Spirlaing Upward Newsletter Issue 4
Transcription
Spirlaing Upward Newsletter Issue 4
Volume 2, Issue 4 http://spiralingupnursing.com August, 2012 Letter from the project director HRSA Newsletter – August 2012 Greetings friends – It has been a busy year for all. First, I want to thank you all for rallying around me as I experienced health issues this spring. I am thrilled to report that I am back on my feet and ready to continue spiraling upward with you. It is hard to believe that we are entering the fifth and final year of official HRSA – Division of Nursing sponsorship for our quality improvement collaborative to “Spiral Upward for Quality Practice and Quality Care”. While HRSA sponsorship of the project will come to an end July, 2013, it is HRSA’s expectation that partner hospitals will continue to thrive and to use the resources and new processes and structures introduced through the grant to continue to spiral upward to improve patient care and nursing practice – especially through increased staff nurse decisional involvement, communication and collaboration and civility and respect in the workplace. At the time of publication of this newsletter, three of our five “Spiraling Upward” partner hospitals have set the goal to attain Pathway to Excellence status from the American Nurses Credentialing Center (ANCC). As a preliminary step, the three hospitals sent representatives to attend the National Pathway to Excellence conference in Washington DC in May, 2012. These representatives returned to their respective organizations and as indicated in this newsletter, they are spreading the word. Donna and Gioia will set up a “brown bag” session via telephone for all interested partner hospitals to share and gather key information about this program and the process. The Meadville Medical Center in Meadville, PA, a partner hospital from our first initiative sponsored by HRSA (Building Capacity for Better Work and Better Care 2004-2009) became the first hospital on the east coast to attain Pathway status and folks from Meadville are now mentoring current partner hospitals who are taking this journey. I am pleased to report that another hospital from the Building Capacity initiative is formally making the “magnet journey” and is available to help others….along with the dedicated ANCC Magnet mentor hospitals that are working with all hospitals in our initiative to improve care and practice. In September 2012, the 13th collaborative meeting (between the 11 partner hospitals and 10 magnet mentor hospitals that participated in the 2 HRSA projects) the “self organized collaborative will take place at SusquehannaHealth System in Williamsport, PA. The organizing committee comprised of the representatives from the 11 partner hospitals and the magnet mentor hospitals has been working and meeting monthly and the program promises to be informative and enjoyable for all. Gettysburg Hospital has committed to hosting this impressive event in 2013 and Uniontown Hospital has stepped forward to serve as the host for the 2014 self organized collaborative! You are doing exactly what HRSA requested as a positive outcome of the two initiatives—taking responsibility for ensuring the growth and sustainability of the good work that you implemented during the first few years of the HRSA sponsorship. Please read through this newsletter for a sampling of all of the impressive hard work invested by both partner and magnet mentor hospitals during this fourth year of the project and the first year of “independent” work. You are demonstrating true engagement and your insights and journeys are inspiring. This fall, we administer the final staff nurse survey (five years of data) to track trends and give you data upon which you can develop your action plans to continue your work. We will be holding a brown bag conference call to gather “best practices” from you re: enhancing staff nurse participation in the final survey. Best wishes to you all as we begin year five and I look forward to seeing you in September at the “self organized collaborative meeting”! -Donna Havens, PhD, RN, FAAN, Project Director, Spiraling Upward Spiraling Upward In this Issue: Letter from the Project Director... p. 1 Wadsworth Inducted into American Academy of Nursing... p. 2 Uniontown Hospital Reports... p. 3 ANCC Pathway to Excellence & Gettysburg Hosptial... p. 4 Collaborative #8 Awards placque presented to the Uniontown Hospital Team. Uniontown Project Site Coordinator, Lea Walls, is shown holding the placque. Wadsworth Inducted into American Academy of Nursing Barbara Wadsworth, MSN, RN, MBA, FACHE, NEA-BC, Senior Vice President, Patient Services of one of Spiraling Upward’s magnet hospital mentors, Abington Memorial Hospital, has been selected to be inducted into The American Academy of