{"id":4797,"date":"2021-10-20T15:58:10","date_gmt":"2021-10-20T15:58:10","guid":{"rendered":"https:\/\/report.mmc.org\/?page_id=4797"},"modified":"2021-11-09T17:47:17","modified_gmt":"2021-11-09T17:47:17","slug":"accountability","status":"publish","type":"page","link":"https:\/\/report.mmc.org\/nursing-biennial-2019\/practice\/accountability\/","title":{"rendered":"Accountability &#038; Autonomy"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container fusion-parallax-none nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"background-color: #ffffff;background-image: url(&quot;https:\/\/report.mmc.org\/wp-content\/uploads\/sites\/5\/2021\/10\/councils-hero.jpg&quot;);background-position: center center;background-repeat: no-repeat;border-width: 0px 0px 0px 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.avada-menu-mobile-menu-trigger,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-megamenu-wrapper .fusion-megamenu-holder .fusion-megamenu .fusion-megamenu-submenu .fusion-megamenu-title .awb-justify-title,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-menu-element-list .sub-menu > li,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-menu-element-list .sub-menu li a{font-family:inherit;font-weight:400;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-menu-element-list > li,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-menu-element-list .fusion-megamenu-title,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .fusion-menu-element-list ul{text-transform:none;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item:focus-within > a .fusion-megamenu-icon{color:#37718e;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item:hover > a .fusion-megamenu-icon,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item.hover > a .fusion-megamenu-icon,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item:focus > a .fusion-megamenu-icon,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item:active > a .fusion-megamenu-icon,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item.current-menu-item > a .fusion-megamenu-icon{color:#37718e;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item.current-menu-ancestor > a .fusion-megamenu-icon{color:#37718e;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item.current-menu-parent > a .fusion-megamenu-icon{color:#37718e;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"]:not(.collapse-enabled) .fusion-menu-element-list > li.menu-item.expanded > a .fusion-megamenu-icon{color:#37718e;}.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .custom-menu-search-dropdown:hover .fusion-main-menu-icon,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .custom-menu-search-overlay:hover .fusion-menu-icon-search.trigger-overlay,.fusion-body .fusion-menu-element-wrapper[data-count=\"0\"] .custom-menu-search-overlay:hover ~ .fusion-overlay-search{color:#37718e !important;}<\/style><ul id=\"menu-2021-sub-menu-practice\" class=\"fusion-menu fusion-custom-menu fusion-menu-element-list\"><li  id=\"menu-item-4804\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4804\"  data-item-id=\"4804\"><span class=\"background-default transition-fade\"><\/span><span class=\"background-active transition-fade\"><\/span><a  href=\"https:\/\/report.mmc.org\/nursing-biennial-2019\/practice\/\" class=\"fusion-background-highlight\"><span class=\"menu-text\">Interprofessional Care<\/span><\/a><\/li><li  id=\"menu-item-4806\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4806\"  data-item-id=\"4806\"><span class=\"background-default transition-fade\"><\/span><span class=\"background-active transition-fade\"><\/span><a  href=\"https:\/\/report.mmc.org\/nursing-biennial-2019\/practice\/accountability\/\" class=\"fusion-background-highlight\"><span class=\"menu-text\">Accountability &#038; Autonomy<\/span><\/a><\/li><li  id=\"menu-item-4805\"  class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-4805\"  data-item-id=\"4805\"><span class=\"background-default transition-fade\"><\/span><span class=\"background-active transition-fade\"><\/span><a  href=\"https:\/\/report.mmc.org\/nursing-biennial-2019\/practice\/improving-processes\/\" class=\"fusion-background-highlight\"><span class=\"menu-text\">Improving Positioning Processes<\/span><\/a><\/li><\/ul><\/nav><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-2{width:100% !important;}.fusion-builder-column-2 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 0.98%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 0.98%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-2{width:100% !important;order : 0;}.fusion-builder-column-2 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_4_5 4_5 fusion-flex-column\"><div class=\"fusion-column-wrapper fusion-flex-justify-content-flex-start fusion-content-layout-column\" style=\"background-position:left top;background-repeat:no-repeat;-webkit-background-size:cover;-moz-background-size:cover;-o-background-size:cover;background-size:cover;padding: 0px 0px 0px 0px;\"><div class=\"fusion-text fusion-text-2\"><h2>Culture of Kindness<\/h2>\n<p>In the summer of 2018, the nursing leadership team at The Barbara Bush Children\u2019s Hospital at Maine Medical Center (BBCH) learned of possible lateral violence incidents and a tolerated culture of incivility through sporadic staff anecdotes.