{"title":"Maximizing the Nurse Leader’s Seat at the Decision-Making Table","authors":"Bimbola Akintade PhD, MBA, MHA, ACNP-BC, NEA-BC, FAANP, FAAN, Thompson H. Forbes III PhD, RN, NE-BC, Yanka Campbell DNP, RN, AGPCNP-BC, CNE","doi":"10.1016/j.mnl.2024.05.013","DOIUrl":"10.1016/j.mnl.2024.05.013","url":null,"abstract":"<div><div>The dynamic landscape of healthcare demands innovative strategies that empower nurse leaders to drive change and advocate for optimal patient care. Effective nurse leadership and advocacy require a deep understanding of healthcare finance, as financial decisions underpin the resources available to support patient-centered initiatives. This article delves into how nurse leaders can strengthen their positions in strategic decision-making by leveraging financial acumen, as they occupy meaningful seats at the healthcare decision-making table.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 736-739"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402444","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":"Charting the Path","authors":"Stephanie H. Hoelscher DNP, RN, NI-BC, AIMP, CPHIMS, CHISP, FHIMSS, Katherine Taylor-Pearson DNP, RN, NI-BC, CPHIMS, CLSSBB, CPBI, CKM, Holly Wei PhD, RN, CPN, NEA-BC, FAAN","doi":"10.1016/j.mnl.2024.07.011","DOIUrl":"10.1016/j.mnl.2024.07.011","url":null,"abstract":"<div><div>Artificial intelligence, including generative AI, rapidly transforms health care by enhancing diagnostic accuracy, patient monitoring, and personalized care. Nurse leaders are pivotal in overseeing AI's ethical implementation and utilization to help ensure patient safety and maintain human-centered care. As AI integration increases, nurse leaders must thoughtfully consider usage training and effective governance. Exploring AI's multifaceted, powerful nature, this article delves into the potential to optimize health care delivery and streamline administrative processes while tangling the importance of data privacy, security, and fairness. All hold vital significance for nurse leaders, enabling them to steer the responsible integration of AI in health care.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 763-772"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759564","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 : 2024-12-01DOI: 10.1016/j.mnl.2024.08.004
Jane Fitzsimmons MSN, RN, Peggy Loughery MSN, RN, Erin V. Fitzpatrick MA
{"title":"Charting the Course","authors":"Jane Fitzsimmons MSN, RN, Peggy Loughery MSN, RN, Erin V. Fitzpatrick MA","doi":"10.1016/j.mnl.2024.08.004","DOIUrl":"10.1016/j.mnl.2024.08.004","url":null,"abstract":"<div><div>As health care consultants working with organizations to recruit executive leaders, the authors have an intimate view of the challenges and expectations that shape the selection for the Chief Nursing Officer (CNO) role. The current landscape presents a heightened level of complexity and intensity, which is shifting the essential competencies required for these positions. To gain deeper insights, the authors surveyed experienced CNOs nationally to understand their perspectives on the primary challenges, critical competencies, and current organizational strategies. In addition, the participants completed the Predictive Index Job Assessment, which produced a leadership behavioral profile for the CNO role.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 681-687"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759615","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":"Advancing State Policy through Nurse Leader Influence","authors":"Ashley Waddell PhD, RN, FAAN, Amanda Stefancyk Oberlies PhD, MBA, RN, FAAN, Rachel Melikan MPA","doi":"10.1016/j.mnl.2024.09.010","DOIUrl":"10.1016/j.mnl.2024.09.010","url":null,"abstract":"<div><div>Nurse leaders and professional nursing organizations are committed to influencing policy. Understanding how these commitments are actualized can accelerate success, and strategies can be replicated. The Organization of Nurse Leaders – New England (ONL), has strategic commitments and a strong track record of influencing state-level policy. Member input informs the organization's policy priorities, and engagement in Government Affairs Committee meetings supports learning. Policy and advocacy successes are recognized through member communications and an annual award. This article provides detail about ONL's approach to policy and advocacy work, its processes for supporting nurse leader influence, and exemplars highlighting policy success in New England.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 698-703"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759618","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 : 2024-12-01DOI: 10.1016/j.mnl.2024.09.003
Kirsten Warner DNP, APRN, AGCNS-BC, Melinda Earle DNP, RN, NEA-BC, FAONL, FAAN, Judy B. Friedrichs DNP, RN, CPLC, ADEC