Nursing. The Academy announced that 176 nurse leaders have been selected to be inducted as Fellows during the Academy’s 39th Annual Meeting and Conference on October 13, 2012 in Washington, DC. The Academy is composed of more than 1,800 nurse leaders in education, management, practice, policy, and research. Selection criteria include evidence of significant contributions to nursing and health care and sponsorship by two current Academy Fellows. Applicants are reviewed by a panel comprised of elected and appointed Fellows and selection is based, in part, on the extent to which nominees’ nursing careers influence health policies and the health and well-being of all. Start an Appreciative Learning Circle... p. 5 Secret Good Deed... p. 5 Clarion Hospital Reports... p. 6 Upcoming Building Capacity Self Run Collaborative, September 13th and 14th... p. 6 Dr. Rumay Alexander excerpts from her Nursing Leader interview... p. 7 Charles Cole Memorial Hospital & ANCC Pathway to Excellence... p. 8 Western Pennsylvania Celebrating Nursing, Our Favorite Time of the Year... p. 9 Lehigh Valley Health Network Publishes Magnet Paper... p. 10 What’s New on the Spiraling Upward Website... p. 11 Spiraling Upward Project Info, Partners, Magnet Mentors & Objectives... p. 11 Barbara Wadsworth, MSN, RN, MBA, FACHE, NEA-BC Page 2 Volume 2, Issue 4 Uniontown Hospital Reports At Uniontown Hospital we are celebrating Nurses Week by unveiling our “Nursing Hall of Fame”. This will be a permanent display on our ground floor listing all certified nurses within University of Pittsburgh sponsors this opportunity to highlight nurses who go above and beyond the expectations of their work and have amazing stories of success. An annual dinner event is held Uniontown Hospital Site Coordinator, Lea Walls, (left) with Uniontown Hospital’s Magnet Mentor, Jacqueline Collavo, (right) of Western Pennylvania Hospital our organization. In addition, we will be including nurses to our “Nursing Hall of Fame” who were selected as a “Cameo of Caring”. Annually the Sandy Thorpe, the Uniontown Hospital Assistant Vice President of Nursing presents their Bedside Report Project at the Spiraling Upward Collaboraitive #8 where the recipients receive their impressive crystal statues. We are now in our second year with Unit Councils. Some councils are very refined and others just getting onto it. Our CRNA’s recently started their unit council and the chairperson has reported that it is a great addition for their team. We are planning an event in early June for all unit council members in which a one hour DVD from VHA will be shown called “Optimal Optimism…driving negativity OUT of the workplace” followed by a one hour panel discussion. Donna Connelly, an ICU nurse, who is pursuing her masters, will be kicking off our “Anti-bullying” initiatives. She is in the process of writing a baseline survey and then we can begin with class room education and our 12 week educational follow-up of postings in the nursing unit restrooms! Donna is on the HRSA Project Steering Committee. She is very enthusiastic to get started. Page 3 Nursing Leadership began Leadership rounding on patients in their departments on February 1st. Each Director/Team Leader visits ten patients per week and asks a set of questions which vary slightly on the discipline. The results are documented and the monthly report sent to the Chief Nursing Officer. This is of course a huge effort with huge positive outcomes. We are able to praise our staff specifically and more often. We are also able to immediately correct any negativity and positively turn the reputation of the organization with each encounter. We have a three year action and plan and many initiatives just waiting to be started. We plan to remain active with the first HRSA recipients and continue to make a difference at Uniontown Hospital. We are looking forward to hosting all of you in 2014 and wish you the BEST in your endeavors. -Lea Walls, Uniontown Hospital Spiraling Upward Site Coordinator “We are able to praise our staff specifically and more often. We are also able to immediately correct any negativity and positively turn the reputation of the organization with each encounter. ” Spiraling Upward ANCC Pathway to Excellence Conference and More from Gettysburg Hospital The Learning Collaboratives at the Penn Stater gave us the tools to support us as we continue to ‘climb the ladder’ on our journey to Pathway to Excellence recognition. The nurses at Gettysburg Hospital have woven communication & collaboration, decisional involvement, and cultural awareness Gettysburg Hospital’s “Learning Ladder” from Spiraling Upward Collaborative #8 sensitivity into their daily practice. Appreciative Inquiry stories continue to be told at meetings, through emails, and at events. This weaving has produced many sweet apples that have been appreciated by patients and staff. Through the work of Gettysburg Hospital (GH) nurses and collaboration with nurses from York Hospital, the Shared-Decision Making model Honoring retired Gettysburg Hospital Nurses during Nurses Week continues to strengthen the founda- of honor at the luncheon were retired tion for nursing practice. This work nurses from our community. They came includes Evidence-Based Practice edu- with their caps, capes, and many years cation and projects. It is a very exciting of service. The ‘youngest’ graduated in time in Gettysburg. 