Error loading player: No playable sources found

P091

Implementing the Kidney Allocation System to Optimize the Kidney Transplant Waitlist


Ambulatory care (AC) clinical specialization and diverse practice sites often lead to registered nurses (RNs) working in “silos.” It is difficult for AC RNs to maintain a sense of camaraderie, professional community, and collaboration across disciplines, resulting in threats to nurse retention and potential burnout.
Purpose/goal: The overarching goal of this project was to examine whether implementing ambulatory care nursing grand rounds (ACNGR) promotes knowledge development, collaboration, and professional community among registered nurses.
Background: The ambulatory care nurse practice council (ANPC) performed a gap analysis focusing on the needs of AC RNs as part of the interdisciplinary team. A literature review was done focusing on ACNGR as a tool of episodic education and its positive effect on AC RN job satisfaction, morale, and team involvement. Additionally, a literature review was conducted that focused on the healthy work environment framework “true collaboration” standard.
Methods: Before NGR implementation, AC RNs were surveyed on their NGR topics of interest, and then a series of AC focused NGRs were conducted based on top choices from staff: emerging pathogens, disaster/emergency preparedness, and social determinants of health with aspects of burnout/resiliency interwoven. Two AC NGRs were held in May and July 2024 via a hybrid approach (in-person and virtual option). The third NGR is scheduled for November 2024. Pertinent annual employee engagement survey questions were reviewed pre- and post-ACNGR. In addition, post ACNGR surveys were collected and analyzed to measure success. We learned after the first ACNGR that more data was needed and added to our post-survey to obtain more useful information.
Results: By providing a forum to share clinical expertise and best practices via NGRs, RN attendees were engaged in learning and understanding topics pertinent to ambulatory care and expressed they can more effectively collaborate throughout and between teams. AC RNs felt the NGRs were beneficial and promoted reflection on practice, and most attendees stated that they learned something new. Due to challenges in meeting times, attendance, and accessibility related to the variability of clinic sites and staffing, the sessions were also posted internally online. While it remains a work in progress, after the third NGR, the overall results will be compiled and reported. Overall, there were several lessons learned. One lesson learned is that it would be beneficial to a permanent implementation of a sustained nursing grand rounds program.

Learning Objective

  • After completing this learning activity, the participant will be able to assess innovations being used by other professionals in the specialty and evaluate the potential of implementing the improvements into practice.

Speaker

Speaker Image for Nico Buan-Lagazo
Nico Buan-Lagazo, DNP, CNS, RN, AGCNS-BC, NEA-BC

Related Products

Thumbnail for Using RN Referral Triage to Increase Efficiency of Cardiology Referrals
Using RN Referral Triage to Increase Efficiency of Cardiology Referrals
Description: Appropriately timed access to medical specialist care for evaluation and non-emergent procedures is critical in achieving better health outcomes and reduced health care costs for patients…
Thumbnail for Schedule a Video at Every Discharge (SaVED)
Schedule a Video at Every Discharge (SaVED)
Purpose: The Veteran Health Administration established the two-day post-discharge contact ratio in 2010, with a national goal of 75% to improve care transitions, facilitate optimal health outcomes, and reduce readmission rates…
Thumbnail for Improving Patient Experience with Epic Text Message System
Improving Patient Experience with Epic Text Message System
A positive patient experience is closely linked to better patient outcomes, increased employee satisfaction, and financial benefits for healthcare organizations…
Thumbnail for Enhancing the Efficacy of Depression Screening within the Ambulatory Care Setting
Enhancing the Efficacy of Depression Screening within the Ambulatory Care Setting
Learning objective: Explain the systematic approach devised and change management required to conduct annual depression screenings in ambulatory care adult specialty clinics to address the growing mental health crisis and improve patient experience and outcomes in addition to exemplify this healthc…
Privacy Policy Update: We value your privacy and want you to understand how your information is being used. To make sure you have current and accurate information about this sites privacy practices please visit the privacy center by clicking here.