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Our Community's Own Heroes at the Bedside

As we reviewed our nursing accomplishments in 2009, we saw glimmers of greatness. We read applications for poster presentations to share new evidence discovered by bedside nurses. We analyzed data clearly demonstrating improvements in nurse sensitive indicators and we noted significant acceleration in work life engagement. This persistent and passionate work is moving us in a singular, purposeful direction—our pursuit of nursing excellence.

In building greatness, there is no one specific action, no miracle moment that defines 2009 for us. Instead, our nurses have again delivered consistent performance which led to Magnet™ hospital designation in December. What a profound statement of the growing degree of greatness at Sparrow! This involved working on issues that affect nursing's core purpose—delivering quality care at the bedside. We focused on reducing infections, ensuring a high standard of care for all patients, improving processes for greater efficiency and embedding patient safety practices.

Numerous community service projects were undertaken. We developed new means of providing evidence-based care through care bundles in patient falls and skin integrity. We are beginning to implement the Institute for Healthcare Improvement's Transforming Care at the Bedside principles like Quiet Time and we are posting some of the lowest rates of central line infections and ventilator associated pneumonia in the nation.

Our activities in 2009 truly reflect what Collins wrote in Good to Great: superior performance and distinctive impact. Beyond those, Sparrow Nurses also reflect commitment to a third dimension critical to our success, that of lasting endurance. At Sparrow, we are not only working on short term goals, we are creating excellence that must be sustained over time. This means across generations of leaders, during times of financial strain, amongst critical labor shortages, and with the many unforeseen changes in health care. In that spirit, we congratulate our Sparrow associates for a job well done in 2009, and extend our encouragement to sustain great work in the year ahead.

Carol Dwyer, MSN, MM, RN
Vice President of Patient Care ServicesSparrow Hospital

Elizabeth Henry, MN, RN
Senior Vice President, Sparrow Health SystemsPatient Care ServicesChief Nursing Officer

Nursing Outcomes

Chart comparing total annual on the job injuries from 2006 thru 2009

Number of On-the-Job Injuries

According to Occupational Health Data, the number of on the job injuries in 2009 were significantly less at 63 injuries, than they were in 2006 at 92 injuries.

Chart comparing total annual patient satisfaction 2007 thru 2009

Percentile Ranking of Inpatient Satisfaction with Personalized Nursing Care

With personalized nursing care, inpatient satisfaction has increased from 59% in 2007 to 69% in 2009, according to Press Ganey.

Chart comparing total annual job enjoyment 2005 thru 2009

Percentile Ranking of RN Job Enjoyment Survey

The National Database for Nursing Quality Improvement shows that the Ranking of Job Enjoyment Survey has increased from 52.14% in 2005 to 56.98% in 2009.

Professional Development Outcomes

Chart comparing rate of RN and BSN degrees 2007 thru 2009

Percentage of RNs with BSN or Higher Degree

The percentage of RNs with a BSN degree or higher has increased from 34.2% in 2007, to 34.4% in 2008, and again to 35.5% in 2009

Chart comparing rate of certified RN 2007 thru 2009

Percentage of Certified RNs

The percentage of RNs overall has increased from 6.9% in 2007, to 7.9% in 2008, to 9.4% in 2009.

Nursing Practice Outcomes

Chart comparing quarterly rate of hospital aquired pressure ulcers 2007 thru 2009

Hospital Acquired Pressure Ulcers

In the 4th quarter of 2007, hospital acquired pressure ulcers were at 11.0%. By the 2nd quarter of 2008, hospital acquired pressure ulcers had decreased to 5.5%, and by the 2nd quarter of 2009 had lowered to 4.4%.

Chart comparing total anual ventilator associated pneumonia 2004 thru 2009

Ventilator Associated Pneumonia

In 2004, ventilator associated pneumonia per 1000 vent days was at 10.50. By 2006, that number had decreased to 4.44, and by 2009 ventilator associated pneumonia had decreased to 0.50.

Chart comparing total anual blood stream associated infections per 1000 line days 2006 thru 2009

Blood Stream Associated Infections

Blood stream associated infections per 1000 line days was at 3.77. By 2008, blood stream associated infections had decreased to 1.31, and to 1.01 in 2009.