1944. These unsung heroes were appre GH nurses attended Learning ciative for the invitation though we are Collaborative #12 hosted by Dubois excited about establishing a collaboraRegional Medical Center. We recon- tive relationship that will range from nected with many old friends and made mentoring to sharing of knowledge at new friends. GH nurses are honored their quarterly meetings. to be participating in Learning Col- The learning collaboratives laborative #13 hosted by Williamsport continue to be a fount of knowledge we Regional Medical Center this fall. It is tap into each day to enhance our nursa wonderful opportunity for us as we ing practice resulting in positive patient prepare to host Learning Collaborative care outcomes and a sense of satisfac#14 in fall, 2013. tion for the nurses. What a wonderful Last fall, Dr. Rumay Alexan- gift! der was the guest speaker at the Alan Carroll Lecture at Gettysburg Hospital Announcements: with video conferencing to York Hos- We support Donna as she travpital. Everyone enjoyed the day and els the road to recovery; we send her acquired many pearls of wisdom to ap- our prayers and hugs. We congratulate ply to their nursing practice. Rumay on her honor – Nurse Leader! This fall, Dr. Donna Havens will be the guest speaker at the Alan - Janie Oyler, Gettysburg Hospital Carroll Lecture. We are on the final Spiraling Upward Site Coordinator stretch of making arrangements which will include, hopefully, participation by all three WellSpan hospitals. In early May, 4 nurses from Gettysburg Hospital attended the Pathway to Excellence conference in Arlington, VA. It gave us an opportunity to meet with our Meadville Medical Center mentors as well as to give a hug to Karen Parker who has shared her knowledge and expertise with us – thank you Karen! We also talked with Leigh and Patience from ANCC Pathway to Excellence - they are awesome! On May 7th, we started the celebration of Nurses Week with food, fellowship, and the Spirit of Nursing Janie Oyler, Angela Johnston, Marlene Crouse, and Kimberly Shank at the ANCC Pathway to Excellence Awards ceremony. Our guests Conference, May 2012 Page 4 Volume 2, Issue 4 Start an Appreciative Learning Circle Appreciative Learning Circles are a way for people to connect and generate positive change in themselves and their communities and families. It is a series of four 90-minute conversations that produce increased happiness. Group size is from 3-10 people. They are being done all over the world on a variety of topics: •Living with Multiple Sclerosis •Parenting •Women’s issues •Health and well-being •Career •Differently-abled •Juvenile Diabetes •Mental illness •Financial planning Jackie Kelm, “The Joy Engineer”, has an excellent workshop package at an affordable price, available to anyone who wants to lead a Circle. The package costs $347 with a license to print workbooks. Without printing rights, it’s $198. A neighbor and I recently invited four women who are making good things happen in Mount Gretna (our town). They did not all know each other, so we introduced them. They have bonded and begun thinking together about how to make our town an even more wonderful place to be. Another friend started a group for her 16-year-old daughter and three friends. The girls are graduating from high school and talking about all that’s involved in leaving home for college. They say the best thing is that the mom doesn’t “lead” the circle, they do! Check it out at the website listed. You might want to try one at the hospital, your place of worship, your neighborhood or with your family. http://appreciativeliving.com/start/ -Susan O. Wood, Appreciative Inquiry Consultant “Appreciative Learning Circles are a way for people to connect and generate positive change in themselves and their communities and families.” Secret Good Deed Susan O. Wood, AI Consultant How you act when no one notices is important, and in this exercise, you are asked to do something kind for someone else without attracting any attention to themselves or taking any credit whatsoever. The good deed can be small-like picking up trash in a neighbor’s yard or putting a coin in an expired parking meter-but it should be