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Journal of Nursing Administration

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https://www.readbyqxmd.com/read/28538466/increasing-research-capacity-in-a-safety-net-setting-through-an-academic-clinical-partnership
#1
J Margo Brooks Carthon, Sara Holland, Kerry Gamble, Helyn Rothwell, Darcy Pancir, Jim Ballinghoff, Linda Aiken
Safety net settings care for a disproportionate share of low-resource patients often have fewer resources to invest in nursing research. To address this dilemma, an academic-clinical partnership was formed in an effort to increase nursing research capacity at a safety net setting. Penn Presbyterian Medical Center and the Center for Health Outcomes and Policy Research located at the University of Pennsylvania partnered researchers and baccalaureate-prepared nurses in an 18-month research skill development program...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538465/the-colorado-collaborative-for-nursing-research-providing-trended-nurse-sensitive-patient-outcome-data-across-entities
#2
Karen H Sousa, Blaine Reeder, Jessica Bondy, Mustafa Ozkaynak, Jason Weiss
Nurse leaders lack timely access to trended electronic health record (EHR) data to drive decision making. Robust nurse-sensitive patient outcome data are difficult to locate in EHRs and largely absent across entities. The Colorado Collaborative for Nursing Research is currently testing a federated data system to get nurse leaders the information they need, when they need it.
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538464/decreasing-peripherally-inserted-central-catheter-use-with-ultrasound-guided-peripheral-intravenous-lines-a-quality-improvement-project-in-the-acute-care-setting
#3
Lauren Morata, Carrie Ogilvie, Jackie Yon, Allison Johnson
An ultrasound-guided peripheral intravenous (UGPIV) quality improvement project occurred in an 849-bed tertiary care hospital with a goal to reduce the use of central lines, in particular, peripherally inserted central catheters (PICCs). Since implementation, PICCs have decreased by 46.7% overall, and 59 nurses in-hospital are competent in placing UGPIVs. Placement of UGPIVs by the bedside nurse is a key initiative in decreasing PICC use and, potentially, infections.
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538463/implementation-of-a-modified-bedside-handoff-for-a-postpartum-unit
#4
Christine A Wollenhaup, Eleanor L Stevenson, Julie Thompson, Helen A Gordon, Gloria Nunn
The most frequent cause of sentinel events is poor communication during the nurse-to-nurse handoff process. Standardized methods of handoff do not fit in every patient care setting. The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside and some inside the patient's room, in a postpartum unit. A structured educational module and champion nurses were used. The new model was evaluated based on the change in compliance, patient satisfaction, and nursing satisfaction...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538462/influencing-scope-of-practice-policy-and-health-literacy-an-interview-with-dr-joy-deupree
#5
Jeffrey M Adams
This department highlights emerging nursing leaders who have demonstrated leadership in advancing innovation and patient care in practice policy, research, education, and theory. This interview profiles Joy Deupree, assistant professor, School of Nursing, The University of Alabama at Birmingham.
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538461/dnp-preparation-in-supporting-critical-skills-for-magnet%C3%A2-program-directors
#6
Sarah Lackey
Magnet® organizations are required to identify a Magnet program director (MPD), who plays a critical role in attaining and maintaining Magnet designation. The evidence is sparse related to qualifications or recommended educational levels of those assuming an MPD role. In this article, the author discusses how one of the DNP Essentials, clinical scholarship and the use of analytical methods for evidence-based practice, is reported to prepare nurses for the MPD role.
