Nursing Administration Quarterly最新文献_第9页

Exploration of System Chief Nurse Executive's Leadership Practices to Support, Mentor, Develop, and Retain Nurse Leaders. 探索系统首席护士执行官的领导实践，以支持，指导，发展和留住护士领导。

Nursing Administration Quarterly Pub Date : 2023-07-01 DOI: 10.1097/NAQ.0000000000000589

Giancarlo Lyle-Edrosolo, Marlon Garzo Saria, K David Bailey

{"title":"Exploration of System Chief Nurse Executive's Leadership Practices to Support, Mentor, Develop, and Retain Nurse Leaders.","authors":"Giancarlo Lyle-Edrosolo, Marlon Garzo Saria, K David Bailey","doi":"10.1097/NAQ.0000000000000589","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000589","url":null,"abstract":"In 2019, the National Academy of Science identified clinician burnout as a growing public health concern. The COVID-19 pandemic has only compounded this crisis and transformed it into an escalating fracture within the US health care system. Concurrently evolving with this emergency is a rise in the number of nurses who intend to leave the profession. Frontline nurse leaders are the lynchpin in ensuring health care systems function. These leaders have accountability over patient care and clinician well-being. Focused efforts must address clinician burnout. However, without addressing the well-being of frontline nurse leaders, the fault line in our health care system becomes a vast chasm. Recently, published literature began to emerge describing and addressing frontline clinician burnout. Unfortunately, only a few, if any, address issues related to leaders. The aim of this qualitative case study research was to explore and discover general themes in system chief nurse executive leadership practices that support, mentor, develop, and retain nurse leaders as a basis for future research. Three major themes were identified for future study and exploration: enhancing leadership development programs; improving leader work environments; and focusing on leader well-being and support. Further research is needed to evaluate the effectiveness of these themes.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 3","pages":"269-276"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10644938","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

Creating a Business Case for Success. 为成功创造商业案例。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000577

Teresa D Welch, Todd B Smith, Erin Niklinski

{"title":"Creating a Business Case for Success.","authors":"Teresa D Welch, Todd B Smith, Erin Niklinski","doi":"10.1097/NAQ.0000000000000577","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000577","url":null,"abstract":"Health care is a highly competitive environment where managers must compete for finite resources. The Centers for Medicare & Medicaid Services-directed reimbursement models such as value-based purchasing and pay-for-performance heavily focused on quality improvement and nursing excellence are having a major impact on financial reimbursement for health care services in the United States. As such, nurse leaders must function in a business-focused environment where decisions regarding resource allocation are driven by quantifiable data, the potential return on investment, and the organization's ability to provide quality patient care in an efficient manner. It is imperative for nurse leaders to recognize the financial impact of potential additional revenue streams, as well as avoidable costs. Nurse leaders must also be skilled at translating the return on investment for nursing-centric programs and initiatives, often hidden in anecdotal terms and cost avoidance rather than revenue generation, to ensure appropriate resource allocation and budgetary assumptions. This article uses a case study framed within the business case to review a structured approach to operationalizing nursing-centric programs and highlights key strategies for success.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"182-194"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280648","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

Clinical Nurses' View of Staffing During the Pandemic. 大流行期间临床护士对人员配置的看法。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000573

Susan H Weaver, Kathryn Fleming, Joan Harvey, Ulanda Marcus-Aiyeku, Theresa A Wurmser

