Nursing management最新文献_第6页

The benefits of a culture of feedback. 反馈文化的好处。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000372

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Feedback: Why is it so difficult? 反馈：为什么这么难？

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000371

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Patient checklist: Improving attendance at imaging appointments post left atrial appendage occlusion implant. 患者检查表：提高左心耳闭塞植入后影像学预约的出勤率。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000370

Christopher Bell, Polly West, Martha Monroe, Claire C Davies

{"title":"Patient checklist: Improving attendance at imaging appointments post left atrial appendage occlusion implant.","authors":"Christopher Bell, Polly West, Martha Monroe, Claire C Davies","doi":"10.1097/nmg.0000000000000370","DOIUrl":"10.1097/nmg.0000000000000370","url":null,"abstract":"Background: Nonattendance at required postprocedural imaging appointments following left atrial appendage occlusion (LAAO) device implantation poses a significant clinical concern, as timely follow-up is necessary to confirm adequate device endothelialization and guide anticoagulant management. Simple educational strategies may improve patient adherence to follow-up care.Purpose: To examine the effect of a one-page patient checklist on compliance with the required 45-day post-LAAO follow-up imaging appointment.Methods: A quasi-experimental study was conducted at a community hospital using a patient checklist intervention. Prospective data were collected from patients who received the checklist (n = 97), and retrospective data were obtained from patients who didn't receive the checklist (n = 100). Compliance with the 45-day imaging appointment was compared between groups using chi-square analysis.Results: Compliance with the 45-day follow-up imaging appointment was significantly higher among patients who received the checklist compared with those who didn't receive it (91% vs 75%; χ 2 = 8.3, P = .004). Demographic differences between groups weren't clinically meaningful.Conclusions: A simple, low-cost patient checklist significantly improved adherence to an essential postprocedural imaging appointment following LAAO implantation. This easily reproducible intervention may be applied to other care pathways requiring strict follow-up adherence.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949745","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}

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Addressing moral distress in nurse managers through facilitated ethical discussions. 通过促进伦理讨论解决护士管理人员的道德困境。

Nursing management Pub Date : 2026-06-01 Epub Date: 2026-05-29 DOI: 10.1097/nmg.0000000000000378

Ann Allison, Penelope F Gorsuch, Todd E Tussing, Jacalyn Buck

{"title":"Addressing moral distress in nurse managers through facilitated ethical discussions.","authors":"Ann Allison, Penelope F Gorsuch, Todd E Tussing, Jacalyn Buck","doi":"10.1097/nmg.0000000000000378","DOIUrl":"10.1097/nmg.0000000000000378","url":null,"abstract":"Background: Moral distress among nurse managers contributes to burnout, disengagement, and turnover, with significant organizational and financial consequences. Despite growing recognition of this issue, few evidence-based interventions specifically address moral distress in this leadership population.Purpose: This evidence-based practice initiative evaluated the impact of facilitated ethical discussions on moral distress and intent to leave among nurse managers at a community hospital.Methods: A pretest-posttest design was used with a convenience sample of 10 nurse managers at a Magnet®-recognized, 180-bed community hospital. Participants attended four monthly facilitated ethical discussions grounded in the Unit-Based Ethics Conversations model. Moral distress was measured before and after the intervention using the Moral Distress-Appraisal Scale. Intent to leave was assessed using a single-item Likert-scale measure.Results: Mean moral distress scores decreased from 16.8 to 14 following the intervention, representing a medium effect size (0.64). Although intent to leave didn't change, all nurse managers remained in their roles postimplementation. Most participants indicated that they would recommend facilitated ethical discussions to peers.Conclusions: Facilitated ethical discussions may reduce moral distress and support nurse manager retention. This low-cost intervention demonstrates potential clinical and financial benefits and warrants continued use and broader implementation among nursing leadership.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":"57 5","pages":"50-54"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151489","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}

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Changing the narrative: Shifting soft skills to power skills in nursing. 改变叙事：将护理中的软技能转变为权力技能。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/nmg.0000000000000360

Cynda Hylton Rushton, Mikhail Shneyder, Antonia M Villarruel

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2026 Richard Hader Visionary Leader Award Call for Entries. 2026年理查德·哈德尔远见领袖奖征稿。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/01.NUMA.0001193288.34761.cb

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Empowering decisions: The impact of transitioning from a shared to a professional governance structure. 授权决策：从共享治理结构过渡到专业治理结构的影响。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/nmg.0000000000000366

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Nurse manager: A role that must succeed. 护士经理：一个必须成功的角色。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/nmg.0000000000000361

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Celebrating nurses: More than a thank-you. 庆祝护士：不仅仅是一句谢谢。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/nmg.0000000000000367

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Nurse and provider perceptions of palliative care. 护士和提供者对姑息治疗的看法。

Nursing management Pub Date : 2026-05-01 Epub Date: 2026-04-28 DOI: 10.1097/nmg.0000000000000359

Eydie Tipton, Tracy Viers, Chelsea Wilson

{"title":"Nurse and provider perceptions of palliative care.","authors":"Eydie Tipton, Tracy Viers, Chelsea Wilson","doi":"10.1097/nmg.0000000000000359","DOIUrl":"10.1097/nmg.0000000000000359","url":null,"abstract":"Background: Palliative care (PC) improves quality of life, reduces symptom burden, and enhances health care utilization outcomes. Despite strong evidence and generally high provider awareness, PC remains underutilized, and the factors influencing referral patterns aren't fully understood.Purpose: To examine nurses' and health care providers' knowledge of and attitudes toward PC and identify potential barriers that may contribute to inconsistent or delayed referrals.Methods: A nonexperimental, descriptive study was conducted using an anonymous online survey that included demographic questions, self-rated knowledge items, and the Palliative Care Knowledge Scale (PaCKS). A convenience sample of 59 hospital-based clinicians completed the survey. Descriptive statistics and nonparametric tests were used to evaluate knowledge levels and differences across demographic groups.Results: Participants demonstrated high familiarity with PC and hospice care, with PaCKS scores indicating 97% correct responses. No significant differences in perceived knowledge were found across gender, ethnicity, education, or license type. A significant difference in hospice knowledge across age groups was observed, though post hoc tests didn't confirm specific group differences.Conclusions: Findings suggest that knowledge gaps may not be the primary barrier to PC utilization. Instead, systemic and cultural factors likely contribute to under-referral. Leadership-driven strategies, including standardized referral processes, enhanced interprofessional education, and supportive clinical environments, may help translate knowledge into consistent practice.","PeriodicalId":35637,"journal":{"name":"Nursing management","volume":" ","pages":"32-38"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783494","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: 0