Professional Practice Model EP2EO
➢ Present all eligible RN satisfaction data (inpatient care, ambulatory/outpatient, and administrative settings) and include all nursing levels collected and benchmarked by the vendor at the unit- and clinical-level to demonstrate outperformance of the mean, median or other measure of central tendency (benchmark provided by the vendor’s national database). Submit results of most recent survey completed within the thirty months prior to document submission.
➢ Provide overall participation rate. ➢ Select only four of the seven categories and present data for each unit. The four
categories must be consistent across the organization (inpatient and outpatient). o Autonomy o Professional development (education, resources, etc.) o Leadership access and responsiveness (includes nursing
administration/CNO) o Interprofessional relationships (includes all disciplines) o Fundamentals of quality nursing care o Adequacy of resources and staffing o RN-to-RN teamwork and collaboration
NOTE: The vendor must provide a comparative measure of central tendency for the category as a whole, not for the individual questions that comprise the category. For Magnet purposes, the applicant organization must provide their data for the category compared to the vendor supplied measure of central tendency. RECOMMENDATION: If available, use vendor-provided graphs for nurse satisfaction. Graphs must meet Magnet specifications. Date Presentation Requirements:
➢ Display each unit of clinic using the guidance provided on page 46 or 2019 Magnet Application Manual.
➢ Most recent survey within the thirty months prior to documentation submission. ➢ Categories and subscales
o Select four of seven categories noted above o Refer to vendor to align survey with categories o Four categories must be consistent across the organization (inpatient and
outpatient). ➢ Unit-or clinic-level data. If data are not available at the unit or clinic level, present
at the next aggregated level if available from the vendor (e.g. clinic groups). o Explain units or clinics within aggregated data o Explain any units not included.
➢ Benchmark statistic. o Use of mean, median or other measure of central tendency provided by
the vendor’s national database benchmark. ➢ Comparison Group or Cohort
o Use of an appropriate comparison group may change between units or clinics.
o Comparison group label must be depicted on table and graph. ➢ Graph presentation/
o Up to four units or clinics may be presented on one graph o If the two or more units are displayed on one graph, all units must have
the same comparison benchmark and cohort. o Single unit or clinic presentation o A different mean or median may be used for each graph.
Table for Performance
Self Assessment of Performance WakeMed Health & Hospitals
Unit (as listed on DDCT when possible)
Categories outperformed
# of categories
Percent Outperformance
Apex ED 4 4 100%
Brier Creek ED 1 4 25%
Garner ED 4 4 100%
Mobile Critical Care 4 4 100%
Cary ED 1 4 25%
North ED 1 4 25%
Adult ED 3 4 75%
Children’s ED 4 4 100%
2W CVIC 1 4 25%
1East CEA 3 4 75%
1A CEA 1 4 25%
Chest Pain Center 4 4 100%
Cary Cath Lab 2 4 50%
Cath Lab 4 4 100%
CPU 4 4 100%
3A 4 4 100%
3B 4 4 100%
3E 4 4 100%
6A 3 4 75%
CV Educators 4 4 100%
RRT/CB/CVRT 4 4 100%
CVT/PV 0 4 0%
HCPPPC 4 4 100%
Invasive Cardiology 1 4 25%
2E CVICU 1 4 25%
CICU A 2 4 50%
CICU B 4 4 100%
CTICU 4 4 100%
Overall Percentage of outperformance
EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,
Table for Performance
Self Assessment of Performance WakeMed Health & Hospitals
Unit (as listed on DDCT when possible)
Categories outperformed
# of categories
Percent Outperformance
eICU 1 4 25%
MICU 4 4 100%
Neuro ICU 3 4 75%
STICU 4 4 100%