{"title":"Clinical Nurses' View of Staffing During the Pandemic.","authors":"Susan H Weaver, Kathryn Fleming, Joan Harvey, Ulanda Marcus-Aiyeku, Theresa A Wurmser","doi":"10.1097/NAQ.0000000000000573","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000573","url":null,"abstract":"The COVID-19 pandemic presented staffing challenges in providing care during the surge of critically ill patients. This qualitative descriptive study was conducted to obtain an understanding of clinical nurses' perspective of staffing in units during the first wave of the pandemic. Eighteen focus groups were conducted with registered nurses who worked on intensive care, telemetry, or medical-surgical units at 9 acute care hospitals. The focus group transcripts were thematically analyzed to identify codes and themes. The overarching theme was staffing, a bit of a mess, which sums up the general perception of nurses during the initial phase of the pandemic. The following additional themes underscore the overarching theme: challenging physical work environment; supplementing the frontline: buddies, helpers, runners, agency, and travel nurses; nurses do everything; getting through as a team; and emotional toll. Nurse leaders can utilize these findings to guide staffing decisions today and in the future, such as ensuring nurses are oriented to their deployed unit, keeping team members together when reassigned, and striving for consistency with staffing. Learning from the experience of clinical nurses who worked during this unprecedented time will assist in improving nurse and patient outcomes.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"136-149"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281605","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

Another Piece of the Practice Environment Puzzle: Development and Validation of a Team Virtuousness Instrument. 实践环境难题的另一部分:团队美德工具的开发和验证。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000571

Lynn Varagona, Nancy Ballard, Peggy McCartt, Kevin K McEwan, Kimberly Knotts

{"title":"Another Piece of the Practice Environment Puzzle: Development and Validation of a Team Virtuousness Instrument.","authors":"Lynn Varagona, Nancy Ballard, Peggy McCartt, Kevin K McEwan, Kimberly Knotts","doi":"10.1097/NAQ.0000000000000571","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000571","url":null,"abstract":"The Practice Environment Scale of the Nursing Work Index, a widely used practice environment instrument, does not measure vital coworker interrelations. Team virtuousness measures coworker interrelations, yet the literature lacks a comprehensive instrument built from a theoretical foundation that captures the structure. This study sought to develop a comprehensive measure of team virtuousness built from Aquinas' Virtue Ethics Theory that captures the underlying structure. Subjects included nursing unit staff and master of business administration (MBA) students. A total of 114 items were generated and administered to MBA students. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were run on randomly split halves. Based on analyses, 33 items were subsequently administered to nursing unit staff. EFA and CFA were repeated on randomly split halves; CFA item loadings replicated EFA. Three components emerged from the MBA student data: integrity, α = .96; group benevolence, α = .70; and excellence, α = .91. Two components emerged from the nursing unit data: wisdom, α = .97; and excellence, α = .94. Team virtuousness varied significantly among units and correlated significantly with engagement. The two component instrument, named the Perceived Trustworthiness Indicator, is a comprehensive measure of team virtuousness built from a theoretical framework that captures the underlying structure, demonstrates adequate reliability and validity, and measures coworker interrelations on nursing units. Forgiveness and relational and inner harmony emerged as elements of team virtuousness, broadening understanding.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"150-160"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9111964","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

Development and Evaluation of the Fuld Institute Evidence-based Implementation and Sustainability Toolkit for Health Care Settings. 富尔德研究所基于证据的卫生保健实施和可持续性工具包的开发和评估。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000569

Molly McNett, Penelope F Gorsuch, Lynn Gallagher-Ford, Bindu Thomas, Bernadette Mazurek Melnyk, Sharon Tucker

