In a step toward achieving Magnet designation, BWH submitted a body of evidence in April that demonstrates how the hospital meets 49 standards within the components of the Magnet model: Transformational Leadership, Structural Empowerment, Exemplary Professional Practice, and New Knowledge, Innovations and Improvements. Empirical Outcomes are required throughout the components. The 75 initiatives selected for submission are examples of our deep commitment to quality, nursing excellence, interprofessional collaboration and innovation. Throughout the year, we will use “Magnet Matters” to share some of these examples with you. We hope you will be inspired by the broad range of examples and the work being done across BWH.

Structural Empowerment

The organization provides opportunities to improve nurses’ expertise in effectively teaching
a patient or family. (SE 6)

Example: Enhanced Lactation Education Program Improves Patient Satisfaction 

“The breastfeeding support was very different than what was described in the BWH lactation prep classes.”

After hearing breastfeeding education feedback like this in our 2014 Press Ganey survey results, we realized that a change was needed. Following a needs assessment, an evidence-based education curriculum was developed to improve nurses’ expertise and ensure consistent patient education, while improving patient satisfaction.

All postpartum clinical nurses received 20 hours of didactic training, focused on physiology, education, simulation and peer-to-peer teach-back; attended a two-hour hands-on skills lab and had the opportunity to develop their counseling skills by participating in four-hour patient consult sessions with an international board certified lactation consultant.

In addition, we invested in new breast pumps, began the donor milk program and revised our Infant Feedback Policy to further support our nurses in promoting maternal and newborn health.

From 2014 to 2016, we increased our patient satisfaction scores around breastfeeding from 86.8 percent to 90.3 percent and improved our nurses’ expertise in lactation.

Structural Empowerment

Nurses participate in the assessment and prioritization of the health care needs of the community. (SE 10EO)

Example: Partnership with Community Improves Colonoscopy Screening Rates

Colorectal cancer is the second leading cause of cancer-related deaths in the U.S., but more than 33 percent of cases could be prevented if everyone over age 50 had a regular colonoscopy to screen for the disease. However, language barriers, health literacy, socioeconomic constraints and disabilities all serve as potential barriers to screening for members of our local community.

To increase colonoscopy screening for patients who may be at risk of delayed or missed colorectal cancer screening tests and procedures, BWH Primary Care Central Population Management (CPM) collaborated with GI/Endoscopy Nursing on a health intervention program.

As part of the program, a GI/Endoscopy nurse, population health manager and the primary care team work closely together to discuss each patient’s individual needs and develop a care pathway that ensures a safe and successful screening. Following the intervention period, nearly 81 percent of at-risk patients completed colorectal cancer screening, compared to 62 percent prior to the coordinated care approach. The model is now being tested at Brigham and Women’s Faulkner Hospital.

Visit www.BWHPikenotes.org/Magnet to access BWH’s Magnet submission website where you can read more about these examples, listed under Structural Empowerment, SE 6 and SE 10EO.