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Nursing at Exeter Hospital

Now is an exciting and challenging time for nurses at Exeter Hospital. Our approach to care is continually being influenced by many factors. Customer service, quality outcomes and appropriate resource management define the way we care for our patients. Computer technology has provided innovative and powerful tools for accessing clinical data and documenting care.

Nurses at Exeter Hospital are deeply involved in defining the evolving practice of nursing. Nurses are addressing the needs and concerns of patients and caregivers alike through participation on hospital based committees, specialty practice committees and in local and state initiatives. We firmly believe that knowledge is the key to success and educational opportunities abound to guide us in this changing world.


Anne Marie Bularzik, MSN, RN, NE-BC
Vice President Acute Care Services
Chief Nurse Executive

Our Mission

Nursing Practice at Exeter is relationship based, and focuses on the nursing relationship with the patient and family, their colleagues and coworkers. We are committed to providing evidenced based patient care, enabling individuals and families to achieve their optimal level of health.

Our Philosophy

As professionals, nurses are accountable for compassionate, holistic care of individuals and their families across the continuum. There is respect for the individual needs and desires of patients. The nurse is an advocate for the individual, making healthcare a collaborative effort.

We believe that the individual/family has primary responsibility for their health and nursing’s role is to assist them in achieving an optimal state of health and well-being. The embodiment of this philosophy is measured as a level of trust between the nurses, the organization and the community.

Nursing Values

Nursing places a high value on the delivery of quality care. Practice is guided by principles that include standards of professional practice, scope of service, research, patient rights, nursing quality, collaboration, ethics, and advocacy.


Practice

  • Empowerment: We encourage the nursing staff of Exeter Hospital to engage in opportunities that build their knowledge base, skills and growth potential by actively participating in the change process.
  • Continual Professional Growth and Development: We value life long learning, through both formal and informal educational opportunities and the advancement of nursing practice to maintain the intensive and dynamic body of knowledge required to facilitate excellence in the care of patients, families and communities. Nurses are encouraged to attain their BSN and a certification within their chosen area of specialty practice.
  • Self-awareness and Individual Accountability: We value the responsibility of individuals to maintain a high level of professional practice and competence through a continuous process of self-evaluation and commitment to action in fulfilling self-directed goals.
  • Integrity: Nurses have a duty to remain consistent with both their personal and professional values and not compromise those values that could jeopardize the dignity or well being of self or others.
  • Accountability: Individual nurses have a responsibility for the quality of nursing care that their patients receive and are accountable for their own practice and conformity with established standards of care.
  • Autonomy: We value accountability for individual nursing practice and the appropriate delegation and supervision of tasks while providing optimum patient care.


Research

  • Evidence Based Practice: Through the development and continuous review of practice and policies, nurses utilize research, experience and national standards, implementing this research into practice.


Patient Rights

  • Self-determination and Patient Centered Care: We value that each individual has a right to ask questions and to make informed choices for their health and future. The nurse’s primary commitment is to the patient, whether an individual, family, group or community. The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient.


Nursing Quality

  • Excellence in Direct Patient Care: We value direct patient/family interaction and care as the foundation of our mission to promote and sustain the health of the community.
  • Process Improvement: We strive for excellence, and in this pursuit, we evaluate where we excel and where we have opportunities for growth. Evaluation may include: Press Ganey scores for patient satisfaction, quality indicators, outcome data, chart reviews, physician feedback, occurrence reports, and staff feedback.


Collaboration

  • Collaboration: We value individuals working together, using their unique skills and knowledge to deliver better healthcare to those in the community.
  • Mutual Trust, Recognition and Respect: We value the expertise of all health care providers and hospital staff and their contributions to the patient and to the healthcare team.


Ethics

  • Compassion, Dignity and Human Worth: We value, in all professional relationships, compassion and respect for the inherent dignity, worth and uniqueness of every individual, regardless of social or economic status, personal attributes, or the nature of health problems.
  • Professional Boundaries: The nurse is responsible for recognizing and maintaining boundaries that establish appropriate limits to relationships with colleagues and patients.


Advocacy

  • Patient Advocate: Nurses actively participate in assessing and advocating for the responsible and appropriate use of interventions to minimize unwarranted or unwanted treatment and patient suffering. In addition, the nurse is vigilant and takes action in instances of incompetent, unethical, illegal, or impaired practice by any member in the health care team or the health care system that places the rights or best interests of the patient in jeopardy.



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