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Nursing Leadership 护理领导力
IF 1.3
Nurse Leader Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.07.001
Nicole Stuart-Pesevic MSN, RN, AMB-BC, Suzanne Talarico MSN, FNP
{"title":"Nursing Leadership","authors":"Nicole Stuart-Pesevic MSN, RN, AMB-BC,&nbsp;Suzanne Talarico MSN, FNP","doi":"10.1016/j.mnl.2024.07.001","DOIUrl":"10.1016/j.mnl.2024.07.001","url":null,"abstract":"<div><div>Historically, the nurse leader's role in ambulatory care has been ill-defined or nonexistent. As health care continues to move from the hospital to the clinic, ambulatory nurse leaders are rising to the challenge as their roles expand beyond that of a traditional nursing role. This article explores the experiences of ambulatory chief nursing officers and nursing directors in a network of 22 medical groups with over 1000 clinics across seven states. In a qualitative study, the authors explore critical drivers to successfully leading in the ambulatory care setting as a nurse leader. Nurses have a unique ability to connect with others to influence change and ensure quality, safety, and clinical outcomes are at the forefront of decision-making. Nurse leaders must develop change management, influential and inspirational leadership, business acumen, and executive presence to effectively advocate for a change in preconceived notions of nursing in ambulatory care. Ambulatory nursing leadership has the opportunity and the duty to advocate for nursing practice and change in healthcare through authentic connections and relationships.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 5","pages":"Pages 526-530"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357151","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 Scheduling Efficiency in the Setting of Staff Turnover and Increased Surgical Volume in the Post-anesthesia Care Unit Using Census Data Trends 利用人口普查数据趋势，在麻醉后护理病房人员流动和手术量增加的情况下提高排班效率
IF 1.3
Nurse Leader Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.03.016
{"title":"Improving Scheduling Efficiency in the Setting of Staff Turnover and Increased Surgical Volume in the Post-anesthesia Care Unit Using Census Data Trends","authors":"","doi":"10.1016/j.mnl.2024.03.016","DOIUrl":"10.1016/j.mnl.2024.03.016","url":null,"abstract":"<div><div>This article describes the successful implementation of a staffing restructuring in the Post-Anesthesia Care Unit (PACU) at a large Cancer Center in New York City. Retrospective census data (hourly census “snapshots” and 60-day average daily census trends) in the Main PACU was evaluated to predict PACU's busiest working hours and adjust PACU staffing targets accordingly. This restructure led to a 55% decrease in overtime expenditure in 2023 YTD compared to 2022 YTD ($264,248 and $588,063 annual dollars spent, respectively), despite a 6.6% increase in surgical volume and 2x the amount of staff turnover in 2023 compared to 2022.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 5","pages":"Pages 632-636"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758729","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
Sharing Leadership Vulnerability 分享领导力的弱点
IF 1.3
Nurse Leader Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.01.007
{"title":"Sharing Leadership Vulnerability","authors":"","doi":"10.1016/j.mnl.2024.01.007","DOIUrl":"10.1016/j.mnl.2024.01.007","url":null,"abstract":"<div><div>Nurse leaders confront many complex challenges during their day. The emotional well-being of the nurse leader may continue to erode when situations requiring ethical consideration present themselves. The cumulative effect of continued moral distress<span> can create moral residue, linked to disequilibrium of physical, mental, and emotional well-being. Leaders sharing their stories is a powerful way to create meaning and connection while helping to alleviate emotional distress and improve mental well-being. Three nurse leaders share their stories of distress and reveal the healing power of authentic vulnerability.</span></div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 5","pages":"Pages 597-601"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468105","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
New Graduate Nurses’ Perceptions of Disruptive Behaviors and Implications for Nurse Leaders 新毕业护士对破坏性行为的看法及对护士长的启示
IF 1.3
Nurse Leader Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.03.013
