Nursing Excellence Specialist-Nursing Quality

Sheikh Shakhbout Medical City

Job Description

 This role is responsible for the coordination of all activities related to Nursing Excellence that includes maintenance of clinical integrity and regulatory compliance, the National Database for Nursing Quality Indicators (NDNQI), Magnet and Joint commission accreditation/reaccreditation, and DOH related monitoring.  

The role may also involve data collection/monitoring of measures identified by Nurse Leaders as a priority to identify improvement opportunities.

Responsibilities

Audit, Performance Improvement, Accreditation, and Training:  

•   Promotes the culture of Nursing Excellence, utilizing Magnet principles.  

•   Assists in Joint commission and Magnet preparedness, accreditation and re-accreditation.  

•   Collaborates with nursing leadership in ensuring staff adheres to the organization’s internal policies/standards.  

•   Assists with audits for clinical oversight that evaluates the adherence of compliance to the standards of nursing practice.  

•   Ensures provision of a clean and safe work environment that minimizes risks to patients, visitors, other staff, and self. Identifies faulty and defective equipment and furniture, removes from service, and takes corrective action. 

•   Monitors staff performance, providing regular constructive feedback, coaching, guidance, and support to team members.  

•   Identifies gaps in nursing practice that are addressed through the review of standards, current evidence, review of policy for consistency of content with practice, and communicates training needs in conjunction with the Clinical Resource Nurse and Manager to the professional development team for staff training as well as follow-up. 

•   Reviews Nurse Sensitive Indicators (NSIs), Zero Harm, RN satisfaction/engagement , and Patient Experience/Satisfaction data to trend results to provide guidance to the Unit Based Practice Councils (UBPCs) and unit’s/department’s leaders on how to develop improvement initiatives.  

•   Provides guidance in the process of development of action plans with the nursing leader(s).  

•   Supports the implementation and development of quality strategies to solve care system deficiencies and evaluates their effectiveness. 

•   Develops and implements quality strategies to solve care system deficiencies and evaluates their effectiveness. 

•   Responds to all levels of emergencies according to the organization’s policies and procedures 

•   Monitors and evaluates unit results in order to identify problems and takes a lead role in improving systems and safe patient care 

•   Participates as a leader or co-leader or member in interdisciplinary teams and Performance Improvement Projects for evaluation and improvement of processes and clinical practice. 

•   Provides support and mentorship to nursing staff during the Performance Improvement Projects. 

•   Provides awareness and education to all/relevant nursing staff on the Nurse Sensitive measures. 

•   Delegates  to the nursing team in response to an emergency. 

Data Management:  

•   Develops an annual data collection plan in line with Nursing Department Strategy. 

•   Maintains the Nursing Department database for the selected unit and /or specialty-specific indicators. 

•   Provides tracked, trended and actionable data in a timely manner and creates mechanism to make data available to SSMC Nurse Leaders and Managers as appropriate.  

•   Acts as the primary point of contact between NDNQI and Sheikh Shakhbout Medical City, including the  of the NDNQI site coordinator and RN satisfaction survey coordinator.  

•   Shares, disseminates and utilizes information and resources from the NDNQI website to ensure staying up to date with NDNQI requirements and recommendations.  

•   Ensures maintaining the security of the NDNQI website, this includes granting site access, tutorial permissions, and changing roles. 

Qualifications

Experience :-  

Required: 

•   6 years’ experience post qualification in a relevant setting   

•   NLT 2 years’ experience as Nursing excellence specialist / NDNQI site coordinator or co-site coordinator   

Desired: 

•   Experience in a Magnet or Pathway to Excellence hospital 

•   Lead quality improvement projects/initiatives at department level 

 Educational Qualification: Required: 

•   Bachelor of Science degree in nursing  

•   Valid/current national license 

•   BLS 

Desired: 

•   MSc in nursing / Quality / Healthcare / management or administration field