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Journal of Nursing Administration

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https://www.readbyqxmd.com/read/29303815/integrating-high-reliability-principles-to-transform-access-and-throughput-by-creating-a-centralized-operations-center
#1
Paul B Davenport, Kimberly F Carter, Jeffrey M Echternach, Christopher R Tuck
High-reliability organizations (HROs) demonstrate unique and consistent characteristics, including operational sensitivity and control, situational awareness, hyperacute use of technology and data, and actionable process transformation. System complexity and reliance on information-based processes challenge healthcare organizations to replicate HRO processes. This article describes a healthcare organization's 3-year journey to achieve key HRO features to deliver high-quality, patient-centric care via an operations center powered by the principles of high-reliability data and software to impact patient throughput and flow...
January 5, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29300217/development-of-an-rn-champion-model-to-improve-the-outcomes-of-ventilator-associated-pneumonia-patients-in-the-intensive-care-unit
#2
Carol Robinson, Marci Hoze, Stacy Hevener, Amy A Nichols
Healthcare-associated infections are costly. Methods to prevent infections must be effective and provide a return on investment to be sustainable. A funded project supported the design and implementation of a unique quality and safety model, using unit-based quality and safety RN champions. The goal was to create and sustain a hospital-wide safety culture focused on preventing ventilator-associated pneumonia (VAP) by adopting the Institute for Healthcare Improvement's VAP bundle. The program began with a pilot in 7 ICUs...
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29300216/suicide-prevention-a-healer-education-and-referral-program-for-nurses
#3
Judy E Davidson, Sidney Zisook, Brittany Kirby, Gianni DeMichele, William Norcross
OBJECTIVE: The aim of this study was to describe the pilot expansion of a proactive suicide risk-screening program, initially designed for physicians, to nurses. BACKGROUND: The Healer Education, Assessment and Referral (HEAR) program detects at-risk physicians and facilitates referral to mental healthcare. Nothing similar has been available for at-risk nurses. Local nurse suicides served as the catalyst to extend the HEAR program to nurses. METHODS: Education, outreach, and an encrypted, online, anonymous, proactive risk screening were conducted to identify and refer nurses with depression and suicide risk...
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29300215/the-case-for-utilizing-rns-in-medicare-annual-wellness-visits
#4
Heather Bogrett, Maura Carriel
RNs in ambulatory practice must expand their role to assist primary care physicians meet the growing demands of the aging American population. This article explores the benefits of RNs performing annual wellness visits (AWVs) for Medicare patients. Having RNs conduct AWVs can decrease the workload of primary care providers, improve patient outcomes, contribute to the revenue of the practice, and elevate nursing standards in the ambulatory setting.
January 4, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351179/measuring-care-coordination-in-the-pediatric-cardiology-ambulatory-setting
#5
Jean A Connor, Richard C Antonelli, Cheryl A OʼConnell, Hillary Bishop Kuzdeba, Courtney Porter, Patricia A Hickey
The role of ambulatory nursing is diverse, and the impact on patient outcomes is difficult to measure. The concept of care coordination is an important focus for the ambulatory nurse. We describe the efforts to implement the Cardiac Care Coordination Measurement Tool to document and quantify care coordination activities in a pediatric cardiac ambulatory setting.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351178/using-time-referenced-data-to-assess-medication-administration-performance-and-quality
#6
John M Welton, Catherine Kleiner, Carolyn Valdez, Sara Richardson, Kathy Boyle, Eric Lucas
OBJECTIVE: This study tests the feasibility of using a large (big) clinical data set to test the ability to extract time-referenced data related to medication administration to identify late doses and as-needed (PRN) administration patterns by RNs in an inpatient setting. METHODS: The study is a secondary analysis of a set of data using bar-code medication administration time stamps (n = 3043812) for 50883 patients admitted to a single, urban, 525-bed hospital in 11 inpatient units by 714 nurses between April 1, 2013, and March 31, 2015...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351177/units-of-distinction-creating-a-blueprint-for-recognition-of-high-performing-medical-surgical-nursing-units
