Welcome

Welcome

Welcome to Cleveland Clinic Mercy Hospital’s Division of Nursing Service.

Nurses who practice at Mercy Hospital are challenged to engage in the complexities and excitement of patient care delivery in the 21st century. The nurse’s capacity to learn, to synthesize, to understand, to make critical judgments – and to work effectively with other team members – is the heart of our Professional Practice Model. With career opportunities in every arena of care – acute, ambulatory, rehabilitative and the home – Mercy Hospital offers numerous directions for professional practice and career advancement. We also recognize and promote advanced practice roles in order to enhance the development of clinical expertise in the delivery of care to the patients and families we serve.

Mercy’s Division of Nursing Service supports the medical center’s faith based environment as well as its mission of providing compassionate care for all who come to us. Nurses play a vitally important role in that mission, working side by side as team members with physician and other health professionals to assure that we maintain the highest standards of patient care.

Simply put, nurses are Mercy’s treasured resource – professionals who provide and coordinate family-centered care. Clinical leadership is exemplified by our environment for caregiving that supports the nurse-patient relationship as well as evidence based practice. Furthermore, nurses and other healthcare professionals form vibrant partnerships on behalf of the patients and families we serve.

Sincerely,

Barbara Yingling, RN
Chief Nursing Officer
[email protected]

Vision & Philosophy

Vision & Philosophy

The Division of Nursing Service is committed to continuously improving patient care by providing facilities, technologies and an enriching environment for health care professionals who choose to practice on our campus. We take pride in the many councils and committees designed to give every professional nurse an opportunity to shape and guide professional nursing practice at the medical center. Input from nurses forms a critical part of quality improvement within the medical and in its many environments of care.

Vision

Our Vision is to achieve national distinction as a magnet environment where nursing embraces an evidenced-based professional practice model.

Nursing Philosophy

We believe that nursing is more than caring for an illness. Nursing is the blending of technology with commitment, respect, compassion, creativity and caring.

Our goal is to adopt Evidenced Based Practice for the purposes of providing quality patient care and developing our profession. As professionals, we believe nurses have responsibilities that include lifelong learning, accountability for their practice and participation in interdisciplinary activities that promote patient care and nursing.

Our patients are the reason we practice at Mercy Medical Center. We are patient and family advocates and work with all disciplines in a collaborative process to provide our patients with the highest possible quality of nursing care.

Objectives & Strategic Initiatives:

  • Deliver comprehensive nursing care of the highest standard to every patient through professional nursing practice, education and research.
  • Provide educational opportunities in clinical nursing and professional development for nursing staff, affiliated students and faculty; and regional and national colleagues.
  • Improve patient care and advance the discipline of nursing through nursing and collaborative research.

To achieve quality nursing care, we utilize the nursing process to assess, formulate nursing diagnosis, to establish patient care goals, to plan and implement nursing interventions and to evaluate the results of nursing care. We strive to support the highest level of self-care and independence possible for the patient and family through appropriate nursing interventions. Health teaching to prevent potential and actual problems is an integral part of this process. We believe our nursing care must be delivered in a system, which is cost-effective for the patient, the hospital and society at large. Within a collegial atmosphere, we collaborate with other health professionals to enable us to meet the desired patient outcomes.

Professional Practice Model

Professional Practice Model

A Model of Care That:

  • Supports the practice of nursing in achieving excellence
  • Utilizes the nursing process to achieve patient focused goals

Embodies the values of:

  • Collaboration
  • Empowerment
  • Accountability
  • Educational Development
  • Plan of Care
  • Research Based Practice
  • Multidisciplinary Teams

Professional Practice Model Objectives:

  • Nursing Care is planned, implemented and evaluated by the Professional Registered Nurse
  • Nursing practice at Mercy Hospital will be evidence-based
  • To become a national leader in evidence-based practice, and we will encourage our nursing staff to question, practice, think critically, and base decisions on data and the current best evidence
  • The Department of Nursing will encourage innovative nursing practice
  • Staff members may participate in research and in the development and evaluation of new technology
  • Mercy Hospital nurses work closely with physicians and with staff in all departments, and are valued for their clinical expertise and care coordination

Benefits of Registered Nurses:

  • More useful information about your patient
  • Work will not have so much redundancy and lack of organization
  • Know and drive the plan of care for the day
  • Sequencing and pacing of activity can be modified based on data
  • Every shift makes a difference in the patient’s outcome
  • Sense of pride of accomplishment
  • Good feelings about your nursing practice
  • Work may become more enjoyable – that is up to you!

