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LuAnn Townsend

Final Oral Exam presentation

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Final exam

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Page 1: Final Oral Exam presentation

LuAnn Townsend

Page 2: Final Oral Exam presentation

Malad, Idaho Southeastern Idaho town just north of the Utah border

2010 population: 2,095 (county = 4,125)

34.3% homes with children less than 18

Median age 38.2

2009 median household income: $37,290

Page 3: Final Oral Exam presentation

Oneida County Hospital Spectrum of services from lab to diagnostic

radiology, emergency to operating room, maternal/child to long term care

11 beds/11 certified (+ 41 LTC)

Approximately 35 FTE with 8.25 RN FTE

Page 4: Final Oral Exam presentation

Rural environment

Unique issues

Must be over 35 miles from another hospital –OR- 15 miles away in mountainous area with only secondary roads

Maximum 25 beds acute care inpatient/swing beds

Multi-specialty practitioners

Limited resources

Page 5: Final Oral Exam presentation

Recruiting & Retaining RN Competing with larger facility pay practices

Nurses must be knowledgeable in multiple specialties

Independent practice ,which can lead to burnout

Flexibility of work

Page 6: Final Oral Exam presentation

Objectives Recruitment of nurses within the community.

Exposure to field of nursing

Collaboration for education /advancement

ISU/BSU

Retention of current nursing workforce

American Nurses Credentialing Center

Pathway to Excellence program

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Recruitment

Collaboration with Oneida School District for

Career fairs

Initiating school nurse position

Visible Nurses’ Week celebration

Job shadowing

Collaboration for nursing education

OHSU rural education template

ISU internship program

Page 8: Final Oral Exam presentation

Retention Pathway to Excellence certification

Standards foundational to ideal nursing practice environment

Standards include: Shared governance

Healthy work environment

Systems in place for patient care and practice concerns

Orientation prepares new nurses

Leadership competent, accountable, & participatory

Professional development & achievement recognition

Balanced lifestyle

EBP are utilized

Quality program

Page 9: Final Oral Exam presentation

Theoretical Application Transformational Leadership Risk-takers

Empowerment

Futuristic thinkers

These leaders are Admired & respected

Inspirational

Cultivate creativity

mentors

Page 10: Final Oral Exam presentation

Preparation Master’s degree preparation affords

Foundation of theoretical frameworks

Questioning mentality

Creating vision

Mentoring

Page 11: Final Oral Exam presentation

Conclusion Oneida County Hospital

Decrease turnover by creating an ideal nursing environment

Increase visibility of nursing within the community

Recruitment of nurses within the facility AND the community

Page 12: Final Oral Exam presentation

References Curtis, E., & O'Connell, R. (2011). Essential leadership skills for

motivating and developing staff. Nursing Management, 18(5), 32-35. Malad city/Oneida county economic development foundation. (n.d.).

Retrieved from http://maladidaho.org/ Mason, W. A. (2004). Oregon's economic crisis and the national

nursing shortage: a transformational opportunity for rural areas. Online Journal of rural nursing and health care, 4(1), 64-74. Retrieved from http://www.thefreelibrary.com/Oregon's economic crisis and the national nursing shortage: a...-a0174057701

McPeck, P. (2006). Growing their own--the rewards and challenges of rural nursing. NurseWeek News, Retrieved from http://www2.nursingspectrum.com/articles/print.html?AID=24966

Moulton, P. (2012) Rural students views on nursing workforce issues: The results of a focus group study. Retrieved from http://ruralhealth.und.edu/presentations/pdf/focusgroupposter5-03.pdf

Page 13: Final Oral Exam presentation

References (cont.) Skillman, S. M., Palazzo, L., Keepnews, D., & Hart, L. G. (2005).

Characteristics of registered nurses in rural vs. urban areas: implications for strategies to alleviate nursing shortages in the united states. Informally published manuscript, Department of Family Medicine, University of Washington, Seattle, Washington.

Spencer, K. (2012). Rural Assistance Center Idaho. Retrieved from http://www.raconline.org/states/idaho.php

Swartwout, E. ( n.d.) ANCC’s pathway to excellence program. Retrieved from http://www.nursecredentialing.org/Pathway/AboutPathway/Background-and-Overview.aspx

Tomey, A. M. (2009). Nursing leadership and management effects work environments. Journal of Nursing Management, 17, 15-25.

United States Census Bureau. (2010). Profile of general population and housing characteristics: 201o [Data file]. Retrieved from http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk