Henry Bundy, Padageshwar Sunkara, Kranthi Sitammagari, Tim Hetherington, Colleen Hole, Stephanie Murphy
{"title":"Soft Skills: The Work of Communication and Persuasion Among Nurse Navigators in Hospital at Home Programs.","authors":"Henry Bundy, Padageshwar Sunkara, Kranthi Sitammagari, Tim Hetherington, Colleen Hole, Stephanie Murphy","doi":"10.1097/NNA.0000000000001417","DOIUrl":"10.1097/NNA.0000000000001417","url":null,"abstract":"<p><strong>Objective: </strong>To assess the role of soft skills in the work of Hospital at Home (HaH) nurse navigators.</p><p><strong>Background: </strong>In HaH programs that employ them, nurse navigators are often responsible for identifying, assessing, referring, and educating potential HaH patients. The experiences of these navigators have gone understudied.</p><p><strong>Methods: </strong>Researchers conducted semistructured interviews and observations with nurse navigators (n = 7) who collectively cover 14 North Carolina-based HaH sites. Navigators were asked to keep diaries of responses to directed questions.</p><p><strong>Results: </strong>In their capacity as navigators, interviewees said they served several roles: intermediaries between hospital and HaH staff, interpreters of clinical knowledge for patients, and champions of, and educators for, the home-based program. The navigators noted that the interpersonal soft skills of building rapport, clear communication, and gentle persuasion were of the utmost importance in this work.</p><p><strong>Conclusions: </strong>The job descriptions of nurse navigators in HaH programs should fully reflect the breadth of their responsibilities, including time performing soft skilled labor. Also, training for these roles should include techniques to develop and refine these skills.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 4","pages":"247-252"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177440","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}
{"title":"Weaving Diversity, Equity, Inclusion, and Belonging for Organizational Sustainability.","authors":"Crystal Mitchell, Joy Parchment, Angela Taylor","doi":"10.1097/NNA.0000000000001407","DOIUrl":"10.1097/NNA.0000000000001407","url":null,"abstract":"<p><p>Within the intricate tapestry of healthcare, the threads of diversity, equity, inclusion, and belonging (DEIB) are paramount. These elements enrich the fabric and strengthen its resilience, ensuring it stands the test of time. This article describes the origins of the American Organization for Nursing Leadership (AONL) DEIB Toolkit, its DEIB Guiding Principles, its significance in nursing leadership, and the broader implications for the evolution of nursing practice. AONL aims to transform healthcare throughout various levels of nursing practice, ensuring diverse, equitable, inclusive, and belonging-centric care environments.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 4","pages":"193-195"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177442","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}
{"title":"What's Next for Me? Developing an 18-Month Structured Pathway to Increase New Nurse Retention.","authors":"Kirsten Fazzino, Jocelyn Hewitt, Catherine Thresher, Shailyn Wilder","doi":"10.1097/NNA.0000000000001418","DOIUrl":"10.1097/NNA.0000000000001418","url":null,"abstract":"<p><p>Because of increasing RN turnover rates on a neuroscience unit in a large teaching hospital, unit nurse leaders created a staff retention quality improvement initiative. The initiative offered a structured pathway for professional development milestones in a nurse's 1st 18 months of employment. As a consequence of their work, the unit experienced an 82% decrease in the number of RNs who left their job on the unit in the 1st year of implementation.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 4","pages":"E13-E17"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177443","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}
{"title":"Nursing Innovation: A Positive Disruption.","authors":"Oriana Beaudet","doi":"10.1097/NNA.0000000000001406","DOIUrl":"10.1097/NNA.0000000000001406","url":null,"abstract":"<p><strong>Abstract: </strong>Organizations that foster psychologically safe environments create space for innovative cultures to emerge. The prioritization of nurse-led innovation signals broader cultural values around learning, a willingness to invest in people and their ideas, and an organizational focus around growth and operational excellence. Embracing innovative behaviors can propel emerging areas of nursing science, practice, and workforce solutions. This month's Magnet® Perspectives explores innovation and the critical role of nurse leadership in shaping today's healthcare environment, and the future of nursing.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 4","pages":"191-192"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11723482/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Smith, Allison Rogers, Julia Fultz, Claire Davies, Martha Monroe
