Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.08.001
Claire M. Zangerle DNP, MSN, MBA, RN, NEA-BC, FAAN, FAONL, Erik Martin DNP, RN, CENP, FAAN
{"title":"Right-Sizing Nurse Manager Span of Control: Finding a Formula for Success","authors":"Claire M. Zangerle DNP, MSN, MBA, RN, NEA-BC, FAAN, FAONL, Erik Martin DNP, RN, CENP, FAAN","doi":"10.1016/j.mnl.2024.08.001","DOIUrl":"10.1016/j.mnl.2024.08.001","url":null,"abstract":"<div><div>A nurse manager’s span of control is a key component in defining workload. More specifically, the span of control in an acute care setting is a leading factor indicating a nurse manager’s success. This year, the American Organization for Nursing Leadership has partnered with others to produce several resources describing this span of control and insights about best practices. This article describes some of these findings and is a call to action to implement recommendations to effect change in the front-line nurse manager’s span of control, helping individuals in these key roles thrive.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357159","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.03.015
{"title":"Safe Staffing Through New Models of Care","authors":"","doi":"10.1016/j.mnl.2024.03.015","DOIUrl":"10.1016/j.mnl.2024.03.015","url":null,"abstract":"<div><div>Safety is the number 1 priority for nurse leaders, and ensuring safe staffing is critical. Safe staffing in an era of nurse shortages must be achieved by a radical change to the current models of care. Clinical organizations must innovate by implementing and testing new models of care while partnering with their local academic colleagues to develop a new body of evidence. There is a need to educate all stakeholders, including legislators, that mandated nurse-to-patient ratios are not the best solution to ensure that patients have access to excellent care and that nurses are able to practice in a professionally fulfilling environment. Of paramount importance to planning a preferred future for both those who receive and deliver care will be the engagement of nurses, advanced practitioners, educators, and researchers. Leaders from both academia and practice must come together in a partnership to support true transformation.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781969","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.07.002
Scott Rollins DNP, RN, NEA-BC, Tim Porter-O’Grady DM, EdD, ScD(h), APRN, FAAN, K. David Bailey PhD, RN, MBA, CCRN, NEA-BC, FACHE, FAONL, FAAN
{"title":"Elevating Nursing Leadership","authors":"Scott Rollins DNP, RN, NEA-BC, Tim Porter-O’Grady DM, EdD, ScD(h), APRN, FAAN, K. David Bailey PhD, RN, MBA, CCRN, NEA-BC, FACHE, FAONL, FAAN","doi":"10.1016/j.mnl.2024.07.002","DOIUrl":"10.1016/j.mnl.2024.07.002","url":null,"abstract":"<div><div>Nursing leadership demands a transformative shift towards fostering ownership, accountability, and excellence. Historically hindered by hierarchical structures, nursing faces pervasive challenges. Recent data highlights nurse dissatisfaction, signaling a critical need for leadership evolution. Nurse leaders must self-reflect, acknowledge their unique responsibilities, and refine leadership practices. Professional governance is vital for empowering nurse decision-making and transcending outdated management norms. Success hinges on cultivating leadership adeptness aligned with professional expectations within a supportive clinical milieu. This imperative journey towards empowerment promises to unlock nursing's true potential and drive enduring health care excellence.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357152","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.05.008
{"title":"Adaptive Leadership in Virtual Nursing Environments","authors":"","doi":"10.1016/j.mnl.2024.05.008","DOIUrl":"10.1016/j.mnl.2024.05.008","url":null,"abstract":"<div><div>Adaptive leadership is a skill that nurse leaders can further develop to help meet the emerging needs of our complex healthcare environment. Now more than ever, hybrid virtual teams are part of healthcare organizations. Due to this change, the leadership approach to engagement and retention must evolve. Leveraging adaptive leadership skills enables the creation of innovative solutions to emerging challenges, fosters team culture and community, encourages collaboration, and enhances staff engagement and retention.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141406225","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.04.002
