Dr. Sellars Educate

Hello Fellow Nursing Leaders!! We continue to press forward with meeting our FON goal to get 80% of all RNs BSN-prepared by 2020.  I am so impressed with the students that I teach at CSUF in the RN-BSN program.  They are so engaged about this topic, and really see the value in achieving this goal.  We've had a few discussions this semester and discussed the following about barriers/obstacles with achieving this great goal: Peer nurses that have more experience feeling threatened and increased bullying in the workplace Managers feeling anxious about losing the RN to another hospital/leadership Not enough opportunities to be involved in decision-making (this is a good problem, I think) Feeling of frustration about manager behaviors that don't align with our studies about leadership Where is your staff on the 80/2020 scale?  Do you know?  If you're a leader of a healthcare organization, I challenge you to find out today!! Until next time... Nurse Leader Today

As we continue to push Healthcare Reform forward, we are reminded about the accountability that healthcare providers and hospitals must take in the problems we have with healthcare.  Dr. Marty Makary reminds us of this in his book appropriately titled, "Unaccountable: What hospitals won't tell you and how transparency can revolutionize health care". We have to become more transparent in healthcare, and this book shares insight into this problem, and how it affects healthcare.  When we think about the CMS mandates related to patient outcomes and CORE measures, it certainly brings us closer to rewards being tied to outcomes, but consumers still need to be better educated about what this all means. I propose the following steps:    -"Healthcare Now: HN": develop community advocacy groups to get the word out about every CORE measure in laymen's terms and talk about discuss area hospital metrics    -1-stop Repository: put all of the metrics tied to reimburs

Happy New Year!!  The year 2013 will bring great changes, and challenges to healthcare.  One of the biggest focuses in healthcare continues to be the nursing environment.  There continues to be new evidence to support the need for healthcare workers to work in a collaborative manner to ensure quality patient care and a healthy work environment.  I attended a webinar this week presented by Dr. Linda Aiken who reported the following findings about nurse staffing, outcomes, and the work environment: According to the Practice Environment Scale (PES) nurses report that management is not responsive in resolving problems in patient care Each 1 patient in a nurse's workload is associated with 7% increased mortality (Aiken, 2011 "Medical Care") 38% of nurses have BSN that work at hospitals (range 0-80%) Patients in hospital with 50% BSN RNs have 15% lower odds on dying  Experience is not a substitute for education 41% staff nurses rated environment poor/fair (PES; Aiken, 2