Covid-19 Pandemic Lessons for Nurse Leaders: Relationship of Nurses Feeling Supported at Work to Characteristics of the Environment: Virtual Poster Presentation

Hi thank you for joining us for this virtual poster

presentation entitled Covid 19 pandemic lessons for the Nurse leader.

The relationship of nurses feeling supported at work two characteristics

of the environment.

My name is Adam Meyer and one of our directors

of nursing for ambulatory services and I'm a Riley Nursing

Leadership fellow.

We're trying a new format to test out whether this

is a fun way to present posters here in the

health system through our clinical connections and because uh this

poster focus is really on the nurse leaders impact around

the built environment and people feeling supported at work.

I thought what better theme than the building blocks or

the building blocks for the foundation for the care environment

that we helped to lead and care for patients.

And so just a little bit of introduction to the

poster here.

So this is what the poster looks like.

This was developed in conjunction and work with the School

of Nursing, the Riley Leadership Fellow fellows program and then

the health system and was really worked on by myself,

Becky Moberg and Dr AMy Garcia over in the School

of Nursing.

So we know that nursing leadership plays a crucial role

in providing a safe environment in which our nursing staff

work In order to do this.

We have to understand how nurses perceive the safety and

their daily care environment.

And we know that the COVID-19 pandemic presented tremendous challenges

around this.

We know that our units generally aren't set up to

care for patients during a mass pandemic.

So the literature suggests that the environment of care has

a great impact on the overall well being an occupational

stress of nurses and nursing staffs.

And so what we wanted to look at specifically was

this relationship between nurses feeling supported at work and the

characteristics of the care environment.

So this was an I.

R. B.

Approved study that was done this was that a perspective

cross sectional survey study?

Um The title of the study was the covid 19

impact on nurses survey or coin study.

And we used an electronic data captured entitled red cap

And really pulled a convenience sample of 385 registered nurses,

61% of those practicing in acute care and 33% practicing

in uh ambulatory care.

We utilize descriptive statistics um looking at a Pearson product

correlation coefficient and I'll get into that in our data

review. Um And the program that we used to analyze

this data was S.

P. S.

S. 27.

All right.

So what is the built environment?

So the built environment is where nurses take care of

patients and specifically what we wanted to look at.

Where what are the changes that were made in the

built environment or things that the leader did to change

the built environment in which uh nurses cared for patients.

So what we see here in the poster are some

examples of changes that were made to the built environment,

such as a one way flow, sweet negative air pressure

rooms PPE Donning and doffing stations.

And specifically that's what we cover in our data analysis

is the correlation and the significance to the changes of

are in the built environment.

So we wanted to include some pictures of what those

look like.

One of the coolest things that I think of that

happened during the pandemic.

Here are some of the changes that were made in

our ambulatory spaces.

The changes that were made in our in patient spaces,

but one in particular that stands out is the separate

waiting and screening area that was built very quickly in

our emergency department.

All right.

So what are the results?

So our results show when we look specifically at the

variable of feeling supported at work.

We found at a at a uh p less than

.5 MP less than .1 significance level.

That um there was significant relationship and high correlation between

um having dedicated and donning and doffing areas.

Having one way flow sweets, having plenty of hand hygiene

stations and then having separate waiting and screening areas for

patients as well as enough social distancing.

Uh space to social distancing had a direct impact on

that variable of nurses feeling supported at work.

So this is really impactful data telling us that the

built environment does have an overall um significant impact on

nurses feeling supported at work or that feeling of being

supported at work.

So we saw data here that was a high correlation

and high significance.

Yeah. So again, we found there is significant correlation between

that feeling of being supported at work in the environment

and we understand through this data that nurse leaders can

be really creative to adapt the built environment to be

safer. This poster overall shows some examples of how nurse

leaders with our our own system adapted the built environment

to provide dedicated donning and doffing areas one way flow

sweets negative air pressure rooms, hand hygiene areas and screening

areas. And then really were creative in rethinking how we

enable that social distancing here within the health system.

All right.

So what are what conclusions can we draw and what

are the future directions that we're going to take this?

So again, we know that that what really stood out

to us in the data analysis of this was that

significant correlation between that feeling supported at work and those

different items in the built environment and the impact that

nursing leadership can have in adapting that built environment Furthermore,

I think what this brought to the surface for the

team that worked on this poster is that nurse leaders

can and should be participating and have a voice of

the table and inter professional mitigation exercises to prepare for

future crises.

So we know that this is not the last thing

that's going to um impact patient care.

We know that there are going to be future events,

future crises to come.

And I think what's really important in this is understanding

how nurse leaders are participating in those mitigation exercises to

prepare for those future crises.

Yeah so that feeds right into our future directions.

So we're going to continue analysis of the coins data.

Um there's going to be a phase two of the

coins study and when we talk about how nurse leaders

participate in the mitigation and our inter professional mitigation exercises,

what we're really looking at is participating in a high

fidelity simulation with the K.

U. School of Architecture and Design in their health sciences

department to look at based on different types of crises

based on different types of natural disasters, different pandemics.

What are things that nurse leaders can do in a

haif during that high fidelity simulation to adapt the built

environment to make it safe for our nursing staff and

our care teams to provide um exceptional world class care

for our patients.

So again this is our poster, it's hanging up right

now in Wesco hallway for anybody that would like to

stop by and see it.

We encourage that we hope that this content information is

useful not only for nurse leaders here within the health

system but for all of our care teams.

I want to thank you guys for joining me for

this uh bite size educational offering today and virtual poster

presentation. I do ask that you complete a short evaluation

survey at the end of this.

And anybody that does complete that survey will be entered

to win a couple of fun door prizes.

So again, thank you for participating and watching today on

behalf of myself.

I want and the rest of the Riley Nursing Leadership

fellowship team.

I want to thank you and I also want to

give a special shout out and thank you to dr

Garcia in the school of nursing that helped to mentor

this team along in the coins study and helped us

with the development of the poster as well as data

analysis. I also want to thank Barbara Macarthur who helps

to oversee from an executive sponsor uh the nursing Riley

Nursing Leadership Fellow program and as well as Rachel Pepper,

our chief nursing officer who helps to support the Riley

Nursing Leadership fellows and the queen's work as well.

Thank you again and enjoy your day.

Covid-19 Pandemic Lessons for Nurse Leaders: Relationship of Nurses Feeling Supported at Work to Characteristics of the Environment: Virtual Poster Presentation

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