{"title":"Development and Evaluation of the Fuld Institute Evidence-based Implementation and Sustainability Toolkit for Health Care Settings.","authors":"Molly McNett, Penelope F Gorsuch, Lynn Gallagher-Ford, Bindu Thomas, Bernadette Mazurek Melnyk, Sharon Tucker","doi":"10.1097/NAQ.0000000000000569","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000569","url":null,"abstract":"Routine implementation and sustainability of evidence-based practices (EBPs) into health care is often the most difficult stage in the change process. Despite major advances in implementation science and quality improvement, a persistent 13- to 15-year research-to-practice gap remains. Nurse leaders may benefit from tools to support implementation that are based on scientific evidence and can be readily integrated into complex health care settings. This article describes development and evaluation of an evidence-based implementation and sustainability toolkit used by health care clinicians seeking to implement EBPs. For this project, implementation science and EBP experts created initial iterations of the toolkit based on Rogers' change theory, the Advancing Research through Close Collaboration (ARCC) model, and phases and strategies from implementation science. Face validity and end-user feedback were obtained after piloting the tool with health care clinicians participating in immersive EBP sessions. The toolkit was then modified, with subsequent content validity and usability evaluations conducted among implementation science experts and health care clinicians. This article presents the newly updated Fuld Institute Evidence-based Implementation and Sustainability Toolkit for health care settings. Nurse leaders seeking to implement EBPs may benefit from an evidence-based toolkit to provide a science-informed approach to implementation and sustainability of practice changes.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"161-172"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10277296","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: 1

Prioritizing the Prelicensure Nursing Pipeline. 优先考虑护理执照预备课程。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000574

Carol Bradley

引用次数: 0

Examining Race-Based Discrimination, Depression, and Occupational Stress in Black Registered Nurses. 研究黑人注册护士的种族歧视、抑郁和职业压力。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000570

Arica Brandford, Anita Fernander, Mary Kay Rayens, Gia Mudd-Martin

{"title":"Examining Race-Based Discrimination, Depression, and Occupational Stress in Black Registered Nurses.","authors":"Arica Brandford, Anita Fernander, Mary Kay Rayens, Gia Mudd-Martin","doi":"10.1097/NAQ.0000000000000570","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000570","url":null,"abstract":"Nursing is a highly stressful and demanding profession that can negatively affect mental health, as shown by nurses' high rate of depression. Furthermore, Black nurses may experience additional stress due to race-based discrimination in the work environment. This research aimed to examine depression, experiences of race-based discrimination at work, and occupational stress among Black nurses. To better understand associations between these factors, we conducted multiple linear regression analyses to assess whether (1) past-year or lifetime experiences of race-based discrimination at work and occupational stress predicted depressive symptoms; and (2) controlling for depressive symptoms, past-year and lifetime experiences of race-based discrimination at work predicted occupational stress in a cohort of Black registered nurses. All analyses controlled for years of nursing experience, primary nursing practice position, work setting, and work shift. The results indicated that both past-year and lifetime experiences of race-based discrimination on the job were significant predictors of occupational stress. However, experiences of race-based discrimination at work and occupational stress were not significant predictors of depression. The results of the research highlighted the predictive effect of race-based discrimination on occupational stress in Black registered nurses. This evidence can inform the development of organizational and leadership strategies to improve the well-being of Black nurses in the workplace.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"126-135"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280652","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

Promotion of Student Engagement Through the Application of Good Practices in Nursing Online Education. 通过在护理在线教育中应用良好实践促进学生参与。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000556

Debra Hampton, Fran Hardin-Fanning, Amanda Culp-Roche, Angie Hensley, Jessica L Wilson

{"title":"Promotion of Student Engagement Through the Application of Good Practices in Nursing Online Education.","authors":"Debra Hampton, Fran Hardin-Fanning, Amanda Culp-Roche, Angie Hensley, Jessica L Wilson","doi":"10.1097/NAQ.0000000000000556","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000556","url":null,"abstract":"The purpose of this article is to review Chickering and Gamson's principles of good practice in teaching and to illustrate their applicability to nursing online education delivery. An additional purpose is to present examples of teaching methods used by faculty to promote engagement in online education courses during the pandemic. The original 7 best practices in education, including ( a ) encourages contact between students and faculty, ( b ) develops reciprocity and cooperation among students, ( c ) uses active learning techniques, ( d ) gives prompt feedback, ( e ) emphasizes time on task, ( f ) communicates high expectations, and ( g ) respects diverse talents and ways of learning, remain evidence-based guidelines today. The authors recommend the addition of 2 new best practices: ( a ) incorporating assignment flexibility to meet student learning preferences; and ( b ) applying learning to real-life situations. Having evidence-based guidelines for supporting the role of a teacher in the online learning setting is of paramount importance.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"E12-E20"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10625357","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

