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Journal of Nursing Administration

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https://www.readbyqxmd.com/read/29135855/factors-associated-with-the-implementation-of-a-nurse-staffing-directive
#1
Ann M Annis, Claire H Robinson, Nicholas Yankey, Sarah L Krein, Sonia A Duffy, Beth Taylor, Anne Sales
BACKGROUND: In 2010, the Veterans Health Administration issued a Staffing Methodology (SM) Directive to provide a standardized, data-driven method for determining appropriate inpatient nurse staffing. OBJECTIVE: We aimed to describe experiences and factors related to SM implementation. METHODS: We administered a Web-based survey to chief nurse executives to obtain their implementation experiences. Structural, process, and outcome factors and barriers associated with self-reported implementation success were identified...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135854/an-academic-practice-partnership-model-to-grow-and-sustain-advanced-practice-nursing
#2
Tracy E Williams, Patricia B Howard
OBJECTIVE: The aims of this article were to describe the implementation of an academic-practice partnership for healthcare system workforce development and provide preliminary outcomes of the associated pilot study. BACKGROUND: The demand for cross-continuum healthcare delivery models necessitates creation of workforce development structures for advanced practice nursing. METHODS: An academic-practice partnership specified enrollment of 5 cohorts of BSN staff nurses in a 3-year DNP program...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135853/social-return-on-investment-a-new-approach-to-understanding-and-advocating-for-value-in-healthcare
#3
Catherine M Laing, Nancy J Moules
OBJECTIVE: To determine whether the methodology of social return on investment (SROI) could be a way in which the value of a healthcare-related program (children's cancer camp) could be captured, evaluated, and communicated. BACKGROUND: The value of healthcare goes beyond what can be captured in financial terms; however, this is the most common type of value that is measured. The SROI methodology accounts for a broader concept of value by measuring social, environmental, and economic outcomes and uses monetary values to represent them...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135852/quantifying-missed-nursing-care-using-the-hospital-consumer-assessment-of-healthcare-providers-and-systems-hcahps-survey
#4
Sabrina B Orique, Christopher M Patty, Alisha Sandidge, Emma Camarena, Rose Newsom
OBJECTIVE: The aim of this article is to describe the use of Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data to measure missed nursing care and construct a missed nursing care metric. BACKGROUND: Missed nursing care varies widely within and between US hospitals. Missed nursing care can be measured utilizing the HCAHPS data. METHODS: This cross-sectional study used HCAHPS data to measure missed care. RESULTS: This analysis includes HCAHPS data from 1125 acute care patients discharged between January 2014 and December 2014...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135851/the-impact-of-an-electronic-medication-administration-record-emar-and-computerized-physician-order-entry-cpoe-on-nurse-extender-and-unit-clerk-staffing
#5
Edmondo J Robinson, Meredith R Bergey, Elizabeth Brady, Alexandra M Mapp, Jennifer C Goldsack
OBJECTIVE: The aim of this study is to describe the impact of the introduction of health information technology (HIT) on the utilization and payroll costs of nurse extenders and unit clerks in medicine and surgery units in a large regional health system. BACKGROUND: Long-term policy goals of HIT implementation are reported to include system-level reductions in labor costs, achieved through improved efficiency. METHODS: Using a retrospective cohort model, we analyzed how hours worked per patient day and staffing costs per patient day varied with the implementation of HIT over time at 2 different hospitals within a health system...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135850/incorporating-nurse-input-and-evidence-into-a-newly-designed-unit-to-improve-patient-and-nursing-outcomes
#6
Jennifer Tafelmeyer, Robin Wicks, Jeannine Brant, Laurie Smith
OBJECTIVE: The aim of this study was to identify processes, outcomes, and lessons learned from designing a new evidence-based unit. A research study was conducted simultaneously to rigorously measure changes in patient and staff outcomes. BACKGROUND: Nursing leadership and frontline nursing engagement are critical in evidence-based design to promote positive outcomes and workflow. METHODS: Quality indicators were tracked premove and postmove...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135849/december-2017-editorial-thank-you
#7
Karen S Hill
No abstract text is available yet for this article.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135848/using-simulation-to-hardwire-bedside-shift-report
#8
Arvis K Connolly
Numerous attempts to move nursing handoff to the bedside failed within our organization. Upon retrospect, previous attempts lacked standardization, coordination, and clear expectations. With emphasis on implementing patient- and family-centered care to increase patient experience scores, we developed a standardized staff training methodology using didactic and simulation to address staff barriers to adoption, a standardized implementation process, and a process to hardwire the practice.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135847/a-two-pronged-approach-to-retaining-millennial-nurses
#9
Jenna Koppel, Marisa Deline, Katherine Virkstis
Despite increased staff engagement and improved new hire on-boarding, organizations struggle to retain millennial nurses. One dominant trait is shared by organizations that have successfully reduced turnover for this group: investment in select strategies that cement loyalty to the organization. In this article, the authors describe 2 strategies for retaining early-tenure millennial nurses. In the 1st article of this series, the authors described why nursing leaders must supplement their organization's current investments in engagement with strategies targeted at millennials in their 1st 3 years...