{"title":"Nurse Preceptor Burnout: Contributing Factors.","authors":"Maria Smith, Allison Rogers, Julia Fultz, Claire Davies, Martha Monroe","doi":"10.1097/NNA.0000000000001415","DOIUrl":"10.1097/NNA.0000000000001415","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to assess nurse preceptor burnout and examine related factors.</p><p><strong>Background: </strong>Nurse preceptors are essential to the provision of optimal hospital-based care. Preceptors guide and support nurses' transition from professional training to practice as well as movement within practice roles.</p><p><strong>Methods: </strong>As a component of the DevelopYou database, nurse preceptors (N = 210) were surveyed electronically using the BHLex Preceptor Role Questionnaire. Data retrieved from this data set were analyzed.</p><p><strong>Results: </strong>Twenty-eight percent (n = 60) of participants experienced burnout. Most (n = 203, 96.7%) enjoyed their role. Reasons for becoming a preceptor included a love for teaching, a desire to help others, and feelings of responsibility to the profession and the institution. Strategies to enable perceived value of the role focused on activities involving person-to-person interactions.</p><p><strong>Conclusions: </strong>On the basis of the results of this analysis, it is apparent that nurse preceptors want to feel valued and supported by administration and have opportunities to interact regularly with colleagues.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"235-239"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159433","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}
Jeniffer Dolinta, Wyona M Freysteinson, Angeles Nava, Paula Clutter
{"title":"The Journey and Experiences of Female Hispanic Nurse Leaders.","authors":"Jeniffer Dolinta, Wyona M Freysteinson, Angeles Nava, Paula Clutter","doi":"10.1097/NNA.0000000000001410","DOIUrl":"10.1097/NNA.0000000000001410","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to understand the experience of female Hispanic nurses in formal leadership roles.</p><p><strong>Background: </strong>Research has identified that a diverse nursing leadership workforce is essential to providing optimal patient care. Little is known about the phenomenon of minority nurse leaders, particularly female Hispanic nurses in leadership roles.</p><p><strong>Methods: </strong>Ricoeur's hermeneutic phenomenology guided the interviews of 15 female Hispanic nurses in leadership roles.</p><p><strong>Results: </strong>Three themes were generated that described the environment in which leaders lived: family, culture, and healthcare organization. Four phenomenological themes were identified: weaving my life fabric, my inner dialogue, weight on my shoulders, and paving the way.</p><p><strong>Conclusion: </strong>The study findings highlight the importance of a diverse and inclusive nursing leadership workforce. By proactively addressing equal opportunities, reducing barriers to career advancement, and developing strategies to support and encourage minority nurses, organizations and communities can recruit and retain qualified underrepresented minority nurse leaders.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"201-207"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159434","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}
{"title":"Empowering Nurses for High-Value Healthcare: A Call for Legislative and Systemic Change.","authors":"April Kapu","doi":"10.1097/NNA.0000000000001408","DOIUrl":"10.1097/NNA.0000000000001408","url":null,"abstract":"<p><strong>Abstract: </strong>Recognizing the positive impact of clinical data outcomes and patient care experiences, coupled with the growing preference for advanced practice RNs among patients, it is imperative that nurse leaders propel legislative reforms and infrastructure support from health systems. This strategic approach is crucial for maximizing the potential of nurses in improving patient care experience and outcomes, as well as increasing accessibility to healthcare in every community.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":"54 4","pages":"196-197"},"PeriodicalIF":1.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177436","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}
Shannon Pignatiello, Hannah Donofrio, Jennifer Horn, Andie Moore, Kathleen A Mau, Karen Distelhorst
