texas Health HEB Texas Health Plano Shilpa Chitnis Dawn Keese Rebecca South Texas Health Arlington Memorial Texas Health Southwest Texas Health Plano Margaret Eckert Shams Khan Mary Tran Texas Health Plano Texas Health HEB Texas Health Arlington Memorial Stephanie Eidson Timothy Kimuyu Amber Walls Texas Health Fort Worth Texas Health Arlington Memorial Texas Health Fort Worth Theresa Glindmeyer Michelle Kitchen Diane Wood Texas Health Arlington Memorial Texas Health Cleburne Donna Hall Amy Kowald Texas Health Dallas Texas Health Plano Sharon Harris Judy J. Martin Texas Health HEB Texas Health HEB 10 Texas Health Cleburne A TCU Evidence-Based Practice Fellow, Judy Martin, D.M.(c), M.S.N., R.N., Texas Health Harris Methodist HEB, completed a pilot study on “ICU Diary — A Documented Narrative of a Journey through the ICU Experience.” The study addressed the concern that patients and family members often develop post-traumatic stress disorder after leaving the ICU. A diary was created to help fill in blanks for patients regarding their ICU stay. Results were very positive, and the ICU continues to use the ICU diaries for patients. The tie that binds Shared decision-making is the bond that unites frontline staff and leadership in improving patient care and shaping nursesâ€™ work environments. Texas Health provides the framework for shared decision-making, and nurses throughout the system engage in the governance process. SHARED DECISION-MAKING Shared decision-making at Texas Health Resources made significant strides in 2013, giving nurses an even greater voice in issues that affect their practice. Chief nursing officers assumed an equal seat at the hospital leadership table as a member of the hospital triad, and the council structure was standardized so that each hospital now has the same nursing councils. Professional Practice Professional Development & Recognition Getting councils on course EBP & Research Enity Coordinating Board Nursing Leadership & Operations Quality & Patient Safety Shared Governance To strengthen shared governance across the Texas Health system, Nursing councils at all of the entities were standardized in 2013. A chief nursing officer task force assessed existing entity council structures; reviewed best practices and literature; and designed a council structure that would work for small, medium and large entities and that could easily integrate with systemlevel councils. These entity councils focus on six aspects of professional nursing practice, with all six councils reporting up to an Entity Coordinating Council. The Entity Coordinating Council reports up to the system’s Nurse Executive Team. Working in lockstep In a significant elevation of nursing’s role at the entity level, hospital chief nursing officers began sharing leadership with hospital presidents and chief medical officers at the beginning of 2013. This “triad” model of leadership provides increased nursing influence and accountability. Each member of the triad leading Texas Health hospitals is an equal peer having defined areas of responsibility and accountability. They work in lockstep with one another and with other members of the management team at each entity. 14 Congress is in session Led by Laura Craig, R.N., C.M.S.R.N., Texas Health Fort Worth, and Kelly St. Clair, R.N., C.M.S.R.N., Texas Health Kaufman, Texas Health Resources’ Nursing Congress met four times in 2013 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 which are frontline nurses, from each of Texas Health’s entities, as well as members of Nursing leadership. The group gives nurses the opportunity to have a direct impact on the practice of professional nursing at Texas Health. Members of Nursing Congress listen to a presentation on accountable care organizations at the Nov. 6 meeting. Casting a wide NET Changes were made at the system level to strengthen Texas Health Resources’ ability to leverage the combined skill, wisdom and experience of the nurses throughout the organization. Chief nursing officers (CNOs) at all entities began reporting to Texas Health’s chief nurse executive in 2013, and a new systemwide Nursing Executive Team (NET) was created. Members of NET include: • Rosemarie Aznavorian, M.S.N., R.N., CCWP, CCRN-A, chief nursing officer, Texas Health Central Staffing • Deborah Bostic, M.S.N., R.N., chief nursing officer, Texas Health Denton • Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive, Texas Health Resources • Denise Claussen, M.S.N., R.N., chief nursing officer, Texas Health Kaufman • Tammy Collier, R.N., B.S.N., M.S.B., NEA-BC, FACHE, chief nursing officer, Texas Health Huguley • Lori Donovan, M.S.N., R.N., CNOR, chief nursing officer, Texas Health Arlington Memorial • Pamela Duffey, M.S.N., R.N., NEA-BC, chief nursing officer, Texas Health Specialty Hospital • Cole Edmonson, D.N.P., R.N., FACHE, NEA-BC, chief nursing officer, Texas Health Dallas • Christy Escandon, M.B.A., R.N., CENP, chief nursing officer, Texas Health Allen • Valarie Gilbert, R.N., chief nursing officer, Texas Health Azle • Debra Hay, R.N., B.S.N., CASC, senior vice president, Texas Health Partners • Catherine Hill, D.N.P., GNP-BC, chief nursing officer, Quality & Clinical Outcomes, Texas Health Physicians Group • Kelle Jones, J.D., R.N., B.S.N., director of Patient Logistics, Texas Health Resources • Raymond Kelly, M.S.N., R.N., chief nursing officer, Texas Health Plano • Cynthia McCarthy, D.N.P., M.B.A., M.H.A., B.S.N., CEN, chief nursing officer, Texas Health Stephenville • Mary Beth Mitchell, M.S.N., R.N., BC, CPHIM., chief nursing informatics officer, Texas Health Resources • Tanya Mitchell, program director of Nursing Finance, Texas Health Resources • Elaine Nelson, M.S.N., R.N., CCRN, NEA-BC, chief nursing officer, Texas Health Fort Worth • Lorrie Normand, M.H.A., B.S.N., R.N., chief nursing officer, Texas Health Cleburne • Lucy Norris, M.S., R.N., chief nursing officer, Texas Health HEB • Mary Robinson, Ph.D., R.N.