Monday, June 28, 2010

Benner

“I was filling out the performance evaluation program and I just don’t know….
am I an expert or just competent? How do I tell?”

In late winter CKHA launched a new performance evaluation program, PEP for short. The nursing and allied health evaluation tools were developed using the work of Patricia Benner, who describes the different stages of professional growth and development using “Novice to Expert”. Benner notes all professionals will have expertise with certain tasks and knowledge throughout their careers but there are few true experts in any field as experts have the ability to always see the big picture, always think intuitively about all situations and are able to recognize and work through ethical dilemmas and situations as a matter of course in their professional world and this may take a lifetime of work to achieve.

“I’ve been here a lifetime…does that make me an expert according to Benner model?”

Benner suggests that most professionals will fall within the competent to proficient categories. Competent members of a profession think independently, are able to work autonomously in most complex professional situations and are able to recognize that a situation has ethical components and perform much of their work. Proficient professionals do much of their work intuitively, they have much experience and through those experiences are able see, feel, know and recognize new situations through those past experiences. They require little or no supervision in complex situations and are able to not only recognize ethical situations but have a developing ability to work through ethical issues.

“How long does it take to become competent or proficient?”

At CKHA we strive to have our professionals working to their maximum capabilities and hope everyone can master their profession to be competent or proficient. We also know that there are times when staff will function as novices or advanced beginners, just because of the nature of the work or because they are new to the environment or profession. Novices require clear direction and multiple supports, they are new to the profession or clinical area, can manage simple professional skills, they are learners. Advanced beginners continue to develop their skills, are starting to think independently, can manage situations with low to medium levels of complexity but still need mentorship to grow into fully functioning members of the profession. Advanced beginners usually move to becoming competent and proficient within 3 to 5 years of entering the profession.

“Are you telling me it is ok to not be an expert in all things even if I’ve been here for 30 years?”

Though it is admirable to aspire to develop expertise in an area, we also need to acknowledge it is okay to be competent; with in the Benner model competent is not mediocre but what patients expect and need. So as you complete your next evaluation, no matter what your job or role is, challenge yourself to look for opportunities for professional growth, be realistic about who you are and what you bring to the organization, and seek out feedback. Take advantage of the PEP process and recharge your professional career by meeting with your manager and Professional Practice nurse to look for new opportunities to enhance your practice, scope of care and professional knowledge.

Wednesday, June 23, 2010

7th Annual Stroke Garden Party Reunites Survivors, Families and Caregivers

Continuing Care Program is hosting a Stroke Garden Party at Chatham-Kent Health Alliance on Friday, June 25, 2010 from 1 – 3:30 pm. Dozens of former stroke patients are expected to attend and share their personal stories with each other. They will enjoy displays, entertainment, prizes and refreshments at the tented, riverfront venue.

The Stroke Garden Party is hosted by the Chatham-Kent Health Alliance in partnership with the Heart and Stroke Foundation of Ontario Mission Committee and is free of charge.

For more information, visit:

http://bit.ly/bjD9Eo

Monday, June 21, 2010

Better Information Better Care Better Outcomes

On May 17, 2010 CKHA welcomed Elizabeth Krestick, the Regional Coordinator of HOBIC (Health Outcomes for Better Information and Care) program. HOBIC is an exciting provincially funded initiatives that will help us measure the impact of our professional care on the health outcomes of our patients. Only hospitals that have computerized charting are able to participate. Our CKHA charting screens were updated to be able to capture the standardized information from the HOBIC questions. HOBIC information will shed light on the impact of care on a patient’s clinical status. The interprofessional team will have access to the HOBIC information in real time. The information will also assist us in the evaluation and measurement of some of our key projects such as RNAO best practice guidelines and our accreditation Required Operational Practices (ROPs) such as falls prevention. CKHA can expect our first meaningful data from HOBIC in the early fall. We look forward to how this new information will help us to provide better care in the moment and plan for better health outcomes for the people we serve.

Philip Taylor, Professional Practice-Corporate is the CKHA HOBIC lead. In our first phase education sessions will begin on June 9th for our medicine program staff and July 15th for our complex continuing care. The go-live date for the medicine program is June 22nd and the complex continuing care go-live date is July 26th. The education is separate for these two groups as the HOBIC measures are different, recognizing the difference in these patient populations.

Thursday, June 10, 2010

Congratulations Leadership Academy Participants

May 26, 2010 was “Graduation Day” for the first ever CKHA Leadership Academy. Nineteen frontline staff, all of whom work as a Unit Clinical Leader or take the “charge role” on our clinical units participated in 10 educational sessions directed towards development of personal and professional leadership knowledge and skills.

Professional sessions included such topics as leadership theory, governance of healthcare organizations, roles and accountabilities of leadership. The personal growth topics covered emotional intelligence of leadership, personal styles of leadership, and change management. Discussions were often dynamic and thought-provoking for both the participants and course facilitators.

During the graduation ceremony, each participant was given the opportunity to describe one of the most important learning’s for them. Comments included the opportunity to network and put a face to the name in different units; the time to reflect upon what is the same yet different in each of the clinical areas; and the chance to do a personal inventory of leadership skills - both strengths and weaknesses - which could be applied to both home and work situations. One member of the group indicated it was great that the education was not about giving “pat” answers but rather about exploring, listening and hearing about others’ experiences and then being able to take the information and make it practical to the nursing units. The ceremony ended with presentation of certificates and cake for everyone.

One of the messages we heard throughout the sessions was the importance of relationships between units and how over years due to the busyness of the important work we do, we have not taken the time to build relationships. The group noted they would like to continue to meet both for education and for networking to maintain the important relationships they had developed. The formal leadership team has committed to make this happen and the next session is booked for October. As well, the intent is to roll the program out into a broader intra-professional model to include frontline leaders throughout CKHA in both clinical and support services.

On behalf of the professional practice team, and myself, thank you to all of our internal “experts” and external presenters for sharing your knowledge and skills. Appreciation as well to the managers and directors for making it possible for staff to attend. And to our graduates..... Way to go...great work...it is team members like you who make CKHA a great place to work!

Thursday, June 3, 2010

Best Practice Spot Light Organization: It’s not just for Nurses!

By now, most of you will know that CKHA is one of only 21 Registered Nurses’ Association of Ontario (RNAO) Best Practice Spotlight Organizations (BPSO). As a BPSO, we are tasked with demonstrating creative ways to successfully use best practice guidelines, evaluate their use and measure the outcomes for research and improved patient care as well as share lessons learned with other organizations. Best Practice Guidelines (BPG) are not just for nurses; they are also highly applicable to care provided by the inter-professional team.

At our quarterly BPG Breakfast for Champions held on May 12, the Emergency and Mental Health & Addictions program representatives demonstrated expertise in promoting client centred care. Hazel McDonald spoke of some of her experiences in the Honduras, and Becky Elgie spoke of her very unique role with the CK Police Service with caring for those with mental health disorders in our community. Ann Marie "Cookie" Stokes from the Emergency Department at Sydenham Campus shared a photo slide show and presented on her experiences with a care team in Haiti last year. And finally, Michelle O’Rourke spoke about her experience as an author of a book about spirituality in palliative care. It was a good morning of pride, fellowship and camaraderie.