Cary ICU 4 4 100%
5A Med/Surg 3 4 75%
5B 2 4 50%
5C 4 4 100%
6B 1 4 25%
2E Med/Surg 4 4 100%
3W Med/Surg 1 4 25%
6C Surgery and Trauma 4 4 100%
2C Rehab 4 4 100%
2D Rehab 4 4 100%
3C Rehab 4 4 100%
6B Neuro Care Rehab 2 4 50%
Staffing Pool 4 4 100%
Raleigh L&D 4 4 100%
Cary WPBP L&D 0 0 0%
North L&D 4 4 100%
Cary WPBP SCN/Nursery 4 4 100%
North SCN/Newborn Nursery 3 4 75%
Neonatal ICU 4 4 100%
Raleigh Newborn Nursery 4 4 100%
Cary Mother/Baby 0 4 0%
North Mother/Baby 4 4 100%
North OB/GYN 4 4 100%
4C Mother/Baby & Lactation 4 4 100%
Overall Percentage of outperformance
EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,
Table for Performance
Self Assessment of Performance WakeMed Health & Hospitals
Unit (as listed on DDCT when possible)
Categories outperformed
# of categories
Percent Outperformance
Cary PACU 2 4 50%
Cary PAT 4 4 100%
Raleigh PACU A & B 0 4 0%
Raleigh PAT 4 4 100%
Cary OR 3 4 75%
North OR 0 4 0%
Raleigh OR 4 4 100%
Cary Pre-Op 3 4 75%
Raleigh Day Surgery Pre-Op 0 4 0%
Raleigh Endoscopy 4 4 100%
Imaging Services - Cary 4 4 100%
Imaging Services - Raleigh 4 4 100%
HOPD Clinics 2 4 50%
4E Pediatrics 4 4 100%
PICU 3 4 75%
2W MSIC 4 4 100%
Cary Case Management 4 4 100%
Case Management 3 4 75%
Home Health 3 4 75%
1D CEA 4 4 100%
Advanced Placement Nurses 4 4 100%
ED Auditors 4 4 100%
Heart Failure Program 4 4 100%
Infection Prevention & Control 3 4 75%
Overall Percentage of outperformance
EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,
WakeMed Health & Hospitals administered the Advisory Board Nursing Engagement Survey from March 18 to April 16, 2018. Units were compared to like units (ED, General Telemetry, Cardiology, Critical Care, Medical/Surgical, Float Pool/PRN, L&D, Nursery/NICU, OB/GYN, OR/Perioperative, Outpatient, Pediatrics/PICU, Psychiatric, Rehab, Stepdown Unit, Other nursing, Nursing Administration). The benchmark used was the Advisory Board Nurse Engagement Overall Hospital mean. WakeMed’s overall participation rate in the 2018 Nursing Engagement Survey was 85.6% or 2,773 nurses. The Risk Management department does not have data due to the “n” being too small.
Table for Performance
Self Assessment of Performance WakeMed Health & Hospitals
Unit (as listed on DDCT when possible)
Categories outperformed
# of categories
Percent Outperformance
Nursing Education 4 4 100%
Occupational Health 3 4 75%
Patient Placement 4 4 100%
Clinical Administrators 4 4 100%
Quality Reporting 4 4 100%
Rehab admin – Cardiac/day treatment/admit
4 4 100%
WOCN/Adult Asthma/Diabetes Management
3 4 75%
Information Services 0 4 0%
Nursing Administration 4 4 100%
Risk Management * *
Overall Percentage of outperformance
66 units outperform
89 total units
74.2%
EP2EO, Self-Assessment of Outperformance Key: * = Vendor unable to provide benchmark due to ‘n’ too small,
Emergency Department
General Telemetry
Cardiology
AutonomyProf
DevelopmentLeadership
AccessInterprof
Relationships
Chest Pain Center 5.3 5.51 4.7 5.34
Cary Cath Lab 5.38 4.8 4.42 5.03
Cath Lab 5.61 5.51 5.45 5.78
Chest Pain Unit 5.25 4.97 4.71 5.2
Advisory Board, Cardiology,Mean
5.09 4.79 4.44 5.1
01234567M
ean
WakeMed Health & Hospitals RN Satisfaction April 2018
CardiologyChest Pain Center, Cary Cath Lab, Cath Lab,
Chest Pain Unit
Critical Care
AutonomyProf
DevelopmentLeadership
AccessInterprof
Relationships
eICU 5.29 4.63 4.11 4.9
MICU 5.08 4.92 4.59 5.3
Neuro ICU 4.86 4.96 4.35 5.09
STICU 5.04 5.22 5.03 5.23
Advisory Board, Critical Care,Mean
5.03 4.7 4.28 4.99
0123456
Me
an
WakeMed Health & Hospitals RN Satisfaction April 2018
Critical CareeICU, MICU, Neuro ICU, STICU
Medical/Surgical
Staffing Pool/PRN
L&D
Nursery/NICU
OB/GYN
OR/Perioperative
Outpatient
Pediatrics/PICU
Stepdown
Other Nursing
Nursing Administration