-BC, chief nursing officer, Texas South Southwest • Kendra Slatton, M.S.N., R.N., CDE, chief nursing officer, Texas Health Alliance • Paula Spears, , D.N.Sc., R.N., NEA-BC, vice president of Professional Practice, Research, and Magnet Program, Texas Health Resources 15 Heart and sole Caring. It’s the heart and soul of Nursing at Texas Health. It’s also the basis for the organization’s nursing theory: the Quality-Caring Model. The model is relationship-centered, focusing on caring for patients and families, caring for self, caring for the community and caring for the health team. QUALITY-CARING MODEL Texas Health nurses have always believed in the power of caring for their patients, the community and each other. In 2013, nurses selected the Quality-Caring Model by Dr. Joanne Duffy as their nursing theory, formalizing their understanding that caring relationships alleviate suffering, facilitate teamwork, improve outcomes and uphold their commitment to the community. Big shoes to fill Dr. Joanne Duffy, author of the Quality-Caring Model, visits with nurses at Texas Health Presbyterian Hospital Dallas. Texas Health was honored to host Dr. Joanne Duffy for a two-day visit in May 2013. Dr. Duffy shared with frontline nurses and managers the essence of the Quality-Caring Model and recommendations for implementing the model. Making rounds Clinical Leader Rounding involves clinical leaders visiting with patients and family members to gather information about their care and service experience. In 2013, nursing leaders began using tablets to record data gathered during rounding, which allows them to more quickly respond to service issues and track trends. In 2013 (through Nov. 11), 71 percent of patients responded that they were visited by a nurse manager or supervisor during their inpatient stay. Through Clinical Leader Rounding, leaders can address service recovery issues while the patient is still in the care environment and proactively manage the patient experience to ensure that their expectations are being met or exceeded. HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey Inpatient score â€“ wholly owned hospitals, systemwide results 2013 Texas Health nursing. (Year-to-date through Nov. 19, 2013) Composite scores on answers to the three questions: 1. How often did nurses explain things in a way you could understand? 2. How often did nurses treat you with courtesy and respect? 3. How often did nurses listen carefully to you? Always 80% 18 Usually 17% Sometimes 3% Never 0% Texas Health Harris Methodist Hospital Cleburne nurses Colleen Vanzant, R.N., B.S.N., and Sheri Hammond, M.S.N., A.P.R.N., ACNS-BC, CCR, helped the Red Cross following the storms that hit Cleburne in May. Stepping out Texas Health nurses actively partnered with other organizations to care for the community in 2013. From schools and faith communities to businesses and nonprofit organizations, Texas Health nurses shared their skills and hearts with a variety of organizations. When storms and tornadoes ravaged two counties in Texas Healthâ€™s service area in May, Texas Health nurses used their skills and their hearts to meet the needs of several devastated communities. Nurses helped triage the injured at the American Legion in Granbury; volunteered for clean up; and filled in at Texas Health Harris Methodist Hospital Cleburne through the Texas Health Central Staffing Office. Tying up loose ends Texas Health nurses pulled together all discharge information and methods to implement a best practice to the discharge process in 2013, using the Discharge Check-Back tool. Check-Back is a TeamSTEPPS tool which, when applied to the discharge process, has been proven to decrease readmissions, improve perception of nurse communication and increase patient/family compliance with the discharge plan. Texas Health combined Check-Back with the 5 Ds of Discharge (diagnosis, doctor, diet, directions, drugs) to create the new approach. 19 Honored for quality, caring Nurses were recognized in a number of ways in 2013 for providing safe, quality care for patients. Nurses were honored through programs including Applause, Living the Mission Award, Patient Safety Star Award, Grateful Hearts recognitions and entity Nursing Excellence Awards. Texas Health Harris Methodist Hospital Southwest Fort Worth nurses Jenna Story, R.N., and Heather Comer, R.N., were honored for providing outstanding care for patients. Kimberly Judd, R.N., (left) Texas Health Harris Methodist Hospital Fort Worth, received the Leadership of Excellence Award from the hospital. Walking in faith Caryn Paulos, M.S.N., R.N., Texas Healthâ€™s first systemwide director of Faith Community Nursing, worked with the programâ€™s six coordinators in 2013 to establish goals and standardize some aspects of the program. Texas Health has more than 150 Faith Community Nurses active in more than 75 faith communities. 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 we serve. Faith Community Nurses coordinate health fairs, provide flu vaccinations, make presentations on topics such as stroke education and heart health, and provide post-discharge follow up. 20 Faith Community Nurse Cassandra Howard, R.N., B.S.N., MAOM (left), Texas Health Plano, coordinated a health fair with the Islamic Association of Collin County. Texas Health Resources’ Great 100 Nurses Nurses at Texas Health hospitals accounted for 23 of the 2013 “Great 100 Nurses,” an annual award recognizing the best of the nursing profession in the Dallas-Fort Worth area. Texas Health honorees included: Kristy Anderson, B.S.N., R.N., O.N.C., Texas Health Fort Worth Lisa Ayala, B.S.N., R.N.C.-N.I.C., Texas Health Dallas Jody Bauer, B.S.N., R.N., Texas Health Plano Susan Christenson, B.S.N., R.N., C.E.N., Texas Health Southwest Mary De La Garza, B.S.N., C.M.S.R.N., Texas Health Fort Worth Jennifer Harland, B.S.N., R.N., Texas Health Fort Worth Julia Hilton, B.S.N., R.N., Texas Health Rockwall Nell Hines, B.S.N., R.N., Texas Health Dallas Victoria Jiles, B.S., R.N., O.N.C., Texas Health Dallas Michelle Johnson, B.S.N., R.N., P.C.C.N., Texas Health Fort Worth Sara Kardash, B.S.N., R.N., C.C.R.N., Texas Health Fort Worth Alex Klacman, B.S.N., R.N.