{"title":"Strategic Integration of Technology and Practice Model Enhances the Standard of Care for Inpatient Blood Draws","authors":"","doi":"10.1016/j.mnl.2024.04.002","DOIUrl":"10.1016/j.mnl.2024.04.002","url":null,"abstract":"<div><div>This case study details an evolution in blood draw practice at a US acute care hospital, informed by in-depth semi-structured interviews with hospital leaders. The comprehensive initiative included adopting a needle-free blood collection device followed by an innovative nursing practice model. The strategic shift enhanced device utilization, streamlined clinical workflow, facilitated better integration of blood draws into nursing care, and improved patient satisfaction and outcomes. Our summary illustrates the importance of considering both the technology and the practice model in quality improvement initiatives. Furthermore, we highlight important aspects of this initiative that led to success, to instruct other facilities.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049146","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}
{"title":"Enhancing Nurse Satisfaction and Retention Through Real-Time Feedback: A Case Study at Los Angeles General Medical Center","authors":"Nancy Blake PhD, RN, CCRN, NEA-BC, FACHE, FAONL, FAAN, Hunter J. Joslin MA, Daryl Joslin BA, Ria Sangalang MSN, RN","doi":"10.1016/j.mnl.2024.06.004","DOIUrl":"10.1016/j.mnl.2024.06.004","url":null,"abstract":"<div><div>This study explores the efficacy of the Joslin Insight application, a mobile application designed to facilitate real-time feedback from nurses to leadership, in improving nurse satisfaction and retention at Los Angeles General Medical Center. Conducted over a 6-month period, the study involved 321 nurses and focused on communication enhancement, empowerment, and turnover rates. The findings demonstrate significant positive outcomes, advocating for the adoption of real-time feedback systems in health care settings to improve workplace environments.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141712689","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}
{"title":"The Business of Busyness","authors":"Joyce Batcheller DNP, RN, NEA-BC, FAONL, FAAN, Barry Dornfeld PhD, Sylvain Trepanier DNP, RN, CENP, FAONL, FAAN, Patricia S. Yoder-Wise EdD, RN, NEA-BC, ANEF, FAONL, FAAN","doi":"10.1016/j.mnl.2024.07.004","DOIUrl":"10.1016/j.mnl.2024.07.004","url":null,"abstract":"<div><div>Nurse leaders can easily identify and discuss the challenges they face, which reassures them they are not alone. The real challenge for nurse leaders is to prioritize and spend time thinking about what is needed to meet future challenges. This kind of intentional thinking can occur using an “idealized design” technique. The limitations and baggage from prior experiences is left behind. A new framework can be used to help leaders work through the business of busyness. This includes the Three Rs™ Rethink, Reframe, and Relate.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357154","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.03.006
{"title":"Nurse Staffing Task Force","authors":"","doi":"10.1016/j.mnl.2024.03.006","DOIUrl":"10.1016/j.mnl.2024.03.006","url":null,"abstract":"<div><div>The purpose of this paper is to describe the process and outcomes of the Nurse Staffing Task Force. This work, which followed the Partners for Nurse Staffing Think Tank, was co-convened by professional organizations to address the staffing crisis in acute and critical care. The volunteer members of the Task Force represented diverse roles in health care and met over a 9- month period. Their work resulted in an open access publication that is an inclusive representation of their collective expertise.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140401763","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}
Nurse LeaderPub Date : 2024-10-01DOI: 10.1016/j.mnl.2024.05.012
{"title":"Purpose, Power, Passion, and People","authors":"","doi":"10.1016/j.mnl.2024.05.012","DOIUrl":"10.1016/j.mnl.2024.05.012","url":null,"abstract":"<div><div>A survey by the Nurses on Boards Coalition (NOBC) found that nurses are impacting the health of communities broadly. Nurses from every state and one country from outside the U.S. participated. Nurses identified impacting all the social determinants of health (SDoH) through their board service. Many nurses reported holding more than one board position. Notably, nurses who serve in board roles also identified that they have held leadership positions within the board. There is continued opportunity to increase diversity through mentorship, educational opportunities, and professional organizational collaboration.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396045","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}