nurses who are supported to be the very best that they can be[ CITATION Ame18 \l 1033 ].Characteristics of OrganizationStrengthsThe strength of the organization Eskenazi Health is their staff. Their mission with service continues to support the strengths. Some of the strengths to mention would include the systems that have been put into place to support patient safety including; employee education, electronic health records, safety huddles, readiness rounding, Studer, patient safety advisory councils, and working on Magnet status. Jennifer shared that her role supports quality improvement efforts for teaching and to improve educational programs as we partner with the Indiana School of Nurses. WeaknessEskenazi Health offers a matrix reporting structure within the organization- taking everyone as a financial risk. The major opportunities for improvement facing the organizations isthat with the nurses having the ability to trust and communicate effectively. In today's dramatically restructured healthcare work environments, organizational trust is an increasingly important element in determining employee performance and commitment to the organization[ CITATION Hea00 \l 1033 ].Embree shared that within her experiences the matrix reporting structure is one that the employee and the patients are most affected by. The organizational communication is what
Running head: ESSENTIALS OF ADVANCED NURSING PRACTICE13suffers the most as one leadership role does not know what the other leadership role is doing. This may lead to a financial risk if not properly reviewed [ CITATION Jen18 \l 1033 ]. Within this practice the clinical staff i.e. nurses are hearing two to three different messages as it relates to best practice and patient care. The communication is broken to a point of there is a continued level of frustration that develops for those who are advanced in their clinical practice. All the missed or non-communication reporting ultimately affects the outcomes with patient care. Although the matrix reporting structure has been shown to be beneficial to some populations of health, within the Eskenazi Health’s organization structure it has been proven to be least admiredas it relates to patient care and satisfaction amongst employees. Evidence-based practice activitiesThe organizations incorporate evidence base practice with the council retreat to focus on the Doctor Nurse Practitioner students to work on the rollout of the John Hopkins Model. Implementing the practice into the care delivery system with the support of providers and pharmacist. The organization educates new employees and all employees yearly with skills evaluation on the National Patient Safety Goals in the clinical setting, two patient identifier, handhygiene and patient care identification. Jennifer facilitates Evidence Based Practice with quality research, student and staff projects and grant funding for the Evidence Base Practice rollout. She also works within here role at Eskenazi with the quality department for all the shared governanceprojects [ CITATION Jen18 \l 1033 ].
- Spring '16