-C., C.C.R.N., Texas Health Dallas Kerry Miller, B.S.N., R.N., C.E.N., Texas Health HEB Lauren Montgomery, B.S.N., R.N.C.-O.B., Texas Health Dallas Elaine Nelson, M.S.N., R.N., C.C.R.N., N.E.A.-B.C., Texas Health Fort Worth Christi Nguyen, M.S.N., M.H.A., R.N., C.W.O.N., N.E.-B.C., F.A.C.H.E., Texas Health Dallas Nancy O’Steen, B.S., R.N., C.M.S.R.N., Texas Health Arlington Memorial Lisa Perkins, B.S.N., R.N., C.E.N., Texas Health Rockwall Reina Rhodes, R.N., Texas Health Springwood Hospital Kae Sutton, R.N., C.C.R.N., C.C.A.P., Texas Health Fort Worth Kristin Templin, B.S.N., R.N., Texas Health Fort Worth Kathy Terryah, R.N., C.M.S.R.N., Texas Health Southwest Jamie Watson, R.N., Texas Health Denton 21 All in step Ask any Texas Health employee how they work together, and they are likely to say the Texas Health Promise: Individuals Caring for Individuals, Together. One of the four elements of the organizationâ€™s professional practice model, teamwork is a hallmark of the Nursing community at Texas Health. Texas Health Presbyterian Hospital Dallas nurses Clair Deiparine, B.S.N., R.N.; Joy Yglecias, B.S.N., R.N., CCRN; Jennielyn Aquino, B.S.N., R.N., CCRN; Duane Stark, R.N., CCRN; Kimberly Gunn, R.N., CCRN; and Tiffany Burns, B.S.N., R.N., believe in the power of teamwork. TEAMWORK Teamwork defines how nurses communicate and collaborate with all members of the health care team. In 2013, nurses were even more intentional in using resources such as TeamSTEPPS, the electronic health record and Texas Health Central Staffing. The Clinical Nurse Leader program grew in 2013, and a team of nurse scientists worked to support nurse researchers throughout the system. A major step forward Texas Health’s Clinical Nurse Leader (CNL) program achieved a significant milestone in 2013 with the hiring of the organization’s first systemwide CNL leader. Darla Banks, M.S.N., R.N., BC, CPHIM, director of the CNL program, worked to showcase the impact of the program, increase standardization of the role within Texas Health hospitals, and provide necessary resources for the system’s 33 CNLs and patient care facilitators in 2013. The first new role in nursing in 40 years, the CNL is dedicated to closing the gaps in patient care. CNLs are broadly educated as generalists and focus on bedside care of a microsystem which is typically 12 to 16 beds in a hospital unit. The Texas Health CNL improves patient outcomes by providing continuity of care, fostering interdisciplinary collaboration, mentoring nurses and implementing process improvement strategies within the microsystem. Stepping up to the plate Texas Health Central Staffing stepped up to the plate in 2013, providing almost 200,000 hours of noncontract labor supplemental staffing for Texas Health entities. The Central Staffing Office includes more than 400 staff, with 200 new staff hired in 2013. The staff consists of 250 RNs, the balance including radiology, CSTs, sitters, PCTs, physical therapists, respiratory, pharmacy techs and unit secretaries. Texas Health Central Staffing managed more than 15,000 open opportunities in 2013 and reviewed schedules for 218 cost centers every six weeks. 24 Meeting for a huddle, Patti Miller, R.N.; Erika Hannah, P.C.T.; Shaun Breaux, P.C.T.; and Barbara Irwin, R.N., all of Texas Health Arlington Memorial Hospital, discuss an agitated patient. Taking STEPPS as a team Texas Health nurses continued to use Team STEPPS, Texas Health’s program featuring effective communication techniques and team strategies, to enhance patient safety in 2013. The program has had a significant impact on the patient safety culture at Texas Health since launching in 2011. More than 100 educators were trained on the program, and more than 200 four-hour Team STEPPS Champion sessions have been conducted in the past three years. Tackling technology Led by Texas Health Chief Nursing Informatics Officer Mary Beth Mitchell, M.S.N., R.N., BC, CPHIM the organization’s informatics program focused on strengthening the use and practicality of CareConnect and enhancing communication in 2013. Priorities included: • Managing a formal SuperUser Program for all changes and enhancements of clinical systems • Standardization of processes within CareConnect for nursing documentation of patient care activities • Optimization of Nursing’s use of CareConnect and other technology • Enhancing communication to Nursing for all updates to CareConnect and other applications Clinical workgroups were established to approve optimization requests for CareConnect; develop and manage workflows within CareConnect to reflect best practices; and communicate changes to staff. 25 Texas Health’s nurse scientists include (back row, left to right): Marian Wilson, Ph.D. Candidate, M.P.H., B.A., R.N.-BC; Martha Sleutel, Ph.D., R.N., CNS; Paula Spears, D.N.Sc., R.N., NEA-BC, vice president, Professional Practice, Research, and Magnet Program ; Judith Walsh, Ph.D., R.N.; Jo Nell Wells, Ph.D., R.N.; Kathleen M. Baldwin, Ph.D., R.N.; (front row, left to right) Penny Moore, Ph.D., R.N., C.N.L.; Patty Newcomb, Ph.D., R.N.; and Deborah Behan, Ph.D., R.N.-BC. Ramping up research To strengthen the organization’s commitment to nurse research and evidence-based practice, Texas Health pulled together a group of eight nurse scientists in 2013 to begin working with nurses on research and inquiry within their work. The nurse scientists are available to help nurses at all Texas Health wholly owned hospitals develop grant proposals, discuss research ideas and publish or present results. Core Measure Performance Systemwide results, January – September 2013 AMI 98.24% HF 97.90% PN 97.63% SCIP 95.66% 26 Entity Accomplishments Texas Health nurses put actions to their words in 2013, supporting the mission of improving the health of the people in the communities we serve by increasing knowledge through research, improving outcomes and strengthening our commitment to research. Texas Health Allen The hospital achieved Pathways to Excellence redesignation and experienced significant growth in participation in the Nursing