Nursing Administration Quarterly最新文献_第6页

Exploring Health Care Access Among Lesbian, Gay, Bisexual, and Transgender Populations in Orange County, California: A Pilot Cross-sectional Study. 探索加州奥兰治县女同性恋、男同性恋、双性恋和跨性别人群的医疗保健获取:一项试点横断面研究。

Nursing Administration Quarterly Pub Date : 2024-01-01 Epub Date: 2023-12-01 DOI: 10.1097/NAQ.0000000000000616

Austin Nation, Jonathan Pelayo, Mathew Trevino, Aleiza Mae Ambalada, J Carlo Hojilla, Phyllis Raynor, Frieda Outlaw

{"title":"Exploring Health Care Access Among Lesbian, Gay, Bisexual, and Transgender Populations in Orange County, California: A Pilot Cross-sectional Study.","authors":"Austin Nation, Jonathan Pelayo, Mathew Trevino, Aleiza Mae Ambalada, J Carlo Hojilla, Phyllis Raynor, Frieda Outlaw","doi":"10.1097/NAQ.0000000000000616","DOIUrl":"10.1097/NAQ.0000000000000616","url":null,"abstract":"There are approximately 90 000 lesbian, gay, bisexual, and transgender (LGBT) individuals in Orange County, California. LGBT individuals have significant health disparities, particularly if they are from racial or ethnic minority groups and/or have a disability. There are structural and access barriers in the health care system that increase these health disparities. These individuals experience discriminatory situations when accessing health care and mental health services, which may affect their health-seeking behaviors. The purpose of this pilot quantitative cross-sectional study was to gather information about the current health care experiences and needs of this LGBT population including priority health issues, physical and mental health care utilization, and perceived adequacy of LGBT-friendly physical and mental health care providers. These findings will inform organizational strategies for nursing administrators and other health care leaders when tailoring, planning, and redesigning structures that meaningfully address the service needs of this at-risk group. Seventy-five participants were recruited from 2 organizations serving the LGBT community to complete an online survey. Findings include trouble finding an LGBT competent provider, delays or being unable to access care, and worried about losing insurance. Most participants needed to visit multiple different locations to receive care and preferred a 1-stop shop.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"11-20"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10842985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Organizational Commitment to Diversity, Equity, Inclusion, and Justice: A Multipronged Strategic Approach. 组织对多样性、公平、包容和正义的承诺：多管齐下的战略方法。

Nursing Administration Quarterly Pub Date : 2024-01-01 Epub Date: 2023-12-05 DOI: 10.1097/NAQ.0000000000000611

Janette V Moreno, David R Marshall, Anita Girard, Nicole M B Mitchell, Margo B Minissian, Bernice Coleman

{"title":"An Organizational Commitment to Diversity, Equity, Inclusion, and Justice: A Multipronged Strategic Approach.","authors":"Janette V Moreno, David R Marshall, Anita Girard, Nicole M B Mitchell, Margo B Minissian, Bernice Coleman","doi":"10.1097/NAQ.0000000000000611","DOIUrl":"10.1097/NAQ.0000000000000611","url":null,"abstract":"Cedars-Sinai is a sixth continuous Magnet organization in Southern California that embodies inclusive leadership in support of diversity, equity, inclusion, and justice (DEIJ) principles. The organization adheres to a strategic model prioritizing staff sense of belonging, empowerment, engagement, curiosity, and creativity. Employing inclusive leadership, we have implemented strong programs of professional development and continuous learning, innovation, and research. This leadership and these programs have fostered a culture of inquiry, support evidence-driven practice, quality improvement, and staff engagement. Our organization is committed to creating a caring and healing environment that promotes performance. We believe in practicing loving-kindness toward ourselves and others as a core value. Executive leadership support has been a key element in our successful implementation of DEIJ strategies, including employee resource groups, Shared Leadership Councils, transition to practice programs, health equity research, and innovative solutions. These strategies have been shown to yield a significant return on investment.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":" ","pages":"33-48"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488564","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

Transition to Perioperative Specialty Practice: A Solution to RN Outward Migration. 过渡到围手术期专业实践：RN向外迁移的解决方案。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000598

Mary Lynne Knighten, Miriam Yvanovich

{"title":"Transition to Perioperative Specialty Practice: A Solution to RN Outward Migration.","authors":"Mary Lynne Knighten, Miriam Yvanovich","doi":"10.1097/NAQ.0000000000000598","DOIUrl":"10.1097/NAQ.0000000000000598","url":null,"abstract":"Frontline nurses are exiting the workforce, fueling a crisis in health care. Years of chronic staffing shortages, trauma experienced during the COVID-19 pandemic, and faculty shortages resulting in lessened ability to produce new nurses are complicating the ability of hospitals and health systems to provide high-quality care at a time when hundreds of thousands of nurses are predicted to leave the profession. A solution to this problem, which may produce internal \"churn,\" can also create the opportunity for an internal pipeline of transition to specialty practice-recovering nurses who otherwise might be lost. An influx of experienced nurses to the perioperative setting from medical/surgical, telemetry, emergency departments, and intensive care units provides a unique opportunity to fill critical vacancies for a department that traditionally hires less experienced nurses and has expected vacancies due to nurses of retirement age leaving. Key components of a transition to practice arising from the desire to leave stressful, traumatic bedside roles and seek \"safer\" and perceived less stressful clinical positions involve assessing and promoting resilience and demonstrating self-efficacy. Creating the right environment and offering an evidence-based training opportunity for experienced nurses in a specialty transition to practice can leverage years of experience and skill, support new skill acquisition, stem outward migration of nurses, and potentially salvage the careers of nurses who have contributed to the profession.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 4","pages":"313-319"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111980","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

