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How to Design Effective Audit and Feedback Interventions With Nurses: A Set of Hypotheses Based on Qualitative and Quantitative Evidence. 如何为护士设计有效的审计和反馈干预措施：基于定性和定量证据的一组假设。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001452
Emilie Dufour, Arnaud Duhoux
{"title":"How to Design Effective Audit and Feedback Interventions With Nurses: A Set of Hypotheses Based on Qualitative and Quantitative Evidence.","authors":"Emilie Dufour, Arnaud Duhoux","doi":"10.1097/NNA.0000000000001452","DOIUrl":"10.1097/NNA.0000000000001452","url":null,"abstract":"<p><strong>Objective: </strong>To propose practical hypotheses on audit and feedback that support the effectiveness with nurses.</p><p><strong>Background: </strong>Audit and feedback interventions have been mainly studied with physicians; however, the processes have been practiced by nurses for years. Nurses' response may differ from that of physicians and other healthcare disciplines because of their roles, power, and the configuration of nursing activities.</p><p><strong>Methods: </strong>A comparative analysis of the Clinical Performance Feedback Intervention Theory was conducted using nursing-specific empirical data from: 1) a mixed-methods systematic review and 2) a pilot study of audit and feedback with a team of primary care nurses.</p><p><strong>Results: </strong>Researchers hypothesize that audit and feedback interventions are more effective when: 1) feedback emphasizes how it relates to the relational aspect of nursing; 2) indicators are measured and reported at team level; and 3) feedback is provided in a way that highlights benefits to nurses' practice, such as the potential to reduce workload.</p><p><strong>Conclusion: </strong>These proposed hypotheses provide concrete guidance to researchers and managers for an effective use of audit and feedback as a quality improvement strategy with nurses.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"427-432"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629200","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
Enhancing Organizational Review and Promoting Sustainability of DNP Student Projects: Implications for Nurse Leaders. 加强组织审查和促进 DNP 学生项目的可持续性：对护士长的影响。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001447
Esther Chipps, Jacalyn Buck, Meleana Burt, Holly Chignolli, Deborah Francis, Amy Knupp, Ruth Labardee, Randee Masciola, Jacob Spaulding-Schecter
{"title":"Enhancing Organizational Review and Promoting Sustainability of DNP Student Projects: Implications for Nurse Leaders.","authors":"Esther Chipps, Jacalyn Buck, Meleana Burt, Holly Chignolli, Deborah Francis, Amy Knupp, Ruth Labardee, Randee Masciola, Jacob Spaulding-Schecter","doi":"10.1097/NNA.0000000000001447","DOIUrl":"10.1097/NNA.0000000000001447","url":null,"abstract":"<p><p>This project aimed to evaluate the DNP projects at an academic medical center, assess the sustainability of DNP final projects, and explore potential opportunities to enhance the organizational review processes. The organization's graduate student review committee reviewed DNP projects implemented at the organization over the last 8 years. The sustainability of projects was less than anticipated. Recommendations are provided to enhance the DNP project approval process and improve strategies for sustainability.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"397-403"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724935","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
Supporting Time-Critical Decision Making: The Creation of a Nurse-Led Rapid Literature Review Service. 支持时间紧迫的决策：创建以护士为主导的快速文献查阅服务。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001454
Lisa Morse, Lynette V Apen, Michelle Y Williams, Cecelia L Crawford
{"title":"Supporting Time-Critical Decision Making: The Creation of a Nurse-Led Rapid Literature Review Service.","authors":"Lisa Morse, Lynette V Apen, Michelle Y Williams, Cecelia L Crawford","doi":"10.1097/NNA.0000000000001454","DOIUrl":"10.1097/NNA.0000000000001454","url":null,"abstract":"<p><p>Due to shifting priorities and unforeseen challenges, nurse leaders often lack sufficient time and resources to systematically review and appraise the available literature in search of the best evidence to guide decisions. A nurse-led rapid review service can produce accelerated knowledge synthesis and contextualized translation of evidence in a resource-efficient manner. This article describes a nurse-led rapid review service implemented at a large academic medical center and provides a reproducible process to guide other healthcare organizations in developing similar programs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"440-445"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724941","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
Staffing Models: Making Increased Acuity Safe in the Pediatric ICU. 人员配置模式：在儿科重症监护室安全地增加急诊量。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001455