Standards of Practice

Standards of practice exist to ensure that the highest quality of care is maintained regardless of the number of professionals providing care, or the experience of those professionals. Historically, standards of practice have consisted of a formal, chronologically detailed description of a particular practice or procedure along with a rationale supporting the activity.

In a professional practice model, standards of practice have supported the “learner” or novice/advanced-beginner. For a provider lacking mastery, standards of practice provide a safe structure by which to practice as they spell out what to do in situations where the provider has no prior experience by breaking down the activity into elements and providing pertinent rules. They act as an essential teaching guide.

It is very important to understand that while serving the essential role of guiding the novice, standards of practice also guide the behavior of more experienced professionals. Standards of practice are the conduits of the institution’s culture of care, and therefore, the very essence of that care. By serving as a teaching tool, they establish a level of expectation about care-delivery within an organization.

Universal adherence to standards of practice also provides an added measure of safety by extending the knowledge of clinical expertise when real experts may not be available. With the guidance of practice standards, clinicians can step into situations and perform effectively even when more experienced providers are not present.

It is important to note that standards of practice are geared toward the “typical” situation, and are not intended to supersede the individual, specific needs of the patient at any given time. Professional Nurses face many complex situations every day. Understanding the unique clinical needs of each situation and the latitude in applying standards is imperative to providing effective, high-quality care. Strictly adhering to standards does not, in and of itself, constitute best care. It is up to the individual professional to recognize and interpret situations, and to know what standards of practice apply and in what ways they apply. The integration of clinical knowledge and standards of practice reflects a more proficient, or expert, professional.

Shared Leadership Model

Shared Leadership Model

Mercy Hospital’s nursing leadership established the vision of a shared leadership model with the belief that the best possible environment for the delivery of nursing care is within a structure in which accountability for patient care decisions and actions are vested in the professional nurse.

The shared leadership structure provides professional nurses with the opportunity to participate in decision making and policy formulation that affect their individual practice and the delivery of nursing care. Nurses participate in creating an environment of innovation, education and research, which promotes recruitment and retention of an expert nursing staff.

The shared leadership model is supported through the activities of various councils, which act to problem solve and promote trust and collegiality. All registered nurses serve as members of their Unit Practice Council. The RN chair of each unit practice council is a member of the Nursing Congress.

This governance is vested in the registered nurses within the Division of Nursing who have, by virtue of accepting their position at Mercy, accepted the accountability and responsibility for professional nursing practice and patient care.

Shared Leadership

  • Is the vehicle for developing autonomous professional staff that actively participates in addressing the challenges in healthcare today.
  • Is the structure and process by which professional organizations function.
  • Emphasizes collegiality and a share professional accountability.

Nursing Practice Councils

Professional Nursing at Mercy Hospital is structured using a Nursing Council Model. Councils made up primarily of staff nurses representing nursing units and service lines are responsible for the determination of professional nursing practice across all inpatient and outpatient settings.

The Councils

  • Interpret, implement, and communicate professional nursing standards;
  • Develop, review and revise nursing policies, guidelines and processes;
  • Develop and implement strategies for improving outcomes; and monitor the impact of decisions on the practice of professional nursing and patient care.
The Caring Model

The Caring Model

At Mercy Hospital, our patients treasure nurses. And so do we. Here are some of the reasons why.

You care. You tend the sick, you observe, record, assess, instruct. You listen. You supervise, plan schedules, assign duties. You watch. You’re quick in emergencies, compassionate with suffering, expert with complicated procedures. You respond. Your experience is more varied than we can list on this page, your presence more valuable than any job description can quantify. You’re a helper, a healer, a friend. And to us at Mercy, you are at the very heart of our medical center’s commitment to patient-centered care.

