By Monica Bukkøy Kjetland, Lovisenberg Diaconal Hospital, Oslo, Norway
After areas for improvement had been identified from the gap analysis, it was difficult to know exactly where to start. At several of the learning collaborative meetings, there was talk about the importance of starting to eat the elephant at one end, a piece of advice we have really taken to heart, even though it is not always so easy to achieve in practice.
We identified a lack of a systematic competence program for the nursing service early on as an area of improvement we wanted to address. After discussions with our twin hospital, Mid Coast Hospital, we were advised to start a pilot in one or two units with this as a theme. We followed this advice, and believe that this really set in motion a good process for the preparation of action plans and the start-up of other improvement work.
When we were to start with the pilot, we prepared a introduction course for those who were to participate in the project groups from each unit. We thought it was crucial that the project groups (consisting of the managers, assistant manager, nurse educators and at least one clinical nurse from each unit) got a thorough introduction to the history behind the Magnet concept and the Magnet principles. As work with systematic improvement work is both a key area in Magnet and a focus area at our hospital (in recent years), it was natural that the introduction course also dealt with how the project with the pilot could be carried out as a systematic improvement work.
If we - based on the Magnet principles - are to bring about a cultural change in the organization, we need to get a "ball rolling". If we in the M4E project group are to be involved in all improvement projects, the process will be too slow. We therefore decided to offer an introductory course in Magnet for all managers throughout the hospital together with resource persons, where they, based on their own identified issues, will carry out an improvement project where the Magnet principles (which they learn about in the course) are included in the work process. Together with the steering group, it has been decided that all units in the hospital will during 2022 have completed at least one improvement project where the Magnet principles are used in the work ("Magnet project").
So far, 20 units have participated in the introductory course and at least 13 "Magnet projects" are starting up. Below is an overview of the themes for the started projects, divided by departments.
Center for Mental Health and Substance Abuse
Other ongoing projects related to M4E
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This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No. 848031.
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