Marshall Stephenson, Tiago Jabur, Ginger Young, Lindsey Patton
{"title":"Staffing Models: Making Increased Acuity Safe in the Pediatric ICU.","authors":"Marshall Stephenson, Tiago Jabur, Ginger Young, Lindsey Patton","doi":"10.1097/NNA.0000000000001455","DOIUrl":"10.1097/NNA.0000000000001455","url":null,"abstract":"<p><p>Traditional staffing models rely on the productivity metric of hours per patient day, lacking the ability to adequately capture the nursing workload. Acuity-based staffing considers the patient population's acuity for appropriate nursing workload. Using process improvement methodology, a pediatric ICU transitioned to an acuity-based staffing model resulting in an 11.3% ( P < 0.05) reduction in the acuity per nursing assignment and a decrease in reportable safety events by 61.3% ( P < 0.05).</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"E23-E26"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629202","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
Advancing Professional Governance to Improve Health Outcomes. 推进专业治理，改善医疗成果。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001444
Tim Porter-O'Grady, Beverly Hancock, Rachel E Start
{"title":"Advancing Professional Governance to Improve Health Outcomes.","authors":"Tim Porter-O'Grady, Beverly Hancock, Rachel E Start","doi":"10.1097/NNA.0000000000001444","DOIUrl":"10.1097/NNA.0000000000001444","url":null,"abstract":"<p><p>Developing the skills and behaviors needed for nurses to lead in professional governance has long been a priority at the American Organization for Nursing Leadership (AONL). The annual AONL Professional Governance Leadership Conference is an important part of advancing nursing professional governance, convening nurses in all roles to discuss professional governance concepts and leadership practices. AONL has produced publications and podcasts exploring the professional governance foundations, roles, and behaviors, available on its website. This article discusses AONL's partnership in the development of a new book, Professional Governance for Nursing: The Framework for Accountability, Engagement, and Excellence, edited by AONL faculty and former staff.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"387-389"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724933","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
Implementation of Full Practice Authority for Nurse Practitioners in Massachusetts: Impact of Organizational Climate on Practice Change. 马萨诸塞州执业护士全面执业权的实施：组织氛围对实践变革的影响。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001453
Jana Zwilling, Monica O'Reilly-Jacob
{"title":"Implementation of Full Practice Authority for Nurse Practitioners in Massachusetts: Impact of Organizational Climate on Practice Change.","authors":"Jana Zwilling, Monica O'Reilly-Jacob","doi":"10.1097/NNA.0000000000001453","DOIUrl":"10.1097/NNA.0000000000001453","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the relationship between nurse practitioner (NP) organizational climate and the implementation of full practice authority (FPA) for NPs.</p><p><strong>Background: </strong>In 2021, Massachusetts passed FPA for NPs. Most NPs did not experience changes to their practice. It is unknown whether NP organizational climate impacts implementation of FPA.</p><p><strong>Methods: </strong>A Web-based survey was distributed to NPs in Massachusetts.</p><p><strong>Results: </strong>Response rate was 50.3% (N = 147). Practice remained unchanged for most. Organizations with more favorable climates experienced more rapid implementation of FPA, resulting in improved efficiency (P = 0.049) and timeliness (P = 0.007) of care. Nurse practitioners outside hospital systems were more likely to report favorable organizational climates and positive change to their practice after FPA.</p><p><strong>Conclusions: </strong>Organizations that facilitate implementation of FPA are likely to experience improvement in efficiency and timeliness of patient care. Nursing leadership, especially within hospital-based organizations, can help achieve these benefits by improving the organizational climate for NPs.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"433-439"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724938","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
Growing the Next Generation of Nurses and Nurse Leaders. 培养下一代护士和护士长。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001443
M Maureen Lal, Lauren Turner