Career Advancement Program (NCAP). Texas Health HEB Nurses transformed the culture of the Emergency Department, as evidenced by a dramatic and sustained improved performance in patient satisfaction and patient safety. Texas Health Arlington Memorial Nurses were critical in the full implementation of the interdisciplinary council structure, which had a positive impact on the patient outcomes and the hospital’s quality measures. Texas Health Kaufman Nurses published “Early warning signs and the EHR: At the intersection of technology and care” in Nursing Management, November 2013. Texas Health Azle Nurses developed a domestic violence screening education tool that has become a systemwide, IRB-approved research project. Texas Health Cleburne Nurses took pride in implementing the systemwide professional practice model and shared governance councils. Texas Health Dallas The Nursing staff won the national AEIX Premier Award for having zero acquired hospital pressure ulcers. Texas Health Denton The hospital hosted their first Versant® Residency cohort and had a significant increase in employee engagement results for Nursing (from 47th percentile to 93rd percentile). Texas Health Fort Worth The hospital had a record number of Nursing staff presenting evidence-based practice poster and podium presentations at national conferences and/or being published in scholarly journals. Texas Health Physicians Group Licensed THPG nurses were seated as full participants on the Physician Leadership Group and all Zone-aligned THPG Quality and Safety committees. Texas Health Plano The hospital experienced an increase in poster presentations by nurses, as well as a significant increase in participation in the Nursing Career Advancement Program (NCAP). Texas Health Southwest The clinical nurse leader model was fully implemented at the hospital, with a positive impact seen in outcomes, and patient and employee satisfaction. Texas Health Specialty Hospital Nurses submitted a research project to the IRB that will evaluate the difference in perception of Joanne Duffy’s Caring Factors between nurses and patients. Texas Health Stephenville The hospital experienced significant growth in participation in the Nursing Career Advancement Program (NCAP), and 25 percent of nurses were specialty certified. 27 INDIVIDUAL ACCOMPLISHMENTS, ACHIEVEMENTS & RESEARCH Achievements Kathy Baldwin, Ph.D., R.N., ACNS-BC, ANP-BC, GNP-BC, CEN, FAAN, nurse scientist at Texas Health Cleburne and Texas Health Southwest, was selected as a Fellow of the American Academy of Nursing. Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive at Texas Health, received the 2013 CNL Visionary Leader Award from the American Association of Colleges of Nursing. Brenda Doughty, R.N.-BC, B.S.-HCM, and Jane McNelis, B.S.N., R.N., OCN, CCAP, both of Texas Health Arlington Memorial, were awarded the Arlington Fire Department’s Life Saving Award. Catherine Hill, D.N.P., G.N.P.-BC, Texas Health Physicians Group, received the Alliance Healthcare Hero Award from the Dallas-Fort Worth Business Group on Health. Sue Sebazco, R.N., M.B.S., CIC, Texas Health Arlington Memorial, received the Distinguished Service Award from the Association for Professionals in Infection Control and Epidemiology. Kathy Baldwin, Ph.D., R.N., ACNS-BC, ANPBC, GNP-BC, CEN, FAAN, nurse scientist at Texas Health Cleburne and Texas Health Southwest Danell Stengem, R.N., C.N.L., Texas Health Fort Worth, was awarded the 2013 Patient Experience Grant by the Beryl Institute for her work on The Impact of Safe Zone Implementation to Improve the Hospital Experience of Patients in Isolation Environments. Texas Health Southwest’s 18-bed ICU had six nurses graduate from The University of Texas at Arlington — four with master’s degrees and two with B.S.N.s. Mary Tran, B.S.N., R.N., RNC-OB, Texas Health Arlington Memorial, received the Poster Gold Award and the Abstract Silver Award at the TCU Evidence-Based Practice Fellowship graduation. Barbara True, M.N., CNS, RNC-OB, C-EFM, Texas Health Arlington Memorial, received the Outstanding Mentor Award at the TCU Evidence-Based Practice Fellowship graduation. Publications Ananthaswamy, M., Texas Health Dallas. Are Real Teams Healthy Teams? Practitioner Response, Journal of Healthcare Management, March/April 2013. Banks, D., Texas Health Fort Worth. “SWAM” Educating Patients with Heart Failure, Nursing 2013, February 2013 Brooks, C., Texas Health Dallas. Comparison of Lipid and Calorie Loss from Donor Human Milk Among Three Methods of Simulated Gavage Feeding, Advances in Neonatal Care, March 2013. Claussen, D.; Crow, B.; Garner, D.; all of Texas Health Kaufman. Early Warning Signs and the EHR: At the Intersection of Technology and Care, Nursing Management, November 2013. Collinge, C.; McWilliams-Ross, K.; Beltran, M.; Weaver, T.; all of Texas Health Fort Worth. Measures of Clinical Outcome Before, During and After Implementation of a Comprehensive Geriatric Hip Fracture Program: Is there a Learning Curve? Journal of Orthopedic Trauma, 2013. Crenshaw, J., Texas Health Dallas. Creating an Environment for Innovation: The Risk-taking Leadership Competency, Nurse Leader, February 2013. 