done anonymously or secretly. If done for a stranger, the stranger may see the deed being done, but the do-gooder should fade away as quickly and quietly as possible. If done for a friend or family member, the recipient should not know who performed Page 5 the deed. If asked about the good deed, the do-gooder should feign ignorance and change the subject. We are all pretty experienced at this vis-a-vis our bad deeds, those skills can probably be used to good effect here. - This activity is attributed to Christopher Peterson, professor of psychology at the University of Pennsylvania. -Susan O. Wood, Appreciative Inquiry Consultant Spiraling Upward Barriers and Obstacles; Clarion Hospital Reports Here at Clarion we’ve had some barriers and obstacles, but are moving ahead with the objectives of Spiraling Upward, using the tools we’ve gathered from Spiraling Upward to meet these challenges. Things have been hectic here with our management team. Two managers retired (both with over 40 years each!). The team has also had many personal issues to deal with (ill spouse, parent). Spiraling Upward site coordinator Missy Polito’s father passed last month after an extended illness. We are preparing for our Nursing Reception again this year for nurses week (where managers and physicians serve the staff). The staff from our council have really taken off with this and done an awesome job! Departments will be doing posters to outline their nursing department achievements over the past year. The posters will be on display for all to view. The physicians will vote on the “best poster” and that department will win a pizza party. We also have arrangements to send a team of 5 from our med-surg area to Pittsburgh to participate in the HAP Falls Initiatives Project. -Leslie Walters, CNO, Clarion Hospital Upcoming September, 2012 Building Capacity Self-Run Collaborative The 13th Annual Professional Nursing Self Run Collaborative at Willaimsport Regional Medical Center, in Williamsport, Pa. will be held on Thursday, September 13 and Friday, September 14, 2012. Registration continues until August 29th. All materials for registering are available on the Spiraling Upward website or by contacting Laraine Shannon at lshannon@susquehannahealth.org. Our professional nursing team and colleagues from participant hospitals have developed a dynamic 2 day retreat intended to refresh, re-energize and reward you with pearls to enhance professional practice and growth. To spark your interest, we have invited Fran Charney from the Pennsylvania Safety Authority to speak on professional accountability in creating safe care environments. Additionally, Dr. Kathleen Pagana will lead a delightful discussion on “Momentum Leadership” for all nursing roles. And as always, our participating hospitals will be sharing in the form of panel discussions, reverse panels and topics of interest. Once again we will be offering the opportunity for participant hospitals to share and display professional posters. We ask you to identify the number of professional posters you will be bringing for display. And finally, we are so very excited to offer tours of our beautiful new state of the art patient tower that opened March 19, 2012. We ask you to identify your tour interest on the registration form attached. On Thursday evening we will be hosting a social hour and dinner at the Williamsport Country Club. A $40 contribution per participant is requested to help defray expenses. We hope to see you all in September! -Pamela Lundy, Coordinator, Building Capacity Self Run Collaborative, 2012 Building Capacity Self-Run Collaborative Sepetmber 13 and 14, 2012 Don’t Miss this Exciting Event! Register Now until August 29th! Page 6 Volume 2, Issue 4 Speaking about Her Life and Work; Nurse Leader Journal Interviews Dr. Rumay Alexander Following are excerpts from an interview with Dr. Rumay Alexander in Nurse Leader, Volume 10, Issue 3, Pages 12-15, June 2012. To view entire article please go to: http:// www.nurseleader.com/article/S15414612(12)00092-4/fulltext Rumay Alexander: Diversity is holding multiple perspectives without judgment. It is the judgment part that gets us into trouble. Courageous dialogue is a model I put together for holding conversations, as it relates to differences and how those differences can crash into each other. If you don’t understand the differences and don’t do cultural due diligence, this can lead to judgments and misconceptions. My life experiences allow me to put myself into the place of other people. Words and labels are fateful acts. They determine what is going to happen. I listen to people’s words and thoughts because that triggers certain directions. Interviewer: As healthcare continues to become more and more place of safe conversations. [...] To quote Frederick