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Journal of Nursing Administration

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https://www.readbyqxmd.com/read/27926625/genomic-competencies-for-nursing-practice-implications-for-nursing-leadership
#1
Andrea M Boyd, Anna C Alt-White, Gwen Anderson, Kendra L Schaa, Christine E Kasper
Nurses must have appropriate knowledge and skills to provide safe and effective nursing care in recognition of evolving science. Knowledge of genomics is required to ensure appropriate referral and education of patients who would benefit from genetic services. This article describes the process the Veterans Healthcare Administration's (VHA's) Office of Nursing Services used to determine the nursing genomic competencies appropriate for VHA nurses and identify available resources for educating nurses on these nursing competencies and a strategic plan for long-term implementation...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926624/improving-the-use-of-evidence-based-practice-and-research-utilization-through-the-identification-of-barriers-to-implementation-in-a-critical-access-hospital
#2
Dawn Carol Stavor, Judith Zedreck-Gonzalez, Rosemary L Hoffmann
OBJECTIVE: This study explored the relationship between perceived barriers to research use and the implementation of evidence-based practice (EBP) among rural hospital nurses. BACKGROUND: The Institute of Medicine recommends that 90% of clinical decisions be evidence based by 2020. METHODS: This descriptive, quality improvement study used a convenience sampling of registered nurses (RNs). Participants completed multiple questionnaires. RESULTS: Overall the attitude toward EBP was positive...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926623/clinician-perceptions-of-teamwork-in-the-emergency-department-does-nurse-and-medical-provider-workspace-placement-make-a-difference
#3
Amy L Weaver, Susan Hernandez, Daiwai M Olson
OBJECTIVE: This study was intended to determine whether positioning emergency department (ED) physicians, physician assistants, and nurse practitioners at the same workstations as registered nurses (RNs) improved communication and teamwork. BACKGROUND: Historically in this organization, providers and staff had separate physical locations (workstations). Construction of a new ED provided the opportunity to redesign the physical layout and to study whether a new design improved the perception of communication and teamwork among medical providers...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926622/reducing-chronic-obstructive-pulmonary-disease-30-day-readmissions-a-nurse-led-evidence-based-quality-improvement-project
#4
Joan Agee
Chronic obstructive pulmonary disease (COPD) is a debilitating disease resulting in frequent hospitalizations and increased healthcare costs. As leaders of multidisciplinary teams, acute care nurse leaders are challenged to reduce readmissions and costs. In October 2014, the Centers for Medicare and Medicaid Services expanded readmission penalties for 30-day readmissions to include COPD, making this an important issue for nurse leaders. This article describes how a regional medical center was able to decrease COPD readmissions...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926621/accountable-care-organization-implementation-experiences-and-rural-participation-considerations-for-nurses
#5
Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
BACKGROUND: Little is known about how accountable care organizations (ACOs) participate with rural health providers. This pilot study examines ACO participation with rural health clinics (RHCs). METHODS: Telephone interviews with 8 ACO administrators were conducted to determine the early implementation experiences of these organizations, and their participation with rural health providers, such as RHCs, using qualitative content analysis, ACO characteristics, and emerging themes from the ACO executive responses was identified...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926620/tapping-magnet%C3%A2-s-culture-of-innovation-to-improve-the-patient-experience
#6
Jennifer Rainer
As incentives grow for healthcare organizations to improve the patient experience, an increasing number choose to add consumers directly into their leadership structures. In this final installment about the value of patient and family advisory councils, the senior director of quality at a large, Magnet®-recognized Texas hospital explains how tapping into a well-established Magnet culture helped the organization adopt innovative approaches that produced positive change. Based on an interview with the author, she notes that seeing basic issues through patients' eyes challenged long-held beliefs and led to improvements in a wide variety of areas...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27926619/professional-governance-another-new-concept
#7
Robert G Hess
No abstract text is available yet for this article.
