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Magnet Model Component Exemplar Paper Eavery

This paper describes how the author exemplified the "new knowledge, innovation, and improvements" component of the Magnet model in her nursing practice. When her hospital upgraded its electronic health record system, she embraced a new capability for medication pumps to interface with the EHR, despite some staff resistance. She made sure to use the pump interoperability function correctly. After a month, her scan rates among implementing the new system were among the top performers. The author believes reflecting on successfully incorporating workplace changes aligns with the Magnet model component.

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80 views5 pages

Magnet Model Component Exemplar Paper Eavery

This paper describes how the author exemplified the "new knowledge, innovation, and improvements" component of the Magnet model in her nursing practice. When her hospital upgraded its electronic health record system, she embraced a new capability for medication pumps to interface with the EHR, despite some staff resistance. She made sure to use the pump interoperability function correctly. After a month, her scan rates among implementing the new system were among the top performers. The author believes reflecting on successfully incorporating workplace changes aligns with the Magnet model component.

Uploaded by

api-629189754
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Magnet Model Component Exemplar Paper

Erin A. Avery

School of Nursing, James Madison University

NSG 471: Leadership and Management in Health Care

Dr. Kile

March 2, 2024
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Magnet Model Component Exemplar

For this module we learned about the five components of the magnet model. In

preparation for this assignment, I reflected on my recent experience as a new graduate nurse and

which component of the magnet model I felt I have exemplified most throughout my practice.

This paper will be an exemplar for how I incorporated a successful workplace change in my

practice and mirrored the new knowledge, innovation, and improvements component of the

magnet model.

EHR Upgrade

I work at a small, community-based hospital in the emergency department. Our hospital

recently got purchased by a larger entity and we have been going through numerous changes as a

facility. Specific to this exemplar, in the past year we changed our electronic health record

(EHR) from Meditech to Epic. Long story short, we went from a simplified, antiquated system to

a system with endless options and upgrades. One of these upgrades included the ability to utilize

interoperability with smart pumps and within a few months after making the EHR switch, we

were to start incorporating this utilization into our practice.

Incorporating Interoperability

Much of our staff, especially after going through the rough Epic transition, was weary of

this new change regarding interoperability. The technological update was requiring us to run all

IV infusions through a pump, even though we didn’t necessarily before (certain antibiotics, fluid

bolus’, etc.). Everyone had understandable reasons as to why they were resistant to this change,

including lack of available pumps, technical issues, and time required. Regardless of this,

applying the interoperability function within the new EHR system with smart medication pumps

is evidence-based best practice and greatly reduces medication errors (Skog et al., 2021).
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Healthcare systems and individual providers that adopt and provide evidence-based practices are

correlated with better patient outcomes, improved quality of care delivered, and increased patient

safety (Connor et al., 2023). Realizing that this change was extremely beneficial to staff and

patient safety, I was on board. Additionally, as a stakeholder in my organization, I help play a

role in the hospital’s strength and performance (Marquis & Huston, 2021). It is always important

to me that I follow policy and provide evidence-based best practice care to all patients, and this

new technology implementation was no different.

Magnet Model Component

Being resistant to change in this instance was unacceptable to me. I consistently strive to

learn how to do everything correctly and efficiently. Being onboard for this facility update was

important to me as this greatly improved patient safety. During the initial month of this rollout, I

ensured I was utilizing pump interoperability each time I administered an IV infusion. Did it take

longer to administer medications initially? Yes. Did this change impact my workflow upfront?

Yes. I understood what made others bypass this function. While I was being trained, I witnessed

several coworkers evade the interoperability function and manually run a medication through a

pump or hang it by gravity just out of ease, timeliness, or habit. After about a month of the

implementation, the director of our department sent out a spreadsheet with everyone’s scan rates

and I was surprised to find myself, a new graduate nurse, among the top 5. After completing this

module and reflecting on my experience as a nurse, this moment came to mind. I believe the

successful incorporation and my willingness to lean into this workplace change mirrored the new

knowledge, innovation, and improvements component of the magnet model.

Conclusion
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The recognition I received from correctly implementing a new change in the hospital

motivates me to continue to set this example for the future. In general, anytime we get new

equipment or technology in the hospital I try to become a super-user on it. Not only does this

force me to become competent on the new device/technology, it also allows me to be a

dependable resource for my department. Marquis & Huston (2021) text states that a magnet

designation correlates with nursing excellence, and though my hospital does not hold the

designation, I am proud that I am able to reflect on my work and tell a story that relates to one of

its components.

This module was very informative. I have never worked at a hospital that has had a

magnet designation so I never completely understood what it represented. I did look up magnet

designated hospitals in Virginia and learned that two of the four hospitals in our system have

obtained it. I’m interested to see if we try for that process in the future.
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References

Connor, L., Dean, J., McNett, M., Tydings, D., Shrout, A., Gorsuch, P., Hole, A., Moore, L.,

Brown, R., Melnyk, B., & Gallagher-Ford, L. (2023). Evidence-based practice improves

patient outcomes and healthcare system return on investment: Findings from a scoping

review. Worldviews on Evidence-Based Nursing, 20(1), 6-15.

https://pubmed.ncbi.nlm.nih.gov/36751881/

Marquis, B., & Huston, C. (2021). Leadership Roles and Management Functions in Nursing

Theory and Application. (10th ed.). Wolters Kluwer.

Skog, J., Rafie, S., Schnock, K., Yoon, C., Lipsitz, S., Lew, P. (2022). The impact of smart pump

interoperability on errors in the intravenous infusion administrations: A multihospital

before and after study. Journal of Patient Safety, 18(3). 666-671.

https://pubmed.ncbi.nlm.nih.gov/35344977/

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