Journal of Nursing Administration最新文献_第4页

Breaking the Cycle of Nurse Manager Presenteeism: A Convergent Mixed-Methods Study. 打破护士经理出勤的循环：一项融合的混合方法研究。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001486

Claire Bethel, Caitlin McIntosh, Jessica G Rainbow

{"title":"Breaking the Cycle of Nurse Manager Presenteeism: A Convergent Mixed-Methods Study.","authors":"Claire Bethel, Caitlin McIntosh, Jessica G Rainbow","doi":"10.1097/NNA.0000000000001486","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001486","url":null,"abstract":"Objective: The aim was to describe the factors leading to, and explore the coping strategies and the consequences of, nurse manager presenteeism.Background: Presenteeism, or presence at work while not fully performing, is prevalent among direct-care nurses, yet no studies have explored nurse manager presenteeism.Methods: This study used a convergent mixed-methods design with 1:1 interviews, a demographic questionnaire, mental/physical health and work situation questions, and the Job Stress-Related Presenteeism Scale (JSPS). Participants included 14 nurse managers from 3 hospitals in Central Pennsylvania.Findings: Quantitative results reveal participants' physical and mental health, results of the JSPS, and inferences between presenteeism and health/demographic items. The overarching qualitative theme was the cyclic nature of presenteeism. Work demands and other contributing factors, like illness and personal factors, contribute to presenteeism, which leads to adverse consequences. The consequences lead to more work demands and can lead the nurse manager to consider leaving a job or the profession. The cycle can be broken by protective factors, coping mechanisms, and support. Mixed-methods results revealed convergence among the quantitative and qualitative results.Conclusions: Executive leaders must help nurse managers break the cycle of nurse manager presenteeism. Nurse managers need fewer work demands and more support to improve their performance at work.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 10","pages":"536-543"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Celebrating Frontline Leadership in Nursing: A Testament to Compassion and Innovation. 庆祝护理的前线领导：同情和创新的证明。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001483

Deborah Zimmermann

引用次数: 0

Developing a Nursing Workload Intensity Staffing Model: Evaluating the Perceptions of Nurses and the Effect on Nursing-Sensitive Indicators. 开发护理工作量强度人员配置模型：评估护士的认知及其对护理敏感指标的影响。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001490

Cynthia Thornton Bacon, Thomas P McCoy, Marjorie Jenkins, JoAnna Gontarz, Amita Mittal

{"title":"Developing a Nursing Workload Intensity Staffing Model: Evaluating the Perceptions of Nurses and the Effect on Nursing-Sensitive Indicators.","authors":"Cynthia Thornton Bacon, Thomas P McCoy, Marjorie Jenkins, JoAnna Gontarz, Amita Mittal","doi":"10.1097/NNA.0000000000001490","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001490","url":null,"abstract":"Objective: To explore a workload intensity staffing (WIS) model's effect on nurse and patient outcomes.Background: Little is known about the relationship between WIS and nurse and patient outcomes.Methods: A point-based workload intensity tool was developed and implemented to determine the level of care for adult inpatients. Before and after implementation, nurses provided feedback on staffing practices. Rates for catheter-associated urinary tract infections (CAUTIs), central line-associated bloodstream infections (CLABSI), and patient fall rates were collected.Results: Nurses indicated that patients were equally distributed among nurses (pre-score mean [M] = 3.7 vs post M = 3.6, P = 0.609) and that patient work intensity was incorporated into patient assignments (pre M = 3.4 vs post M = 3.5, P = 0.717). A significant negative trend was revealed for patient falls per 1000 patient-days (b = -0.063, P = 0.010) with fewer falls post-WIS implementation and a significant decrease in falls with injury (b = -0.085, P = 0.002). There was no significant difference in CAUTI and CLABSI rates for pre- versus post-WIS and WIS implementation.Conclusions: Although these initial results are promising, more research is needed on WIS and nurse and patient outcomes.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 10","pages":"568-573"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

AONL Foundation-Funded Studies Offer Insights on Resilience, Recognition, and Chief Nurse Executive Turnover. AONL基金会资助的研究提供了对弹性，认可和首席护士行政人员更替的见解。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001482

Danielle M Ward

引用次数: 0

Using the Magnet® Framework to Support a Culture of Excellence. 使用Magnet®框架支持卓越文化。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001481

M Maureen Lal

引用次数: 0

Using the Expertise of a Clinical Nurse Specialist to Lead a Neonatal Peripherally Inserted Central Catheter Team to Central Line-Associated Bloodstream Infection Reduction and Cost-Efficiency Through Quality Improvement. 利用临床护理专家的专业知识，带领新生儿周围插入中心导管团队通过质量改进来减少中央静脉相关血流感染和成本效益。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001491

