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Transformational Leadership in Health Care Today. 当今医疗保健变革型领导。
Health Care Manager Pub Date : 2020-07-01 DOI: 10.1097/HCM.0000000000000296
Beverly Robbins, Ruth Davidhizar
{"title":"Transformational Leadership in Health Care Today.","authors":"Beverly Robbins,&nbsp;Ruth Davidhizar","doi":"10.1097/HCM.0000000000000296","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000296","url":null,"abstract":"<p><p>Management in nursing is in a state of revolution based on positive transformational changes. Effective leadership on individual nursing units directly affects nursing staff satisfaction. Employees are interested in managers who can lead in a positive and encouraging manner. Nurses who are content in their positions correlate to a reduction in staff turnover and improve retention. When the nursing staff are satisfied with their employment, patient satisfaction rises. Health care organizations can see this trickle-down effect through increases in patient satisfaction scores over time. The promotion of effective communication and positive attitudes enhances a healthy environment for all employees and staff. Health care organizations should evaluate individual nurse managers on units to promote transformational leadership qualities; this will directly result in staff satisfaction, staff retention, and patient satisfaction.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183340","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: 8
Night Shift Work and Its Health Effects on Nurses. 夜班工作及其对护士健康的影响。
Health Care Manager Pub Date : 2020-07-01 DOI: 10.1097/HCM.0000000000000297
Candie Books, Leon C Coody, Ryan Kauffman, Sam Abraham
{"title":"Night Shift Work and Its Health Effects on Nurses.","authors":"Candie Books,&nbsp;Leon C Coody,&nbsp;Ryan Kauffman,&nbsp;Sam Abraham","doi":"10.1097/HCM.0000000000000297","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000297","url":null,"abstract":"<p><p>The purpose of this research was to study night shift work and its health effects on nurses. This was a quantitative study using descriptive design; it also incorporated three qualitative open-ended questions to complement the study. The data were collected using Survey Monkey, with an Internet based confidential data collection tool. The population of relevance to this study was nurses employed in hospital settings in the United States. E-mail addresses and Facebook were used to recruit participants. Results indicated that there is an increased risk of sleep deprivation, family stressors, and mood changes because of working the night shift. Rotating shifts were mentioned as a major concern for night shift nurses. Respondents agreed that complaints about fatigue and fatigue related illnesses in night shift workers were ignored. There was also a general perception among nurses working the night shift that sleep deprivation leads to negative health consequences including obesity; however, they were not as high a concern as rotating shifts or fatigue.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000297","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38183342","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: 7
Reduction of Intensive Care Unit Length of Stay: The Case of Early Mobilization. 减少重症监护病房的住院时间:早期动员的案例。
Health Care Manager Pub Date : 2020-07-01 DOI: 10.1097/HCM.0000000000000295
Alex Hunter, Leslie Johnson, Alberto Coustasse
{"title":"Reduction of Intensive Care Unit Length of Stay: The Case of Early Mobilization.","authors":"Alex Hunter,&nbsp;Leslie Johnson,&nbsp;Alberto Coustasse","doi":"10.1097/HCM.0000000000000295","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000295","url":null,"abstract":"<p><p>Bed rest or immobilization is frequently part of treatment for patients in the intensive care unit (ICU) with critical illness. The average ICU length of stay (LOS) is 3.3 days, and for every day spent in an ICU bed, the average patient spends an additional 1.5 days in a non-ICU bed. The purpose of this research study was to analyze the effects of early mobilization for patients in the ICU to determine if it has an impact on the LOS, cost of care, and medical complications. The methodology for this study was a literature review. Five electronic databases were used, with a total of 26 articles referenced for this research. Early mobilization suggested a decrease in delirium by 2 days, reduced risk of readmission or death, and reduced ventilator-assisted pneumonia, central line, and catheter infections. Length of stay in the ICU was reduced with statistical significance in several studies examining early mobilization. Limited research on cost of ICU LOS indicated potential savings with early mobilization. When implementing early mobilization in the ICU, total costs were decreased and medical complications were reduced. Early mobilization should become a standard of care for critically ill but stable patients in the ICU.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000295","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38186026","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: 14
The Concept of Advocacy in Nursing: A Critical Analysis. 护理倡导的概念:批判性分析。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000292
Evdokia Kalaitzidis, Paul Jewell
{"title":"The Concept of Advocacy in Nursing: A Critical Analysis.","authors":"Evdokia Kalaitzidis,&nbsp;Paul Jewell","doi":"10.1097/HCM.0000000000000292","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000292","url":null,"abstract":"<p><p>As health care professionals practice as a team, they take on responsibilities that are specific to their roles-responsibilities that are recognized and understood by the team and management as pertaining to their professional domain and expertise. Is advocacy part of the role of the nurse? Members of the nursing profession commonly maintain that it is, but is there a consensus on this issue, both within the profession and among other stakeholders? Is there a clear understanding of the term advocacy, and is this reflected in Codes of Practice and research into practice? An examination of significant documents and reports of empirical research reveals conflicting conceptions and opinions. There is potential for a common definition, but agreements need to be reached on whether advocacy is an essential function of nursing within the management of health care, and if so, what is advocacy's importance, focus, and limits.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37882422","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: 3
Cultural Diversity Training: The Necessity of Cultural Competence for Health Care Providers and in Nursing Practice. 文化多样性培训:医疗保健提供者和护理实践的文化能力的必要性。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000294
Susan Young, Kristina L Guo
