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A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings 在精神病院工作的医护助理的道德压力和道德伤害的多方法探索
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.05.002
{"title":"A Multimethod Exploration of Moral Distress and Moral Injury Among Health Care Assistants Working in Psychiatric Settings","authors":"","doi":"10.1016/j.mnl.2024.05.002","DOIUrl":"10.1016/j.mnl.2024.05.002","url":null,"abstract":"<div><p><span>Moral distress and moral </span>injury<span> among health workers yield adverse physical, psychological, and labor force outcomes. Research is limited on how psychiatric health care assistants (PHAs) experience these issues. In this multimethod study, we conducted a quantitative survey and qualitative interviews to examine moral distress and injury among PHAs. Almost half screened positive for moral injury. Three qualitative themes emerged: 1) hierarchies prevent contributions to care; 2) trust as a factor in de-escalating patient violence; and 3) navigating psychosocial challenges. Further research is recommended to investigate how to best support and inform practice and policy changes for PHAs.</span></p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141413344","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 Workflow Redesign and Technology Are Keys for Virtual Nursing Success 护理工作流程再设计和技术是虚拟护理成功的关键
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.015
{"title":"Nursing Workflow Redesign and Technology Are Keys for Virtual Nursing Success","authors":"","doi":"10.1016/j.mnl.2023.11.015","DOIUrl":"10.1016/j.mnl.2023.11.015","url":null,"abstract":"<div><p>Pandemic-related nurse staffing shortages have warranted the introduction of new, innovative ways to transform nursing practice to ensure safe care delivery. The stage is set for virtual nursing, an innovative nurse practice model that layers an experienced nurse onto the care team to support the bedside nurse. Although this model of nursing care delivery is enabled by technology, the nursing workflow assessments and redesign are key to ensure the model of the technology supports efficiency and does not cause additional workload. Virtual nursing implementation requires a high degree of planning and consultation with bedside nurses to ensure workflows introducing technology are seamless. The success of virtual nursing implementation rests upon careful, rigorous nurse workflow assessments and redesign, both of which are equally as important as the technology to success.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138992817","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
Hospital Nurse Leaders Perceptions of Just Culture 医院护士长对公正文化的看法
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.05.001
{"title":"Hospital Nurse Leaders Perceptions of Just Culture","authors":"","doi":"10.1016/j.mnl.2024.05.001","DOIUrl":"10.1016/j.mnl.2024.05.001","url":null,"abstract":"<div><p>Existence of just culture provides support for trust and transparency, and promotes error reporting by shifting safety event investigations from blaming individuals to reviewing organizational processes and systems. Nurse leaders play a critical role in patient safety by creating environments supporting psychological safety in reporting safety events. In this preliminary study, 60 nurse leaders participated via electronic postings on a national nursing leadership organization website. Their perceptions were that just culture principles existed in their organization adding to our understanding of just culture and hospital patient safety. Recommendations for leadership practice and research are addressed.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141397012","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
When Life Gives You Lemons…A Lesson on Prosilience 当生活给你柠檬时......一堂关于坚韧的课
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.020
{"title":"When Life Gives You Lemons…A Lesson on Prosilience","authors":"","doi":"10.1016/j.mnl.2023.11.020","DOIUrl":"10.1016/j.mnl.2023.11.020","url":null,"abstract":"<div><p>When life gives you lemons, make lemonade. This is a popular saying that is meant to evoke optimism in the face of adversity. This is an exercise on resilience. Resilience, simply put, is the ability to bounce back from adversity or the proverbial lemon. It is taking the sourness out of a crisis and making it more palatable through thoughtful planning. The value of resilience cannot be overstated. We survived a global pandemic but are still in the midst of an economic, political, and environmental crisis. Now more than ever, anticipating and evolving before the disruption even occurs is critical. While resilience is about how one responds to challenges, prosilience, on the other hand, is about how one intentionally prepares to deal with them. The author would argue that prosilience means when life gives you lemons, make lemon cake. This perspective suggests that not only should one be resilient in the face of challenges but also proactive in preparing for them, much like the intentional steps taken to make a delicious lemon cake.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139194470","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
Innovativeness and Transformational Leadership Among Nurse Leaders 护士长的创新能力和变革型领导力
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.014
