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Shared Governance: The Role of Buy-in in Bringing About Change. 共享治理:买入者在变革中的作用。
Online Journal of Issues in Nursing Pub Date : 2015-03-19 DOI: 10.3912/ojin.vol20no02ppt02
Matthew French‐Bravo, G. Crow
{"title":"Shared Governance: The Role of Buy-in in Bringing About Change.","authors":"Matthew French‐Bravo, G. Crow","doi":"10.3912/ojin.vol20no02ppt02","DOIUrl":"https://doi.org/10.3912/ojin.vol20no02ppt02","url":null,"abstract":"The term buy-in can be found in almost any article considering individuals' participation in an initiative. At the time of this writing, a Google search of buy-in resulted in 10.5 billion hits. The term buy-in seems intuitive, yet many healthcare organizations struggle to implement and sustain initiatives that depend on nursing buy-in and involvement. The purpose of this article is to identify prerequisites to buy-in and factors that facilitate buy-in which, when cultivated, may positively influence nurse engagement. In this article, the authors discuss the concept of buy-in, identify prerequisites for buy-in, consider factors to enhance buy-in, and present scenarios of what happens when buy-in happens, when it almost happens, and when it fails. They also consider future directions to facilitate buy-in by nursing staff members.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 2 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2015-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 36
Cochrane Review Brief: Interprofessional Education: Effects On Professional Practice and Healthcare Outcomes. Cochrane综述摘要:跨专业教育:对专业实践和医疗保健结果的影响。
Online Journal of Issues in Nursing Pub Date : 2015-03-18 DOI: 10.3912/ojin.vol20no2crbcol02
G. Malt
{"title":"Cochrane Review Brief: Interprofessional Education: Effects On Professional Practice and Healthcare Outcomes.","authors":"G. Malt","doi":"10.3912/ojin.vol20no2crbcol02","DOIUrl":"https://doi.org/10.3912/ojin.vol20no2crbcol02","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 2 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2015-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Cochrane Review Brief: Discharge Planning from Hospital to Home. Cochrane综述摘要:从医院到家庭的出院计划。
Online Journal of Issues in Nursing Pub Date : 2015-03-12 DOI: 10.3912/ojin.vol20no02crbcol01
Diana An
{"title":"Cochrane Review Brief: Discharge Planning from Hospital to Home.","authors":"Diana An","doi":"10.3912/ojin.vol20no02crbcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no02crbcol01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 2 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2015-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Ethics: Harm in the Emergency Department -- Ethical Drivers for Change. 道德:急诊科的危害——道德驱动变革。
Online Journal of Issues in Nursing Pub Date : 2015-03-06 DOI: 10.3912/ojin.vol20no02ethcol01
M. McClelland
{"title":"Ethics: Harm in the Emergency Department -- Ethical Drivers for Change.","authors":"M. McClelland","doi":"10.3912/ojin.vol20no02ethcol01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no02ethcol01","url":null,"abstract":"","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"7 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2015-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Strengthening Moral Courage Among Nurse Leaders. 加强护士领导的道德勇气。
Online Journal of Issues in Nursing Pub Date : 2015-02-17 DOI: 10.3912/ojin.vol20no02ppt01
C. Edmonson
{"title":"Strengthening Moral Courage Among Nurse Leaders.","authors":"C. Edmonson","doi":"10.3912/ojin.vol20no02ppt01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no02ppt01","url":null,"abstract":"Moral distress among practicing nurses is frequently discussed in the nursing literature, along with well-developed recommendations for increasing moral courage in practicing nurses. Implementing these recommendations depends on nurse leaders being morally fit to lead and to create an environment in which moral courage actions can emerge. The literature is lacking pertaining to nurse leaders' preparation to lead in a morally courageous and transformational manner in our current corporate environments and hierarchies of healthcare. In this article, the author reviews the literature addressing moral distress and moral courage among direct care nurses; describes the development of an intervention to strengthen the moral courage of nurse leaders; reports a study that involved implementing this intervention; presents the findings of this study; evaluates the effectiveness of the intervention; and discusses the findings in terms of lessons learned and future directions. He concludes with a call for healthcare leaders to demonstrate moral courage and create environments that promote morally courageous acts that enable nurses to remain centered on the patients, families, and communities we serve.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 2 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2015-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 27
Mental Illness and Prisoners: Concerns for Communities and Healthcare Providers. 精神疾病和囚犯:社区和医疗保健提供者关注的问题。
Online Journal of Issues in Nursing Pub Date : 2015-01-31 DOI: 10.3912/ojin.vol20no01man03
S. Hoke
{"title":"Mental Illness and Prisoners: Concerns for Communities and Healthcare Providers.","authors":"S. Hoke","doi":"10.3912/ojin.vol20no01man03","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01man03","url":null,"abstract":"The United States prison system is the largest in the world. Mental illness is disproportionately represented within this system where half of all incarcerated individuals have a mental illness, compared to 11% of the population. Four of 10 inmates released from prison recidivate and are re-incarcerated within three years. A social hypothesis suggests recidivism is the result of compounding social factors. Mentally ill individuals often find themselves in less than ideal circumstances of compounding social factors such as illicit substances and unemployment. Prison life may provide improved social situations and a rehabilitating environment, yet corrections often fall short of meeting acceptable standards of healthcare. This article provides a brief overview of healthcare in the corrections environment and discusses factors that affect mental healthcare in prisons, such as characteristics of the prison population and social policy. The article also addresses factors impacting mentally ill persons who are incarcerated, including access and barriers to mental health treatment and efforts to reduce recidivism.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
Military Culture Implications for Mental Health and Nursing Care. 军事文化对心理健康和护理的影响。
Online Journal of Issues in Nursing Pub Date : 2015-01-31 DOI: 10.3912/ojin.vol20no01man04
Richard J. Westphal, Sean Convoy
{"title":"Military Culture Implications for Mental Health and Nursing Care.","authors":"Richard J. Westphal, Sean Convoy","doi":"10.3912/ojin.vol20no01man04","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01man04","url":null,"abstract":"With over 13 years of war and military combat operations, the number of veterans, military families, and service members with mental health needs continues to increase across civilian and federal healthcare services. Knowledge about severe battle wounds, traumatic brain injury, and traumatic stress has influenced the delivery of healthcare. The invisible wounds of war associated with brain injury and traumatic stress will increase clinical care challenges into the foreseeable future. The purpose of this article is to describe two interrelated concepts, military cultural competence and stress injuries. The authors also differentiate stress reactions versus stress injury. Nurses with military cultural competence and knowledge about stress injuries will be better able to deliver patient-centered care to patients with military culture experiences.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Suicide Assessment and Nurses: What Does the Evidence Show? 自杀评估与护士:证据显示了什么?
