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Journal of Nursing Administration

Stephanie A Hisgen, Nancy E Page, Deirdre K Thornlow, Elizabeth I Merwin
OBJECTIVE: The aim of this study was to reduce the RN vacancy rate at an academic medical center by improving the hiring process in the Nursing Recruitment Office. BACKGROUND: Inability to fill RN positions can lead to higher vacancy rates and negatively impact staff and patient satisfaction, quality outcomes, and the organization's bottom line. METHODS: The Model for Improvement was used to design and implement a process improvement project to improve the hiring process from time of interview through the position being filled...
May 10, 2018: Journal of Nursing Administration
Kendra Tezber, Cesar Aviles, Misty Eller, Allyson Cochran, David Iannitti, Dionisios Vrochides, Garth McClune
Implementing Enhanced Recovery After Surgery (ERAS) guidelines is an effective method to standardize patient care, improve patient outcomes, and develop quality improvement projects. Completing the required ERAS Implementation Program provided by the International ERAS Society enabled the hepatopancreaticobiliary surgery team at Carolinas HealthCare System to successfully implement evidence-based practice changes for pancreaticoduodenectomy patients on an acuity-adjustable unit resulting in improved care and cost reduction...
May 10, 2018: Journal of Nursing Administration
Kathy Chappell, Rima ElChamaa, Dahn Jeong, Deborah Kendall-Gallagher, Elizabeth Salt, Scott Reeves, Donald Moore, Curtis Olson, Thomas Van Hoof, Vicki Lundmark, Natalia Danilovich, Simon Kitto
OBJECTIVE: To identify how certification is defined, conceptualized, and discussed in the nursing literature. BACKGROUND: Although it is hypothesized that credentialing is associated with better patient outcomes, the evidence is relatively limited. Some authors have suggested that the lack of consistency used to define certification in nursing literature may be one of the dominant obstacles in credentialing research. METHODS: This scoping review was guided by Arksey and O'Malley's framework, and quantitative and qualitative analyses were conducted...
April 6, 2018: Journal of Nursing Administration
Mary Tesoro, Diane J Peyser, Farley Villarente
OBJECTIVE: To determine non-ventilator-associated hospital-acquired pneumonia (NV-HAP) incidence, assess negative impacts on patient outcomes and cost, and identify missed preventive nursing care opportunities. BACKGROUND: NV-HAP is inadequately studied and underreported. Missed nursing care opportunities, particularly oral care, may aid NV-HAP prevention. METHODS: This descriptive, observational, retrospective chart review identified adult NV-HAP cases and associated demographic and hospital care data...
May 2018: Journal of Nursing Administration
Mary J Fagan, Cynthia D Connelly, Brian S Williams, Erin Stucky Fisher
OBJECTIVE: The aim of this study was to examine the feasibility of integrating teamwork training into an established Pediatric Advanced Life Support (PALS) program to assess the effect on teamwork and collaboration among interprofessionals. BACKGROUND: Lack of teamwork and ineffective communication are common contributors to hospital sentinel events. Interprofessional teamwork training to support a culture of patient safety is advocated; however, training methods and related expenses vary widely...
May 2018: Journal of Nursing Administration
Jacalyn Buck, Jacqueline Loversidge, Esther Chipps, Lynn Gallagher-Ford, Lynne Genter, Po-Yin Yen
OBJECTIVE: The aims of this study were to describe nurses' perceptions of nursing activities and analyze for consistency with top-of-license (TOL) practice. BACKGROUND: The Advisory Board Company expert panel proposed 8 TOL core nursing responsibilities representing practice at its potential. Thus far, no empirical work has examined nursing practices relative to TOL, from staff nurses' points of view. METHODS: This qualitative study used focus groups to explore perceptions of typical nursing activities...
May 2018: Journal of Nursing Administration
Judy E Davidson, Amy R Stuck, Sidney Zisook, James Proudfoot
OBJECTIVE: The aim of this study was to test a strategy for quantifying incidence of nurse suicide using San Diego County data as a pilot for national investigation. BACKGROUND: Worldwide, 1 person dies by suicide every 40 seconds; more than 1 000 000 suicides occur yearly. Suicide rates for nurses in the United States have not been evaluated. This methodological article tested a strategy to identify incidence of nurse suicide compared with those of physicians and the general public...
May 2018: Journal of Nursing Administration
Heather V Nelson-Brantley, Nora E Warshawsky
The Institute of Medicine called for all health professionals to be educated in interprofessional teams. Accreditation bodies governing education of health professions responded by creating standards for interprofessional education (IPE) activities. Educators teaching in health professional programs implemented a variety of IPE activities, yet rigorous evaluation of IPE on interprofessional practice and patient outcomes is limited. The authors review the progress of IPE, introduce new trends in IPE, and identify the methods needed to evaluate IPE effectiveness...
May 2018: Journal of Nursing Administration
Rebecca Graystone, Christine Pabico
The Directors of the Magnet Recognition Program® and Pathway to Excellence® use this column to compare and contrast the 2 programs. Both programs profile nursing excellence.