{"title":"Equipping Direct-Care Nurses to Lead Wellness Projects","authors":"Kirsten Warner DNP, APRN, AGCNS-BC, Melinda Earle DNP, RN, NEA-BC, FAONL, FAAN, Judy B. Friedrichs DNP, RN, CPLC, ADEC","doi":"10.1016/j.mnl.2024.09.003","DOIUrl":"10.1016/j.mnl.2024.09.003","url":null,"abstract":"<div><div>Increased rates of direct care nurse burnout and stress levels and decreased physical and mental health have led many health care organizations to prioritize well-being programs to address these issues. Seldom are direct care nurses with the first-hand knowledge and innovative ideas necessary to design successful wellbeing initiatives tapped to lead these changes. At a midwestern health care system, direct care nurses were given protected time, project management education and tools, and nurse leader coaching to lead engaging wellness initiatives. Nurse leader coaching was shown to make a pivotal difference in project success.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 790-795"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759568","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 : 2024-12-01DOI: 10.1016/j.mnl.2024.05.007
Robin L. Steaban MSN, RN, NEA-BC, Jay Morrison MSN, RN, CPPS, Sandra Simmons PhD, Catherine Ivory PhD, RN-BC, NEA-BC, FAAN, Dan France PhD, MPH, Susie Leming-Lee DNP, MSN, CPHQ, Emily K. Hollingsworth MSW, Ruth Kleinpell PhD, RN, FAAN
{"title":"Strategies to Evaluate New Models of Nursing Care to Meet Hospital Staffing and Patient Care Needs","authors":"Robin L. Steaban MSN, RN, NEA-BC, Jay Morrison MSN, RN, CPPS, Sandra Simmons PhD, Catherine Ivory PhD, RN-BC, NEA-BC, FAAN, Dan France PhD, MPH, Susie Leming-Lee DNP, MSN, CPHQ, Emily K. Hollingsworth MSW, Ruth Kleinpell PhD, RN, FAAN","doi":"10.1016/j.mnl.2024.05.007","DOIUrl":"10.1016/j.mnl.2024.05.007","url":null,"abstract":"<div><div>Acute care hospitals continue to face challenges related to adequate nurse staffing to meet complex patient care needs. At an academic medical center in the Southeast, a nursing practice transformation initiative was designed based on an initial nursing retreat. Using design thinking and lean methodologies, prototypes of team-based nursing care<span><span> models were developed for pilot-testing and evaluation on select hospital units. Additionally, discrete event simulation modeling techniques were used to evaluate varying staff-to-patient ratios for both licensed and unlicensed staff to inform staffing allocations on select units. One care model included an advising nurse role in which a nurse with at least 3 years of clinical experience supported novice nurses. Observational data on a pilot-test unit showed that advising nurses spent 62% of their time providing non-patient care support tasks and education to novice nurses, and an additional 19% of their time providing a combination of education and clinical task assistance. Concurrently with other care model initiatives, a pilot study was launched to evaluate a virtual nurse model facilitated by a </span>telehealth<span> application. This article reviews the ongoing work to develop and prospectively evaluate nursing models of care and provides important information for other health care systems currently faced with similar nurse staffing shortages and related concerns about patient care quality and safety.</span></span></div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 718-724"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393051","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 : 2024-12-01DOI: 10.1016/j.mnl.2024.06.005
Maria Manzella DNP, RN-C, HNB-BC, Kathryn Fleming PhD, RN, CPHQ, FACHE, Mani Paliwal MS, MBA
{"title":"Examination of the Awareness of Health Care Providers on the Use of Music as an Intervention","authors":"Maria Manzella DNP, RN-C, HNB-BC, Kathryn Fleming PhD, RN, CPHQ, FACHE, Mani Paliwal MS, MBA","doi":"10.1016/j.mnl.2024.06.005","DOIUrl":"10.1016/j.mnl.2024.06.005","url":null,"abstract":"<div><div>The use of music as an intervention (MAI) yields positive outcomes in patient care, yet there is limited awareness among health care providers (HCPs). This study assesses those awareness levels by addressing HCP understanding and utilization of MAI, with the intent of fostering healing environments by integrating MAI into clinical practice. Highlighting the significance of raising awareness and educating HCPs underscores the need to incorporate MAI at the bedside. Participant consensus (n = 134) was resoundingly clear: MAI should be a staple offering in all hospitals as it emerged as a potent tool for mitigating pain, stress, and anxiety and influencing vital signs.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 746-750"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141707188","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":"Implementing the ACTIVATE Virtual Nursing Framework™","authors":"Bonnie Clipper DNP, MA, MBA, RN, CENP, FACHE, FAAN","doi":"10.1016/j.mnl.2024.06.007","DOIUrl":"10.1016/j.mnl.2024.06.007","url":null,"abstract":"<div><div>Since 2020, virtual nursing has expanded significantly in inpatient settings, driven by the COVID-19 pandemic's demand for remote care and the need to mitigate workforce challenges. The practice remains integral, with 66% of nurses and leaders foreseeing its role in acute care. Virtual nursing addresses care model improvements by offloading tasks like documentation, surveillance, and patient education. This manuscript presents the ACTIVATE Virtual Nursing Framework, guiding organizations in developing and implementing virtual nursing models. The framework ensures alignment with organizational goals, integration of technology and workflows, and effective change management, promoting sustainable and innovative care delivery in healthcare settings.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 676-680"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141843634","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}