Nursing Faculty Workforce Development Project. 护理学院劳动力发展项目。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000602

Susan Welch, Kristi Acker, Wanda Burton, Michelle Cheshire, Andrea Sartain, Monika Wedgeworth, Teresa Welch

引用次数: 0

From the Editor. 来自编辑器。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000604

引用次数: 0

Radiation Oncologist Shortage Creates Opportunity for NPs. 放射肿瘤学家短缺为NPs创造了机会。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000599

Susan L Swanson, John W Swanson, Sean X Cavanaugh, Phyllis P Wright, Roy L Simpson

引用次数: 0

Engaging Governance in Workforce Strategy and Performance. 将治理纳入劳动力战略和绩效。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000605

Carol Bradley

引用次数: 0

Wake-up Call: Night Shifts Adversely Affect Nurse Health and Retention, Patient and Public Safety, and Costs. 叫醒电话：夜班会对护士的健康和留任、患者和公共安全以及成本产生不利影响。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000595

Christopher C Imes, Sharon J Tucker, Alison M Trinkoff, Eileen R Chasens, Sharon M Weinstein, Jacqueline Dunbar-Jacob, Patricia A Patrician, Nancy S Redeker, Carol M Baldwin

{"title":"Wake-up Call: Night Shifts Adversely Affect Nurse Health and Retention, Patient and Public Safety, and Costs.","authors":"Christopher C Imes, Sharon J Tucker, Alison M Trinkoff, Eileen R Chasens, Sharon M Weinstein, Jacqueline Dunbar-Jacob, Patricia A Patrician, Nancy S Redeker, Carol M Baldwin","doi":"10.1097/NAQ.0000000000000595","DOIUrl":"10.1097/NAQ.0000000000000595","url":null,"abstract":"The purpose of this mini review is to (1) summarize the findings on the impact of night shift on nurses' health and wellness, patient and public safety, and implications on organizational costs and (2) provide strategies to promote night shift nurses' health and improve organizational costs. The night shift, compared with day shift, results in poorer physical and mental health through its adverse effects on sleep, circadian rhythms, and dietary and beverage consumption, along with impaired cognitive function that increases nurse errors. Nurse administrators and health care organizations have opportunities to improve nurse and patient safety on night shifts. Low-, moderate-, and higher-cost measures that promote night nurses' health and well-being can help mitigate these negative outcomes. The provided individual and organizational recommendations and innovations support night shift nurses' health, patient and public safety, and organizational success.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 4","pages":"E38-E53"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111981","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

The Business of Health Care: Virtual Nursing, a Postpandemic Plan for Efficiency and Cost Savings. 医疗保健业务：虚拟护理，疫情后的效率和成本节约计划。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000600

Harold Pat Patton

引用次数: 0

Changed Perceptions: Lessons Learned Regarding Nurse's Postpandemic Concerns. 观念的改变：关于护士疫情后担忧的经验教训。

Nursing Administration Quarterly Pub Date : 2023-10-01 DOI: 10.1097/NAQ.0000000000000601

Michelle Machon, Stacy Maguire, Debbie Reitter, Gertrude Tiangco-Alba

{"title":"Changed Perceptions: Lessons Learned Regarding Nurse's Postpandemic Concerns.","authors":"Michelle Machon, Stacy Maguire, Debbie Reitter, Gertrude Tiangco-Alba","doi":"10.1097/NAQ.0000000000000601","DOIUrl":"10.1097/NAQ.0000000000000601","url":null,"abstract":"Through a unique set of timings, a SWOT (Strengths, Weaknesses, Opportunities, and Threats) analysis of a nursing department was conducted with the staff nurses of a large medical center in late 2019 and again in 2022. The intent of the 2019 analysis was bifold, to obtain rich input from nursing staff to apprise the 2020 Nursing Strategic Plan and to inform the hospital-wide core councils and the nursing unit councils on focused project work identified as Weaknesses and Threats. When the pandemic hit, work on strategic planning was paused to manage the unparalleled impact that COVID-19 had on the organization. In 2022, nursing leadership realized they had an opportunity to repeat the SWOT analysis, not only to inform the 2023 Nursing Strategic Plan but also to determine whether the perceptions of staff nurses regarding the SWOT in the nursing department had changed postpandemic. A thematic analysis provided the structure to analyze the perceptions of nurses pre- and postpandemic. This article presents our reflections for nurse leaders to consider when addressing the positive (Strengths/Opportunities) and negative (Weaknesses/Threats) perceptions of nurses in a postpandemic health care environment.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 4","pages":"320-328"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111985","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