{"title":"Innovativeness and Transformational Leadership Among Nurse Leaders","authors":"","doi":"10.1016/j.mnl.2024.04.014","DOIUrl":"10.1016/j.mnl.2024.04.014","url":null,"abstract":"<div><p>Innovativeness and transformational leadership are characteristics that may enable nurse leaders to respond to today's rapidly changing health care landscape. This study was focused on describing innovativeness among nurse leaders and the relationship between innovativeness and transformational leadership. A descriptive, correlational, cross-sectional design was used; 97 nurse leaders participated. Contact was through a web-enabled survey posted to the American Nurses Association of New York website and social media platforms. A majority of the nurse leaders rated themselves as innovative and there was a significant relationship between innovativeness and transformational leadership. Programs to enhance both innovativeness and transformational leadership are recommended.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133840","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
An Innovative Academic Clinical Partnership 创新的学术临床合作
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.005
{"title":"An Innovative Academic Clinical Partnership","authors":"","doi":"10.1016/j.mnl.2024.04.005","DOIUrl":"10.1016/j.mnl.2024.04.005","url":null,"abstract":"<div><p><span><span>NewYork-Presbyterian Hospital (NYPH) evaluates quality and patient safety (QPS) metrics and goals for the hospital enterprise and at each hospital site. The hospital QPS committee lead an initiative focused on C-difficile (C-diff) with a multifaceted strategy to meet the standardized infection ratio (SIR) goals for 2021. As part of this program, an innovative practice partnership between NYPH and Columbia University School of Nursing (CUSON) emerged to create an </span>audit program while providing students first-hand experience with hospital-based </span>quality improvement initiatives. The elements of the program were integrated within their final semester leadership coursework. This article describes the hospital QI initiative, curriculum integration, and student-supported activities.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962151","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
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.06.002
{"title":"","authors":"","doi":"10.1016/j.mnl.2024.06.002","DOIUrl":"10.1016/j.mnl.2024.06.002","url":null,"abstract":"<div><p>The American Organization for Nursing Leadership (AONL) offers several programs for nurse managers. To understand more about the different programs, we spoke to AONL Education Director Elaine Perkins, MS, RN. Applications for the 2025 class of AONL Nurse Manager Fellowships are due by August 19.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1541461224001496/pdfft?md5=e4498d1c2dbaaa835625def08f509aba&pid=1-s2.0-S1541461224001496-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962152","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
Dark Triad’s Shadow Surrounds Nurse Bullying 黑社会的阴影笼罩着护士欺凌行为
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.05.004
{"title":"Dark Triad’s Shadow Surrounds Nurse Bullying","authors":"","doi":"10.1016/j.mnl.2024.05.004","DOIUrl":"10.1016/j.mnl.2024.05.004","url":null,"abstract":"","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274921","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
Paul Coyne, DNP, MBA, MS, APRN, AGPCNP-BC Paul Coyne，DNP、MBA、MS、APRN、AGPCNP-BC
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.006
{"title":"Paul Coyne, DNP, MBA, MS, APRN, AGPCNP-BC","authors":"","doi":"10.1016/j.mnl.2024.04.006","DOIUrl":"10.1016/j.mnl.2024.04.006","url":null,"abstract":"<div><p>Paul Coyne is a distinguished figure in the realm of health care, currently serving as the Senior Vice President and Chief Nurse Executive at the Hospital for Special Surgery (HSS), the world’s leading academic medical center focused on musculoskeletal health. His journey from a financial analyst at Goldman Sachs to a luminary in nursing and health care leadership is not just a career transition but a narrative of overcoming personal health challenges, including hypertrophic cardiomyopathy, a stroke, and the profound vulnerabilities these experiences entailed. These adversities did not deter him; instead, they fueled his quest for purpose, leading him to pursue a remarkable path in health care. Through simultaneous degrees in nursing, finance, and health care management, Dr. Coyne has uniquely blended his expertise in analytics, patient care, and leadership to drive innovation, excellence, and compassionate care at HSS. His leadership philosophy emphasizes the synthesis of wisdom, knowledge, and vision, aiming to inspire the next generation of health care professionals by embodying resilience and a relentless pursuit of advancing patient care and nursing excellence.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1541461224000934/pdfft?md5=6c02c37a8ea123554855a622c205677d&pid=1-s2.0-S1541461224000934-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029796","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
Resistance Training: (Re)Thinking Workplace Health Promotion 阻力训练：（重新）思考工作场所健康促进问题
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.013
{"title":"Resistance Training: (Re)Thinking Workplace Health Promotion","authors":"","doi":"10.1016/j.mnl.2024.04.013","DOIUrl":"10.1016/j.mnl.2024.04.013","url":null,"abstract":"<div><p>Workplace health promotion programs are being rolled out more frequently by administration to improve wellness, reduce turnover, decrease costs associated with health insurance<span> premiums and absentee days, and reduce socioeconomic health inequalities in the workforce. There is a particular need for new approaches to improve the health and reduce sickness absence among employees from lower socioeconomic groups. In this paper, we report the results of our pilot study to determine adherence and explore the relationship between a resistance training program and health-related markers, professional quality of life, and motivation to continue using a 12-week program led by certified personal trainer.</span></p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035021","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
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