Empirical Outcomes UWHC Example
University of Wisconsin Hospital and Clinics (UWHC) nurses know they are providing quality patient care and making essential contributions to the organization, the profession, and the community because UWHC nurses empirically measure outcomes. Whether it is patient satisfaction, nurse-sensitive clinical indicators, nursing satisfaction, or improvement projects, UWHC nurses use data to assess and monitor their progress. In addition, UWHC nurses search out relevant benchmarks in order to evaluate their performance.
Empirical Outcomes Overview
Today's Magnet recognition process primarily focuses on structure and processes, with an assumption that good outcomes will follow. Currently, outcomes are not specified, and are minimally weighted. There are no quantitative outcome requirements for ANCC Magnet Recognition®. Recently lacking were benchmark data that would allow comparisons with best practices. This area is where the greatest changes need to occur. Data of this caliber will spur needed changes.
In the future, having a strong structure and processes are the first steps. In other words, the question for the future is not "What do you do?" or "How do you do it?" but rather, "What difference have you made?" Magnet-recognized organizations are in a unique position to become pioneers of the future and to demonstrate solutions to numerous problems inherent in our health care systems today. They may do this in a variety of ways through innovative structure and various processes, and they ought to be recognized, not penalized, for their inventiveness.
Outcomes need to be categorized in terms of clinical outcomes related to nursing; workforce outcomes; patient and consumer outcomes; and organizational outcomes. When possible, outcomes data that the organization already collects should be utilized. Quantitative benchmarks should be established. These outcomes will represent the "report card" of a Magnet-recognized organization, and a simple way of demonstrating excellence.
Empirical Outcomes Presentation Requirements: SE3EO, EP3EO, EP22EO, EP23EO, NK1EO Only
The EOs for nursing certification (SE3EO), nurse (RN) satisfaction (EP3EO), nurse-sensitive clinical indicators (EP22EO), patient satisfaction (EP23EO), and nursing research (NK1EO) must be presented in the required format as outlined in the Sources of Evidence.
Empirical Outcomes Presentation Requirements: All Others
For all other Empirical Outcomes, narratives must be presented using the following format:
- Provide relevant background information
- Describe the problem(s) that exist(s) in the organization
- State the goal(s), that is the desired improvement(s)/change(s)/result(s)
- Identify the measure(s) selected to demonstrate the improvement(s)/change(s)/result(s) (i.e., hours, errors, incidents, satisfaction, indicators)
Description of the Intervention/Initiative/Activity (IES)
- Describe the action(s) that had an impact on the problem(s0 and resulted in achievement of the goal(s)
- Include where the intervention(s)/initiative(s) occurred (e.g., unit, department, product line, organization)
- Include the date(s) when the intervention(s)/initiative(s) took place (timeline)
- The intervention(s)/initiative(s) must have occurred within the 30 months prior to documentation submission.
- List the participants involved
- Include name, discipline, title and department
- Demonstrate achievement of the desired improvement(s)/change(s)/result(s) with data displayed in a clearly labeled graph(s) with data table(s)
- Trended data must be displayed to show change(s)/improvement(s)/result(s). At a minimum, three (3) post-intervention data points must be provided to demonstrate a trend.
- The selected measure(s) must correlate with the desired goal(s)
- Pre-intervention/initiative data and post-intervention/initiative data must:
- Use the same measure to demonstrate the effect of the intervention/initiative
- Be clearly identified with dates on the graph and data table
- The intervention time frame/date(s) must be clearly identified on the graph and data table
Empirical Outcomes: Data Display Requirements
Display of data using graphs and charts is an excellent way to illustrate outcomes; therefore, a table and graph is required for each Empirical Outcome.
Data Display Requirments
- Label axes with dates, times, and title of the graph
- A legend must be included
- Indicate on the graph the date(s) for pre-data, intervention/initiative(s), and post-data (measurement units need to be the same for pre- and post-data)
Content reflects Magnet Application Addendums through June 2014.