28 Drake, K., Texas Health Fort Worth. Dashboards: Turning Data into Decisions, Nursing Management, June 2013. Nguyen, T., Texas Health Dallas. Letter to the Editor: How to Reduce CLABSIS, Nursing Management, September 2013. Edmonson, C., Texas Health Dallas. • Moral Courage and the Nurse Leader, The Doctor of Nursing Practice Scholarly Project: A Framework for Success, article in textbook by Moran et al., February 2013. • Wanted: Morally Courageous Leaders, Frontiers of Health Services Management, 30(1), 33 – 38, September 2013. • Practitioner Application: Influences on Magnet Hospital Recognition, Journal of Health Care Management, September 2013. Omigie, A.A., and Hill, C., Texas Health Physicians Group. Male Breast Carcinoma: A Case Study, The Internet Journal of Advanced Nursing Practice, 2013 Volume 12 Number 1. Enriquez, S., and Hill, C.A., Texas Health Physicians Group. Pediatric Hypertrophic Scar Reconstruction — A Hispanic Case Study, Advance for NPs & PAs. Kelly, P., Texas Health Dallas. Why Standard Codeine Doses can Have Serious Toxicities or no Therapeutic Effect, Oncology Nursing Forum, July 2013. Kelly, P.; Cooper, S.; Krogh, M.; Morse, E.; Crandall, C.; Winslow, E.; Balluck, J.; all of Texas Health Dallas. Thermal Comfort and Safety of Cotton Blankets Warmed at 130 Degrees and 200 Degrees, Journal of PeriAnesthesia Nursing, December 2013. Miller, P., Texas Health Dallas. Letter to the Editor: Thoughts on Spiritual Care, Journal of Christian Nursing, July/September 2013. Newcombe, P.; True, B.; Walsh, J.; Dyson, M.; Lockwood, S.; Douglas, B.; all of Texas Health Arlington Memorial. Maternal Attitudes and Knowledge about Newborn Screening, American Journal of Maternal Child Nursing, September 2013. Smart, D.; English, A.; James, J.; Wilson, M.; Daratha, K.; Childers, B.; Magera, C.; all of Texas Health Dallas. Compassion Fatigue and Compassion Satisfaction: A Cross-sectional Survey Among U.S. Healthcare Workers, Nursing & Health Sciences, October 2013. Thompson, A.; Wilson, M.; James, T.; Symbal, J.; Izumi, S.; all of Texas Health Dallas. Feasibility Study to Implement Nurse-delivered Massage for Pain Management, Journal of Palliative and Hospice Nursing, October 2013. True, B., Texas Health Arlington Memorial. Module IV, Complications of Pregnancy: Part 1, Perinatal Orientation and Education Program, 3rd edition Wilson, M.; Roll, J.; Pritchard, P.; Masterson, B.; Howell, D.; Barbosa-Leiker, C.; all of Texas Health Dallas. Depression and Pain Interference Among Patients with Chronic Pain after Emergency Department Encounters, Journal of Emergency Nursing, October 2013. Wrightson, D., Texas Health Dallas. Peripherally Inserted Center Catheter Complications in Neonates with Upper Versus Lower Extremity Insertion Sites, Advances in Neonatal Care, June 2013. Podium Presentations Baldwin, K.M.; Black, D.L.; Hammond, S.L.; all of Texas Health Cleburne. Hospital-Based Post-Discharge Community Case Management in Rural Texas— Update. 2013 ANCC Pathway to Excellence Conference, Baltimore, Md., May 2013. 2013 NACNS Conference, San Antonio, Texas, March 2013. Buller, L.; Hodo, A.; Cannon, L.; all of Texas Health Fort Worth. Implementing Palliative Care Across the Lifespan. Sigma Theta Tau 42nd Biennial Convention, Indianapolis, Ind., November 2013. Carmen, S., Texas Health Fort Worth. Art of Questioning: Empowering Certified Nurses. ANCC National Magnet Conference, Orlando, Florida, October 2013. Clark, J., Texas Health Resources: • System CNE Models — Corporate CNO. AONE System CNE Meeting, Chicago, Ill., September 2013. • Designing New Innovative Pathways Through the Unchartered Waters of Health Reform. Distinguished Nursing Lecture, University of Central Florida, August 2013. • An Important Voice at the Table: Perspective from the Chief Nurse Executive. Owens and Minor Annual Meeting, Dallas, Texas, May 2013. • Collaboration of the CNO and CNIO for Advancing Nursing’s Use of Technology within a Health Care Enterprise. Health System and the Critical Role of the System Chief Nurse Executive. AONE 46th Annual Meeting, March 2013. • Growing and Sustaining the Vision: Implementing the CNL Across a Major Health System. CNL Summit, New Orleans, La., January 2013. 29 Douglas, B., Texas Health Dallas. Breaking Down Barriers to Rooming-in. Texas Woman’s University Sigma Theta Tau, February 2013. Horn, R., Texas Health Dallas. R.N. Perceived Effectiveness When Working with Patients Diagnosed with an Eating Disorder. Texas Woman’s University Sigma Theta Tau, February 2013. Huff, E., Texas Health Plano. Cardiovascular Services — State of the Union in 2013. Dallas Chapter of the Mended Hearts Association, Dallas, Texas, August 2013. Humphries, L., Texas Health Southwest. Five Years Later: Has an Evidence-Based Protocol Improved Care for the Adult Sickle Cell Population? National Association of Clinical Nurse Specialists, San Antonio, Texas, March 2013. Kelly, P., Texas Health Dallas. Linda Humphries, R.N., Texas Health Southwest • Genetics and Genomics: New Knowledge & Evidence-Based Practice: The Nurse’s Role. Texas Health Fort Worth Genetics Conference, Fort Worth, Texas, April 2013. • MINC Study: Introducing Genomics Nursing Competencies. DFW Genomics Consortium, June 2013. • Personalized Oncology Care: Clinical Applications and Research. Oncology Nursing Society National Connections Conference, Dallas, Texas, November 2013. • From Base Pairs to Bedside: Expanding RN Genomics Scope of Practice. International Society of Nurses in Genetics, Bethesda, Md., October 2013. Kelly, R.; Marshall, A.; Sy, C.; Bates, C.; all of Texas Health Plano. Transforming Patient Experience at Texas Health Plano: Interdisciplinary Hourly Rounding. Its Impact on Patients, Families and Nursing Staff. AONE Care Innovation and Transformation Conference, Phoenix, Ariz., September 2013. Law, B., Texas Health Fort Worth. New and Emerging Research in the Field of Childbirth Education. Lamaze International Conference, New Orleans, La., October 2013. McNally, J., and Bentley, P., both of Texas Health HEB. Sustaining Engagement through Leadership from the Top Down…A Town Hall Meeting with Residency Managers. National Versant Client Conference, Long Beach, Calif., November 2013. Morse, E.; Jones, C.; Douglas, B.; all of Texas Health Dallas. Thermal Comfort and Safety of Blankets Warmed at Temperatures of 130 Degrees and 200 Degrees; Identifying and Reducing Unplanned Perioperative Hypothermia; Breaking Down Barriers to Rooming-in. HealthLine: DFW Library Association Meeting, Dallas, Texas, April 2013. Murphy, C., Texas Health Dallas. Ethics in Epilepsy. American Association of Neuroscience Nurses, Charlotte, N.C., March 2013. O’Shea, R., Texas Health Denton. Investing Upfront and Along the Way: Nursing Residents Leading the Pathway to Excellence. National Versant Client Conference, Long Beach, Calif., November 2013. Phillips, M., Texas Health Dallas. Bringing it All Together: The Pre-op Patient. 