{"title":"Growing the Next Generation of Nurses and Nurse Leaders.","authors":"M Maureen Lal, Lauren Turner","doi":"10.1097/NNA.0000000000001443","DOIUrl":"10.1097/NNA.0000000000001443","url":null,"abstract":"<p><p>It is imperative to support the next generation of nurses and nurse leaders facing the challenges of our complex health systems. A formal mentoring program provides a structure that allows nurses to have a relationship that promotes ongoing counsel, career development, and a myriad of other benefits with another nurse or other healthcare professionals. The 2023 Magnet® Application Manual requires organizations to implement and use mentoring and succession planning programs under the transformational leadership standard. Adopting and sustaining effective and meaningful mentoring and succession planning activities and programs promote an environment of inclusion and professional development. In addition to formal mentoring programs, the importance of informal mentoring relationships can have a lasting impact on nurses along their nursing journey.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"385-386"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724936","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
Leadership Meeting Redesign: Optimizing Information and Collaboration. 重新设计领导会议：优化信息与协作。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001445
Karen Collum, Matthew Kennedy, Tracy Gosselin
{"title":"Leadership Meeting Redesign: Optimizing Information and Collaboration.","authors":"Karen Collum, Matthew Kennedy, Tracy Gosselin","doi":"10.1097/NNA.0000000000001445","DOIUrl":"10.1097/NNA.0000000000001445","url":null,"abstract":"<p><p>Efficient and effective meetings are critical for busy health care leaders who are often juggling multiple demands on their time. Creating a shared sense of purpose post COVID and having engagement with all leaders are critical to a department's success. This improvement project offers leaders direction on thinking through meeting redesign.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"390-392"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724939","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
Highlighting the Benefits of the Clinical Education Resource Nurse for New Graduate Nurses. 强调临床教育资源护士对新毕业护士的益处。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001446
Jamie Cox, Kathryn Witner, Kalei DePriest, Mariah Ramirez, Karen Hessler, Maureen Varty
{"title":"Highlighting the Benefits of the Clinical Education Resource Nurse for New Graduate Nurses.","authors":"Jamie Cox, Kathryn Witner, Kalei DePriest, Mariah Ramirez, Karen Hessler, Maureen Varty","doi":"10.1097/NNA.0000000000001446","DOIUrl":"10.1097/NNA.0000000000001446","url":null,"abstract":"<p><p>Nurse residency programs provide a valuable transition to practice environment for graduate nurses. The Clinical Education Resource Nurse (CERN) role offers continued clinical assistance to graduate nurses who have completed orientation with a preceptor during the 1st year of practice including education and continued clinical oversight when needed. This column defines the role of CERN and provides a description of the clinical application and support provided.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 7-8","pages":"393-396"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724937","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
Legislating Nurse Staffing: Projected Impact on Hospital Economics, Process Flow, and Hospital-Associated Infections in Montana. 护士编制立法：对蒙大拿州医院经济、流程和医院相关感染的预期影响》（Projected Impact on Hospital Economics, Process Flow, and Hospital-Associated Infections in Montana）。
IF 1.8 4区 医学
Journal of Nursing Administration Pub Date : 2024-07-01 DOI: 10.1097/NNA.0000000000001449
Lauren Swant, Karin E Warner, Judith Zedreck-Gonzalez
{"title":"Legislating Nurse Staffing: Projected Impact on Hospital Economics, Process Flow, and Hospital-Associated Infections in Montana.","authors":"Lauren Swant, Karin E Warner, Judith Zedreck-Gonzalez","doi":"10.1097/NNA.0000000000001449","DOIUrl":"10.1097/NNA.0000000000001449","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to project the impact of legislated nurse staffing ratios on patient-, staff-, and system-level outcomes for Prospective Payment System (PPS) hospitals in Montana.</p><p><strong>Background: </strong>In 2023, House Bill 568 was introduced in Montana focused on legislating hospital safe nursing standards.</p><p><strong>Methods: </strong>A quantitative design was used for a convenience sample of Montana PPS hospitals. Data were gathered through a newly developed survey and from other publicly available sources for the years 2018 to 2022. Independent t tests were conducted when appropriate with the significance threshold set at 0.05.</p><p><strong>Results: </strong>Projections indicate no significant change in patient outcome metrics accompanied by increases in labor requirements, slower emergency department throughput times, and decreases in hospital operating margins.</p><p><strong>Conclusions: </strong>In Montana, legislating nurse staffing ratios would have downstream implications inconsistent with the intended impact on patient safety, emphasizing the complexity of variables within and external to the healthcare system that drive patient-, staff-, and system-level outcomes.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"409-415"},"PeriodicalIF":1.8,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629201","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
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