Buechner, “If you touch a spider’s web anywhere, you set the whole thing trembling. As we move through and around “Diversity is holding multiple perspectives without judgment. It is the judgment part that gets us into trouble. ” complex and the majority of care will be provided outside the traditional hospital walls. Where do you see the major challenges for diversity in healthcare? Rumay Alexander: I still don’t think we have authentic and honest conversations today. We have never lived in a society that wasn’t racist. In healthcare, our habit is that, if we don’t know something or understand something, we either create a rule or we won’t talk about it. A lot of people in healthcare have not been well educated in multiculturalism and diversity. We have to have education. People do the best they can, but they do not have knowledge in these areas. That is why G. Rumay Alexander, EdD, RN, Clinical Professor & education is so important. Director Office of Multicultural Affairs, University Doing modules and readof North Carolina at Chapel Hill at her office in the ing books does not take the School of Nursing at UNC, Chapel Hill Page 7 this world, and as we act with kindness, or indifference, or even hostility toward the people we meet, we too, are setting the great spider web a-tremble. The life I touch will touch another life, and that, in turn another, until who knows where the trembling stops or in what far place and time my touch will be felt. You can’t find a better way to quantify or qualify someone’s legacy. Just think of the web you have set a-tremble.” All of us in healthcare should visit Buechner’s quote daily. My issues are creating cultures of equity for everybody since all encounters are cultural encounters. There are many wonderful people wherever you go. Let’s celebrate and affirm each other. Each of us brings another element, and with that, we bring solutions to new situations and new problems. Today’s answers will not work for tomorrow’s questions. The “Future of Nursing” report is calling on our uniqueness to meet future needs and to fulfill our contract with society. Patterned responses have no place in a global society and offer very little to the work that presents itself to the nurse of today. Spiraling Upward Charles Cole Memorial Hospital Speaks about Their Experiences at ANCC Pathway to Excellence Conference On May 3 and 4, 2012 Charles Cole Memorial Hospital Spiraling Upward Site Coordinator, Ann Slotta and co-worker, Bonnie Kratzer attended the ANCC Pathway to Excellence Conference in Washington, DC. “We thoroughly enjoyed it! We came home from the conference exhilarated and ready to do the hard work to attain the Pathway to Excellence status. We are on our Way,” said Bonnie. Ann and Bonnie presented a Powerpoint presentation to their Nursing Leadership Council about their experiences at the ANCC Pathway to Excellence Confernce which is available on the Spiraling Upward website. The following slide panels are some highlights from their presentation. ORIENTATION PREPARES NURSES FOR THE WORK ENVIRONMENT THE WORK ENVIRONMENT IS SAFE AND HEALTHY • Horizontal Hostility in the workplace • Peer to peer hostility influences patient safety • Impact: diminished productivity and increased absenteeism, burnout, anxiety, depression, post traumatic stress disorder and suicide • Impacts patient safety • Cost of turnover • ZERO TOLERANCE • Mentoring is a process for the informal or formal transmission of knowledge and the psychosocial support perceived by the recipient as relevant to work, career or professional development; mentoring entails informal communication, usually face to face and during a sustained period of time, between a person who has perceived greater knowledge , wisdom, or experience and a person perceived to have less. COLLABORATION RELATIONSHIPS ARE VALUED AND SUPPORTED • TEAMWORK • Being Accountable To Each Other To Do Our BEST • We must rely on the skills and talents of others to complete the task • We will always act in ways that support each others to accomplish the teams work A QUALITY PROGRAM AND EVIDENCED-BASED PRACTICES ARE USED • • • • • • • • Ann Slotta and Bonnie Kratzer at the ANCC Pathway to Excellence Conference, May 2012 WHATS NEXT? Research and Education Council Partnership for Patients Quality Blue pay 4 performance program Core Measures Surgical Care Fall Prevention Pathway to Excellence Hospital acquired infections • Spiraling Upward September , 2012 • 2 day conference Williamsport, PA • Pathway for Excellence Conference • May 2 – 3, 2013 in Baltimore, MD • INNOVATE, INVOLVE, INSPIRE Page 8 Volume 2, Issue 4 Western Pennsylvania Hospital: Celebrating Nursing: Our Favorite Time of the Year As May begins to excite everyone for sunshine and summer, so begins our favorite ‘professional’ time of