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28538460/transforming-care-for-victims-of-violence
#7
Anne C Boatright
In this month's Magnet® Perspectives column, Anne Boatright, MSN, RN, SANE, describes her efforts to develop a comprehensive forensic nursing program at Methodist Hospital in Omaha. Ms Boatright transformed a sexual assault nurse examiner (SANE) program into one that provides 24/7 coverage at Methodist's 2 SANE locations and cares not only for victims of sexual assault but also for the victims domestic violence, sex trafficking, strangulation, elder abuse, and neglect. Her work extends beyond the walls of Methodist to the community, where she serves as a core member of the Nebraska Human Trafficking Task Force...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28509721/bundled-payments-for-care-improvement-preparing-for-the-medical-diagnosis-related-groups
#8
Lauran Hardin, Adam Kilian, Elizabeth Murphy
BACKGROUND: The Centers for Medicare and Medicaid Services Innovation Center introduced the Bundled Payments for Care Improvement (BPCI) initiative in 2011 as 1 strategy to encourage healthcare organizations and clinicians to improve healthcare delivery for patients, both when they are in the hospital and after they are discharged. Mercy Health Saint Mary's, a large urban academic medical center, engaged in BPCI primarily with a group of medical diagnosis-related groups (DRGs). OBJECTIVES: In this article, we describe our experience creating a system of response for the diverse people and diagnoses that fall into the medical DRG bundles and specifically identify organizational factors for enabling successful implementation of bundled payments...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28509720/effects-of-rn-age-and-experience-on-transformational-leadership-practices
#9
COMPARATIVE STUDY
Susan Herman, Mary Gish, Ruth Rosenblum, Michael Herman
OBJECTIVE: This study reported the evolution of transformational leadership (TL) practices and behaviors across years of age, management experience, and professional nursing practice within a professional nursing leadership organization. BACKGROUND: Recent studies of CNO TL found valuations peak near age 60 years. This study reported on a wider range of management positions, correlating years of RN practice and management experience and age to TL metrics. METHOD: This study used Kouzes and Posner's Leadership Practices Inventory-Self-Assessment (LPI-S) to survey a nursing leadership organization, the Association of California Nurse Leaders (ACNL)...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28509719/the-importance-of-factors-related-to-nurse-retention-using-the-baptist-health-nurse-retention-questionnaire-part-2
#10
Andrew Bugajski, Alex Lengerich, Matthew Marchese, Brittany Hall, Susan Yackzan, Claire Davies, Dorothy Brockopp
OBJECTIVE: The purpose of this study was to examine the importance of factors related to nurse retention. BACKGROUND: Retaining nurses within the healthcare system is a challenge for hospital administrators. Understanding factors important to nurse retention is essential. METHODS: Responses of nurses (n = 279) to the Baptist Health Nurse Retention Questionnaire (BHNRQ) at a 391-bed Magnet® redesignated community hospital were analyzed to explore differences in importance scores of bedside nurses...
June 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422935/the-baptist-health-nurse-retention-questionnaire-a-methodological-study-part-1
#11
Alexander Lengerich, Andrew Bugajski, Matthew Marchese, Brittany Hall, Susan Yackzan, Claire Davies, Dorothy Brockopp
OBJECTIVE: The purposes of this study were to develop and test the Baptist Health Nurse Retention Questionnaire (BHNRQ) and examine the importance of nurse retention factors. BACKGROUND: Multiple factors, including increasing patient acuity levels, have led to concerns regarding nurse retention. An understanding of current factors related to retention is limited. METHODS: To establish the psychometric properties of the BHNRQ, data were collected from 279 bedside nurses at a 391-bed, Magnet® redesignated community hospital...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422934/impact-of-professional-nursing-practices-on-patient-nurse-outcomes-testing-the-essential-professional-nursing-practices-instrument
#12
Marlene Kramer, Barbara B Brewer, Diana Halfer, Cynthia Nowicki Hnatiuk, Maura MacPhee, Judy Boychuk Duchscher, Pat Maguire, Thomas Coe, Claudia Schmalenberg
Increasing patient and healthcare system complexity and the need to accurately measure the engagement of clinical nurses (CNs) in holistic, professional nursing practice indicates that an update to the Essentials of Magnetism instrument is needed. The purposes of this research were to critique and weight items, assess the value and psychometric properties of the newly constructed Essential Professional Nursing Practices (EPNP) instrument, and establish relationships between EPNPs and CN job, practice, and nurse-assessed patient satisfaction...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422933/nursing-informatics-competency-assessment-for-the-nurse-leader-instrument-refinement-validation-and-psychometric-analysis
#13
Po-Yin Yen, Andrew Phillips, Mary K Kennedy, Sarah Collins
OBJECTIVE: The aim of this article is to refine and validate a new instrument, Nursing Informatics Competency Assessment for the Nurse Leader (NL). BACKGROUND: Because health information technology rapidly advances, the NL requires greater levels of informatics knowledge. METHODS: Item reduction and psychometric analysis methodology RESULTS: A total of 357 national NLs completed the survey. Exploratory factor analysis resulted in a final 6-factor solution that contained 26 items: (1) strategic implementation management, (2) advanced information management and education, (3) executive planning, (4) ethical and legal concepts, (5) information systems concepts, and (6) requirements and system selection...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422932/clarifying-the-conundrum-evidence-based-practice-quality-improvement-or-research-the-clinical-scholarship-continuum
#14
Eileen J Carter, Kari Mastro, Courtney Vose, Reynaldo Rivera, Elaine L Larson
Nurses' active involvement in clinical scholarship is necessary to advance the nursing profession and improve patient outcomes. Yet, definitional confusion and numerous barriers exist to clinical scholarship in and across academic and patient care settings. We discuss factors that pose barriers to the continuum of clinical scholarship and suggest opportunities for clinician-researcher collaborations that promote nurses' engagement in evidence-based practice, quality improvement, and research.