{"title":"New Graduate Nurses’ Perceptions of Disruptive Behaviors and Implications for Nurse Leaders","authors":"","doi":"10.1016/j.mnl.2024.03.013","DOIUrl":"10.1016/j.mnl.2024.03.013","url":null,"abstract":"<div><div><span>As new graduate nurses (NGNs) transition into their first registered nurse (RN) position, they are acclimating to a new culture and vulnerable to witnessing and experiencing various disruptive behaviors. When NGNs are treated poorly by others in their environment, their job satisfaction and well-being are negatively impacted, and they begin to consider leaving their job or the nursing </span>profession altogether. In this article, survey results collected from NGNs on their perceptions of disruptive behaviors in the workplace will be discussed. Additionally, proposed strategies nurse leaders can implement to address and prevent disruptive behaviors will be shared.</div></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 5","pages":"Pages 614-620"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140770752","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
The Power of Self-Scheduling: Frontline Nurses’ Insights and Perspectives to Achieve Staffing Flexibility 自我排班的力量：一线护士对实现人员配置灵活性的见解和观点
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.012
{"title":"The Power of Self-Scheduling: Frontline Nurses’ Insights and Perspectives to Achieve Staffing Flexibility","authors":"","doi":"10.1016/j.mnl.2023.11.012","DOIUrl":"10.1016/j.mnl.2023.11.012","url":null,"abstract":"<div><p>The nursing workforce is in a crisis, and workforce flexibility for nurses is a promising solution to alleviating the crisis. Despite alignment on the importance of flexibility, frontline nurses and health care executives define workforce flexibility differently. A survey of 500 nurses was completed to understand how frontline nurses define and perceive flexibility through a variety of flexible work arrangements. Recommendations for improving nursing workforce flexibility include increasing flexible work practices and offerings such as self-scheduling, part-time work, per-diem, and internal gig work.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 438-444"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195331","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
Nurse Leader Guide 护士长指南
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.008
May Saulan DNP, MPA, MSN, RN, CNOR, AOCNS, Lystra M. Swift DNP, MA, RN, CNOR, Rebecca M. Patton DNP, RN, CNOR, FAAN
{"title":"Nurse Leader Guide","authors":"May Saulan DNP, MPA, MSN, RN, CNOR, AOCNS,&nbsp;Lystra M. Swift DNP, MA, RN, CNOR,&nbsp;Rebecca M. Patton DNP, RN, CNOR, FAAN","doi":"10.1016/j.mnl.2024.04.008","DOIUrl":"10.1016/j.mnl.2024.04.008","url":null,"abstract":"<div><p>Workplace incivility and bullying occur at staggering rates and affect the nurse's safety, well-being, work environment<span><span>, and relationship with their coworker. The alarming impact can immobilize the healthcare industry since nursing is the largest group in the healthcare profession. According to the 2019 to 2020 Healthy Nurse Survey, 18% to 26% of </span>perioperative nurses experienced incivility/bullying. With repeated exposure, nurses may accept uncivil behaviors, view them as normal, and display these discourteous acts themselves. This work aims to provide leaders with comprehensive strategies to identify and mitigate these behaviors and promote a healthy work environment.</span></p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 382-387"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962150","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
Children’s Health Diversifies Workforce and Cultivates Belonging 儿童健康使劳动力多样化并培养归属感
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.06.001
Brennan Lewis DNP, APRN, PCNS-BC, NEA-BC, Tiffany Montgomery MSN, RN, NPD-BC, Barry Owen MBA, RN, NEA-BC, Tammy Webb PhD, RN, NE-BC
{"title":"Children’s Health Diversifies Workforce and Cultivates Belonging","authors":"Brennan Lewis DNP, APRN, PCNS-BC, NEA-BC,&nbsp;Tiffany Montgomery MSN, RN, NPD-BC,&nbsp;Barry Owen MBA, RN, NEA-BC,&nbsp;Tammy Webb PhD, RN, NE-BC","doi":"10.1016/j.mnl.2024.06.001","DOIUrl":"10.1016/j.mnl.2024.06.001","url":null,"abstract":"<div><p>Children’s Health, a 2-campus pediatric health care system with locations across North Texas, is this year’s American Organization for Nursing Leadership’s Prism Award recipient. The Prism Award recognizes a health care system for its leadership in advancing diversity and inclusion within the nursing profession, organization, or community. This article details the system’s efforts to establish diversity, equity, inclusion, and belonging as a priority and the many ways diversity, equity, inclusion, and belonging are imbued in workforce development and operations.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 346-350"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1541461224001484/pdfft?md5=b6075403658cb201d25293d1da55d91b&pid=1-s2.0-S1541461224001484-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962153","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
