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P076
Re-Educating Nurses Is Not the Answer: Using a Supportive Leadership Strategy to Improve Quality of Care
Purpose: To examine the effect of a nurse manager-led supportive leadership strategy/intervention focused on nurse quality of care.
Description: Nurses are more likely to be engaged in their work when their managers are perceived as supportive. The greater the support nurses perceive from their managers, the more the entire organization is perceived as supportive. Nursing work engagement is associated with improved job performance, patient satisfaction, and quality of care.
Our ambulatory care system requires a repeated measurement before clinic discharge when a patient has an elevated blood pressure (BP) reading (>140/90). In January 2024, compliance with this policy was less than 5% in our pulmonology (PC), rheumatology (RC), and gastroenterology (GC) clinics. Re-educating health professionals in measurement techniques and timing has not been found to improve BP measurement.
Methods: The pre-intervention measurements occurred in January 2024. Post-intervention measurements occurred in February, April, and June 2024. Data was obtained from a de-identified Epic audit dashboard. Nurse manager employee support and engagement intervention included: February 2024: Staff education about the importance of re-measuring elevated patient BP. March-April 2024: Implementation of a staff-selected solution for high BP re-measurement rate for each clinic. May-June 2024: Sharing of each clinic’s improving scores via a monthly newsletter sent to all three clinics.
Nurse quality of care: Measured by percentage of initially elevated patient blood pressure measurements that were re-evaluated before clinic discharge in the pre- vs. post-intervention period.
Outcomes: Nurse quality of care: Percentage of elevated BP rechecks in four clinics: January 2024 (pre-intervention) 0.87-4.74%; February 2024 (education only) 0.00-2.34%; March (clinic-identified solution added); April 2024 18.15-34.09%; May 2024 (results feedback added); June 2024 49.18-63.64%.
Evaluation: Similar to previous research, re-educating health professionals in measurement techniques and timing did not improve BP measurement. Allowing staff to select the solution in each clinic appeared to foster buy-in and improved repeated measurement of elevated BP readings. Providing feedback about progress within and across clinics created additional policy compliance.
Description: Nurses are more likely to be engaged in their work when their managers are perceived as supportive. The greater the support nurses perceive from their managers, the more the entire organization is perceived as supportive. Nursing work engagement is associated with improved job performance, patient satisfaction, and quality of care.
Our ambulatory care system requires a repeated measurement before clinic discharge when a patient has an elevated blood pressure (BP) reading (>140/90). In January 2024, compliance with this policy was less than 5% in our pulmonology (PC), rheumatology (RC), and gastroenterology (GC) clinics. Re-educating health professionals in measurement techniques and timing has not been found to improve BP measurement.
Methods: The pre-intervention measurements occurred in January 2024. Post-intervention measurements occurred in February, April, and June 2024. Data was obtained from a de-identified Epic audit dashboard. Nurse manager employee support and engagement intervention included: February 2024: Staff education about the importance of re-measuring elevated patient BP. March-April 2024: Implementation of a staff-selected solution for high BP re-measurement rate for each clinic. May-June 2024: Sharing of each clinic’s improving scores via a monthly newsletter sent to all three clinics.
Nurse quality of care: Measured by percentage of initially elevated patient blood pressure measurements that were re-evaluated before clinic discharge in the pre- vs. post-intervention period.
Outcomes: Nurse quality of care: Percentage of elevated BP rechecks in four clinics: January 2024 (pre-intervention) 0.87-4.74%; February 2024 (education only) 0.00-2.34%; March (clinic-identified solution added); April 2024 18.15-34.09%; May 2024 (results feedback added); June 2024 49.18-63.64%.
Evaluation: Similar to previous research, re-educating health professionals in measurement techniques and timing did not improve BP measurement. Allowing staff to select the solution in each clinic appeared to foster buy-in and improved repeated measurement of elevated BP readings. Providing feedback about progress within and across clinics created additional policy compliance.
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.
Speakers
Katelyn Brown, BSN, RN
Ross Mitchell, MSN, RN
Specialties
General
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