Lacey Susan R, Goodyear-Bruch Caryl, Olney Adrienne, Hanson Dave, Altman Marian S, Varn-Davis Natasha S, Brinker Debbie, Lavandero Ramón, Cox Karen S
Susan R. Lacey is a professor at the Medical University of South Carolina, College of Nursing, Charleston, South Carolina. She is the past program director for the American Association of Critical-Care Nurses (AACN) Clinical Scene Investigator (CSI) Academy and has served as principal investigator for the development of the pediatric indicators for the National Database of Nursing Quality Indicators.
Caryl Goodyear-Bruch is a senior director for Patient Care Services, Children's Mercy Kansas City, Kansas City, Missouri. She was previously the senior director over the CSI Academy and served as faculty, AACN, Aliso Viejo, California. She served as president of the AACN Board from 2008 to 2009.
Crit Care Nurse. 2017 Aug;37(4):e12-e25. doi: 10.4037/ccn2017749.
Staff nurses are pivotal in leading change related to quality improvement efforts, although many lack skills to steer change from the bedside. The American Association of Critical-Care Nurses (AACN) staff nurse leadership program, Clinical Scene Investigator (CSI) Academy, teaches and empowers staff nurses in leadership skills and change concepts to translate evidence into practice affecting patient outcomes.
To describe the curriculum of the AACN CSI Academy that provides staff nurses with the leadership skills required to create unit-based change projects that positively impact patient/family outcomes.
The curriculum of the Academy included leadership topics, communication, change concepts, quality improvement methods, project management, and data management and analysis. Each team of participants collected project data to show improvements in patient care. The program evaluation used many data sources to assess the program effectiveness, relating to the professional growth of the participant nurses. The participants assessed project patient outcomes, sustainability, and spread.
The first cohort of CSI participants included 164 direct care nurses from 42 hospitals in 6 cities. They rated the Academy highly in the program evaluation, and they reported that the Academy contributed to their professional development. The individual hospital quality improvement projects resulted in positive patient and estimated fiscal outcomes that were generally sustained 1 year after the program.
With the skills, tools, and support obtained from participation in the CSI Academy, staff nurses can make substantial contributions to their organizations in clinical and possibly fiscal outcomes.
尽管许多护士缺乏在床边推动变革的技能，但注册护士在引领与质量改进相关的变革中起着关键作用。美国重症护理护士协会（AACN）的注册护士领导力项目——临床情景研究员（CSI）学院，教授并赋予注册护士领导力技能和变革理念，以将证据转化为影响患者结局的实践。
描述 AACN CSI 学院的课程，该课程为注册护士提供创建基于科室的变革项目所需的领导力技能，这些项目能对患者/家属结局产生积极影响。
该学院的课程包括领导力主题、沟通、变革理念、质量改进方法、项目管理以及数据管理与分析。每个参与团队收集项目数据以展示患者护理方面的改善。项目评估使用多种数据源来评估项目效果，这些效果与参与项目的护士的专业成长相关。参与者评估项目的患者结局、可持续性和推广情况。
CSI 项目的首批参与者包括来自 6 个城市 42 家医院的 164 名直接护理护士。他们在项目评估中对该学院给予高度评价，并报告称该学院有助于他们的专业发展。各个医院的质量改进项目带来了积极的患者结局和估计的财务成果，这些成果在项目结束后 1 年内总体上得以维持。
通过参与 CSI 学院获得的技能、工具和支持，注册护士可以在临床和可能的财务成果方面为其所在组织做出重大贡献。
