Nobl Insights

The AONE Tradition

Attending the AONE annual meeting has become a tradition for me since 2007. The opportunity to network with other nursing leaders and colleagues and to attend presentations by nationally and internationally known speakers makes this one a priority for many. Having worked as a conference planner in my early days as a CNS, I respect the work it takes to orchestrate one of these events and create the seamless experience for the attendees.

As our opening keynote, Brene’ Brown pointed out, nursing leadership is the “trifecta of hard” because nurses “see a disproportionate number of bad things” through which we must support and guide them. Getting away to a conference offers a break from the pressures of the role. I realized how much they need it when I watched some of the most renowned nursing legends cutting loose on the dance floor or giggling with friends as they created the best-ever ice cream sundae at the President’s Party.

Nursing leadership is the “trifecta of hard” because nurses “see a disproportionate number of bad things” through which we must support and guide them.

In the 10 years that I have attended, the demographic of attendees has become increasingly younger as executive nursing leaders are mentoring and supporting their nurse managers and directors to attend, network, and learn from the best. At Nobl Health, we visited with over 400 leaders who attended our exhibit to “take a shot” and see what our platform can do to digitalize hourly rounding, nurse leader rounding, and customer service recovery.

The nursing educator in me was interested to observe the nursing managers who attended our product demonstrations. I haven’t seen so many “ah ha” moments since my days teaching nursing fundamentals and watching students master their first injections. These busy leaders saw how Nobl’s customized tools can automate and eliminate the redundancies of entering a room, taking hard copy notes, following up with data entry, and manual tracking of issue resolutions. They saw what I see every day – this is the BEST time-management toolbox that nursing executives can provide to support their nursing managers. Invest in the next generation of nurse executives today!

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

Learn more about Nobl's Service Recovery Tool

My Experience Implementing Hourly Rounding in a Healthcare System

I remember vividly the day in early 2007 when the President of our health system called together a patient experience team to discuss a mission critical priority. I was being asked to co-lead the roll-out of hourly rounding simultaneously on 28 inpatient acute care units (including critical care) across five hospitals. Based on the results of a Studer Group study, the Executive Leadership Team was convinced that this nursing evidence based practice would fix our patient satisfaction scores before the end of the fiscal year.

My HR/Marketing co-chair and I adopted a “project-in-a-box” methodology to give the unit managers tools to customize for the unique needs of their unit. We made the unfortunate assumptions that nurse managers had project management expertise and they would include unit educators/CNSs. Things snowballed from there: Managers and bedside staff resented “the higher ups” telling them how to care for their patients, dry erase rounding boards ruined walls behind them, paper rounding logs became a “check box” exercise at shift’s end to stay off the naughty list, and ICU nurses documented every patient encounter – sometimes five times per hour. The end-users had missed the real purpose of consistent, purposeful interactions with patients to build trust, provide comfort, and to make them genuinely feel that staff cared.

Four weeks later we regrouped and started over – from bottom to top – by guiding interprofessional unit-based groups to define their service excellence goals, to wow patients and to determine what would work best for their team. The toolkit was re-evaluated, some pieces retained and rounding logs were replaced with door clocks. Leaders agreed to regularly assess and support project compliance, and educators/CNSs became non-punitive coaches providing real-time education, recognition and reinforcement.
The process stuck in a majority of areas and scores improved, but the compliance data available from the paper forms was inconsistent and not helpful. From The Two Most Important Quotes in Business , Peter Drucker said, “If you can’t measure it, you can’t improve it.” Many online tracking tools exist for nurse documentation, hourly rounding and leader rounding; but, Nobl is portable, intuitive, and supports rounding actions. Our portfolio goes beyond compliance to reward high performance, fix problems, coach staff, communicate with other stakeholders, and provide immediate service recovery! Nobl has also brought leader rounding on patients and employees into a single, customizable solution.

Learn from my mistakes – involve clinical staff in designing and implementing work flow improvements and also in the decision-making around technology support devices and software.

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

Learn how Vigilance™, Nobl’s purposeful rounding tool, enables frontline staff to proactively anticipate and meet patient needs.


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