You provide so much for us and for our patients. What do we offer you? At Mercy Medical Center, we are proud to offer an excellent, competitive benefits package and wage scale. This includes a unique paid time-off system, no mandatory overtime and flexible scheduling options, including nine months on, three months off. Most of all, we are proud to offer a nurse-friendly environment throughout our medical center.

Objectives:

  • Identify environmental forces driving a renewed emphasis on caring
  • Compare differences in nurse and patient definitions of caring
  • Develop an understanding of the patient experience
  • Apply caring behaviors to practice

Today’s Emphasis on Caring

To flourish in this competitive environment, institutions must incorporate patient and family expectations of quality care into the care experience.
Ludwig-Beymer, Ryan, Johnson, Hennessey, Gattuso, Epsom & Czurylo, 1993

Customer responsible organizations who focus on giving consumer convenience, control, support, and information will have a competitive advantage through improved quality and controlled cost.
Herzienger, 1997

Patient satisfaction and willingness to recommend the provider can be increased by providing information, convenience, and interpersonal warmth… which are characteristics other than price and technical quality of care that patients value.
Peyrot, Cooper & Schnapf, 1993

Patient satisfaction has become an established indicator of quality care, as well as a central theme in highly competitive health care environments. Those providers who can establish market differentiation based on service quality will continue to grow and survive in the 21st century.
Davis & Adams-Greenly, 1994, Mahon, 1996

Can you list environmental forces driving a renewed emphasis on caring?

  • Competition between hospitals
  • Patient & family expectations

Patients are busy, well-informed, price conscious, and quality sensitive. They want convenience, a seamless system of care. They hope for reduced cost through the support needed for self-care.

Patient Satisfaction

Patient satisfaction is a complex mixture of perceived need, expectations of care, and the experience of care.
Greeneich, Long, & Miller, 1994

Patient reaction to and satisfaction with nursing care is the most important predictor of overall satisfaction with hospital care.
Williams, 1997

Patient satisfaction is related to the ordinary human virtues of communication, sensitivity, respect, dependability, trust, and personalized service.
McDaniel & Nash, 1992

Satisfaction with nursing care is largely based on the perceptions of the nurse’s affective behavior toward the patient.
Donabedian, 1988

Satisfied patients are important because they are loyal and may be counted on for return business and referrals. Word-of-mouth referrals from satisfied patients may be one of the most important factors in the selection of a hospital.

The meaning of quality may differ between and among patients, but the one common and essential component is caring! Communicating with the patient and family what they can expect during the hospital experience provides caregivers with a critical opportunity to shape patient expectations and influence their satisfaction.

Why are nurses so important to patients?

  • Nursing care is the major service provided to hospitalized patients.
  • Nursing staff comprise the largest proportion of the hospital staff.
  • Nursing staff have the most interactions with patients and families.
  • Nursing staff are often the interface between patients, families, and other hospital services.

Since nurses are the largest and most visible group of healthcare professionals, the public tends to equate satisfaction with healthcare in general to the care nurses provide.

The interpersonal process is the vehicle by which technical care is implemented and on which it depends. The interpersonal process must adapt to the many variations in the preferences and expectations of individual patients that guidelines are difficult to develop.

Question:
If the management of the interpersonal process is so important, why is it so often ignored in assessments of the quality of care?

Answer:
We have just begun to understand and identify the interpersonal process and develop ways to measure it.

Our Mission

To continue Christ’s healing ministry by providing quality, compassionate care for the whole person.

Key elements of a patient-centered culture

  • Patients are at the center
  • The top priority is to meet and exceed patient expectations
  • Patients are listened to
  • Entire organization understands the importance of patients and how they can satisfy a patient.
  • The patient is the ultimate authority as to when their expectations

Catholic Healthcare Directives

Caring Experiences

Remember a caring experience in which you were the nurse or the patient. Write a brief description of the experience.

Briefly describe a situation which exemplifies caring to you. Write your situations down. Now, look at your situations and list the behaviors from the stories that exemplify caring. Look for terms that denote competence and caring.

Can you remember an uncaring experience? What was differences do you see from the previous situations? An actual caring occasion can be present in the life of both the nurse and the patient beyond the physical instance of a given point in time. The caring experience may become a part of the life history for both.

