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Challenges in sustaining excellence over time.

Kim Sharkey¹, Diana Meeks-Sjostrom, Marianne Baird

¹Saint Joseph's Hospital of Atlanta, 5665 Peachtree Dunwoody Road NE, Atlanta, GA 30342, USA. KSharkey@sjha.org

Nursing Administration Quarterly

|March 24, 2009

Summary

Developing a culture of nursing excellence requires adaptability, not perfection. Saint Joseph's Hospital shares strategies for sustaining this culture through organizational hardiness and professional practice models.

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Area of Science:

Healthcare Management
Nursing Administration
Organizational Psychology

Background:

A culture of excellence is distinct from perfection, emphasizing adaptability.
Sustaining nursing excellence presents unique challenges in healthcare settings.
Saint Joseph's Hospital in Atlanta, Georgia, has faced these challenges.

Purpose of the Study:

To discuss the challenges in developing and sustaining a culture of nursing excellence.
To share strategies employed by Saint Joseph's Hospital.
To highlight key components for long-term success.

Main Methods:

Discussion of organizational hardiness as a foundational element.
Exploration of the emergence and impact of a professional practice model.
Analysis of a clinical nurse advancement program.
Examination of the implementation of the Forces of Magnetism and Essentials of Magnetism.

Main Results:

Adaptability and resilience are key to achieving excellence.
Professional practice models foster autonomy and accountability.
Nurse advancement programs enhance professional growth and retention.
Magnet principles provide a framework for high-quality nursing care.

Conclusions:

Sustaining a culture of nursing excellence is an ongoing process.
A multi-faceted approach incorporating organizational support and professional development is crucial.
The strategies discussed offer a roadmap for other healthcare organizations.