Leading a Culture Change to Nursing and Patient Excellence
Article first published online: 14 JUN 2012
© 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: 2012 Convention Proceedings
Volume 41, Issue s1, page S91, June 2012
How to Cite
Poe, M. (2012), Leading a Culture Change to Nursing and Patient Excellence. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41: S91. doi: 10.1111/j.1552-6909.2012.01361_53.x
- Issue published online: 14 JUN 2012
- Article first published online: 14 JUN 2012
- transformational leadership;
- shared governance;
- nurse autonomy;
- professional practice councils;
- improved patient and nurse satisfaction
Purpose for the Program
To improve patient and nurse satisfaction on the postpartum and gynecology nursing unit through an improved positive practice environment.
Transformational leadership creates a culture of nurse autonomy, shared governance, and professional competence. The goal was to improve and sustain nurse and patient satisfaction on the postpartum and gynecology unit. The results were possible through extraordinary courage, skill, and spirit, which was the energy that created a significant difference in achieving extraordinary results. Transformational leadership ties a nurse's emotion and passion to her skill level. This leadership style raises human conduct and improves personal aspirations to enhance the professional nurse practice environment. The postpartum and gynecology unit developed four professional practice councils to create a culture of autonomy and shared governance. The council created an avenue of individual accountability and professional contribution to move the practice environment from mediocre to positive. The essence of the process was to get the right people engaged and to create revolutionary results through an evolutionary process. Each council provides an opportunity for every staff member to participate and improve clinical knowledge and nursing excellence.
The four councils included professional practice, development, research, and quality. The councils’ objectives included but were not limited to improve professional relationships, shared governance, evidenced-based practice implementation, commitment to nursing excellence, autonomy and professional accountability, staff nurse leadership, judgment and action, motivation and recognition, nursing competence, professional growth and development, teaching and mentoring, coaching and learning, improved patient satisfaction, and improved employee satisfaction.
Implementation, Outcomes, and Evaluation
The results were extraordinary. The employee satisfaction rate went from 4.10 with low employee participation to 4.77 with high employee participation. The council work helped improve patient satisfaction by increasing all eight Hospital Consumer Assessment of Healthcare Providers domains to the 90th percentile with a composite score of 90.
Implications for Nursing Practice
Transformational leadership allows nurses to connect to their inner drive, be autonomous, self-determined, and self-driven. It creates a safe positive practice environment for nurses and patients. The postpartum and gynecology unit created a culture of disciplined professionals that used disciplined thinking and disciplined action to meet the rigorous clear set expectations and standards related to patient and employee satisfaction.