Professional Contributions of Nursing at Houston Methodist Hospital

Houston Methodist Hospital nurses use the Magnet® Model as a framework for nursing excellence. Through Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, and New Knowledge, Innovation and Improvements, excellent empirical outcomes are achieved. Houston Methodist Hospital nursing supports the Houston Methodist vision for unparalleled safety, quality, service and innovation.

 

Nursing mission: Houston Methodist nursing provides an environment in which excellent nursing practice, interprofessional collaboration, leadership, education and research ensure that patients, families and the community experience compassionate, value-based care through unparalleled safety, quality, service and innovation.

 

Nursing vision: We lead the world of nursing in an innovative and collaborative environment of excellence in patient care, education and research.

 

Philosophy of nursing: We believe the cornerstone of the Houston Methodist Professional Practice Model is a triad of:

 

  • Leadership: Building value-driven partnerships with patients, families and the interprofessional team that yield high-quality care.
  • Art: Caring for patients and families in a holistic way to meet clinical, psychological, educational and spiritual needs.
  • Science: Improving outcomes through evidence-based practices, research, innovation and professional development.

 

Transformational Leadership

Nurse leaders and nurses at the bedside are transformational leaders who keep nursing goals aligned with the vision and mission of the hospital. They participate in leadership development and mentorship programs, and demonstrate advocacy and support on behalf of staff and patients. 

Structural Empowerment of Nursing

Shared Governance — A Model for Nursing Leadership 

Nurses at Houston Methodist Hospital are empowered to share experience and knowledge by participating in collective decision-making with interprofessional colleagues. Shared Governance is a decision-making model that offers clinicians the means to influence professional practice and the quality of patient care, as well as to build leadership skills.  Shared Governance supports the strategic goals of nursing, thus providing better care to our patients and families. 

 

The Shared Governance model allows nurses to independently exercise judgment in the clinical setting, which has been described by nurses as one of the most significant factors affecting job satisfaction and retention. 

 

Houston Methodist Hospital Shared Governance Model

HMH-house-wide-shared-governance-nursing 

Recognition for Contributions to Professional Nursing

  • Nurses at Houston Methodist Hospital are routinely recognized for professional accomplishments throughout the year by receiving the following awards:
    • Daisy Award
    • Annual Brown Foundation Outstanding Nurse Clinician Award (1st place: $15,000, 2nd place: $2,500, 3rd place: $1,000)
    • Good Samaritan Foundation Nurse Excellence Award
    • Houston Chronicle Salute to Nurses
    • Texas Nurses Association District 9 Nurse Excellence Award
    • Annual Nursing Excellence Award
    • ICARE Award
  • Houston Methodist Hospital recognizes nurses for dissemination of research and evidence-based practice by providing resources to:
    • Attend conferences to present our findings to national and international health care professionals
    • Publish articles in professional journals
  • Nurses are recognized to volunteer locally, nationally or internationally by providing paid time off (ICARE in Action) and additional resources (supplies/educational material/donation).
  • Nurses are recognized by the organization for professional development and are encouraged to be life-long learners by providing: 
    • Tuition assistance of $4000 a year
    • Success Pays™, Take 2 OR and CPAN certification programs
    • Graduate Nurse Residency Program
    • Clinical Scholar Program for evidence-based practice and research
    • Shared Governance Leadership Series for Shared Governance front-line leaders

 

Exemplary Professional Practice 

Houston Methodist Professional Practice Model 

Houston Methodist’s I CARE values of integrity, compassion, accountability, respect and excellence provide the overarching values that guide service and practice. The Houston Methodist Professional Practice Model describes the patient care delivery system and the practice of professional nursing. 
 
The patient care delivery system keeps the patient and family at the center, with the staff nurse leader in communication and collaboration with the interprofessional team to affect outcomes of safety, quality, knowledge, efficiency and satisfaction. The graphic depiction below shows our Professional Practice Model, which is built upon evidence-based practice, research and innovation.  

 

Professional Practice Model of Nursing 

 

New Knowledge, Innovations and Improvements

At Houston Methodist Hospital, nurses provide unparalleled patient care through the use of evidence-based practice. Nurses participate in Houston Methodist education programs to learn how to lead evidence-based practice projects and conduct nursing research. Nursing-led research generates new knowledge and innovations to optimize patient outcomes. Nurses share best practices through publications and presentations at regional, national and international conferences. 
 
