Journal of Nursing Administration最新文献_第5页

Examining Nursing Medical Malpractice Cases Related to Medications. 审查与药物有关的护理医疗事故案件。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI: 10.1097/NNA.0000000000001502

Julie Higden, Patricia Folcarelli, Adam Schaffer

{"title":"Examining Nursing Medical Malpractice Cases Related to Medications.","authors":"Julie Higden, Patricia Folcarelli, Adam Schaffer","doi":"10.1097/NNA.0000000000001502","DOIUrl":"10.1097/NNA.0000000000001502","url":null,"abstract":"Objective: The aim of this study was to analyze medication-related nursing medical malpractice cases to gain insights regarding how malpractice risk can be reduced.Background: The criminal prosecution and verdict of nurse RaDonda Vaught focused attention on the potential medicolegal risk for nurses related to medications.Methods: Medication-related medical malpractice cases involving nurses were obtained from a national database. Various attributes of these cases were examined, including contributing factors, injury severity, and case outcomes.Results: Authors identified 231 nursing medication-related medical malpractice cases closed from 2017 to 2021. The most frequent adverse events involved medication administration. Not following policies or protocols was the most common contributing factor. Opioids and epinephrine were the medications most frequently involved in the cases. Indemnity payments were made in 56.3% of the cases, with an average indemnity payment of $366 002.Conclusions: Nursing medication-related medical malpractice cases are relatively uncommon, which may reassure nurses regarding medicolegal risk. Medications and contributing factors involved in the cases suggest patient safety interventions including education related to policies, procedures, and protocols.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 11","pages":"631-637"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548642","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

Exploring Reasons for Satisfaction with Job Assignments Among Travel Nurses. 探索旅行护士对工作任务满意的原因。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI: 10.1097/NNA.0000000000001501

Sharon Owens, Barbara West, Heather Watson

{"title":"Exploring Reasons for Satisfaction with Job Assignments Among Travel Nurses.","authors":"Sharon Owens, Barbara West, Heather Watson","doi":"10.1097/NNA.0000000000001501","DOIUrl":"10.1097/NNA.0000000000001501","url":null,"abstract":"Objective: The aim of this study was to explore factors related to a travel nurse completing or extending an assignment or leaving before the end of an assignment.Background: Hospitals use various options for staffing shortages. One option is to contract with travel nurses. The recent increase in travel nurse utilization, coupled with the need to retain permanent staff and see a return on investment, requires an understanding of factors driving travel nurse decision-making.Methods: This qualitative research used semistructured interviews and a survey with prepandemic-postpandemic participants that comprised travel nurses from 2 urban academic centers.Results: Three themes emerged from the interview data: flexibility, support, and conditions.Conclusions: Travel nurses report they will stay in an assignment if they feel supported and have flexibility and if the location is desirable. Matching institutional needs with travel nurse experience and assignment expectations can create a mutually beneficial experience for the institution, agency, and the travel nurse.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"625-630"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407129","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

Institution-Wide Moral Distress Among Nurses. 全院护士的道德压力。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI: 10.1097/NNA.0000000000001497

Adam T Booth, Bridget F Dobson, Becky J Christian, Paul R Clark, Shuying Sha

{"title":"Institution-Wide Moral Distress Among Nurses.","authors":"Adam T Booth, Bridget F Dobson, Becky J Christian, Paul R Clark, Shuying Sha","doi":"10.1097/NNA.0000000000001497","DOIUrl":"10.1097/NNA.0000000000001497","url":null,"abstract":"Background: Moral distress is the inability to do the right thing due to imposed constraints.Objective: Explore the presence of moral distress among nurses.Methods: A quantitative, exploratory, cross-sectional study at a level 1 trauma center using the Measure of Moral Distress for Healthcare Professionals (MMD-HP).Results: Ninety-seven nurses completed the MMD-HP. The top 3 items contributing to moral distress included inadequate staffing, inadequate resources, and lack of administrative support. Nurses who considered leaving had more moral distress. Moral distress explained 28.5% of the variance associated with nurses' \"intent to leave\" and \"primary unit\" ( P < 0.001). Moral distress for nurses 40 to 49 years of age was higher compared with nurses 50 years or older.Conclusions: Moral distress involved deficiencies in staffing, resources, and administrative support. Research should explore interventions to mitigate moral distress among nurses by promoting safe staffing levels, the provision of adequate resources, and increased administrative support.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"597-604"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407130","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

Measuring Professional Governance: The Swedish Version of the Verran Professional Governance Scale©. 衡量专业治理：瑞典版本的 Verran 专业治理量表©。

IF 1.8 4区医学

Journal of Nursing Administration Pub Date : 2024-11-01 Epub Date: 2024-10-11 DOI: 10.1097/NNA.0000000000001496

Martina Lundmark, Linda Antonsson, Anette Nobrell, Ami Hommel, Rathi Ramji

{"title":"Measuring Professional Governance: The Swedish Version of the Verran Professional Governance Scale©.","authors":"Martina Lundmark, Linda Antonsson, Anette Nobrell, Ami Hommel, Rathi Ramji","doi":"10.1097/NNA.0000000000001496","DOIUrl":"10.1097/NNA.0000000000001496","url":null,"abstract":"Objective: To translate the Verran Professional Governance Scale© (VPGS©) into Swedish, adapt it to the Swedish context, and validate it.Background: Magnet ® -recognized hospitals have proven successful in reversing negative trends regarding nursing shortage. A change in organizational and management structures is required, and professional governance is fundamental. However, in a Swedish context, there are no validated instruments to measure professional governance.Methods: The instrument was translated from English to Swedish and synthesized into a unified version. It was back translated, discussed in an expert panel, and pilot tested with cognitive interviews of nurses.Results: A new Swedish version of the VPGS© was developed. The expert group reached a consensus, and the scale-level Content Validity Index value shows high relevance. Some words and sentences were revised, and an introduction was added.Conclusions: The study generated a Swedish version of the VPGS©, which can be used to measure nurses' perceptions of professional governance behaviors.","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"591-596"},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142407144","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

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