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Session Details

Seeing Eye to Eye: Fostering Collaborative working relationships between night nurses and orthopedic residents

Track: Podium: Leadership

Session Number: S202
Date: Sun, May 31st, 2020
Time: 9:45 AM - 10:45 AM

Description:

As the Total Joint Center and Spine Surgery volume at our 237 bed Magnet designated organization grew, the nursing team also expanded, but many of the new clinical nurses on the night shift had less than 2 years’ experience. These Novice Nurses were eager to learn and provide excellent care, but they had limited resources on the night shift. Simultaneously, the orthopedic residents were also feeling the pain of the growing service lines and were covering more patients overnight than ever before. These two situations led to tension between the two professions.

Nursing and physician leadership coordinated an initial (and now ongoing) meeting to openly learn the challenges of one another and to consider how to successfully move forward. Through this group of novice night nurses and Post Grad Year 2s and 3s, creative, mutually beneficial solutions emerged, and relationships developed. Out of this group a structured call schedule, time-specific report-offs, and a tailored approach to night time concerns were created. Mutual respect developed. New technology was considered, leveraged, and implemented in an organized way because of the nurse-resident dyad structure that had been created. Additionally, the development of a nurse-driven protocol for over-the-counter patient needs was identified and supported, ultimately being adopted at all hospitals within the health system.

This presentation will review current literature related to MD-RN collaboration and teamwork education and how our institution applied concepts of effective communication and the hospital’s blended nursing care model (Benner Novice to Expert and Duffy Caring Models) to improve nurse and resident satisfaction and streamline avenues of communication during the evening and nighttime hours.
Sub-Categorization: Nursing Professional and Practice Issues
Session Type: Podium

Learner Outcome: The learner will identify areas of potential tension within the multidisciplinary team and identify ways to implement strategies to apply theory and mediate open dialogue within multidisciplinary groups.
Category: B
Sub-Categorization: Nursing Professional and Practice Issues
Session Type: Podium

Learner Outcome: The learner will identify areas of potential tension within the multidisciplinary team and identify ways to implement strategies to apply theory and mediate open dialogue within multidisciplinary groups.
Category: B

Speakers

Lead Presenter
Leigh Erin Hubbard, MS, RN , Program Manager, Total Joint Center
Lifespan, The MIriam Hospital
Presenter 2
Andee Manchester, RN
The Miriam Hospital
Presenter 3
Michael Mariorenzi, MD, MS

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