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Lacey SR, Goodyear-Bruch C, Olney A, Hanson D, Altman MS, Varn-Davis NS, Brinker D, Lavandero R, Cox KS. Driving Organizational Change From the Bedside: The AACN Clinical Scene Investigator Academy. Crit Care Nurse 2018; 37:e12-e25. [PMID: 28765362 DOI: 10.4037/ccn2017749] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND Staff nurses are pivotal in leading change related to quality improvement efforts, although many lack skills to steer change from the bedside. The American Association of Critical-Care Nurses (AACN) staff nurse leadership program, Clinical Scene Investigator (CSI) Academy, teaches and empowers staff nurses in leadership skills and change concepts to translate evidence into practice affecting patient outcomes. OBJECTIVES To describe the curriculum of the AACN CSI Academy that provides staff nurses with the leadership skills required to create unit-based change projects that positively impact patient/family outcomes. METHODS The curriculum of the Academy included leadership topics, communication, change concepts, quality improvement methods, project management, and data management and analysis. Each team of participants collected project data to show improvements in patient care. The program evaluation used many data sources to assess the program effectiveness, relating to the professional growth of the participant nurses. The participants assessed project patient outcomes, sustainability, and spread. RESULTS The first cohort of CSI participants included 164 direct care nurses from 42 hospitals in 6 cities. They rated the Academy highly in the program evaluation, and they reported that the Academy contributed to their professional development. The individual hospital quality improvement projects resulted in positive patient and estimated fiscal outcomes that were generally sustained 1 year after the program. CONCLUSION With the skills, tools, and support obtained from participation in the CSI Academy, staff nurses can make substantial contributions to their organizations in clinical and possibly fiscal outcomes.
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Affiliation(s)
- Susan R Lacey
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Caryl Goodyear-Bruch
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Adrienne Olney
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Dave Hanson
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Marian S Altman
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators. .,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009. .,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts. .,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts. .,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy. .,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California. .,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy. .,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing. .,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing.
| | - Natasha S Varn-Davis
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Debbie Brinker
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Ramón Lavandero
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
| | - Karen S Cox
- Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.,Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.,Adrienne Olney is a research advisor/data analyst, Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She served as the program manager for the AACN CSI Academy during its first 6 cohorts.,Dave Hanson is the chief informatics officer, Los Angeles Region, Providence Saint Joseph Health, Burbank, California. He served as president of the AACN Board from 2007 to 2008. He also served as lead faculty for the CSI Academy Cohort in Boston, Massachusetts.,Marian S. Altman is a clinical practice specialist, AACN, Aliso Viejo, California. She serves as lead faculty and content expert for the AACN CSI Academy.,Natasha S. Varn-Davis is a business insights and analytics supervisor, AACN, Aliso Viejo, California.,Debbie Brinker is a clinical assistant professor and director of experiential learning, Washington State University College of Nursing, Spokane, Washington. She is faculty with CSI Academy.,Ramon Lavandero is a senior strategy advisor and organizational historian, AACN, Aliso Viejo, California, and clinical associate professor, Yale University School of Nursing, Orange, Connecticut. He currently serves on the board of directors of the American Academy of Nursing.,Karen S. Cox is executive vice president and COO, V. Fred Burry and Sandra Hobart Burry Chair in Nursing Advocacy and Leadership, Children's Mercy Kansas City, Missouri. She is president-elect of the American Academy of Nursing
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