#7
Alvin D Jeffery, Sammie Mosier, Allison Baker, Kimberly Korwek, Cindy Borum, Jane Englebright
BACKGROUND: Hospital medical-surgical (M/S) nursing units are responsible for up to 28 million encounters annually, yet receive little attention from professional organizations and national initiatives targeted to improve quality and performance. OBJECTIVE: We sought to develop a framework recognizing high-performing units within our large hospital system. METHODS: This was a retrospective data analysis of M/S units throughout a 168-hospital system...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351176/technological-complexity-and-emergence-of-the-entanglement
#8
Thomas R Clancy
As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on the application of management strategies in health systems. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This article is the 3rd in a series of articles that focus on why technological complexity is increasing and strategies nurse administrators can use to successfully implement change in the face of it...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351175/2017-national-magnet-nurses-of-the-year%C3%A2
#9
Rebecca Graystone
The Magnet Recognition Program® recognizes healthcare organizations for quality patient care, nursing excellence, and innovations in professional nursing practice. Consumers rely on the Magnet designation as the ultimate credential for high-quality nursing. The ANCC National Magnet Nurse of the Year® awards were created in 2010 to recognize the outstanding contributions of clinical nurses for innovation, consultation, leadership, and professional risk taking.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351174/the-evolving-science-of-patient-and-family-engagement-an-interview-with-dr-karen-drenkard
#10
Patricia Reid-Ponte
Patient- and family-centered care is a central tenet of nursing practice. This concept has evolved to include patient partnerships, patient engagement, and patient activation. This column differentiates these concepts and describes the core principles embedded in the overriding intention of ensuring that patients (and their families or significant others) are orchestrators of their health and their care plans. In this interview, Karen Drenkard, PhD, RN, FAAN, NEA-BC, CNO, of the GetWellNetwork, discusses work by the O'Neil Center as a leader in this area...
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29351173/bsn-preparation-for-rns-the-time-is-now
#11
Mary Krugman, Colleen J Goode
Some nurse executives and academic nurse leaders believe that the issue of educational entry into professional nursing practice is an "old" issue. Nursing is the only healthcare profession that still does not require the minimum of a baccalaureate degree (BSN). It is time for nurse leaders to act: eliminate the multiple educational levels and require a minimum BSN degree for professional nurse practice.
February 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219911/practical-application-of-high-reliability-principles-in-healthcare-to-optimize-quality-and-safety-outcomes
#12
Cynthia A Oster, Sherilyn Deakins
Application of high-reliability (HR) principles into daily healthcare processes can drive culture change, safety, and quality outcomes. Understanding foundational practices to full HR principle integration in an organization's quality and safety programs strengthens evidence-based practices, reduces clinical variation, and improves nurse-sensitive patient outcomes. Quantifying the cost impact of reduction in preventable harm and improved nurse-sensitive patient outcomes is an initial attempt to formulate an empiric measure of nursing value...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219910/the-appraisal-of-nursing-practice-instrument-development-and-initial-testing
#13
Heather Becker, Marty Meraviglia, Jin EunJin Seo, Chipo Ndlovu, Lois Kimmel, Toni Rowin
OBJECTIVE: We describe the development of the Appraisal of Nursing Practice (ANP) and present initial psychometric data. BACKGROUND: Although measures of new nurses' confidence in clinical practice exist, psychometrically sound observational tools that assess a broad range of nursing competencies are needed. METHODS: Based on the Quality and Safety Education for Nurses competencies, the 37-item ANP covers person-centered care, teamwork and collaboration, evidence-based practice/quality improvement, safety, informatics, professionalism, and overall satisfaction (with the new nurse's functioning)...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219909/a-thematic-analysis-of-self-described-authentic-leadership-behaviors-among-experienced-nurse-executives
