Keywords

chief nurse executive, clinical interdisciplinary documentation redesign-CIDR, patient care champions - PCC, CNE, documentation improvement, MILE ONE, organizational outcomes, patient outcomes, practice environments, work environments

 

Authors

  1. Adams, Jeffrey M. PhD, RN
  2. Denham, Debra PhD, RN
  3. Neumeister, Irene Ramirez MSN, RN

Abstract

The Model of the Interrelationship of Leadership, Environments & Outcomes for Nurse Executives (MILE ONE) was developed on the basis of existing literature related to identifying strategies for simultaneous improvement of leadership, professional practice/work environments (PPWE), and outcomes. Through existing evidence, the MILE ONE identifies the continuous and dependent interrelationship of 3 distinct concept areas: (1) nurse executives influence PPWE, (2) PPWE influence patient and organizational outcomes, and (3) patient and organizational outcomes influence nurse executives. This article highlights the application of the MILE ONE framework to a community district hospital's clinical documentation performance improvement projects. Results suggest that the MILE ONE is a valid and useful framework yielding both anticipated and unexpected enhancements to leaders, environments, and outcomes.