May 2018: Journal of Nursing Administration
Dorothy Y Brockopp
No abstract text is available yet for this article.
May 2018: Journal of Nursing Administration
Christine Pintz, Qiuping Pearl Zhou, Maureen Kirkpatrick McLaughlin, Katherine Patterson Kelly, Cathie E Guzzetta
OBJECTIVE: To describe the research infrastructure, culture, and characteristics of building a nursing research program in Magnet®-designated hospitals. BACKGROUND: Magnet recognition requires hospitals to conduct research and implement evidence-based practice (EBP). Yet, the essential characteristics of productive nursing research programs are not well described. METHODS: We surveyed 181 nursing research leaders at Magnet-designated hospitals to assess the characteristics in their hospitals associated with research infrastructure, research culture, and building a nursing research program...
May 2018: Journal of Nursing Administration
Laura Caramanica, LeeAnna Spiva
OBJECTIVE: The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP). BACKGROUND: Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear. METHODS: Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP. Data were collected preintervention, mid-intervention, and postintervention from observations, interviews, journaling, and surveys...
May 2018: Journal of Nursing Administration
Mary Tonges, Joel D Ray, Suzanne Herman, Meghan McCann
Patient satisfaction is a key component of healthcare organizations' performance. Providing a consistent, positive patient experience across a system can be challenging. This article describes an organization's approach to achieving this goal by implementing a successful model developed at the flagship academic healthcare center across an 8-hospital system. The Carolina Care at University of North Carolina Health Care initiative has resulted in substantive qualitative and quantitative benefits including higher patient experience scores for both overall rating and nurse communication...
April 2018: Journal of Nursing Administration
Susan E Piras, Ann Minnick, Jana Lauderdale, Mary S Dietrich, Timothy J Vogus
OBJECTIVE: The aim of this article is to describe the associations of nurses' hand hygiene (HH) attitudes, subjective norms, and perceived behavioral control with observed and self-reported HH behavior. BACKGROUND: Hand hygiene is an essential strategy to prevent healthcare-associated infections. Despite tremendous efforts, nurses' HH adherence rates remain suboptimal. METHODS: This quantitative descriptive study of ICU nurses in the southeastern United States was guided by the theory of planned behavior...
April 2018: Journal of Nursing Administration
Nancy Staggers, Beth L Elias, Ellen Makar, Gregory L Alexander
BACKGROUND: Health information technology (IT) usability issues are a key concern for nurse executives and nurses. OBJECTIVES: The aims of this study are to understand usability pain points faced by nurses regarding the use of health IT, identify their impact and importance, discuss responsibilities, and develop possible solutions to improve the health IT-user experience for nurses. METHODS: Twenty-seven experts were interviewed including nursing leaders, informaticists, executives, engineers, researchers, and human factors experts across acute care, long-term care, and vendor settings...
April 2018: Journal of Nursing Administration
Cynthia Divens Sweeney
The DAISY Foundation is dedicated to recognizing nurses who provide compassionate, skilled, and extraordinary nursing care. Nominations for The DAISY Award are typically submitted in the form of a story. Stories are an opportunity to share with others what compassionate and extraordinary nursing care looks like and to recognize the individual nurses who provide that care. Clinical competence delivered with compassion is a hallmark of DAISY Award recipients. Professional certification provides an additional form of recognition of a nurse's clinical competence...
April 2018: Journal of Nursing Administration
Rebecca Graystone
The Director of the Magnet Recognition Program® presents a list of resources available to organizations either on the journey to Magnet® or contemplating setting this prestigious designation of nursing excellence as a goal.
April 2018: Journal of Nursing Administration
Karen Wray
Violence affecting healthcare workers and healthcare organizations continues to be a serious safety issue. In this Leadership Perspectives column, Karen Wray, an American Organization of Nurse Executives (AONE) member who has experienced a mass causality incident 1st hand, outlines AONE's continuing work to promote safety and combat violence. She discusses recent work on violence issues by the American Hospital Association, AONE's parent organization.
April 2018: Journal of Nursing Administration
Marsha Maurer, Pamela Browall, Cynthia Phelan, Sandra Sanchez, Kimberlyann Sulmonte, Jane Wandel, Allison Wang
A daily management system (DMS) can be used to implement continuous quality improvement and advance employee engagement. It can empower staff to identify problems in the care environment that impact quality or work flow and to address them on a daily basis. Through a DMS, improvement becomes the work of everyone, every day. The authors of this 2-part series describe their work to develop a DMS. Part 2 describes the implementation and outcomes of the program.
April 2018: Journal of Nursing Administration
Halia Melnyk, Peri Rosenfeld, Kimberly S Glassman
This article describes our experience participating in a multisite collaborative study involving frontline nurses and operational failures (OFs). We encountered a range of challenges conducting the study as proposed by the study's coordinating center (CC), which hindered our ability to meet our goals and objectives. We identified 3 general areas in which our expectations and actual experience diverged: 1) research resources, design, and methods; 2) CC communications and deliverables; and 3) influencing organizational change...
April 2018: Journal of Nursing Administration
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