#14
Catherine Alexander, Ruth Palan Lopez
OBJECTIVE: The aim of this study is to understand the behaviors experienced nurse executives use to create healthy work environments (HWEs). The constructs of authentic leadership formed the conceptual framework for the study. BACKGROUND: The American Association of Critical-Care Nurses recommends authentic leadership as the preferred style of leadership for creating and sustaining HWEs. Behaviors associated with authentic leadership in nursing are not well understood...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219908/characteristics-of-the-nursing-practice-environment-associated-with-lower-unit-level-rn-turnover
#15
Heather V Nelson-Brantley, Shin Hye Park, Sandra Bergquist-Beringer
OBJECTIVE: The aim of this study is to examine characteristics of the nursing practice environment associated with lower RN turnover. BACKGROUND: Identifying characteristics of the practice environment that contribute to lower RN turnover is important for meeting the national quality strategy priority of reducing healthcare costs. METHODS: Data from 1002 adult care units in 162 National Database of Nursing Quality Indicators participating hospitals were analyzed using multivariate linear regression...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219907/the-implementation-of-a-structured-nursing-leadership-development-program-for-succession-planning-in-a-health-system
#16
Priscilla Ramseur, Mary Ann Fuchs, Pamela Edwards, Janice Humphreys
Preparing future nursing leaders to be successful is important because many current leaders will retire in large numbers in the future. A structured nursing leadership development program utilizing the Essentials of Nurse Manager Orientation online program provided future nursing leaders with content aligned with nursing leadership competencies. Paired with assigned mentors and monthly leadership sessions, the participants increased their perception of leadership competence.
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219906/targeted-interventions-to-advance-a-culture-of-inquiry-at-a-large-multicampus-hospital-among-nurses
#17
Eileen J Carter, Reynaldo R Rivera, Kelly A Gallagher, Kenrick D Cato
OBJECTIVES: The aim of this study is to assist nurse leaders in developing innovative structures to foster a culture of inquiry among professional nurses. BACKGROUND: Critical to nurse's engagement in evidence-based practice (EBP) is a culture of inquiry, in which nurses critically evaluate patient care activities and actively review existing evidence to address identified clinical issues. A bundle of structural interventions was implemented across a large, multisite hospital to advance a culture of inquiry...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219905/systems-addressing-frail-elder-care-description-of-a-successful-model
#18
REVIEW
Lianna Zaven Ansryan, Harriet Udin Aronow, Jeff Edward Borenstein, Viola Mena, Flora Haus, Katherine Palmer, Ellen Chan, Jane W Swanson, Sharon Mass, Bradley Rosen, Glenn David Braunstein, Linda Burnes Bolton
OBJECTIVE: The aim of this article is to describe the Systems Addressing Frail Elder (SAFE) Care model, features of the interprofessional team and reengineered workflow, and details of the intervention. BACKGROUND: Older inpatients are vulnerable to adverse events related to frailty. SAFE Care, an interprofessional team-based program, was developed and evaluated in a cluster randomized controlled trial (C-RCT). Results found reduced length of stay and complications...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219904/incivility-in-the-emergency-department-implications-for-nurse-leaders
#19
Katy Garth, Dana Todd, Dina Byers, Betty Kuiper
Uncivil behavior leads to low self-esteem, anxiety, sleep disturbance, recurrent nightmares, and depression. This article looks at the perception of incivility among emergency department nurses and the leadership required to implement evidence-based strategies to address this growing problem.
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219903/nursing-staff-perceptions-of-fall-risk-the-emergence-of-learned-helplessness-as-a-theme
#20
Terri Lea Gibson, Susan L Lloyd
Nurses and unlicensed assistive personnel on 2 medical-surgical units were asked about their perceptions regarding patient falls. Their responses reflect learned helplessness and a lack of nurse empowerment that are relevant findings as nurse executives work to decrease patient falls.
January 2018: Journal of Nursing Administration
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