CSI Summary
Available only to registered AACN.org users.
Project Topic:
Meaningful Recognition
Hospital, City and State:
Los Angeles General Medical Center, Los Angeles, California
Unit:
Adult Primary Care East
CSI Participants:
- Yoyo Franco, CMA
- Jessenia Lugo, RN
- Rhea Pearsall, LVN
Project Goals/Objectives:
- Increase AACN Healthy Work Environment Assessment Tool (HWEAT) score 40%
- Promote peer-to-peer recognition
- Decrease turnover
- Increase transparency with management
- Promote information distribution
Project Outcomes:
- Increased all HWEAT standard scores
- Increased HWEAT Meaningful Recognition score from 3.82 to 4.64
- Increased peer-to-peer recognition
- Decreased nurse turnover
- Increased information dissemination
- Resulted in a positive estimated annual fiscal impact of $62,820
Project Overview:
Based on the unit’s HWEAT scores, the CSI team chose to focus on improving Meaningful Recognition in the unit. To do this we created the Say it Out Loud bulletin board. The board was placed in a central location for employees to have easy access to post, read and acknowledge the good deeds done daily in the clinic as a form of peer-to-peer recognition. The shoutout did not have to be an outstanding or extremally amazing act; it can simply be a shoutout for helping when someone is overwhelmed. The shoutouts were read in huddles, and employees received recognition certificates.
Another way we wanted to improve Meaningful Recognition was to send each team member to the Team Lead meeting. Team lead attendance was voted on by those with the same title (i.e.; RN or CMA) to represent them in the regular meeting with administration. In the Primary Care Medical Home meetings with administration, the team lead presents the concerns, ideas or education requests of their peers and brings the results back to the front-line staff. In Clinical Operations meetings, team members attending the meetings collect information on behind-the-scenes recommendations and processes that keep clinics operating to required standards. They share the information with their peers in morning huddles.
Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.
Disclaimer
The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.