Nursing Administration Quarterly最新文献_第9页

Academic Leadership for Advancing Diversity, Equity, and Inclusion. 促进多样性、平等和包容的学术领导力。

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000612

Felesia Bowen, Doreen C Harper, Joyce Gillie Gossom, Nevette S Sample, Maria R Shirey

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Can We Finally Move the Needle on Diversity, Equity, and Inclusion in Nursing? 我们能否最终推动护理工作的多样性、公平性和包容性？

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000617

Dawn M Carroll, Trarina Jerome Harris

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From the Editor. 编辑的话

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000618

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Outsiders Within: The Lived Experience of Being Black and Female When Becoming a Nurse Executive. 局外人的内心：黑人和女性成为护士长的亲身经历。

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000622

Daihnia Dunkley

{"title":"Outsiders Within: The Lived Experience of Being Black and Female When Becoming a Nurse Executive.","authors":"Daihnia Dunkley","doi":"10.1097/NAQ.0000000000000622","DOIUrl":"10.1097/NAQ.0000000000000622","url":null,"abstract":"Few Black nurses occupy positions of leadership, and even fewer Black female nurses advance to careers as nurse executives. The purpose of this 2018 study was to explore the lived experience of being Black and female when becoming a nurse executive, specifically the nuances of being both a racial and gender minority. Using a hermeneutic phenomenological method, this study explored the experiences of a purposive sample of 10 Black female nurse executives through semistructured telephone interviews. van Manen's approach and Collins' Black feminist thought as the theoretical framework guided data analysis. Three themes emerged: (a) living in a constant state of readiness; (b) embracing the responsibility beyond the job description; and (c) overcoming. Participants testified of the psychological dynamics of Black womanness, and the burdens of the intersectionality of race, gender, and class discrimination, while managing the complexities and rigors of a thriving career. Discussing the results of this research will help leaders in nursing, health care, and related professions to understand further the experiences of Black female nurse executives, which will inform efforts to (a) increase minority representation in positions of nursing leadership and (b) improve health equity.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"48 1","pages":"E1-E13"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811621","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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Diversity, Equity, Inclusion: Where Do You Start? 多元化、公平、包容：从哪里开始？

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000614

Melissa Fritz, Ashley Gresham

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Guest Editorial. 特邀社论。

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000620

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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}

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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}

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Fostering Diversity, Equity, Inclusion, and Belonging Through the Lens of Gratitude. 通过感恩的视角促进多样性、平等、包容和归属感。

Nursing Administration Quarterly Pub Date : 2024-01-01 DOI: 10.1097/NAQ.0000000000000608

Crystal Lawson, Alicia Truelove

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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