37th State Conference of the Texas Association of PeriAnesthesia Nurses, Grapevine, Texas, October 2013. Libby Morse, R.N., Texas Health Dallas Reeves, M., Texas Health Dallas. Improving Outcomes, Performing Newborn Procedures at the Bedside. Texas Woman’s University Sigma Theta Tau, February 2013. Sellar, J., Texas Health Dallas. Identifying Patients at Low-Risk and High-Risk for Post-Operative Urinary Retention on the Same Day Surgery Unit. Texas Woman’s University Sigma Theta Tau, February 2013. Stengem, D., Texas Health Fort Worth. Interventions to Improve Patient Perceptions of Nurse Communication. CNL Summit, New Orleans, La., January 2013. Wilson, M.; Schenk, E.; Corbett, C.; all of Texas Health Dallas. Creating Win-Win Research Collaborations Between Academic and Practice Settings. ANCC National Magnet Conference, Orlando, Florida, October 2013 30 Wilson, M.; Roll, J.; Corbett, C.; Barbosa-Leiker, C.; all of Texas Health Dallas. Empowering Patients with Persistent Pain Using an Internet-based Self-Management Program. American Society of Pain Management Nursing 23rd National Conference, Indianapolis, Ind., October 2013. Wilson, M.; Thompson, A.; James, T.; Symbal; Izumi, S.; all of Texas Health Dallas. Implementing Nurse-Delivered Massage to Address Pain & Distress Among Hospitalized Inpatients. American Society of Pain Management Nursing 23rd National Conference, Indianapolis, Ind., October 2013. Poster Presentations Adams, R., and Salone, C., both of Texas Health Southwest. Multidisciplinary Rounding. CNL Summit, New Orleans, La., January 2013. Alexander, G., and McWilliams-Ross, K., both of Texas Health Fort Worth. Utilizing the Predictive Model for Delirium in Geriatric Hip Fracture Patients. NAON 33rd Annual Congress, San Antonio, Texas, May 2013. Asturi, E., Texas Health Dallas. Improving Nurse Leader Job Satisfaction. 2013 Summer Institute of Evidence-Based Practice, San Antonio, Texas, July 2013. Improving Nurse Leader Job Satisfaction through a Comprehensive Reflection Program. Nursing Management Conference, Chicago, Ill., September 2013. Baldwin, K.M.; Black, D.L.; Hammond, S.L; all of Texas Health Cleburne. Hospital-Based Post-Discharge Community Case Management in Rural Texas— Update. Texas Hospital Association’s 2013 Annual Conference and Expo, Austin, Texas, February 2013. Bates, C.; Charmaine, S.; Marshall, A.; all of Texas Health Plano. Discharge Check-Back: The 5 D’s of Discharge, A Toolkit for Patients who are Going Home. AONE Care, Innovation and Transformation Meeting, Chicago, Ill., September 2013. English, A.; Smart, D.; Wilson, M.; all of Texas Health Dallas. Compassion Fatigue and Satisfaction: A Crosssectional Survey Among U.S. Health Care Workers. ANCC National Magnet Conference, Orlando, Florida, October 2013. Gaban, E., and Wells, M., both of Texas Health Plano. Poster presentation. Association of Women’s Health, Obstetrics, and Neonatal Nurses. Heeps, L., Texas Health Fort Worth. Improving Patient Outcomes by Reducing Stroke Core Measure Variances in the Neurological ICU. AANN National Convention, Charlotte, N.C., January 2013. Inman, C., Texas Health Plano. MRSA Screening. NAON 33rd Annual Congress, San Antonio, Texas, May 2013. Johnson, N., Texas Health Dallas. Patients’ Bath Basin: Friend or Foe? Association of Professionals in Infection Control and Epidemiology, Ft. Lauderdale, Florida, June 2013. Kaur, G.; Danielson, B.; Williamson, S.; all of Texas Health Dallas. Decreasing the Incidence of Central-Line Associated Blood Stream Infections Using Alcoholimpregnated Port Protectors in a Neonatal Intensive Care Unit. Association of Professionals in Infection Control and Epidemiology, Ft. Lauderdale, Florida, June 2013. Kelly, P.; Morse, R.; Cooper, S.; all of Texas Health Dallas. What is the Optimal Cabinet Warming Temperature for Cotton Blankets? International Conference of PeriAnesthesia Nurses, Dublin, Ireland, September 2013. Kelly, P.; Nakashima, C.; Thenayan, R.; all of Texas Health Dallas. Evidence-Based Practice Answers at the Bedside in Less than 10 Minutes: Google be Gone. ANCC National Magnet Conference, Orlando, Florida, October 2013. Hendrickson, D.; Levine, B.C.; Vernino, S.; all of Texas Health Dallas. Drug Interaction Mimicking Sympathetic Nervous System Failure. 24th International Symposium on the Autonomic Nervous System, Big Island, Hawaii, October 2013. 31 Kelly, P., and Nitsos, A., both of Texas Health Dallas. Evidence & Practice: A Fall Reduction Program Using Implementation Science. ANA Quality Conference, virtual poster, February 2013. International Delta Theta Nursing Research Day, Arlington, Texas, April 2013. 42nd Annual Biennial Convention for Sigma Theta Tau International in Indianapolis, Ind., November 2013. Lee, J., and Kelly, P., both of Texas Health Dallas. Reducing Inpatient Chemotherapy Direct Admission Wait Time: A Lean Six Sigma Approach. ONS Congress, Washington, D.C., May 2013. True, B., and Jones, L., both of Texas Health Arlington Memorial. The Effect of Participation in an Online Journal Club on NICU Nursesâ€™ Use and Confidence of Evidence-Based Practice. Annual Sigma Theta Tau International Delta Theta Nursing Research Day, Arlington, Texas, April 2013. Matawaran, J., Texas Health Plano; Newcomb, P., Texas Health Fort Worth; Walsh, J., Texas Health Plano. Evaluating Staff Perception of Palliative Care. ANCC National Magnet Conference, Orlando, Florida, October 2013. McCorstin, P., Texas Health Dallas. An Interdisciplinary Approach to Reducing VAP in the MICU. 2013 Summer Institute of Evidence-Based Practice, San Antonio, Texas, July 2013. McWilliams-Ross, K., Texas Health Fort Worth. Improving Care in the Geriatric Hip Fracture Population Utilizing the Predictive Model for Delirium. ANCC National Magnet Conference, Orlando, Florida, October 2013. Uytico, F., Texas Health Dallas. Effective Use of Core Stroke Measures to Improve Stroke Patient Care. CNL Summit, New Orleans, La., January 2013. Weber, L.; Erickson, C.; Miller, E.; Potts, M.; Askins, D.; Johnson, T.; Haddad, H.; Norment, S.; Davis, Z.; Williams, I.; all