Houston Methodist Hospital Nursing Publications
  • “Charting the Course for American Nurses Credentialing Center – Approved Perioperative Nurse-Sensitive Indicators,” Shepherd, M. and Hawthorne-Spears, N. Journal of Nursing Excellence and Practice, December 2019.
  • “Nursing Care and Treatment of Ambulatory Axillary IABP Patients Awaiting Heart Transplant,” Macapagal, F., McClellan, E. Macapagal, R. Green, L. and Bonuel, N. AACN Critical Care Nurse Journal, April 2019.
  • “Pre-Heart Transplant Ambulatory Axillary IABP Retrospective Research,” Macapagal, F., Green, L., and McClellan, E. Journal of Nursing Excellence and Practice, December 2018.
  • “Do Prophylactic Foam dressings Reduce Pressure Injuries,” Ramundo, J., Pittman, J., and Pike. C. Journal of Wound Care Nurse 45(1), 2018.
  • “Applying Mindfulness to Influence the Patient and Care Team Experience,” Singh, K., Davis, P. and Cockerham, M. Journal of Nursing Education and Practice, December 2018.
  • “Stress and Cortisol and Predictors of Fatigue in Medical/Surgical Nurses and Nurse Leaders: A Bio Behavioral Approach,” Cockerham, M., Kang, D., Howe, R., Weimer, S., Boss, L. and Kamat, S. Journal of Nursing Excellence and Practice, December 2018.
  • “Nurse Practitioners: Developing the Next Generation of Health Care Leaders Through an Internship Program,” Twine, N., Fontenot, N. and Sam, M. Journal of Nursing Excellence and Practice, December 2018.
  • “Operating Room Nurse Residency and Specialty Educators: Paramount in the Success of Novice Nurse Retention,” Brown, L., Belgard, D., Washington, N. and Grueso, S. Journal of Nursing Education and Practice, December 2018. 
  • “The Houston Methodist Nurse Residency Program Journey: Transitioning the New Graduate Nurse Into a Success,” Senneff, J. LaMonica-Way, C., Walls, K., Barrera, G., Kaur, H. and Kilbourn, S. Journal of Nursing Education and Practice, December 2018.
  • “Nursing Care of the Patient Undergoing Lumbar Spinal Fusion,” Lall, M. Journal of Nursing Education and Practice, December 2018.
  • “The First Year as a Nurse Practitioner: An Integrative Literature Review of the Transition Experience,” Twine, N. Journal of Nursing Education and Practice, December 2018.
 