{"title":"THRIVE: A Theory-Based Program to Support Hospital Nursing Assistants.","authors":"Shannon Pignatiello, Hannah Donofrio, Jennifer Horn, Andie Moore, Kathleen A Mau, Karen Distelhorst","doi":"10.1097/NNA.0000000000001398","DOIUrl":"10.1097/NNA.0000000000001398","url":null,"abstract":"<p><p>Nursing assistants are vital healthcare team members who often experience personal challenges to professional success. The Transformational Healthcare Readiness through Innovative Vocational Education (THRIVE) program is designed to combat these challenges through coaching and curriculum that is steeped in adult learning and social theories. The program's goal is to increase retention and success of newly hired nursing assistants through personal and professional support. Components of THRIVE can be adapted in a variety of healthcare settings.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"142-147"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730888","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}
Dominika Kohanová, Marcia Kirwan, Daniela Bartoníčková, Elena Gurková, Katarína Žiaková
{"title":"Examining the Perspectives of Nurse Managers on Missed Nursing Care in Surgical Units.","authors":"Dominika Kohanová, Marcia Kirwan, Daniela Bartoníčková, Elena Gurková, Katarína Žiaková","doi":"10.1097/NNA.0000000000001399","DOIUrl":"10.1097/NNA.0000000000001399","url":null,"abstract":"<p><strong>Objective: </strong>To examine nurse managers' perspectives on missed nursing care (MNC) on surgical units.</p><p><strong>Background: </strong>The phenomenon of MNC is an important concern for nurse researchers. However, the reality of how it is experienced by clinical nurse managers is largely unexplored. Understanding nurse managers' experiences with MNC could help develop useful approaches to reducing levels of MNC.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted between December and June 2020, using face-to-face semistructured interviews with 10 nurse managers.</p><p><strong>Results: </strong>Five themes were identified: 1) awareness of MNC; 2) rationale for MNC; 3) consequences of MNC; 4) questions of reporting; and 5) management of MNC.</p><p><strong>Conclusions: </strong>Nurse managers must use their positions and leadership skills to expect appropriate staffing approaches and material resources for surgical units, effective process for newly hired nurses, and the establishment of a reporting system for MNC to reduce the phenomenon in practice.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"148-153"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730851","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}
Jennifer Drake, Theresa M Davis, Anne-Marie O'Brien, Carla Parker, Carol Swamidoss Douglas, Donna Thomas, Sarah Rickard, Maureen E Sintich, Audra Gollenberg, Bernice D Mowery
{"title":"Nurses' Perceptions of Caring at Work: Mixed-Methods Study, Quantitative Report.","authors":"Jennifer Drake, Theresa M Davis, Anne-Marie O'Brien, Carla Parker, Carol Swamidoss Douglas, Donna Thomas, Sarah Rickard, Maureen E Sintich, Audra Gollenberg, Bernice D Mowery","doi":"10.1097/NNA.0000000000001400","DOIUrl":"10.1097/NNA.0000000000001400","url":null,"abstract":"<p><strong>Objectives: </strong>Study objectives were to explore nurses' perceptions of self-care, co-worker, and leader caring within healthcare work environments and assess reliability of 3 Watson Caritas Scores.</p><p><strong>Background: </strong>Assessing caring in an organization where Watson's Theory of Human Caring guides nursing practice offers insight into the professional practice environment.</p><p><strong>Method: </strong>This study reports quantitative data from mixed-methods descriptive, cross-sectional survey of 1307 RNs at a large healthcare system.</p><p><strong>Results: </strong>Mean scores were self = 5.46, co-worker = 5.39, and leader score = 5.53, and median scores were >5.6 (range, 1-7). All scales had a positive and significant correlation to likelihood to recommend the organization, with the largest being feeling cared for by leaders. Internal reliability of the 3 scales was ≥0.9.</p><p><strong>Conclusion: </strong>Nurse perceptions of caring may influence the organization's reputation. Assessing the perception of caring among nursing staff after the introduction and enculturation of this framework is needed. Results support psychometric value for 3 Watson Caritas Scores.</p>","PeriodicalId":50108,"journal":{"name":"Journal of Nursing Administration","volume":" ","pages":"154-159"},"PeriodicalIF":2.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139730887","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}