Peer Review in a Union Environment Jody Charles, MSN, RN Cathy Patton, MA, RN Chris Tarver, MS, RN,...
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Transcript of Peer Review in a Union Environment Jody Charles, MSN, RN Cathy Patton, MA, RN Chris Tarver, MS, RN,...
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Peer Review in a Union Environment
Jody Charles, MSN, RNCathy Patton, MA, RNChris Tarver, MS, RN, CNSJanuary 10, 2013
![Page 2: Peer Review in a Union Environment Jody Charles, MSN, RN Cathy Patton, MA, RN Chris Tarver, MS, RN, CNS January 10, 2013.](https://reader030.fdocuments.net/reader030/viewer/2022032709/56649ed95503460f94be7aa5/html5/thumbnails/2.jpg)
History of Peer Review
PRN – union over 30 years
Just for RNs, just at ECH
1st Designation Submittal 2005:• Absolute refusal of union to discuss• Documentation submitted included
communication between CNO and President regarding Peer Review
• Surveyors met privately with the union during site visit
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History (cont).
2nd Designation Submittal 2009:
• On advice of ANCC Consultant, looked at Peer Review in form of direct care nurse feedback
• Submitted in documentation competency check offs and various audits done by direct care nurses on other direct care nurse’s practice
• A bit of a stretch
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In prep for 3rd Submittal 2014
Our CNO, Diana Russell, wanted to elevate peer review
Presentation by CNO to Union Board• Research on benefits presented• Explanation of peer review in a union setting
• Union strong stance regarding education of all RNs who were going to be asked to give feedback
Agreement reached . . . When leadership committed to educational plan with union input
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Where to Begin?
• Magnet requirement:
• “Peer Review at all levels”
• The beginning work is focused
on the Direct Care Nurses
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Start up . . .
Selection Committee Leadership
Manager from each campus asked by the CNO
Nursing Education Manager “Consultant/Facilitator”
Selecting of the Peer Review model/resource
We had relationship with Barb Haag-Heitman
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Recruiting• Feb 2011: CNO presented to CPC the agreement
with PRN and what Peer Review entails
• Recruiting of direct care nurses• “All RN” flier/email & “In Touch” Message• Message to: Call Nursing Ed Manager for
details
• Presentation to
managers at
Nursing Leader Council
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First meeting of committee
• Sept 2011 1st meeting• Clinical Ladder process comparison to peer
review (exemplars) – gave the DCN a point of reference from past practice
• Distribution of book: Peer Review in Nursing• Given task to read the book
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2nd Meeting of Group
• Oct 2011 2nd Meeting• Discussion of pilot unit criteria • Discussion of policies and procedures
• Very important to CNO and union that the nurses developed their process so that they could promote it
• Direct Care Nurses able to say what they wanted and didn’t want in a process
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3rd Meeting – November 2011
• Barb Haag-Heitman brought in to meet with committee members in full-day session
• Agenda included: • Developed vision and goals• DESC Model • Selected Direct Care Nurse co-chairs
• went around room, and offers made to lead; vote taken
• Met with managers at conclusion
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ECH Peer Review Committee Vision
“Leading the nursing community in promoting the highest standards of patient care through the peer review processes.”
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ECH Peer Review Committee Goals
1. Create sustainable peer review process to promote professional nursing practice at ECH.
2. Increase individual and group accountability for positive patient outcomes.
3. Foster a healthy work environment.
4. Create supportive learning relationships.
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DESC Model (B. Haag-Heitman)
• Describe
• Express
• Suggest
• (Positive) Consequences
Examples . . .
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Development of Process Details
• Very important to nurses to have peer review not be included in performance appraisal process
• Selected pilot unit at each campus
• Everyone would be expected to participate
• Change in DCN leadership in Feb 2012• one-on-one conversation with manager
facilitator and DCN leader• replaced with DCN leader who was former CPC
chair
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Spring 2012
• Several meetings on education for Committee about DESC model:• Allowed members to get feedback from
colleagues on the model
• Education plan discussed and developed
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Summer 2012• Meeting with CNO to review implementation plan in
order for CNO to present to union
• Quarterly plan of a focused competency per quarter• based on nursing strategic plan
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Each Quarterly Cycle
• Early in First month of quarter: competency distributed
• 1st - 2nd month of quarter: complete peer review and turn competency into unit champion; review UPC
• 3rd month of quarter: bring to CPC
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Accepted Education Plan
• Barb Haag-Heitman returned
• Mandatory for pilot units; open to all DCN
• 2 hour classes; both campuses
• Manager of Nursing Education taught four make up sessions
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Unit Binders
• DCN leaders wanted to create this Resource for each unit, includes:• Articles on Peer Review• Competency Tools• Barb Haag-Heitman’s Powerpoint• Vision and Goals of Committee
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First Project
• Med Admin Competency• Related to our Bar Coding Medication
Administration initiative• HCAHPS data on med communication
• Barb Haag-Hietman suggested must have pre and post data to show that peer review made a difference
• Coached us on creating competency with strong focus
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Lessons Learned
• Selection of Pilot Unit:• data difficult to obtain for first project selected
for pilot units
• Need to assess: Does unit have another major project happening?
• Back up plan for nurses unable to attend mandatory training
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