Scholarly Contributions of Nursing — Poster and Podium Presentations
  • November 2019: “Active Shooter: You Know It Is a Problem, But Are We Prepared?” Holmes-Fuller, X., Northrop, P. and Fielden, A. International Collaboration of PeriAnesthesia Nurses, Cancun, Mexico
  • November 2019: “Code Blue: Improving Teamwork, Competency and Confidence Throughout the Perioperative Service Line,” Ortiz, L., Holmes-Fuller, X., Fielden, A. and Northrop P. International Collaboration of PeriAnesthesia Nurses, Cancun, Mexico
  • October 2019: “Magical Moments- Transforming Bedside Clinicians to Lead the Future,” Hawthorne-Spears, N. and Shepherd, M. American. Nurses Credentialing Center National Magnet Conference, Orlando, Florida
  • September 2019: “Innovative Nurse-Driven Solutions to Complex Patient Issues: MPAC Certification,” Hamlin, S., Fontenot, N., Chen, M., and Ortegon, L. World Healthcare and Nursing Conference, Singapore
  • May 2019: “Fast Track to Rapid Recovery,” Harris, B., Wallace, C. and Arcaro, A. ASPAN Conference, Nashville, Tennessee
  • May 2019: “New Lease on Life: Perioperative Management of Kidney and Pancreas Transplant Recipients,” Fielden, A., Sala, J., and Sale, M. ASPAN National
  • Conference, Nashville, Tennessee
  • May 2019: “Increasing Competence of PACU RNs Responding to Code Blue,” Fielden, A., Northrop, P., Holmes-Fuller, X. and Ortiz. L. ASPAN National Conference, Nashville, Tennessee
  • May 2019: “PACU Critical Care Program: Increasing Preceptor Knowledge and Confidence to Foster Future Generations of RNs,” Fielden, A., Northrop, P., Holmes-Fuller, X., Ortiz. L. and Rodrigues, H. ASPAN National Conference, Nashville, Tennessee
  • May 2019: “Experiences of Pre-Heart Transplant Patients Using FitBit as an Ambulation Measuring Device,” Rodriguez, H. AACN NTI Conference
  • April 2019: “A Patient Condition Can Change in a Blink of an Eye: Are You Prepared to Respond? And What Happens if Death Occurs?” Edwards, K. and Muyco, J. AORN Conference, Nashville, Tennessee
  • February 2019: “Active Shooter: You Know It Is a Problem, But Are We Prepared?” Holmes-Fuller, X., Northrop, P. and Fielden, A. Sigma Theta Tau Creating Healthy Work Environment Conference, New Orleans, Louisiana
  • February 2019: “Experiences of Pre-Heart Transplant Patients Using FitBit as an Ambulation Measuring Device,” Macapagal, F. Sigma Theta Tau International Conference
  • February 2019: “Implementation of a New Stroke Change Scale: A Multicenter Challenge,” Broadway, K. International Stroke Conference, Honolulu, Hawaii
  • October 2018: “Keep On Holdin' On: Improving RN Retention Through Best Practices,” Parmelee, B., Medrano, G., Pittsenbargar, J. Shepherd, M. and Hawthorne-Spears, N. American Nurses Credentialing Center National Magnet Conference, Denver, Colorado
  • October 2018: “Managing of Mental Health/Substance Abuse Patients in the Emergency Department,” Leonard, J., Dubose, K. and Graham, M. American Nurses Credentialing Center National Magnet Conference, Denver, Colorado
  • October 2018: “Wound Treatment Association Program Impact on Pressure Injuries in MICU,” Ramundo, J. and Henderson, V. American Nurses Credentialing Center National Magnet Conference, Denver, Colorado
  • August 2018: “Houston Methodist Psychiatric Transition in Care Impact Outcomes,” Chung, H. 2nd International Conference on Nursing Science & Practice, London
  • May 2018: “Care of The ICU Patient in the PACU: Increasing Novice Nurse Knowledge and Confidence Levels,” Fielden, A., Ortiz, L., Rodriguez, H. and Northrop. AACN National Teaching Institute and Critical Care Exposition, Boston, Massachusetts
  • May 2018: “Implementation of a Mobility Program in a Gold Beacon Neuroscience ICU,” Broadway, K. National Teaching Institute Conference, Boston, Massachusetts
  • May 2018: “Bridging the Gaps: Increasing Critical Care Knowledge and Skills in PACU Residents,” Fielden, A., Ortiz, L., Rodriguez, H. and Northrop, P. ASPAN National Conference, Anaheim, California
  • April 2018: “Post tPA Neuro Vitals: A New Approach With the Help of an Old Friend,” Broadway, K., Jeansonne, S. and Lee, J. Nursing Science at the Bedside Conference, Houston, Texas
  • April 2018: “Bridging the gaps: increasing critical care knowledge and skills in PACU residents,” Fielden, A., Ortiz, L., Rodriguez, H. and Northrop. Nursing Science at the Bedside, Houston, Texas
  • March 2018: “New PACU Residency Program to Help Nursing Shortages in Recovery Rooms Lessons Learned,” White-Edwards, K. and Tran, H. American Operating Room Nurses Global & Surgical Conference & Expo, New Orleans, Louisiana
  • March 2018: “The Barrier of PACU Residency That No One Is Talking About,” Fielden, A., Ortiz, L., Rodriguez, H. and Northrop, P. AORN Global Surgical Expo, New Orleans, Louisiana
  • January 2018: “Post tPA Neuro Vitals: A New Approach With the Help of an Old Friend,” Broadway, K., Jeansonne, S. and Lee, J. International Stroke Conference, Los Angeles, California
  • 2018: “The Origins of Post-Transplant Morbidity: A Proposed Conceptual Model,” Parmelee, B. American Society of Blood and Marrow Transplant
  • 2018: “Bedside Care Coordination Rounds: The Impact on Patient Satisfaction and Hospital Length of Stay,” American Medical Surgical Nursing Conference, Orlando, Florida 
  • 2017: “Improving HCAHPS Medication Communication Scores by Utilizing Visual Display Aids,” Shui, H., Ugochukwu, J., Leonard, J. and Hsu, A. American Medical Surgical Nursing Conference, Palm Springs, Florida
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