year – National Nurse Recognition Week! National Nurses Week is a time for all nurses to be recognized, to honor each other, and to celebrate nursing excellence and our profession. “Nurses – Advocating, Leading, Caring” was the nationally recognized theme for Nurses Week May 6-12, 2012. In addition to celebrating how nurses at West Penn Hospital are advocates, leaders, and caring individuals, this year the nurses at West Penn also recognized their “Proud Past, Bright Future”, a symbolization of our hospital’s revitalization. As many of you know, last year in early 2011, we were facing the unfortunate situation in which the hospital began to downsize our services. Our Emergency Department closed permanently on December 31, 2010. The closing of the ICU’s, step down units, medical units, surgical units, and cardiovascular services follow shortly thereafter. Everyone was devastated. The services that remained were Obstetrics, Neonatal ICU, Rehab, Bone Marrow Transplant/Hematology/Oncology, Burn Unit, and a scaled down ancillary services. The question remained, “How could this possibly be happening? We have the highest pa- hospital. Why is this happening?’ It was in June 2011 when the announcement came that we would be acquired by Highmark Blue Cross Blue Shield and West Penn Hospital would begin to return, over the next several months, to the hospital it was once known to be. We could not believe it! West Penn’s Revitalization Fast forward to 2012, a new year. Demolition and construction had been progressing around the clock and at rapid speed. The Emergency Department, Surgery, Medicine, and ICU would be the first units to return. Recruitment open houses were announced and brought over 1,000 candidates to our hospital. Collaboration and teamwork at its best, allowed for optimal completion of interviews, hiring, staffing, organizing, and opening of the new departments. We were so thrilled on Feb. 13, 2012, to celebrate the re-opening of our completely renovated Emergency Department and renovated Surgical Patient Care Unit (E9, 38 all-private patient rooms), upgraded Medical Patient Care Unit (E8, 34 all-private patient rooms), and, on March 26, 2012, our totally renovated 18-bed E7 Medical-Surgical Intensive Care Unit. To complement our growing services, to- “Take pride in what you accomplish as nurses, and take the chance to inspire others to choose this challenging and gratifying profession!” tient satisfaction scores and excellent patient outcomes. We are a Magnet tal renovations are occurring right now to re-open cardiovascular services, in- Page 9 clusive of invasive and non-invasive cardiac services, Cath Lab, EP Lab, 16bed Cardiovascular ICU, and a 16-bed progressive care unit, sometime late this summer 2012. Through it all, we have remained steadfast and are very proud to say that we have maintained our Magnet spirit and continued our Magnet journey toward re-designation. Patient satisfaction did not slip, and all patient outcomes, except for falls, continued to exceed the benchmark the majority of the time, and our number of certified nurses continued to increase. Our Magnet documentation for re-designation was changed multiple times to extract the information for those units that closed. However, the Magnet documentation was submitted as scheduled. After submission of some additional documentation, the review by our Magnet Appraisers was complete, and we received word the last week of April 2012 that we had been awarded a Magnet Site Visit, scheduled for August 6-8, 2012! Surely you can understand our excitement! Dedication, passion, and perseverance kept us going while some thought we would not stand a chance at re-designation. But I know you know, how determined we all can be. So this year for nurses’ week we had so much to be thankful for and so much to celebrate. We recognized the accomplishments of many, we celebrated those returning to West Penn, and we welcomed new faces who have joined our West Penn family. We recognized 27 newly certified nurses since last nurses’ week, and our CNO proudly delivered remarks that highlighted our Professional Practice Model. And lastly, we continue to celebrate as we prepare for our Magnet Site Visit in August! So, do you now see why May is our favorite month of the year? Especially this May? On behalf of all Spiraling Upward nurses at West Penn, we are proud to be nurses. And this year especially, we are diligently preparing for our Magnet Site Visit, and we are more excited than ever about our bright future at West Penn Hospital! So until next time, we leave you with this: If you know a nurse…employ a nurse…or are a nurse…celebrate and recognize nurses! Take pride in what you accomplish as nurses, and take the chance to inspire others to choose this challenging and gratifying profession! It