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The Forces of Magnetism in Action

As a Magnet facility,
Children’s Hospital exemplifies the 14 Forces of Magnetism. These traits and characteristics express how Children’s embodies a professional environment that supports excellence in nursing practice.

Nurse peforming a check-upForce 1: Quality of Nursing Leadership

Our nursing leaders are knowledgeable, strong, risk-takers who convey a sense of advocacy and support for staff and for the patient. Our nursing leaders have achieved American Nurse Credentialing Center Nursing Administration Certification and hold leadership positions in professional nursing organizations.

Force 2: Organizational Structure

At Children’s Hospital, our nursing organizational structure is flat, dynamic and responsive to change. Our Vice President and Chief Nursing Officer, Beverly Hayden-Pugh, RN, BSN, MOB, CNA-BC, is a member of the executive team. The nurses at Children’s serve on interdisciplinary committees and there is department-based decision-making.

Force 3: Management Style

Nursing leaders at Children’s Hospital create an environment that supports feedback and participation at all levels. Vice President & Chief Nursing Officer Beverly Hayden-Pugh can often be seen walking the halls, speaking with nurses and patient families. Children’s has developed a unit-based participatory governance model and recently redesigned inpatient documentation. Our nurses have the ability to initiate change to improve patient care, nursing practice and the work environment.

Force 4: Personnel Policies and Programs

We offer a competitive salary and benefits package at Children’s and have flexible staffing models with self-scheduling and float by preference. In an effort to offer significant opportunities for professional growth, we enhanced the Clinical Advancement Program and the RN, LVN, Unlicensed Assistive Personnel Job Performance Standards. A clinical intranet portal called “iCare” is full of resources for nurses as they provide family-centered care to patients.

Force 5: Professional Models of Care

Nursing Services at Children’s embraces the philosophy of family-centered care. We developed and implemented the L.E.G.A.C.Y. Care Delivery Model. Designed by nurses, physicians, respiratory care practitioners, leaders and allied health professionals, L.E.G.A.C.Y. promotes an environment that supports excellence, quality and safety. Nurses serve as the coordinator of care and lead an interdisciplinary team to develop, implement and evaluate individualized care plans.

Force 6: Quality of Care

Nurses at Children’s are committed to providing high quality care to patients. We’re always looking for ways to maintain and improve care. Recently Children’s established the Nursing Research Committee, Unit-based Scorecards and Caregiver Case Reviews. Our nurses provided leadership in the Patient Safety Program in collaboration with our physician partners and enhanced the Peripherally Inserted Central Catheter (PICC) Program.

Force 7: Quality Improvement

Children’s is dedicated to quality improvement measures. Our nurses participate in the National Database of Nursing Quality Indicators (NDNQI) and California Nursing Outcomes Coalition (CalNOC). We provided leadership during the implementation of Medical Reconciliation to improve medical safety. Nurses at Children’s were part of the multidisciplinary team that developed SBAR – Situation, Background, Assessment and Recommendation – as the standardized tool to support safe patient hand off communication. We provided leadership in initiating a Rapid Response Team at Children’s, which provides critical care expertise at the bedside at the first sign a patient’s condition may be deteriorating. Our nurses provided leadership and nursing research in establishing a Pediatric Fall Prevention Program. We provided leadership in enhancing sedation management through the Precious Child Initiative, an ongoing education program for sedation. We worked to enhance access to care through the Patient Throughput Initiative, which streamlined the flow of patients through the hospital from pre-admission to discharge.

Force 8: Consultation and Resources

Children’s provides adequate resources, support and opportunities for the utilization of experts. Collaboratively, we worked to establish several specialty roles including Nursing Informatics Specialist, Program Manager, Nursing Professional Practice, Value Analysis Coordinator, Clinical Education Specialists, Palliative Care Coordinator, Vascular Access Specialist and Consultant Regulatory Compliance. Within the nursing staff, there are nurse practitioners and clinical nurse specialists who are knowledgeable in all aspects of nursing. Our nurses are actively involved in professional organizations including Children’s Healthcare Corporation of America, San Joaquin Valley Nursing Education Consortium and the Center for Advanced Research and Technology (CART).

Force 9: Autonomy

Registered Nurses practice autonomously consistent with national professional standards. Nurses at Children’s function as the coordinator of care and lead an interdisciplinary team to provide high quality care for the patient and family.

Force 10: Community and the Healthcare Organization

Children’s has a strong community presence and continues to build alliances with community organizations to support the health of the communities we serve. Our nurses participate in community outreach projects and collaboratives including the Injury Prevention Program, Water Safety Program, the Children’s Advocacy Network and the California Children’s Hospital Association. Children’s has developed relationships with several nursing programs throughout the Central Valley.

Force 11: Nurses as Teachers

Nurses at Children’s are involved in education activities within the organization and community. There are development and mentoring opportunities for students, new graduates and experienced nurses. The Children’s Leadership Institute equips nurses with the skills needed to succeed in leadership positions. Our nurses serve as adjunct faculty in nursing programs at several institutions in the Central Valley.

Force 12: Image of Nursing

Nurses are viewed as an integral part of Children’s Hospital’s ability to provide patient care. Patient and Family Satisfaction with Nursing Care is high and Children’s has exceeded all hospital peer group and children’s hospital peer group means for the past four years.

Force 13: Interdisciplinary Relationships

At Children’s Hospital, interdisciplinary working relationships are valued. Children’s nurses participate in a variety of interdisciplinary committees throughout the hospital.

Force 14: Professional Development

Children’s Hospital places a significant emphasis on nursing orientation, in-service education, continuing education and career development. Children’s offers nursing scholarships, tuition reimbursement and a clinical ladder. We implemented on-site testing for national certification, developed a perioperative staff development program, redesigned the clinical advancement program and developed a pediatric intensive care cardiac orientation program. Children’s offers a Pediatric Nurse Extern Program and we participate in the Paradigm Program at Fresno City College, which reserves a number of slots for Children’s employees in its accelerated nursing program.