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Strategies to Evaluate New Models of Nursing Care to Meet Hospital Staffing and Patient Care Needs 评估护理新模式以满足医院人员配备和患者护理需求的策略
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 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,&nbsp;Jay Morrison MSN, RN, CPPS,&nbsp;Sandra Simmons PhD,&nbsp;Catherine Ivory PhD, RN-BC, NEA-BC, FAAN,&nbsp;Dan France PhD, MPH,&nbsp;Susie Leming-Lee DNP, MSN, CPHQ,&nbsp;Emily K. Hollingsworth MSW,&nbsp;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}
引用次数: 0
Examination of the Awareness of Health Care Providers on the Use of Music as an Intervention 研究医疗服务提供者对使用音乐作为干预措施的认识
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 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,&nbsp;Kathryn Fleming PhD, RN, CPHQ, FACHE,&nbsp;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}
引用次数: 0
Jeff Doucette, DNP, RN, NEA-BC, FACHE, FAAN Jeff Doucette， DNP， RN, NEA-BC， FACHE， FAAN
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.09.013
Patricia M. Noga PhD, RN, NEA-BC, FAAN
{"title":"Jeff Doucette, DNP, RN, NEA-BC, FACHE, FAAN","authors":"Patricia M. Noga PhD, RN, NEA-BC, FAAN","doi":"10.1016/j.mnl.2024.09.013","DOIUrl":"10.1016/j.mnl.2024.09.013","url":null,"abstract":"","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 663-667"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759566","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
Implementing the ACTIVATE Virtual Nursing Framework™ 实施 ACTIVATE 虚拟护理框架 ™
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.06.007
Bonnie Clipper DNP, MA, MBA, RN, CENP, FACHE, FAAN
{"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}
引用次数: 0
Healthcare Board Readiness of Nurses at a State Level 州一级护士医疗保健委员会的准备情况
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.05.010
Roberta Christopher EdD, MSN, APRN, FNP-BC, NE-BC, EBP-C, CAIF, Lisa J. Sundean PhD, MHA, RN
{"title":"Healthcare Board Readiness of Nurses at a State Level","authors":"Roberta Christopher EdD, MSN, APRN, FNP-BC, NE-BC, EBP-C, CAIF,&nbsp;Lisa J. Sundean PhD, MHA, RN","doi":"10.1016/j.mnl.2024.05.010","DOIUrl":"10.1016/j.mnl.2024.05.010","url":null,"abstract":"<div><div>This study evaluated Florida Nurses Association members' healthcare board competencies using the SHIP-BC© instrument, aiming to support national efforts in appointing competent nurses to organizational boards. Results from a quantitative survey (n = 238) reveal high competency levels among nurses. Qualitative feedback underscores nurses' crucial role, advocating for patients and communities and enhancing healthcare governance. Findings emphasize the need for nursing education<span> and leadership development to prepare nurses for effective board participation. Future research should explore long-term impacts and strategies to address challenges. Overall, nurses on healthcare boards contribute significantly to improving healthcare access, affordability, and equity.</span></div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 725-730"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391116","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
What Nurse Leaders Are Changing Their Minds About 护士领导正在改变他们的想法
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.09.004
Marla J. Weston PhD, RN, FAAN
{"title":"What Nurse Leaders Are Changing Their Minds About","authors":"Marla J. Weston PhD, RN, FAAN","doi":"10.1016/j.mnl.2024.09.004","DOIUrl":"10.1016/j.mnl.2024.09.004","url":null,"abstract":"<div><div>Contemporary challenges and opportunities facing nurse leaders prompted many to reconsider long-standing assumptions about nursing, health care, and leadership. This article summarizes interviews of nurse leaders sharing where they are changing their minds. Leaders outline new opportunities to deconstruct care and leverage technology to improve our practice, apply the agility and teamwork learned during the pandemic, engage nurses with differing expectations about and needs for their practice, the compelling need to prepare next-generation leaders, and being more strategic and assertive in working upstream to garner the support necessary for nurses to deliver quality patient care.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 692-697"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759617","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
Advancing Nurse Leader Scholarship in the Clinical Setting 在临床环境中推进护士领导奖学金
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.09.002
Mary Heitschmidt PhD, APRN, CCRN, FAHA, Angelique L. Richard PhD, RN, CENP, Janice Phillips PhD, RN, CENP, FADLN, FAAN