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27893500/the-effect-of-reported-sleep-perceived-fatigue-and-sleepiness-on-cognitive-performance-in-a-sample-of-emergency-nurses
#8
Lisa A Wolf, Cydne Perhats, Altair Delao, Zoran Martinovich
OBJECTIVE: The aim of this study is to explore the relationship between reported sleep, perceived fatigue and sleepiness, and cognitive performance. BACKGROUND: Although evidence suggests that fatigue and sleepiness affect the provision of care in inpatient units, there is a lack of research on the sleep patterns of emergency nurses and the effects of disturbed sleep and fatigue on their cognitive abilities and susceptibility to medical errors. METHODS: A quantitative correlational design was used in this study; in each of 7 different statistical models, zero-order relationships between predictors and the dependent variable were examined with appropriate inferential tests...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27893499/the-role-of-the-nurse-executive-in-rural-hospital-closure
#9
Deborah Hughes Warden, Janice C Probst
Between 2010 and June 2016, 75 rural hospitals closed, and more than 250 more are at risk of closure. Nurse executives need to be prepared for this eventuality. There is a need for formal direction on how to close a highly regulated healthcare facility.
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27893498/wired-to-the-workplace-the-relationship-between-electronic-connectedness-to-work-and-nurse-manager-satisfaction
#10
Candace Gardner, Amy Hailey, Christi Nguyen, Charlsea Prichard, Patricia Newcomb
OBJECTIVE: The aim of this study is to describe the beliefs and behaviors of nurse leaders regarding electronic connectedness with their workplace and workplace support. BACKGROUND: Electronic communication enables leaders' continuous availability to the workplace. This may blur home-work boundaries and contribute to burnout. METHODS: This mixed-methods study surveyed nurses in 6 acute care hospitals in north Texas. A qualitative phase employed focus groups composed of nurses from participating hospitals to validate and enrich data collected in the quantitative phase...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27893497/nurse-managers-speak-out-about-disruptive-nurse-to-nurse-relationships
#11
Linda Weaver Moore, Cynthia Sublett, Cathy Leahy
OBJECTIVE: The purpose of this study is to explore nurse managers' (NMs') perceptions regarding disruptive nurse-to-nurse relationships. BACKGROUND: Nurse managers play a pivotal role in creating and sustaining healthy practice environments. They must understand how to recognize and confront disruptive nurse relationships that can threaten the health of their units. METHODS: A qualitative study design using researcher-participant interviews of 13 NMs from 5 institutions provided data regarding NMs' views on nurse relationships...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27893496/do-leadership-style-unit-climate-and-safety-climate-contribute-to-safe-medication-practices
#12
Amany Farag, Susan Tullai-McGuinness, Mary K Anthony, Christopher Burant
OBJECTIVES: This study aims at: examining if leadership style and unit climate predict safety climate; and testing the direct, indirect, and total effect of leadership style, unit climate, and safety climate on nurses' safe medication practices. BACKGROUND: The Institute of Medicine and nursing scholars propose that safety climate is a prerequisite to safety practices. However, there is limited empirical evidence about factors contributing to the development of safety climate and about the association with nurses' safe medication practices...
