As a recognized Magnet institution, Boston Children's Hospital and its satellites exemplify the 14 characteristics of nursing excellence, which the American Nurses Credentialing Center refers to as the 14 "Forces of Magnetism:"
Force 1: Quality of Nursing Leadership
Nursing leaders at Boston Children's are seen by their peers and staff as knowledgeable, strong risk-takers focused on safety, quality, education, leadership and the health and well-being of children. They also express a strong sense of support on behalf of the staff.
Force 2: Organizational Structure
Boston Children's organizational structure allows unit-based decision making and there is a strong nursing representation evident in our organization committee structure. The CNO is a member of the executive team. Eileen Sporing, MSN, RN, Senior Vice President of Patient Care Operations and Chief Nursing Officer (CNO) has lead the nursing department for 18 years and is the second longest tenured senior manager. She is highly regarded by nursing and non-nursing leaders.
Force 3: Management Style
Our hospital and nursing administrators use a participative management style, incorporating feedback from staff at all levels of the organization. We encourage and value the feedback of our nursing staff. Nurses serving in leadership positions are visible, accessible, and committed to communicating effectively with staff.
Our CNO is a visionary, future-oriented, influential, strong advocate for staff and patient needs, and empowers nurses in all roles to actively participate in decision-making. Eileen Sporing, MSN, RN, has played a vital role in the expansion of CHB's clinical services, established the Nursing Executive Committee for Quality, (NECQ) and is an advocate for nurses internal and externally.
Force 4: Personnel Policies and Programs
We have a competitive salary and benefits package at Boston Children's. We honor the needs of our nursing staff by ensuring rotating shifts are minimized and creative and flexible staffing models are used. Personnel policies are created with staff involvement, and significant administrative and clinical promotional opportunities exist.
Boston Children's Hospital has a diverse and global patient population with varied cultural and linguistic needs. We recognize the value and the need for diversity within our staff through our recruitment and retention initiatives.
Force 5: Professional Models of Care
At Boston Children's, we believe in using a Synergy Model of Care. Nurses are collaborators and decision-makers which gives them both responsibility and authority in providing patient care.
The Synergy Model is the foundation of a professional nursing practice and provides a framework of how patient care is assigned, coordinated, and provided by RNs based upon nursing competency, clinical knowledge and experience. Nurses at Boston Children's are accountable for their own practice and are the coordinators of care.
Force 6: Quality of Care
Our nurses provide high-quality care to their patients which is an organizational priority. Nurses serving in leadership positions are responsible for developing the environment in which high-quality care can be provided.
Boston Children's supports our nurses' efforts to maintain and improve quality of care through supporting nursing research, development of core metric measures, implementation of patient safety measures and chronic disease intervention programs, and providing educational materials and opportunities to our nurses.
Force 7: Quality Improvement
Boston Children's is dedicated to quality improvement measures. Our staff nurses participate in quality improvement processes including participation in our quality governance structure, our CHAMPS (Children's Hospital Applications Maximizing Patient Safety) program, and in patient surveys and safety initiatives.
Our nurses view these activities as essential in improving the quality of care delivered within the organization.
Force 8: Consultation and Resources
We provide adequate consultation and other human resources to our nursing staff, particularly advanced practice nurses, are available and used. Within our nursing staff are 141 Advanced Practice Nurses (APNs) who are knowledgeable experts in all aspects of nursing. Nurses also have access to a wide-range of services including subject matter experts, social workers, clinical pharmacists, child life specialists, and pain management staff.
Force 9: Autonomy
Children's nurses are expected to practice autonomously, consistent with professional standards. Our nurses use independent judgment within the context of a multidisciplinary approach to deliver patient care.
Force 10: Community and Healthcare Organization
Organizations that are best able to recruit and retain nurses also maintain a strong community presence. Boston Children's has a strong community presence which can be seen in a variety of ongoing, long-term outreach programs. These outreach programs have resulted in our reputation as being strong, positive, and a productive corporate citizen.
Boston Children's is affiliated with several schools of nursing across Massachusetts, and has organized several initiatives and programs to strengthen our connection within the community. Our nurses serve on a variety of community councils and participate in several hospital and non-hospital sponsored programs.
Force 11: Nurses as Teachers
We encourage and expect nurses to incorporate teaching into all areas of their practice. Teaching is one activity that reportedly gives our nurses a great deal of professional satisfaction.
We offer various educational opportunities through our NetLearning online classes, mentoring activities, conferences, orientations, simulations, and assessments.
Force 12: Image of Nursing
We view nurses as integral to our organization's ability to provide patient care services. These services provided by our nurses are essential by other members of the healthcare team.
We honor our nurses through collaborating with them through all levels of the organization, awarding nursing excellence internally, a yearly Nurse's Week celebration, and through our organization logo which prominently features a nurse.
Force 13: Interdisciplinary Relationships
At Boston Children's, interdisciplinary relationships are viewed positively and we foster mutual respect among all disciplines.
Boston Children's nurses are involved and participate in a variety of committees throughout the hospital organization.
Force 14: Professional Development
Boston Children's places a significant emphasis on orientation, in-service education, continuing education, formal education, and career development for our nurses. Currently, Boston Children's provides over 169 live continuing education programs for our nurses, and funds conferences, tuition, and scholarships. More than 30 percent of our nurses are certified with 40 percent belonging to professional organizations.
We value and cultivate personal and professional growth and development. In addition, opportunities for competency-based clinical advancement exist, along with the resources to maintain competency. We provide educational programming on ethics, EBP, nursing research, privacy and confidentiality, and cultural competency. We also have developed special competency programs for special clinical skill sets such as IV, PICC, chemotherapy and sedation.