The MICU Spotlight Journal: Skill Building and Shared Accountability in a Military Medical ICU
Wells, Sabrena Chriscil
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Session presented on Saturday, April 9, 2016, and Friday, April 8, 2016: Background: In order to address skill building and shared accountability in a military Medical Intensive Care Unit (MICU), the unit journal was reinvigorated. The Patrient Caring Touch System is a model for standardizingg care based on best practices and variance reduction or six sigma methodology while optimizing quality (Breckinridge-Sproat, et al., 2015).�The Journal was originally introduced by the Unit Practice Council (UPC) president, a Registered Nurse, as an easily distributable alternative to traditional education inservices and voice. This also addressed the issue of conflicting work/days off schedules interfering with group UPC meetings. Additional goals were to encourage interdisciplinary collaboration and address issues pertinent to staff and patient care to include specialty certification. According to Kendal-Gallagher, et al. (2011) staffing nurses with specialty certification decreases failure to rescue rates significantly. The journal gained notoriety and higher leadership support after securing 1st place at an organizational-system multidisciplinary research competition in the Evidence Based Practice (EBP)-Quality Improvement category. Method: The journal was re-introduced as an assigned and additional, official duty in the MICU. The original editor transitioned to a new command and a new lead was appointed. Solicitation for contributions to the journal was expanded to the Surgical Intensive Care Unit (SICU), ICU Pharmacy and the Clinical Nurse Scientist Clinical Inquiry cell. Feedback was obtained from leaders with impact and expertise on nursing education and research, regarding future direction of the journal. Future contributors will be provided with article formatting tools and resources to write for publication. Results: The original issues of the MICU Spotlight Journal assisted an increase in nurse specialty certification by 20 percent (Pierce, 2015). During the early phase of publication (Volume 1), article contributions were mainly from the MICU UPC President/Journal Editor and the Medical Director. The last issue of the first volume saw a contribution increase of 5 Registered Nurses and 1 physician. This increase came after leadership backed the journal as a legitimate �in-service� tool as per annual evaluation requirements. The most current issue (2nd volume) alone, contains articles contributed by a Corpsman, 4 Registered Nurses and a Nursing Research Scientist. Conclusions: The Journal's impact is noted in an increased number of nursing staff contributing, as well as first time involvement from the SICU and support staff. The voice of the UPC now has the ears of a bigger audience. Implications for scholarship are numerous but assuringly have encouraged the tenets of integration, discovery, teaching and application (Boyer, 1990). More information to be compiled on the impact of the journal on skill building and shared accountability.