Compare your caring experiences with the mission statement. Are there any common themes?

Caring Characteristics

Caring Person

  • Somehow responsive to person as a unique individual.
  • Perceives the other’s feelings.
  • Sets apart one person from another from the ordinary.

Uncaring Person

  • Insensitive to another person as a unique individual.
  • Non-perceptive of the other’s feelings.
  • Does not necessarily distinguish one person from another in any significant way.
Continuing Education

Continuing Education

Mercy Hospital is approved as a provider of Continuing Education by the Ohio Nurses Association. ONA Number (OH-091). ONA is accredited as an approver of Continuing Education in Nursing by the American Nurses Credentialing Center Commission on Accreditation, (OBN-001-91).

For a current listing of classes, call 330.580.4730.

Registration:

Registration is required for all programs. Classes may be canceled if we do not have enough participants.

The Staff Development office is open Monday – Friday, 7 a.m. - 3:30 p.m.

  • Call Nursing Education at 330.580.4730 and follow the phone prompts. Please state your name clearly and spell your last name.
  • Non-MMC personnel: When registering via the phone line, please state your name clearly and spell your last name. Also, please give us a phone number where we can contact you during the day.
  • Non-MMC personnel: Fees for classes are to be paid prior to attending class in order to mail study materials and confirmation to you and to guarantee your place in the class.
  • Refunds will not be given if cancellation is less than one week prior to the class unless other arrangements have been made.
Nursing Students

Nursing Students

The Division of Nursing Services is committed to continuously improve patient care by providing facilities, technologies and an enriching environment for healthcare professionals who choose to practice in any of our nursing units. We hope you enjoy your clinical experiences at Mercy and consider becoming a part of our team.

Student Resources:

Interested in gaining more experience while completing your RN program? Learn more about our intern programs:

Nurse Intern Position

The Nurse Intern position offers an exciting opportunity for nursing students who have successfully completed their first clinical rotation and skills lab. The Nurse Intern will be permitted to perform those skills that have been demonstrated and successfully performed during clinical rotation with the patients that they are assigned on a nursing unit. The Nurse Intern will be under the direct supervision of a Registered Nurse. This position allows the student nurse an opportunity to perfect those nursing skills before graduating.

An example of the skills that may be performed independently:

  • Catheter Insertion
  • Blood glucose checks with the Glucometer
  • NG tube insertion
  • Dressing changes

Nurse Interns may only perform skills and duties that can be delegated from a Registered Nurse to unlicensed assistive personnel as defined by the Board of Nursing and the Nurse Practice Act of the State of Ohio.

Surgical Nurse Tech Internship Program

Mercy Hospital has an excellent opportunity for nursing students who have completed their junior year and entering their senior year who are interested in a nursing career in the perioperative nursing field.

Designed as a three month summer training program in our Operation Room, Same Day Surgery, Endoscopy and Sterile Central Processing units to provide real-life orientation and hands-on experience between nursing education and the transition to becoming a Registered Nurse, this program is ideal for a team-oriented, critically thinking and dedicated nursing student looking to join a talented team of skilled professionals.

Provided with continual training from a dynamic educator, along with support from colleagues, surgeons and leaders, this program allows nursing students to gain valuable experience that will provide them with skills needed to begin a nursing career in the perioperative field. Graduates of this program will be given first consideration for open Surgery positions.

Requirements:

Completion of junior year of nursing school, entering senior year. BSN students strongly preferred. BLS certification required. All prospective interns much meet application requirements.

For additional information and to obtain an application:

Kent State University at Stark students, contact:

Chrissy Kathy, PhD, RN
Coordinator, BSN Nursing Program
330.244.3437
[email protected]

Malone University Students, contact:

Lori Cooke
[email protected]

The University of Mount Union Students, contact:

Andrea Dickinson Corbisello, MSN, RN
Director of Laboratory and Clinical Experience
330.829.4144
[email protected]

Faculty Resources:

Contact

Contact

For questions or more information on Mercy Hospital’s Nursing Services, please contact:

Mercy Nursing Services
Staff Development
330.580.4730

Hours:
Monday – Friday
7 a.m. – 3:30 p.m.