of Texas Health Southwest. Nursing Buddy System. AONE Care, Innovation and Transformation Meeting, Chicago, Ill., September 2013. Mitchell, J., and Grajczyk, A., both of Texas Health Southwest. Versant Liaisons: Lessons Learned. Versant Client Conference, Long Beach, Calif., November 2013. Muska, S., and Riise, L., both of Texas Health Fort Worth. Multidisciplinary Collaboration to Decrease the Door to Needle Time in the ED. AANN National Convention, Charlotte, N.C., January 2013. Ritter, D., Texas Health Fort Worth. Improving Outcomes by Creating a Patient Centered Culture. AANN National Convention, Charlotte, N.C., January 2013. Sleutel, M.; Larrimore, J.; Biglione, S.; all of Texas Health Denton. Improving Post-Operative Pain Management: A Multi-Disciplinary Project. ANCC Pathway to Excellence Conference, San Antonio, Texas, May 2014. Stark, D.; Dunn, L.; Fogarty, S.; all of Texas Health Dallas. Improving Processes to Promote Better Utilization of Nursing Time. 2013 Summer Institute of Evidence-Based Practice, San Antonio, Texas, July 2013. Sundstrom, G., Texas Health Dallas. Factors Associated with an Increase in 30-Day Readmission Rate for Congestive Heart Failure. 17th Annual Scientific Meeting of the Heart Failure Society of America, Orlando, Florida, September 2013. Torres, K., Texas Health Fort Worth. Improving Outcomes in Total Joint Patients through Multidisciplinary Collaboration. NAON, San Antonio, Texas, May 2013. True, B., and Newcomb, P., both of Texas Health Arlington Memorial. Maternal Knowledge and Attitudes Regarding State Retention of Dried Blood Spots from Newborn Screening in Texas. Southern Nursing Research Society 27th Annual Conference, Little Rock, Ark., February/March 2013. Annual Sigma Theta Tau 32 Ashley Neal, R.N., C.N.L., and Marsha Howard, R.N., C.N.L., both of Texas Health Denton had posters on display at the CNL Summit. Leadership Kathy Baldwin, Ph.D., R.N., ACNS-BC, ANP-BC, GNP-BC, CEN, FAAN, nurse scientist at Texas Health Cleburne and Texas Health Southwest, chair of CNS Foundation; APN Advisory Council for Texas Board of Nursing; Fellow of the American Academy of Nursing. Peggy Brady, B.S.N., R.N., CEN, Texas Health Arlington Memorial, president-elect of the Emergency Nurses Association. Kathy Dykes, M.S.N., R.N., Texas Health Fort Worth, chair of Society of Clinical Research Associates, Dallas Fort Worth Chapter. Anne-Gret Friedrich-Cuntz, M.S.N., R.N., CMSRN, Texas Health Arlington Memorial, president of the DFW Association for Nursing Professional Development. Sheri Hammond, R.N., ACNS-BC, Texas Health Cleburne, nominating committee of TxCNS. Lynne Brown, B.S.N., R.N., CNOR, Texas Health HEB, president of AORN, Mid-Cities Chapter. Michelle Hampton, M.S.N., R.N., CCRN, Texas Health Fort Worth, delegate to the House of Delegates of the Texas Nurses Association, District 3. Mary Carrizalez, B.S.N., R.N., M.B.A., RNC-NIC, CCRN, Texas Health Arlington Memorial, board member of the Perinatal Nursing Symposium for the Academy of Neonatal Nurses. Betty Haywood, B.S.N., R.N., Texas Health Fort Worth, president of Association of Women’s Health, Obstetrics, and Neonatal Nurses Tarrant County, Fort Worth, Cowtown Chapter. Joan Clark, D.N.P., R.N., NEA-BC, CENP, FACHE, FAAN, senior vice president and chief nurse executive, Texas Health Resources: • Board member – AONE Region 7; Membership Committee, co-chair; System Chief Nurse Executive Steering Committee; AONE representative for the AACN’s Clinical Nurse Leader Steering Committee; Value of Nursing Task Force chair; all for American Organization for Nurse Executives • Bylaws Committee, Texas Organization of Nurse Executives • Fellow Selection Committee, American Academy of Nursing • Regional Policy Board representative – Region 7, American Hospital Association • Communications Committee, North Texas Chapter of the American College of Healthcare Executives Lynda Heeps, B.S.N., R.N., Texas Health Fort Worth, president of American Association of Neurological and Neurosurgical Nurses, Central Texas Chapter. Janet Craun, R.N., CNOR, Texas Health Southwest, treasurer of AORN, Fort Worth Chapter; delegate to AORN National Convention. Sheree Henson, M.S.N., R.N.-BC, Texas Health Southwest, board member of Texas Nurses Association, District 3; member of TNA State Committee for Continuing Nurse Education; DFW Great 100 Committee. Sheree Henson, M.S.N., R.N.-BC, Texas Health Southwest Linda Humphries, M.S.N., ACNS-BC, CCRN, Texas Health Southwest, board chair of the Membership Committee of the Texas Clinical Nurse Specialists. Lynn Kelley, M.S., R.N., E.A.N., Texas Health HEB, chair of Governmental Affairs for the Texas Emergency Nurses’ Association. Janet Craun, R.N., CNOR, Texas Health Southwest Cleo De Guzman, R.N., Texas Health HEB, secretary of the Oncology Nurses’ Society, Fort Worth Chapter. Kirsten Drake, M.S.N., R.N., ONC, NEA-BC, Texas Health Fort Worth, co-chair of the Oncology Nurses’ Society, Fort Worth Chapter. Becky Law, B.S.N., R.N., Texas Health Fort Worth, member of the National Conference Committee of the United States Lactation Consultants Association. Rita Lindbom, R.N., Texas Health HEB, treasurer for the Oncology Nurses’ Society, Fort Worth Chapter. Monique Lounethone, R.N., Texas Health HEB, newsletter writer for the Oncology Nurses’ Society, Fort Worth Chapter. 33 Anne Mattern, B.S.N., R.N., CNOR, Texas Health Fort Worth, treasurer of Association of Perioperative Registered Nurses, Fort Worth Chapter. DeVonna McNeil, M.S.N., R.N., RNC-OB, R.N.