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422931/development-and-psychometric-evaluation-of-the-professional-practice-work-environment-inventory
#15
Jeanette Ives Erickson, Mary E Duffy, Marianne Ditomassi, Dorothy Jones
OBJECTIVE: The purpose is to examine the psychometric properties of the professional practice work environment inventory (PPWEI). BACKGROUND: Derived from the Professional Practice Environment (PPE) and the Revised PPE scales, the PPWEI was designed to measure 8 components of the PPE that can be used to assist nurse administrators in decision-making. METHODS: A psychometric evaluation was undertaken with 874 nurses who were providing direct care to patients at the Massachusetts General Hospital and who provided no missing data on the newly developed 72-item PPWEI...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422930/exploring-the-best-practices-of-nursing-research-councils-in-magnet%C3%A2-organizations-findings-from-a-qualitative-research-study
#16
Jennifer Day, Cathleen Lindauer, Joyce Parks, Elizabeth Scala
OBJECTIVE: The objective of this descriptive qualitative study was to identify best practices of nursing research councils (NRCs) at Magnet®-designated hospitals. BACKGROUND: Nursing research (NR) is essential, adding to the body of nursing knowledge. Applying NR to the bedside improves care, enhances patient safety, and is an imperative for nursing leaders. METHODS: We interviewed NR designees at 26 Magnet-recognized hospitals about the structure and function of their NRCs and used structural coding to identify best practices...
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422929/examining-the-educational-experiences-and-outcomes-of-the-american-organization-of-nurse-executives-nurse-manager-fellowship-program-a-multiclass-study
#17
Barbara L Mackoff, Mary Theresa Meadows
No abstract text is available yet for this article.
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422928/are-nurse-leaders-prepared-to-lead-across-the-continuum-of-care-in-the-new-paradigm
#18
O Ed Reitz, Shelly Malin
The movement toward linking reimbursement with outcomes necessitates providing care across a continuum of settings, leading to the need for a new healthcare paradigm. Issues related to shifting to this new paradigm include disagreement about what this paradigm encompasses, the fragmentation of the healthcare system, and overreliance on the medical model as a framework for driving health policy decisions. We advocate for nurse leaders to guide the development of this new paradigm.
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28422927/the-relationship-between-specialty-certification-of-individual-nurses-and-outcomes-developing-a-standardized-taxonomy-for-research
#19
Simon Kitto, Rachel Grant, Kathy Chappell, Vicki Lundmark
Specialty certification is an important method to demonstrate that RNs possess advanced training, knowledge, and competencies required to provide safe, high-quality care for specific populations.
May 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28353470/the-impact-of-nursing-leader-s-behavioral-integrity-and-intragroup-relationship-conflict-on-staff-nurses-intention-to-remain
#20
Seung-Wan Kang, Soojin Lee, Suk Bong Choi
OBJECTIVE: This study tested a multilevel model examining the effect of nursing leader's behavioral integrity and intragroup relationship conflict on staff nurses' intent to remain. BACKGROUND: In the challenging situation of nursing shortage, nurse executives are required to focus on the retention of nurses. No previous studies have examined the impact of nursing leader's behavioral integrity and intragroup relationship conflict on nurses' intention to remain. METHODS: A cross-sectional survey of 480 RNs in 34 nursing units of a large public hospital in South Korea was conducted to test the hypothesized multilevel model...
May 2017: Journal of Nursing Administration
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