Nursing Leaders’ Influence on Clinical Nurses’ Evidence-Based Practice Implementation: Impact of an Evidence-Based Practice Leadership Behavior Program 护理领导对临床护士实施循证实践的影响：循证实践领导行为项目的影响
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.001
Lindsey J. Patton PhD, APRN, PCNS-BC, Zara Sajwani-Merchant PhD, RN, EBP-C, Sara Moore DNP, APRN, PPCNP-BC, CPNP-AC, NNP, EBP-C, Peng Chen MPH, CPH, BS, Amy Six-Means MLIS, Linda Markey PhD, RN
{"title":"Nursing Leaders’ Influence on Clinical Nurses’ Evidence-Based Practice Implementation: Impact of an Evidence-Based Practice Leadership Behavior Program","authors":"Lindsey J. Patton PhD, APRN, PCNS-BC,&nbsp;Zara Sajwani-Merchant PhD, RN, EBP-C,&nbsp;Sara Moore DNP, APRN, PPCNP-BC, CPNP-AC, NNP, EBP-C,&nbsp;Peng Chen MPH, CPH, BS,&nbsp;Amy Six-Means MLIS,&nbsp;Linda Markey PhD, RN","doi":"10.1016/j.mnl.2024.04.001","DOIUrl":"10.1016/j.mnl.2024.04.001","url":null,"abstract":"<div><p>Unit-level nursing leaders’ behaviors may foster the organization’s implementation climate for evidence-based practice. This study used a quantitative, pretest, posttest comparative design to determine whether acute and critical care nursing leaders’ participation in an evidence-based practice (EBP) Leadership Behavior Program made a difference in nursing leaders’ self-reported and clinical nurses’ perceptions of nursing leaders’ EBP leadership behaviors and competencies. The program was designed for nursing leaders that included synchronous and asynchronous activities. Findings indicated that nursing leaders’ EBP competencies and EBP leadership behaviors significantly improved following participation in the program. However, clinical nurses’ perceptions did not statistically significant change.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 408-418"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962148","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
Team Building in a Multigenerational Workforce 多代员工中的团队建设
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.019
{"title":"Team Building in a Multigenerational Workforce","authors":"","doi":"10.1016/j.mnl.2023.11.019","DOIUrl":"10.1016/j.mnl.2023.11.019","url":null,"abstract":"<div><p>Nurse leaders are charged with building effective teams to provide safe, compassionate, quality care to their patients and families. How we communicate with these teams is an important element of team building. Examining generational differences to foster effective communication and team building has gained increased attention, with many studies and articles published on this topic. This article is intended to provide insight into team building without taking generational differences into consideration, based on one leader’s extensive experience leading teams in a variety of settings.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 458-461"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139015301","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
Spirituality Educational Intervention to Enhance Spirituality Clinical Practice and Resilience 加强灵修临床实践和复原力的灵修教育干预措施
IF 1.3
Nurse Leader Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.004
{"title":"Spirituality Educational Intervention to Enhance Spirituality Clinical Practice and Resilience","authors":"","doi":"10.1016/j.mnl.2024.04.004","DOIUrl":"10.1016/j.mnl.2024.04.004","url":null,"abstract":"<div><p><span>This descriptive research used an evidence-based spirituality intervention as an innovative approach for nurse leaders to support nurse’s use of spirituality in clinical care to promote resilience in </span>acute care settings. The intervention used the Auctioning Spirituality and Spiritual care Education Training (ASSET) model as a framework to enhance spiritual practices. Two valid and reliable tools measured participant’s attitudes toward spiritual practices and resilience. The sample included participants (N = 185) working in acute care settings. Participants’ attitudes on spirituality-integrated practice are strongly correlated with resilience composite scores (r = 0.562, p &lt; 0.04). Spirituality training enhances self-awareness and increases spiritual dimensions of clinical practice.</p></div>","PeriodicalId":44980,"journal":{"name":"Nurse Leader","volume":"22 4","pages":"Pages 355-359"},"PeriodicalIF":1.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141034134","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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