-BC, Texas Health Fort Worth, member of the Continuing Education Committee of the Texas Nurses Association. Elaine Nelson, M.S.N., R.N., CCRN, NEA-BC, Texas Health Fort Worth, member of board of directors of Texas Nurses Association, District 3. Elaine Nelson, M.S.N., R.N., CCRN, NEA-BC, Texas Health Fort Worth Lucy Norris, M.S., R.N., CENP, Texas Health HEB, president of the North Texas Organization of Nurse Executives; TONE board member. Rebecca O’Shea, R.N., M.S., OCN, AOCNS, CBCN, Texas Health Denton, board member of the ONCC. Debbie Phillips, M.S.N., R.N., FNP-BC, Texas Health Fort Worth, vice president of Texas Nurses Association, District 3. Tammy Quattrochi, R.N., Texas Health HEB, president of the Oncology Nurses’ Society, Fort Worth Chapter. Jessica Maack-Rangel, B.S.N., R.N., M.S., Texas Health Fort Worth, member of the national board of directors of the Professional Patient Advocacy Network. Florence Raquepo, B.S.N., RNC-NIC, CCAP, Texas Health Fort Worth, president of the National Association of Neonatal Nurses, Fort Worth Chapter. Sue Sebazco, R.N., M.B.S., CIC, Texas Health Arlington Memorial, State of Texas advisory panel member of the Health Care AssociatedInfections/Preventable Adverse Events. Sue Sebazco, R.N., M.B.S., CIC, Texas Health Arlington Memorial Mary Joy Spears, R.N., C.N.L., Texas Health Cleburne, treasurer of TNA. Barbara True, M.N., CNS, RNC-OB, C-EFM, Texas Health Arlington Memorial, member of the 2013 State Conference Planning Committee for the Association of Women’s Health Obstetric and Neonatal Nurses. Research Barriers to Discharge to Primary Care— Hardman, B., and Newcomb, P., both of Texas Health Azle Beliefs and Values that Influence Parental Attitudes Towards Newborn Screening and Bloodspot Retention — Newcomb, P., Texas Health Fort Worth, Texas Health Azle and Texas Health Specialty Hospital; Sleutel, M., Texas Health Arlington Memorial and Texas Health Denton; True, B., Texas Health Arlington Memorial; Walsh, J., Texas Health Plano Colorectal Cancer and Family History Assessment in the Gastroenterology Unit: Current Practices and Staff Knowledge and Attitudes — Kelly, P., Texas Health Dallas, and Baldwin, K., Texas Health Arlington Memorial Comfort and Safety of Cotton Blankets Warmed at 130 Degrees F and 200 Degrees F—Kelly, P.; Crandall, C.; Kroch, M.; Balluck, J.; Morse, E.; Rush, D.; Cooper, S.; Sands, T.; all of Texas Health Dallas Decision Validity, Feasibility and Usefulness of the Vaginal Delivery Safety Checklist— Cochrane, C., Texas Health Arlington Memorial; Newcomb, P., Texas Health Fort Worth, Texas Health Azle and Texas Health Specialty Hospital; Sleutel, M., Texas Health Arlington Memorial and Texas Health Denton; True, B., Texas Health Arlington Memorial Depression Screening in Primary Care Utilizing Tablet Based Application for the PHQ-9— Secrest, L., and Hill, C.A.,Texas Health Physicians Group, in collaboration with UTSW Medical School Does Music Soothe the Soul in the Neonatal Intensive Care Unit? — Bruton, C., and Behan, D., both of Texas Health HEB Effects of Training Methods on Domestic Violence Screening Among Emergency Room Nurses (under IRB review) — Bentley, P.; McMillan, R.; Sleutel, M.; Syed, F.; True, B.; all of Texas Health Arlington Memorial; Krauser, D., and Newcomb, P., both of Texas Health Fort Worth Effects of Walking and Breathing Exercise Program for Individuals with Heart Failure (under IRB review) — Suh-Jen, L., Texas Woman’s University; Miller, K.; Wilson, M.; Berk, M.; all of Texas Health Dallas 34 An Evaluation of Clinical Values of Patients Admitted Twice within 30 Days with Heart Failure — Sundstrom, G., and Berk, M., both of Texas Health Dallas Evidence-Based Practices and Research Knowledge Among North Texas Nurses (under IRB review) — Wilson, M., Texas Health Dallas Expanding RN Scope of Practice: Method for Introducing New Competency into Practice (MINC— Genomics) — Hampton, M., Texas Health Fort Worth; Kelly, P. and Edmonson, C., both of Texas Health Dallas How Can RN-delivered Massage Impact Professional Quality of Life for Nurses?— Wilson, M., Texas Health Dallas Medication Adherence Quality Improvement Utilizing a Medication Fulfillment Data Exchange Platform and Adherence Estimator — Hill, C.A., Texas Health Physicians Group Nurses as Teachers: Are they Competent in Teaching? (under IRB review) — Friedrich-Cuntz, A.G., Texas Health Arlington Memorial SAFE Study (Study of Attitudes and Factors Affecting Infant Care Practices) — George, V.; Ordonez, G.; Senior, J.; Thurab-Hunte, F.; Walsh, J.; all of Texas Health Plano Safe Zone Implementation in Contact Isolation Patient Rooms — Stengem, D.; Hafley, J.; Newcomb, P.; all of Texas Health Fort Worth More than 100 employees participated in a research poster reception at Texas Health Harris Methodist Hospital Fort Worth on Oct. 29. Systemwide Survey of Evidence-Based Practice and Research — Baldwin, K., Texas Health Southwest and Texas Health Cleburne; Behan, D., Texas Health HEB; Moore, P., Texas Health Stephenville; Newcombe, P., Texas Health Fort Worth, Texas Health Azle and Texas Health Specialty Hospital; Sleutel, M., Texas Health Arlington Memorial and Texas Health Denton; Walsh, J., Texas Health Plano; Wells, J., Texas Health Resources and Texas Health Alliance; Wilson, M., Texas Health Allen, Texas Health Dallas and Texas Health Kaufman Testing a Journal Club for Health Care Professionals — Wilson, M., Texas Health Dallas Use of Essential Oil Therapy in Hemodialysis Patient during Treatment to Reduce Anxiety — Markish, M., and Behan, D., both of Texas Health HEB What do Patients Perceive as Quietness of a Hospital? — Mumbai, M. and Behan, D., both of Texas Health HEB Wired to the Workplace (under IRB review) — Gardner, C.; Hailey, A.; Heeps, L.; Prichard, C.; all of Texas Health Fort Worth; Moore, P., Texas Health Resources; Nguyen, C., Texas Health Dallas; Quillin, R.; Sleutel, M.; Texas Health Arlington Memorial; Walsh, J., Texas Health Plano 35 Improving the health of the people in the communities we serve Texas Health Resources is one of the largest faith-based, nonprofit health systems in the United States. The health system includes Texas Health Physicians Group and hospitals under the banners of Texas Health Presbyterian, Texas Health Arlington Memorial, Texas Health Harris Methodist and Texas Health Huguley. Twenty-five acute-care, transitional, rehabilitation and short-stay hospitals are owned, operated, joint-ventured or affiliated with Texas Health Resources. Additionally, the system includes 34 outpatient facilities and more than 250 other community access points.