Nursing Leadership (Directorate's) Key to Nursing Excellence
Micheal, Jothi Clara
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Session presented on Friday, September 26, 2014: Purpose: To share knowledge on the experience of Nursing Leaderships (Directorates) Key to Nursing Excellence at Global Health City (GHC) Chennai in developing and evaluating GHC framework on accreditation preparedness with application of National Accreditation for Nursing Excellence within Indian context. This paper will explain the framework on accreditation preparedness and elaborate the application and evaluation at GHC. Methods: The Nursing Directorate (ND) at Global Health City (GHC), India focuses on nursing care excellence balancing cost, quality & safety. With the aim of developing nursing standards that would well suit Indian health care system, nursing leaders from different states of India were invited as resource persons for the first National Conference hosted at GHC Chennai one of the hospitals of GHG. The outcome was the National Accreditation for Nursing Excellence (NANE) which was developed exemplifying five standards of excellence: 1) Evidence of transformational leadership at all levels of the Health Care Organization (HCO); 2) Structured nursing empowerment; 3) Excellence in nursing practice clinical outcomes; 4) Evidence based practice in all aspects of nursing structures & processes, and 5) Quality indicators of nursing identified, described and measured empirically. Based on this, a GHCs Framework on Accreditation Preparedness was conceptualized at GHC, applied and evaluated over the past 3 years incorporating Nursing, Medical and Operational excellence (TRIO concepts of HCO) to error capturing, Quality Indicator, patient safety and satisfaction of both patient and staff. Results: A significant improvement occurred in error capturing, continuous Quality Improvement, Implementation of patient safety measures and satisfaction of both patient and staff year after year. Recognition for nursing care and nurses image has improved among the doctors, management and other health care providers. Three other Hospitals in India and Middle East countries seek support and consultation from Nursing Directorate in coaching their Nursing Leaders. Conclusion: Implications for nursing leadership includes scaffolding strong building blocks highlighting logical interlinks between transformational leadership, service excellence goals, structural empowerment, operational & clinical excellence, CQI, error prevention and ethical culture. Replication of the application and evaluation of GHC'sframework on accreditation preparedness in 4 other Global Hospitals in major Cities of India was highly recommended by the management.