Online Journal of Issues in Nursing Pub Date : 2015-01-31 DOI: 10.3912/ojin.vol20no01man02
C. Bolster, Carrie Holliday, Gail Oneal, M. Shaw
{"title":"Suicide Assessment and Nurses: What Does the Evidence Show?","authors":"C. Bolster, Carrie Holliday, Gail Oneal, M. Shaw","doi":"10.3912/ojin.vol20no01man02","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01man02","url":null,"abstract":"Suicide is at epidemic proportions both in the United States and across the globe. Yet, it is a preventable public health problem. Nurses practice on the front-lines and have the greatest number of opportunities to identify and intervene with suicidal patients. Most registered nurses (RNs) have little or no training in how to assess, evaluate, treat, or refer a suicidal patient. Because of this lack of training, RNs feel ill-prepared and afraid to talk to patients about suicide. The purpose of this article is to review the state of the science of suicide assessment training for nurses. Training RNs in how to assess, evaluate, treat, and refer a suicidal patient is key to suicide prevention. Research suggests that once RNs are trained in suicide assessment, they realize it is no different than assessing for any other type of illness and are then able to help those with suicidal tendencies. The article conclusion offers implications for education, research, and practice.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 81
The 2014 Scope and Standards of Practice for Psychiatric Mental Health Nursing: Key Updates. 2014年精神病学心理健康护理的范围和实践标准:关键更新。
Online Journal of Issues in Nursing Pub Date : 2015-01-31 DOI: 10.3912/ojin.vol20no01man01
C. Kane
{"title":"The 2014 Scope and Standards of Practice for Psychiatric Mental Health Nursing: Key Updates.","authors":"C. Kane","doi":"10.3912/ojin.vol20no01man01","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01man01","url":null,"abstract":"The 2014 Psychiatric-Mental Health Nursing: Scope and Standards of Practice is the specialty's description of competent nursing practice. The scope portion of this document identifies the focus of the specialty by defining nursing practice extents and limits. Standards are statements that identify the duties and obligations for which specialty nurses are held accountable, including general registered nurses and advanced practice nurses. This article begins with a brief overview of the revision process. The author describes key factors that influenced the revision, such as external documents and current priorities in healthcare, and synthesizes significant changes to the document, including commentary and comparisons to the generalist Scope and Standards of Practice. Implications for nursing education and a companion resource are discussed.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70293018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 32
Positive Mental Health Outcomes in Individuals with Dementia: The Essential Role of Cultural Competence. 痴呆患者的积极心理健康结果:文化能力的重要作用
Online Journal of Issues in Nursing Pub Date : 2015-01-31 DOI: 10.3912/ojin.vol20no01man05
B. Jha, J. Seavy, D. Young, A. Bonner
{"title":"Positive Mental Health Outcomes in Individuals with Dementia: The Essential Role of Cultural Competence.","authors":"B. Jha, J. Seavy, D. Young, A. Bonner","doi":"10.3912/ojin.vol20no01man05","DOIUrl":"https://doi.org/10.3912/ojin.vol20no01man05","url":null,"abstract":"Over five million people in the United States are diagnosed with some form of dementia, and many more with cognitive impairment remain undiagnosed. In addition, most individuals with dementia experience one or more neuropsychiatric symptoms such as depression, anxiety, irritability, agitation, hallucinations, or delusions at some point during disease progression. The vast majority of individuals with dementia, including those with symptoms of serious mental illness, are cared for in home and community based settings by unpaid caregivers, often family members, who struggle with the daily challenges of providing care and services to someone with dementia. This article will briefly review selected aspects of the need for community care for individuals with dementia and cultural aspects related to dementia and mental health. A detailed case study will illustrate some of the challenges related to the mental health of individuals with dementia living in the community. We specifically discuss culturally competent care, using the example of a Nepalese refugee family caring for a family member with dementia and depression, as a critical aspect of the care plan. Finally, we provide implications for practice for organizations wishing to engage families in a comprehensive system of home-based dementia care.","PeriodicalId":35614,"journal":{"name":"Online Journal of Issues in Nursing","volume":"20 1 1","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2015-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70292710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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