Nobl's blog

Creating Accountability and Ownership in Nursing

I’m currently working on a literature review to compile evidence and best practices around nurse leader rounding on patients and employees. It is interesting that with everyone jumping on the rounding bandwagon, very few of these published articles in this area are research. Instead, the journals abound with rounding case reviews or process improvement projects all geared toward HCAHPS as an outcome or gold standard of excellence. The value-based purchasing model has pushed patient satisfaction to a new level of importance in organizations, and attention must be paid to meeting expectations so that reimbursement dollars are not left on the table. But as an indirect measure of daily nursing activity, is this data effective in creating accountability and ownership in practice?

Among the case studies and PI projects are many seeking to “increase ownership and accountability” in nurses’ practice through individual scorecards and compliance rates with everything from pain management to lunch breaks. But do such individual scorecards improve compliance while also promoting engagement and pride in the job? Or do they create compliance from fear of retaliation or financial loss?

Some years ago, a hospital executive told me that the best cultures "pull" people toward outstanding outcomes rather than “pushing” them from behind as with a whip at their heels. In my years of consulting, I have visited high-performing units where outcomes are exemplary, turnover nearly non-existent, and missed work days are minimal – areas where coming to work is just so fun no one wants to miss it! This is accountability for the right reasons – love of patients and team, and pride in results. Most often these teams have reached this level of excellence because all members are involved in defining the goals, planning the activities, measuring success and helping all to grow. Providing these teams with flexible and customizable applications, like Nobl Health's rounding tools, supports their autonomy, recognizes their contribution, and respects their knowledge and expertise. Accountability can be encouraged through flexible, interfaceable, and easy to use nurse and leader rounding tools to reach a level of excellence.

Blog written by Dr.Teresa Anderson, EdD, MSN, RN, NE-BC, Chief Nursing Officer, Nobl

Our “Not Impossible” Lab of Nurse Rounding Tools

As a busy baby-boomer with two jobs and an elderly mother, who enjoys time with my husband and adult children, I have purposely avoided getting started watching YouTube, TED Talks, and other social media pursuits because I know that they can become a time drain. The information explosion is addictive! One of the plenary speakers at the 2017 AONE Annual Meeting was Mick Eberling, the founder of Not Impossible Labs. I was reluctant to admit that I had never heard of Mick or his lab, and was astounded to discover that he had become a media award-winner and humanitarian. Through his unorthodox approach to problem solving and the belief that it is absurd to think that any problem can’t be solved, he has helped a paralyzed man to draw and communicate, a young boy without arms to feed himself, and has plans for ways to help many others. In a nutshell, his team discovers an absurd need, commits to figure it out, tackles the impossible, doesn’t worry about permission and creates a solution.

He challenged us to “name something that is possible today that wasn’t impossible first.” That is how I feel about the nurse rounding tools that have been created by the team of talented individuals with whom I work at Nobl Health. When I rolled out hourly rounding and learned about leader rounding 10 years ago, no one even considered the possibility of being able to track the rounding, measure the compliance with the process, fix the issues encountered, or recognize the great service provided from a smartphone, tablet, or computer terminal. We were pretty happy with rounding clocks and logs. Oh, how times have changed!

Blog written by Dr.Teresa Anderson, EdD, MSN, RN, NE-BC, Chief Nursing Officer, Nobl

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