1. 2015 Healthy Nurses: An Ethical Imperative ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN Virginia Organization of Nurse Executives and Leaders Spring 2015 Conference June 2, 2015

2. The Imperative to “Get It Right”

3. Healthy Nurses: A Key Component of Quality Quality & Safety Nurse Satisfaction Patient Satisfaction Patient Outcomes

4. © 2015 Press Ganey Associates, Inc. Higher Nursing hours PPD Leads to Better Patient Experience # of Nursing Hours Patient Experience Scores - Top vs Bottom Decile in Number of Nursing Hrs Per Pt Day

5. Higher Percent of RN Hours Leads to Better Patient Experience % Staffing Hours Supplied by RNs Patient Experience Score for Top vs. Bottom Decile in Percent of Hours Supplied by RNs © 2015 Press Ganey Associates, Inc.

6. RNs and Patients Tend to Agree… RN Perceived Quality of Care Patient Experience Scores for Top vs. Bottom Decile in RN Perception of Quality of Care © 2015 Press Ganey Associates, Inc.

7. Nurse Staffing Levels Have a Broad Impact on Patient Experience Discharge.313 Nurses.404 Tests.397 Overall.396 Issues.426 Pearson Correlations of RN Staffing with Patient Experience Domains © 2015 Press Ganey Associates, Inc.

8. “The Nurse Owes The Same Duties To Self As Others”

9. To view: NursingWorld.org To purchase: NursesBooks.org A statement of the ethical obligations and duties of every nurse The profession’s non-negotiable ethical standard An expression of nursing’s own understanding of its commitment to society

10. ANA’s Programmatic Pillars

11. Defining a “Healthy Nurse” A “healthy nurse” is one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing.

12. ANAhra.org Take ANA’s Health Risk Appraisal!

13. NursingWorld.org/HealthyNurse

15. SAFEEMPOWERINGSATISFYING Healthy Work Environment

16. “The nurse […] establishes, maintains and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care.”

17. Fostering Healthy Work Environments NURSE FATIGUE STAFFING WORKPLACE VIOLENCE & INCIVILITY SAFE PATIENT HANDLING & MOBILITY

18. Ebola and Healthy Work Environments

19. U.S. Guantanamo Bay Detention Camp Ethical Duty and Healthy Work Environments

20. Better health Better care Reduced cost What is the Desired Future We Seek?

21. Nurses Leading the Way on Quality

22. It’s All Connected Patient- Centered Outcomes Nurse Satisfaction Patient Satisfaction

23. HEALTH FOR ALL. Nurses ADVANCING our profession to IMPROVE

24. To join ANA, visit: NursingWorld.org/JoinANA