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135846/bringing-the-ohiohealth-nursing-strategic-plan-to-life-with-the-aone-care-innovation-and-transformation-program
#10
Kelly Dials, Lisa Gossett, Lindsey Osting, David Rutherford, Janet Stifter
Contemporary CNOs are committed to developing the next generation of nurse leaders. At OhioHealth, the nursing strategic vision includes the belief that every nurse will be a leader in improving health across the care continuum. In 2016, the OhioHealth System partnered with AONE to participate in the Care Innovation and Transformation program resulting in bedside nurses living this strategic vision and creating positive changes in quality, safety, and satisfaction for patients and families.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135845/registered-nurse-and-nursing-assistant-perceptions-of-limited-english-proficient-patient-clinician-communication
#11
Clayton Shuman, Mary Montie, Jose Galinato, Lance Patak, Marita Titler
In this article, the authors discuss implications for nurse administrators from a recent qualitative study regarding nursing personnel perceptions of limited English proficient (LEP) patient-clinician communication. Few studies have examined nursing personnel's use and perceptions of communication resources when caring for LEP patients.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29135844/magnet%C3%A2-enculturation
#12
M Maureen Lal
In this column, the senior manager for the Magnet Appraiser Program® relates the importance of the components of the journey to Magnet with developing and sustaining a culture of excellence through the appraisal period and beyond. Sustainment of excellence includes regular critical assessments and support in nursing practice, governance models, and resources throughout organizational settings where nursing is practiced.
December 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065074/a-pilot-study-to-examine-the-relationship-between-napping-and-fatigue-in-nurses-practicing-on-the-night-shift
#13
Kathleen Neville, Gillian Velmer, Shari Brown, Nancy Robol
OBJECTIVE: The aim of this study is to explore the relationship of night-shift napping on fatigue. BACKGROUND: Nurses' fatigue, especially at night, interferes with quality of life and job performance and impacts safety and health. METHODS: Night-shift nurses completed the Brief Fatigue Inventory and a demographic information sheet to determine differences in fatigue between nurses who napped during their night shift as compared with nurses who did not nap...
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065073/exploring-acuity-adaptable-care-in-a-rural-hospital
#14
Tonya Sosebee, Robert Potter, Valarie Gilbert, Patricia Newcomb, Michelle Hampton
OBJECTIVE: The objective of this study is to assess benefits of the acuity-adaptable (AA) care model in rural hospitals. BACKGROUND: The AA model aims to provide care in the same space from admission to discharge regardless of acuity. Evidence is lacking to support claims that AA care will improve patient safety, increase nurse productivity, and improve patient/staff satisfaction in rural hospitals. METHODS: Patients admitted to a rural intensive care unit (ICU) were allocated to an AA group or an ICU group...
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065072/preparing-for-electronic-medical-record-implementation-carolina-care-communication-in-an-electronic-environment
#15
Tracy Carroll, Mary Tonges, Joel Ray
This article describes 1 organization's successful approach to mitigating the potential negative effects of a new electronic medical record on patient experience. The Carolina Care model, developed at the University of North Carolina Hospitals to actualize caring theory in practice, helped to structure and greatly facilitate this work. Seven focus areas were integrated to create the "Communication in an Electronic Environment" program with a strong emphasis on nurse-patient communication.
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065071/combining-best-practices-and-patient-caregiver-and-healthcare-provider-perspectives-for-late-life-supportive-care-lifecourse
#16
Eric W Anderson, Monica S Frazer, Sandra E Schellinger
Healthcare systems seek effective ways to support and treat the growing number of individuals living with serious illness. The nature of these care episodes challenges delivery systems to attain proficiency in dealing with the multiplicity of chronic conditions in individuals and populations through understanding and attending to patients' medical and nonmedical aspects of health. This article describes LifeCourse, a healthcare approach that provides palliative care practices to patients with serious illness years prior to death...
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065070/circle-of-advisors-creating-a-national-perspective-for-graduate-curricula-in-nursing-administration
#17
Barbara Cherry, Patricia S Yoder-Wise, Karren E Kowalski
The CGEAN Board established a goal to support MSN administration programs to thrive and meet the need for well-prepared nurses to assume leadership roles. This column addresses how we embarked on this work through creation of a Circle of Advisors composed of national nursing leaders who came together to address specific curricular issues and more importantly to voice support for continuation of MSN administration programs.
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065069/consumer-centric-care-latest-buzzword-or-new-reality
#18
Carol Boston-Fleischhauer
With the industry in flux as federal healthcare reform legislation debates continue, leaders are preparing for what the post-Affordable Care Act world might look like. Predictions include patients assuming more responsibility for healthcare costs and therefore behaving like consumers, including choosing providers based on perceived value. What actions should chief nurse executives take to ensure the nursing enterprise responds to rising consumerism in healthcare?
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065068/supporting-clinical-nurses-through-a-research-fellowship
#19
Barbara Mason, Judith Lambton, Roxanne Fernandes
After reviewing the literature, nurses at the bedside seeking answers to clinical questions may find their inquiries remain unanswered. This article describes the yearlong Research Fellows Program in which candidates, funded for 12 hours per month of research release time, answered formal research questions in a curriculum designed to provide the skills to complete their study. Five have completed their studies; 1 has received a grant to continue. Two are in process of submitting manuscripts to journals.
November 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29065067/the-2019-magnet%C3%A2-application-manual-nursing-excellence-standards-evolving-with-practice
#20
Rebecca Graystone
The American Nurses Credentialing Center's Magnet Recognition Program® released the 2019 Magnet® Application Manual () in October. The 2019 manual is the 12th application manual in the 27-year history of the program. The manual builds upon the foundation of seminal research conducted in the early 1980s that led to the creation of the program yet incorporates contemporary standards that address challenges faced globally by healthcare organizations today.
November 2017: Journal of Nursing Administration
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