January 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851711/editorial-thank-you
#13
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851710/a-community-hospital-s-evaluation-of-alarm-management-safety-factors
#14
Emma Kurnat-Thoma, Kayuri Shah
BACKGROUND: The Joint Commission's 2014 National Patient Safety Goals required hospitals to evaluate alarm safety in 2014-2015 and implement alarm safety policies. OBJECTIVE: The aim of this study was to assess common alarm management safety factors in our 187-bed community hospital. METHODS: Two weeks' worth of IV pump report data was evaluated to characterize 33 IV pump alarm types. Hospital and IV pump noise was measured, and an alarm management nurse survey was conducted...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851709/implementation-of-quiet-time-for-noise-reduction-on-a-medical-surgical-unit
#15
Diane Applebaum, Oriana Calo, Kathleen Neville
OBJECTIVE: The objective of this evidence-based investigation is to determine the efficacy of a quiet-time intervention to reduce noise in the hospital setting. BACKGROUND: For many reasons, noise continues to increase in the hospital setting. METHODS: In a descriptive comparative design, using a convenience sample of hospitalized patients, 80 patients were assessed on their perceptions of noise using the Patient Survey on Noise During Hospital Stay...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851708/the-relationship-between-nurse-reported-safety-culture-and-the-patient-experience
#16
Kathleen Abrahamson, Zach Hass, Kristopher Morgan, Bradley Fulton, Rangaraj Ramanujam
OBJECTIVE: The purpose of this study was to better understand the relationship between nurse-reported safety culture and the patient experience in a multistate sample of nurses and patients, matched by hospital unit/service line and timeframe of care delivery. BACKGROUND: Nurses play a key role in the patient experience and patient safety. A strong safety culture may produce positive spillover effects throughout the nurse caregiving experience, resulting in patient perception of a high-quality experience...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851707/evaluation-of-a-hospital-based-pneumonia-nurse-navigator-program
#17
Lisa E Seldon, Kelly McDonough, Barbara Turner, Leigh Ann Simmons
PURPOSE: The aim of this study is to evaluate the effectiveness of a hospital-based pneumonia nurse navigator program. DESIGN: This study used a retrospective, formative evaluation. METHODS: Data of patients admitted from January 2012 through December 2014 to a large community hospital with a primary or secondary diagnosis of pneumonia, excluding aspiration pneumonia, were used. Data included patient demographics, diagnoses, insurance coverage, core measures, average length of stay (ALOS), disposition, readmission rate, financial outcomes, and patient barriers to care were collected...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851706/promoting-bedside-nurse-led-research-through-a-dedicated-neuroscience-nursing-research-fellowship
#18
Sonja Stutzman, DaiWai Olson, Charlene Supnet, Caryn Harper, Shelley Brown-Cleere, Becky McCulley, Mark Goldberg
OBJECTIVE: We hypothesized that nurses would benefit from the fellowship model traditionally used to engage physicians in clinical research. The Neuroscience Nursing Research Center (NNRC) fellowship program was created as a model for engaging nurses at all levels of clinical practice to become active in clinical research. BACKGROUND: The NNRC was established in 2013 as a novel approach to promote bedside nurses as primary investigators in clinical research. METHODS: The NNRC developed 4 pathways to nursing research success: research fellowship, student-nurse internship, didactic training, and research consultation...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851705/a-nurse-transitional-home-visit-following-pediatric-hospitalizations
#19
Rita Pickler, Susan Wade-Murphy, Jennifer Gold, Heather Tubbs-Cooley, Christine M White, Angela Statile, Cheryl Hoying, Hadley Sauers-Ford, Samir S Shah, Jeffery Simmons
By incorporating focused feedback from families and other stakeholders a multidisciplinary team redesigned a single nurse home visit to improve transitions to home for pediatric patients following short-stay, acute care hospitalizations. Refinements to the nurse-led transitional home visit included standardization of teaching focused on condition- and medication-specific concerns, the use of red flags or warning signs to prompt caregiver action, and the provision of reassurance.
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27851704/developing-a-patient-classification-system-for-a-neonatal-icu
#20
Nancy M Daraiseh, William P Vidonish, Pam Kiessling, Li Lin
OBJECTIVE: The purpose of this study was to develop a valid and reliable patient classification system (PCS) for a neonatal ICU (NICU). BACKGROUND: PCSs have been widely used to determine required care hours, budgeting, and staffing. There is a lack of and a vital need for a valid and reliable pediatric PCS because of differences in needs and treatment from adults. METHODS: Data were collected in a NICU using work sampling, chart reviews, and expert opinion...
December 2016: Journal of Nursing Administration
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