is the pride, the passion, and the power, of the nursing profession that enables each and everyone us to come to work another day and to continue to make a difference! -Jacqueline Collavo, MA, BSN, NEBC, Director, Nursing Operations and Magnet Recognition Program and Mary Ann Raible, BSN, RN, Chair, Professional Development Council; Manager, Intensive Care Unit Lateral Service to Deliver Better Patient Care: Lehigh Valley Health Network Publishes magnet paper “Lateral Service to Deliver Better Patient Care,” Nurse Leader, Volume 10, Issue 1, February 2012 by Courtney Vose, RN, MBA, MSN, APRN, Kim Hitchings, RN, MSN, NEA-BC, Beth Kessler, RN, BC, Jack Dunleavy, BS, Anthony Ardire, MD, MPH, FAAP, CPE, and Andrew Barsky, CDM, CFPP. To see the full article, go to: http://www.nurseleader. com/article/S1541-4612(11)00292-8/ fulltext Abstract: At Lehigh Valley Health Network (LVHN), an academic community Magnet® organization, we acknowledged the opportunity to enhance how staff treat one another with respect and demonstrate collegiality. Terming our efforts ‘lateral service,’ we believed that “by better serving each other, we better serve our patients and families.” This manuscript details our Page 10 unchartered journey to define expectations and accountability for how we treat not just our patients and families, but everyone else with whom employees interact. One countermeasure employed was to redefine our PRIDE behaviors to include actions and responses to not just patients, but also patient families, co-workers, physicians, and other key LVHN customers (see Figure). Volume 2, Issue 4 The Spiraling Upward for Nurse Retention & Quality Care grant is sponsored by the Division of Nursing, Bureau of Health Professions, Health Resources and Services Administration (HRSA), Department of Health and Human Services (Number: D66HP03170). Spiraling Upward objectives are to: 1. enhance staff nurse decisional involvement, 2. improve communication and collaboration, and 3. enhance civility, respect and cultural awareness in the practice environment. Five partner hospitals and 10 ANCC Magnet Hospitals are participating in this project, guided by staff from The University of North Carolina at Chapel Hill and independent consultants. Donna Sullivan Havens, PhD, RN, FAAN University of North Carolina at Chapel Hill School of Nursing Carrington Hall, CB#7460 Chapel Hill, NC 27599 Phone: 919-843-1244 Fax: 919-966-7298 dhavens@email.unc.edu Project Staff: Gioia Palmieri, BA Joseph Vasey, PhD Partner Hospitals Charles Cole Memorial Hospital Clarion Hospital Gettysburg Hospital Indiana Regional Medical Center Uniontown Hospital Magnet Mentor Hospitals Abington Memorial Hospital Englewood Hospital & Medical Center Fox Chase Cancer Center The Johns Hopkins Hospital Lancaster General Health Lehigh Valley Health Network Main Line Health System Pinnacle Health System Hospital of the University of Pennsylvania The Western Pennsylvania Hospital What’s New on the Spiraling Upward Website http://spiralingupnursing.com We’ve had some wonderful new additions to resources on the website recently. If you log in and go to “Recent Posts” on the left hand side of the screen you will see Charles Cole Memorial Hospital’s presentation to their Nursing Leadership Council about their experiences from the Pathway to Excellence Conference 2012. All registration info for the Building Capacity Self Run Collaborative coming up on September 13-14, 2012 is located on the website under “Resources”, “Building Capacity Collaborative #13”. Don’t miss this exciting event, registration ends on August 29th! Please check out the newsposts under “Tool Kits”, “Decisional Involvement” and “Communication & Collaboration”. You can log in at http://spiralingupnursing.com. If you have lost or forgotten your password or how to sign in, please contact me and I can help you to log in. If you’re not sure what your password is, you can try first to login in using the first initial of your first name and the entire last name together for both login and password; example: for Jane Doe, login would be “jdoe” and password is the same “jdoe”. Please feel free to contact me at gioiap@ email.unc.edu with any questions. Thanks for sending in your posts and making the website an excellent resource! Editor, layout & design; Gioia Palmieri. Questions and comments are welcome. Please email Gioia Palmieri at gioiap@email.unc.edu. This project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA,) Department of Health and Human Services (DHHS) [D11HP09752-03-00, Spiraling Upward for Nurse Retention & Quality Care, PI-Donna S. Havens, PhD, RN, FAAN]. The information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any official endorsement by inferred by, the DN, BHPr, HRSA, DHHS, or the US Government. Page 11