Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Sascha Spiegel
1
Banner University Medical Center
Trauma ICU
Focus: Switch from EPIC computer system to
Cerner
2
Microsystem: Democratic Leadership
Decentralized Decision Making
Management was supportive and helpful
The quick transition left nurses feeling frustrated
Marquis, B.L, & Huston, C.J. (2017). Leadership roles and management functions in nursing theory and application (9th ed., pp. 46,
304-305). Philadelphia, PA: Wolters Kluwer Health / Lippincott Williams & Wilkins.
3
Organizational culture is the values and
behaviors that contribute to the unique social
and psychological environment of an
organization
Adequate resources not provided to support
change
Supportive culture between management and
staff within the microsystem
Quality and Safety is a main priority on the unit
Marquis, B.L, & Huston, C.J. (2017). Leadership roles and management functions in nursing theory and application (9th ed.,
pp. 306). Philadelphia, PA: Wolters Kluwer Health / Lippincott Williams & Wilkins. 4
Patient-Focus
o The nonprofit mission of making health care
easier, so life can be better keeps us focused on
what matters most our patients
Staff-Focus
o Microsystem: Collaborative Care
o Focusing more intently on inter-professional
education will reinforce a team approach to
patient care
o Trauma ICU staff is very mindful of their patients
Banner Health. (2017). Patient care. Retrieved from https://www.bannerhealth.com/patients/patient-care
Banner Health. (2017). Research. Retreived from https://hccd-
qa.bannerhealth.com/services/research?locationname=banner-university-medical-center-tucson 5
Banner Health. (2017). Continuing interprofessional education (CIPE) activities. Retrieved from
Care is coordinated by a multidisciplinary team
of medical professionals. This means that
experts in a variety of areas come together to
discuss the patients condition and determine the
best plan of care, customized to specific patient
needs.
Foster, T., Johnson, J., Nelson, E., & Batalden, P. (2007). Using a Malcolm Baldrige framework to understand high-performing
clinical microsystems. Quality Safety Healthcare, 16, 334-341. doi 10.1136/qshc.2006.020685
11
Thorough education intervention
Literature: Significant factors associated with informatics
competency were basic computer skills and formal
informatics education formal nursing curricula are
needed to improve the nurses' competency in managing
and using healthcare information (Hwang and Park,
2011).
Timeline/presentation:
Hwang, J., & Park, H. (2011). Factors associated with nurses informatics competency. Computers, Informatics, Nursing,
29(4), 256-262. doi 10.1097/NCN.0b013e3181fc3d2 12
Australian Public Service Commission. (2014). Chapter 6 - Change management and
employee performance. Retreived from http://www.apsc.gov.au/about-the-
apsc/parliamentary/state-of-the-service/state-of-the-service-2013-14/sosr-2013-
14/theme-two-effectiveness/chapter-6/change-management-and-employee-
performance
American Nurses Credentialing Center. (2017). Magnet. Retrieved from
http://www.nursecredentialing.org/Magnet/FindaMagnetFacility
Banner Health. (2017). Academic medicine difference. Retrieved from
https://www.bannerhealth.com/services/academic-medicine
Banner Health. (2017). Continuing interprofessional education (CIPE) activities.
Retrieved from https://www.bannerhealth.com/health-professionals/for-
physicians/cme/cipe-activity
Banner Health. (2017). Patient care. Retrieved from
https://www.bannerhealth.com/patients/patient-care
Banner Health. (2017). Research. Retreived from https://hccd-
qa.bannerhealth.com/services/research?locationname=banner-university-medical-
center-tucson
Cerner Corporation. (2017). Hospitals & Health Systems. Retrieved from
https://www.cerner.com/solutions/health-systems
Foster, T., Johnson, J., Nelson, E., & Batalden, P. (2007). Using a Malcolm Baldrige
framework to understand high-performing clinical microsystems. Quality Safety
Healthcare, 16, 334-341. doi 10.1136/qshc.2006.020685
13
HealthIT.gov. (2017). What are the advantages of electronic health records?.
Retrieved from https://www.healthit.gov/providers-professionals/faqs/what-are-
advantages-electronic-health-records
Hwang, J., & Park, H. (2011). Factors associated with nurses informatics
competency. Computers, Informatics, Nursing, 29(4), 256-262. doi
10.1097/NCN.0b013e3181fc3d2
Lee, J., Gang, I., & Yu, S. (2015). The Influence of Nursing Informatics Competency
on Job-Satisfaction and Nursing Performance. The Korean Journal of Health Service
Management, 9(1), 109-122. doi 10.12811/kshsm.2015.9.1.109
Marquis, B.L, & Huston, C.J. (2017). Leadership roles and management functions in
nursing theory and application (9th ed.,pp.46, 304-306). Philadelphia, PA: Wolters
Kluwer Health / Lippincott Williams & Wilkins.
Mountain, C., Redd, R., OLeary-Kelly, C., & Giles, K. (2015). Electronic medical
record in the simulation hospital: does it improve accuracy in charting vital signs,
intake, and output? Computers, Informatics, Nursing, 33(4), 166-171. doi
10.1097/CIN.0000000000000144
Nelson, E., Batalden, P., Huber, P., Mohr, J., Godfrey, M., Headrick, L., & Wasson, J.
(2002). Microsystems in healthcare: Part 1. Learning from high-performing front-line
clinical units. The Joint Commission Journal on Quality Improvement, 28(9), 472-493.
Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/12216343 14