{"title":"Cultural Diversity Training: The Necessity of Cultural Competence for Health Care Providers and in Nursing Practice.","authors":"Susan Young,&nbsp;Kristina L Guo","doi":"10.1097/HCM.0000000000000294","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000294","url":null,"abstract":"<p><p>The purpose of this article is to discuss the need to provide culturally sensitive care to the growing number of diverse health care consumers. A literature review of national standards and research on cultural competency was conducted and specifically focused on the field of nursing. This study supports the theory that cultural competence is learned over time and is a process of inner reflection and awareness. The domains of awareness, skill, and knowledge are essential competencies that must be gained by health care providers and especially for nurses. Although barriers to providing culturally sensitive care exist, gaining a better understanding of cultural competence is essential to developing realistic education and training techniques, which will lead to quality professional nursing practice for increasingly diverse populations.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37882426","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: 5
Call for Editor-in-Chief Applications. 呼吁总编辑申请。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000289
{"title":"Call for Editor-in-Chief Applications.","authors":"","doi":"10.1097/HCM.0000000000000289","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000289","url":null,"abstract":"","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37881964","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
Letter from the Publisher. 出版商的来信。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000288
{"title":"Letter from the Publisher.","authors":"","doi":"10.1097/HCM.0000000000000288","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000288","url":null,"abstract":"","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000288","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37881963","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
A Qualitative Study of the Change-of-Shift Report at the Patients' Bedside. 病人床边换班报告的质性研究。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000291
John Grimshaw, Daniel Hatch, Melissa Willard, Sam Abraham
{"title":"A Qualitative Study of the Change-of-Shift Report at the Patients' Bedside.","authors":"John Grimshaw,&nbsp;Daniel Hatch,&nbsp;Melissa Willard,&nbsp;Sam Abraham","doi":"10.1097/HCM.0000000000000291","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000291","url":null,"abstract":"<p><p>Concerns about patient bedside change-of-shift reporting at a community hospital in northern Indiana stimulated the development of this qualitative phenomenological study. A review of the literature revealed a research deficit in acute care nurses' perceptions of bedside reporting in relation to compliance. The research question addressed in this study was, \"What are acute care nurses' perceptions of the change-of-shift report at the patients' bedside?\" Personal interviews were conducted on 7 medical, surgical, and intensive care unit nurse participants at a community hospital in northern Indiana. Five themes were identified from the collected data, which included the time factor, continuity of care, visualization, and challenges in the communication of discreet information.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000291","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37882421","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: 4
Change Management in Health Care. 医疗保健中的变革管理。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000290
Robert James Campbell
{"title":"Change Management in Health Care.","authors":"Robert James Campbell","doi":"10.1097/HCM.0000000000000290","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000290","url":null,"abstract":"<p><p>This article introduces health care managers to the theories and philosophies of John Kotter and William Bridges, 2 leaders in the evolving field of change management. For Kotter, change has both an emotional and situational component, and methods for managing each are expressed in his 8-step model (developing urgency, building a guiding team, creating a vision, communicating for buy-in, enabling action, creating short-term wins, don't let up, and making it stick). Bridges deals with change at a more granular, individual level, suggesting that change within a health care organization means that individuals must transition from one identity to a new identity when they are involved in a process of change. According to Bridges, transitions occur in 3 steps: endings, the neutral zone, and beginnings. The major steps and important concepts within the models of each are addressed, and examples are provided to demonstrate how health care managers can actualize the models within their health care organizations.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000290","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37881965","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: 9
Increasing Registered Nurse Retention Using Mentors in Critical Care Services. 在重症监护服务中使用导师增加注册护士的保留率。
Health Care Manager Pub Date : 2020-04-01 DOI: 10.1097/HCM.0000000000000293
Coreena C Schroyer, Rebecca Zellers, Sam Abraham
{"title":"Increasing Registered Nurse Retention Using Mentors in Critical Care Services.","authors":"Coreena C Schroyer,&nbsp;Rebecca Zellers,&nbsp;Sam Abraham","doi":"10.1097/HCM.0000000000000293","DOIUrl":"https://doi.org/10.1097/HCM.0000000000000293","url":null,"abstract":"<p><p>Recruiting and training 1 newly hired registered nurse can cost thousands of dollars. With a high percentage of these newly hired nurses leaving their first place of employment within their first year, the financial implications may be enormous. It is imperative that health care facilities invest in recruiting and retention programs that retain high-quality nurses. Mentorship programs in retaining and easing the transition to practice for new graduate nurses, re-entry nurses, and nurses new to a specialty area are critical in nurse retention. Discussion in this study includes the effect of implementing a mentor program into the critical care services area of a 325-bed not-for-profit community hospital in northern Indiana. Based on this study, nurses with a mentor were retained at a 25% higher rate than those not mentored. Implementation of a mentor program reduced the training cost to the facility and increased retention and morale.</p>","PeriodicalId":46018,"journal":{"name":"Health Care Manager","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1097/HCM.0000000000000293","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37882424","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: 3
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