{"title":"A Leader’s Guide to Transforming Care Delivery and Improving Nurse Well-Being","authors":"Amy Weckman MSN, APRN, CNP, CPHQ, CPPS, Patricia McGaffigan MS, RN, Kathy Howell MBA, RN","doi":"10.1016/j.mnl.2024.12.015","DOIUrl":"10.1016/j.mnl.2024.12.015","url":null,"abstract":"<div><div>This article highlights learnings from an Institute for Healthcare Improvement project funded by the Johnson & Johnson Foundation exploring innovative nurse-led acute care delivery solutions to promote a thriving workforce. Pilot sites tested virtual care delivery, innovative technologies, and creative use of resources. Results included a 7.78% increase in “I love my job,” time savings and reduced burden for staff, feelings of enhanced support, creation of new opportunities for nurses, increased staff engagement, and improved patient outcomes. A related toolkit offers strategic insights and resources to assist organizations in redesigning care delivery to support the nursing workforce.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 191-195"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768213","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 : 2025-04-01DOI: 10.1016/j.mnl.2024.10.016
Mana Manoukian MS, RN, CNS, AGCNS-BC, Harriet Udin Aronow PhD, FAAN, Lucía I. Floríndez PhD, MCM, Mary H. Akhtar MPH, Ariz A. Guzman PhD, RN, Bernice Coleman PhD, ACNP-BC, FAHA, FAAN
{"title":"Community-Based Care","authors":"Mana Manoukian MS, RN, CNS, AGCNS-BC, Harriet Udin Aronow PhD, FAAN, Lucía I. Floríndez PhD, MCM, Mary H. Akhtar MPH, Ariz A. Guzman PhD, RN, Bernice Coleman PhD, ACNP-BC, FAHA, FAAN","doi":"10.1016/j.mnl.2024.10.016","DOIUrl":"10.1016/j.mnl.2024.10.016","url":null,"abstract":"<div><div>Innovative nurse-led preventive care programs in the home and community for older adults can contribute to addressing diversity and health disparities, while potentially reducing demand for acute care. This paper describes one health system’s research investment in bringing institutional-based advanced practice registered nurses, clinical nurse specialists and nurse practitioners, into the community with an in-home preventive health care program for independent older adults living in low-income housing. The lessons from this experience may offer nursing leadership an important role and opportunity to promote health equity and to enhance population focused strategic plans.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 132-137"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767625","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 : 2025-04-01DOI: 10.1016/j.mnl.2024.12.009
Dr. Nicholas Potnis DNP, RN
{"title":"Revitalizing Team Nursing","authors":"Dr. Nicholas Potnis DNP, RN","doi":"10.1016/j.mnl.2024.12.009","DOIUrl":"10.1016/j.mnl.2024.12.009","url":null,"abstract":"<div><div>The team nursing model was introduced by Eleanor Lambertson in the 1940s to address the lack of registered nurses during World War II. This article examines implementation of the team nursing model over 21 months at an observation/clinical decision unit in western Florida during the COVID-19 pandemic. Highlights include positive effects on patient outcomes, length of stay, and collaborative benefits to staff. On average, length of stay decreased to 59% of the geometric length over 2 years. This article reviews the genesis of team nursing, provides a detailed practice model and protocols for easy replication and implementation, presents 2 years of length of stay versus geometric length of stay data supporting this practice model, and discusses perspectives regarding effects on patient health outcomes and staff engagement.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 205-208"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767614","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":"Alleviating Bedside Nurse Burden: A Virtual Nursing Program","authors":"Cindy Welsh RN, MBA, FACHE, Theresa Brindise MS, BSN, RN, Brenda Deane MSN, RN, CCRN, NPD-BC, NEA-BC, Kathryn Ferraro MSN/HI, RN, NI-BC, Johanna Lemke BSN, MA, RN, NEA-BC, Laura Rashleger MSN, RN, NE-BC","doi":"10.1016/j.mnl.2024.10.017","DOIUrl":"10.1016/j.mnl.2024.10.017","url":null,"abstract":"<div><div>The virtual nursing program was created in response to nursing workforce shortages. The rapid implementation leveraged current telehealth registered nurses and utilized existing technology and equipment, all while maintaining budget neutrality. The program created an integrated care model that enhanced patient and registered nurses satisfaction, throughput, turnover, and vacancy and demonstrated a financial impact. The conclusion of the pilot is that it is not a one-size-fits-all approach. Different hospitals and communities have different needs. For sustainable growth, having robust frameworks, operational procedures, program methodologies, and defined metrics is essential.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 158-162"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767629","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 : 2025-04-01DOI: 10.1016/j.mnl.2024.12.003
Susan H. Weaver PhD, RN, CRNI®, NEA-BC, Bret Lyman PhD, RN, Heather V. Nelson-Brantley PhD, RN, NEA-BC, M. Lindell Joseph PhD, RN, FAAN, FAONL
{"title":"Transforming Care Delivery Models","authors":"Susan H. Weaver PhD, RN, CRNI®, NEA-BC, Bret Lyman PhD, RN, Heather V. Nelson-Brantley PhD, RN, NEA-BC, M. Lindell Joseph PhD, RN, FAAN, FAONL","doi":"10.1016/j.mnl.2024.12.003","DOIUrl":"10.1016/j.mnl.2024.12.003","url":null,"abstract":"<div><div>Nurse leaders continue to seek innovative care delivery models (CDMs) that can provide quality patient care amid ongoing workforce challenges. Through interviews with 34 nurse leaders in 25 states, this study examined innovations in CDMs within acute care settings. Identified innovations included virtual nursing, expanded Registered Nurse support, and universal bed model. By deepening our understanding of how CDMs are evolving, this research provides details on CDM innovations that deliver high-quality care while balancing resources and cost constraints. Expanding on existing CDM definitions and identifying elements for standardization and evaluation are essential next steps to ensure ongoing improvements and outcomes.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 163-169"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767630","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":"Impact of a Self-Care Intervention Program on Clinician Health and Well-Being","authors":"Joanna Carrega PhD, RN, Melissa Rouse PhD, APRN, CNS-BC, NEA-BC, CENP, CPHQ","doi":"10.1016/j.mnl.2024.08.005","DOIUrl":"10.1016/j.mnl.2024.08.005","url":null,"abstract":"<div><div>This article provides a brief overview of a study conducted at a large health organization in the Southeastern United States in response to the growing problem of burnout among Registered Nurses, Licensed Practical Nurses, and support staff. This report also describes the implementation of a self-care management program within a large multi-campus health organization and significant study findings.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 209-212"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767615","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":"Clinical Nurse Leaders Improve Discharge Planning to Reduce Patient Length of Stay","authors":"Denise Wienand DNP, MEd, RN, CNL, NEA-BC, Melinda Earle DNP, RN, NEA-BC, FAONL, FAAN","doi":"10.1016/j.mnl.2024.09.016","DOIUrl":"10.1016/j.mnl.2024.09.016","url":null,"abstract":"<div><div>With the need for improved delivery of health care across the continuum, the Clinical Nurse Leader (CNL) role was utilized to improve discharge planning and decrease patient length of stay. The CNL role was adopted to improve patient outcomes and increase interdisciplinary communication. Postimplementation of initiatives to decrease patient length of stay, the average length of stay decreased by 0.5 days for discharges home estimating a realized cost savings of approximately $4 million annually and allowing for increased bed availability. Using the CNL role to improve quality outcomes has provided a more cost-effective approach to health care.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"23 2","pages":"Pages 176-182"},"PeriodicalIF":1.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768212","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}