Optimizing the Role of the Hospital-Based Nurse Scientist in a Changing Nursing Environment: Recommendations for Nurse Leaders. 优化医院护士科学家在不断变化的护理环境中的作用:对护士领导的建议。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000568

Esther Chipps, Inga M Zadvinskis

{"title":"Optimizing the Role of the Hospital-Based Nurse Scientist in a Changing Nursing Environment: Recommendations for Nurse Leaders.","authors":"Esther Chipps, Inga M Zadvinskis","doi":"10.1097/NAQ.0000000000000568","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000568","url":null,"abstract":"Nurses and nurse leaders directing clinical organizations can elevate scholarly inquiry by employing a PhD-prepared hospital-based nurse scientist (HBNS). This individual will shape the culture of clinical inquiry, leading and driving efforts to close the gap between knowledge and practice. As the nursing workforce struggles to recover from the COVID-19 pandemic, now more than ever, collaborations between HBNSs and nurse leaders are essential to explore and test new nursing care delivery systems. Given the national shortage in the PhD-prepared nurse scientist talent pool, attracting and hiring the right candidate is critical. The purpose of this article is to provide practical recommendations for nurse leaders to introduce an HBNS into an organization as an important building block for nursing science and improved clinical practice. The role of the HBNS has evolved in tandem with increased education in the nursing workforce, evidence-based practice, and the explosion of implementation science. Before recruiting an HBNS, the organization must create a job description that outlines responsibilities, paying attention to the HBNS position within the organizational structure. Additionally, leaders must consider the candidate's characteristics for interacting with clinical staff. The senior nursing leadership team must recognize and appreciate the HBNS as a scholar and advisor.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"118-125"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281114","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

Developing and Evaluating the Effectiveness of a Nursing Leadership Mentoring Pilot Program. 发展和评估护理领导指导试点项目的有效性。

Nursing Administration Quarterly Pub Date : 2023-04-01 DOI: 10.1097/NAQ.0000000000000557

Margot L Hedenstrom, LeeAnna Spiva, Susan Thurman, Regina L Hale, Sharlene Toney, Jill Case-Wirth, Mumbi Kairu, Sweta Sneha

{"title":"Developing and Evaluating the Effectiveness of a Nursing Leadership Mentoring Pilot Program.","authors":"Margot L Hedenstrom, LeeAnna Spiva, Susan Thurman, Regina L Hale, Sharlene Toney, Jill Case-Wirth, Mumbi Kairu, Sweta Sneha","doi":"10.1097/NAQ.0000000000000557","DOIUrl":"https://doi.org/10.1097/NAQ.0000000000000557","url":null,"abstract":"The nurse leader role is a vital role in ensuring quality, safety, and staff retention in the health care setting. A new nurse manager often receives little mentoring support when assuming a new role. Fifteen mentor/mentee pairs were provided with 6 training sessions specifically designed using the Hale Mentoring Up theoretical framework. Surveys and focus groups were conducted at mid- and endpoints. Data were digitally recorded, transcribed verbatim, and loaded into NVivo 12. Two attributes that facilitated a positive mentoring relationship emerged from the qualitative analysis: interpersonal and organizational skills. Interpersonal skills included a mentor-mentee relationship that was built upon trust, flexibility, and learning and development; and organizational skills included building relationships both internally and externally. Furthermore, time was identified as a barrier to mentoring. A mentoring program is a vehicle to help support new nurse leaders through an educational intervention and mentoring support program. The development of a mentoring pilot program helps to strengthen future nursing leadership to support new leaders in their roles.","PeriodicalId":35640,"journal":{"name":"Nursing Administration Quarterly","volume":"47 2","pages":"173-181"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10329587","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