Susan Bedwell, Myka Oberlechner, Ulana Pogribna, Kris Sekar

{"title":"Using the Expertise of a Clinical Nurse Specialist to Lead a Neonatal Peripherally Inserted Central Catheter Team to Central Line-Associated Bloodstream Infection Reduction and Cost-Efficiency Through Quality Improvement.","authors":"Susan Bedwell, Myka Oberlechner, Ulana Pogribna, Kris Sekar","doi":"10.1097/NNA.0000000000001491","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001491","url":null,"abstract":"Objective: This quality improvement project aimed to reduce central line bacteremias (central line-associated bloodstream infections [CLABSIs]) in a neonatal ICU (NICU) to a CLABSI rate of zero using a clinical nurse specialist (CNS)-led neonatal peripherally inserted central catheter (PICC) team.Background: The NICU at the study site was experiencing more than twice the National Healthcare Safety Network average CLABSI rate at 2.2 per 1000 line-days with an estimated cost of $2 072 806 to the organization.Methods: In early 2009, the CNS guided the unit from on-demand PICC placement to a dedicated team of PICC certified nurses who assumed total care of PICC line insertion and maintenance. The project used a continual, rapid cycle quality improvement model to incorporate the current evidence-based practices.Results: The CNS-led PICC team has maintained a zero CLABSI rate for 9 years with only 1 CLABSI since June 2022.Conclusions: The adoption of a CNS-led PICC team was instrumental in achieving a zero CLABSI rate over a prolonged period.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 10","pages":"574-579"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nursing Resilience: An Evidence-Based Approach to Strengthening Professional Well-being. 护理弹性：以证据为基础的方法，以加强专业福祉。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001488

Nicole George, Nora E Warshawsky, Jeffrey Doucette

引用次数: 0

Differences in Nurse Practitioner Work Effectiveness by Level of Education and Work Experience. 教育程度与工作经验对执业护士工作效率的影响。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-10-01 DOI: 10.1097/NNA.0000000000001489

Debra Hampton, Sheila Melander, Mary Kay Rayens

{"title":"Differences in Nurse Practitioner Work Effectiveness by Level of Education and Work Experience.","authors":"Debra Hampton, Sheila Melander, Mary Kay Rayens","doi":"10.1097/NNA.0000000000001489","DOIUrl":"https://doi.org/10.1097/NNA.0000000000001489","url":null,"abstract":"Objective: The purpose of this study was to assess the association of educational level, work experience, and other demographic factors with the perceived impact of nurse practitioner role effectiveness.Background: Nurse practitioners (NPs) bring value by impacting patient and organizational outcomes in multiple ways. Employers report difficulties differentiating between how MSN- versus DNP-educated NPs affect patient and organizational outcomes.Methods: A cross-sectional descriptive survey design was used in this study that included demographic variables, productivity information, and variables related to perceived organizational outcome impacts.Results: Participants included 128 NPs with an average of 9.5 years of experience as an NP. Years of practice as an NP was correlated with age. Educational preparation (MSN or DNP) was significantly correlated with overall perceived organizational outcomes and with specific outcomes.Conclusions: Based on the results of this study, hiring DNP-prepared NPs is expected to bring a return-on-investment value for organizations.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 10","pages":"561-567"},"PeriodicalIF":1.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emerging Nurse Billing and Reimbursement Models. 新兴的护士计费和报销模式。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-09-01 Epub Date: 2024-08-05 DOI: 10.1097/NNA.0000000000001456

John M Welton, Robert Longyear

{"title":"Emerging Nurse Billing and Reimbursement Models.","authors":"John M Welton, Robert Longyear","doi":"10.1097/NNA.0000000000001456","DOIUrl":"10.1097/NNA.0000000000001456","url":null,"abstract":"Objectives: To explore and make recommendations to implement direct billing and reimbursement models for nursing care in the United States.Background: Nurses make up the largest group of healthcare professionals and within hospitals, nurses represent approximately a quarter of all resources and associated costs of patient care. This care is mostly hidden in daily room and board charges.Methods: The authors surveyed the recent and historical literature related to costing and billing for nursing care. These results were synthesized and led to the recommendation of several new models to cost, bill, and pay for nursing care provided by nurses who are not currently billing for their services.Results: Two basic billing models are proposed: the 1st is to remove nursing care out of the current daily room or facility-based charges and allocate nursing care time provided to each patient during each day of stay. The 2nd is to expand existing Current Procedural Terminology codes to bill for specific activities and interventions by nurses in all settings where nursing care is delivered.Conclusions: It is feasible to implement the proposed methods to identify patient-level nursing intensity, cost, services, and interventions provided by individual nurses in all healthcare settings.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"465-472"},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Nurse Peer Review: A Process That Works for the Nurse and the Organization. 临床护士同行评审：对护士和组织都有效的流程。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001450

Stacie J Ethington, Jacquelynn M Edwards, Christina D Reames

引用次数: 0