{"title":"Advancing Nurse Leader Scholarship in the Clinical Setting","authors":"Mary Heitschmidt PhD, APRN, CCRN, FAHA,&nbsp;Angelique L. Richard PhD, RN, CENP,&nbsp;Janice Phillips PhD, RN, CENP, FADLN, FAAN","doi":"10.1016/j.mnl.2024.09.002","DOIUrl":"10.1016/j.mnl.2024.09.002","url":null,"abstract":"<div><div>Nursing scholarship, as defined by the American Association of Colleges of Nursing, is well known in the academic nurse community; however, in the acute care clinical setting, specifically for nurse leaders, it is not. Recognizing the importance scholarship to advance the nursing profession, year scholarly goals for nurse leaders were initiated at a midwestern, five-time Magnet recognized, academic medical center per the leadership of the Chief Nurse Executive. Structure and processes were created and resources were made available to enable nurse leaders to achieve and document their individual scholarship on an annual basis. Nurse leaders engaged in over 600 scholarly activities for fiscal years 2019, 2022, 2023, and 2024. This self-reported snap shot of scholarly activities from nurse leaders at one institution provides a benchmark for others in acute care settings to strive for with the support and encouragement of their Chief Nurse Executives.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 781-789"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759570","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
One Voice 一个声音
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.08.002
Corinne Campbell Romano DNP, MSN, CRRN, CENP
{"title":"One Voice","authors":"Corinne Campbell Romano DNP, MSN, CRRN, CENP","doi":"10.1016/j.mnl.2024.08.002","DOIUrl":"10.1016/j.mnl.2024.08.002","url":null,"abstract":"","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 778-780"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759571","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
Re-Imagining 24/7 Accountability 重新设想24/7问责制
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.09.012
Crystal Lawson DNP, RN, CENP
{"title":"Re-Imagining 24/7 Accountability","authors":"Crystal Lawson DNP, RN, CENP","doi":"10.1016/j.mnl.2024.09.012","DOIUrl":"10.1016/j.mnl.2024.09.012","url":null,"abstract":"<div><div>In the context of modern leadership, the concept of 24/7 accountability is often misconstrued as requiring constant availability. This article critiques this misconception, emphasizing that true accountability involves owning decisions and outcomes while also prioritizing personal well-being. Research indicates that relentless connectivity negatively impacts employee health, leading to burnout and dissatisfaction, particularly among nurse leaders, where recent studies reveal significant intent to leave their roles due to lack of work-life harmony. It is time to redefine accountability to allow leaders necessary disconnection time without compromising their responsibilities. Clear communication norms for after-hours contact are proposed, including a “stoplight” framework to categorize urgency in notifications. By modeling healthy work-life boundaries, leaders can foster a supportive environment that mitigates burnout and enhances overall satisfaction. The discussion aligns with the growing recognition of leader well-being as essential for organizational success, arguing that a culture of disconnect not only benefits leaders but also promotes team autonomy and emotional resilience. Ultimately, the article calls for a shift in leadership practices to cultivate a sustainable health-conscious work culture that empowers both leaders and their teams.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 688-691"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759616","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
Improving Nurse Manager Decision-Making and Healthy Work Environment Through Use of a Standardized Process for Charge Nurse Selection 通过使用标准化流程甄选责任护士，改善护士长决策和健康工作环境
IF 1.3
Nurse Leader Pub Date : 2024-12-01 DOI: 10.1016/j.mnl.2024.05.005
Adam J. Millard BSN, RN, Kelly M. Kester DNP, RN, Philip Parker BSN, RN, Heather Pena MSN, RN, Julie Thompson PhD, Bradi B. Granger PhD, RN
{"title":"Improving Nurse Manager Decision-Making and Healthy Work Environment Through Use of a Standardized Process for Charge Nurse Selection","authors":"Adam J. Millard BSN, RN,&nbsp;Kelly M. Kester DNP, RN,&nbsp;Philip Parker BSN, RN,&nbsp;Heather Pena MSN, RN,&nbsp;Julie Thompson PhD,&nbsp;Bradi B. Granger PhD, RN","doi":"10.1016/j.mnl.2024.05.005","DOIUrl":"10.1016/j.mnl.2024.05.005","url":null,"abstract":"<div><div>The role of the charge nurse is critical to daily operations, patient flow, and appropriate staffing. Despite this, there is a paucity of evidence to support the process by which individuals are identified, selected, and promoted to the charge nurse role. In addition, tools for nurse managers to assess and evaluate staff for promotion to charge nurse roles are lacking. As a result, effective decision-making on the part of nurse leaders is challenging and often uninformed by objective measures. The purpose of this study was to evaluate a new tool designed to support nurse manager decision-making for charge nurse selection.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 6","pages":"Pages 704-710"},"PeriodicalIF":1.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141414962","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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