<\/p>\n<p>It is well-documented that incidences of lateral violence in health care settings can have widespread negative effects for victims, care team members and patients (<em>ANA, 2015<\/em>). In July 2018, this culture was validated by responses from an evidence-based survey (<em>Nemeth et al., 2017<\/em>), finding 73% of respondents (n=67) stated lateral violence was present, 67% were not willing to intervene, and 70% had no special training.<\/p>\n<p>BBCH leadership then implemented several interventions specific to the trends identified by the initial survey. We provided written education defining workplace violence and incivility and describing the negative effects on the team. We also instituted <strong>walking ethics rounds<\/strong> to help increase moral resiliency \u2013 which has been shown to decrease lateral violence amongst team members.<\/p>\n<p>Staff and leadership were required to attend a class based on a <strong>Culture of Kindness<\/strong> model developed at our institution. Now, if conflict occurs, staff follow this 4-step model:<\/p>\n<ol>\n<li>Diagnose own reaction<\/li>\n<li>Interpret others\u2019 intent<\/li>\n<li>Intervene respectfully<\/li>\n<li>Resolve through ownership<\/li>\n<\/ol>\n<p>Classes were interactive, requiring staff to brainstorm, watch a <em>TED Talk<\/em> (<em>Sinek, 2014<\/em>), and role-play seven different lateral violence scenarios. Employee retention has improved as a result of these initiatives.<\/p>\n<\/div><div class=\"fusion-text fusion-text-3\"><p style=\"text-align: center;\"><strong>Culture of Kindness &#8211; Reducing Clinical Nurse Turnover Rate<\/strong><br \/>\n<strong>Maine Medical Center BBI<\/strong><\/p>\n<\/div><style type=\"text\/css\">#fusion-chart-1{background-color: #ffffff;}#fusion-chart-1{padding: 2% 0 2% 0;}#fusion-chart-1 .fusion-chart-legend-wrap li:nth-child(1) span{color: #ffffff;}#fusion-chart-1 .fusion-chart-legend-wrap li:nth-child(2) span{color: #ffffff;}#fusion-chart-1 .fusion-chart-legend-wrap li:nth-child(3) span{color: #ffffff;}#fusion-chart-1 .fusion-chart-legend-wrap li:nth-child(4) span{color: #ffffff;}<\/style><div id=\"fusion-chart-1\" class=\"fusion-chart legend-right\" data-type=\"bar\" data-chart_legend_position=\"right\" data-x_axis_labels=\"2018 Q1|2018 Q2|2018 Q3|2018 Q4|2019 Q1|2019 Q2|2019 Q3|2019 Q4|2020 Q1|2020 Q2|2020 Q3\" data-x_axis_label=\"Quarter\" data-y_axis_label=\"Turnover Rate\" data-show_tooltips=\"yes\" data-bg_colors=\"rgba(255,153,51,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(102,153,194,1)|rgba(102,153,194,1)|rgba(102,153,194,1)|rgba(102,153,194,1)\" data-border_colors=\"rgba(255,153,51,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(125,143,41,1)|rgba(102,153,194,1)|rgba(102,153,194,1)|rgba(102,153,194,1)|rgba(102,153,194,1)\" data-border_size=\"1\" data-border_type=\"smooth\" data-chart_fill=\"off\" data-chart_point_style=\"circle\" data-chart_point_size=\"3\" data-chart_axis_text_color=\"rgba(51,51,51,1)\" data-chart_gridline_color=\"rgba(244,246,249,1)\"><div class=\"fusion-chart-dataset\" data-label=\"Pre-Intervention\" data-values=\"5.1||||||||||\" data-background_color=\"rgba(255,153,51,1)\" data-border_color=\"rgba(255,153,51,1)\"><\/div><div class=\"fusion-chart-dataset\" data-label=\"Intervention\" data-values=\"|2.6|3.9|2.6|4.7|2.7|3.0||||\" data-background_color=\"rgba(125,143,41,1)\" data-border_color=\"rgba(125,143,41,1)\"><\/div><div class=\"fusion-chart-dataset\" data-label=\"Post-Intervention\" data-values=\"|||||||1.5|4.7||\" data-background_color=\"rgba(102,153,194,1)\" data-border_color=\"rgba(102,153,194,1)\"><\/div><div class=\"fusion-chart-dataset\" data-label=\"Post-Intervention (COVID)\" data-values=\"|||||||||7.7|1.7\" data-background_color=\"rgba(55,113,142,1)\" data-border_color=\"rgba(55,113,142,1)\"><\/div><div class=\"fusion-chart-inner\"><div class=\"fusion-chart-wrap\"><canvas><\/canvas><\/div><div class=\"fusion-chart-legend-wrap\"><\/div><\/div><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-builder-column-3{width:80% !important;}.fusion-builder-column-3 > .fusion-column-wrapper {padding-top : 0px !important;padding-right : 0px !important;margin-right : 1.225%;padding-bottom : 0px !important;padding-left : 0px !important;margin-left : 1.225%;}@media only screen and (max-width:1024px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}@media only screen and (max-width:640px) {.fusion-body .fusion-builder-column-3{width:100% !important;order : 0;}.fusion-builder-column-3 > .fusion-column-wrapper {margin-right : 0.98%;margin-left : 0.98%;}}<\/style><\/div><\/div><style type=\"text\/css\">.fusion-body .fusion-flex-container.fusion-builder-row-2{ padding-top : 0px;margin-top : 0px;padding-right : 10%;padding-bottom : 0px;margin-bottom : 0px;padding-left : 10%;}<\/style><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":4795,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/pages\/4797"}],"collection":[{"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/comments?post=4797"}],"version-history":[{"count":5,"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/pages\/4797\/revisions"}],"predecessor-version":[{"id":4904,"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/pages\/4797\/revisions\/4904"}],"up":[{"embeddable":true,"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/pages\/4795"}],"wp:attachment":[{"href":"https:\/\/report.mmc.org\/wp-json\/wp\/v2\/media?parent=4797"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}