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Journal of Nursing Administration

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https://www.readbyqxmd.com/read/28906272/transforming-the-role-of-the-nurse-manager-a-call-to-action
#1
Jeffrey N Doucette
No abstract text is available yet for this article.
September 13, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28858957/addressing-occupational-fatigue-in-nurses-current-state-of-fatigue-risk-management-in-hospitals-part-2
#2
Linsey M Steege, Barbara J Pinekenstein, Jessica G Rainbow, Eacutes Lise Arsenault Knudsen
OBJECTIVE: The aim of this article is to describe the current state of fatigue risk management systems (FRMSs) to address nurse fatigue in hospitals. BACKGROUND: Little is known about the current state of FRMS implementation and adoption of national recommendations in nursing work systems. METHODS: This study used a sequential exploratory mixed-methods design including a survey of nurse leaders from across the United States. RESULTS: Adoption of evidence-based policies to address fatigue is both limited and variable depending on the policy...
August 31, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28858956/factors-facilitating-publication-by-clinical-nurses-in-a-magnet%C3%A2-hospital
#3
Deborah E Tyndall, Elaine S Scott, Nicole I Caswell
OBJECTIVE: This study examined the cognitive, behavioral, and environmental factors that facilitate publication by clinical nurses in Magnet® hospitals. BACKGROUND: The culture promoted by the Magnet Recognition Program® promotes nurses practicing in those settings to use, generate, and disseminate best practices. Successful and promising models of care and nursing practice are rarely disseminated beyond the organization where they are practiced. The questions persist: what barriers to writing for publication exist for clinical nurses, and how do we overcome them to advance emergent evidence? METHODS: A focused ethnographic, multiple-case study design examined 5 well-published nurses with high levels of dissemination occurring outside the Magnet organization where they were employed...
August 31, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28858955/variability-in-acuity-in-acute-care
#4
Amy L Garcia
OBJECTIVE: This study was designed to describe variable acuity among 1 population of acute care patients. BACKGROUND: Acuity, defined as the individual patient need for nursing care, can inform level of care, nurse staffing, and the nurse-to-patient assignment. Nurse-generated data in the electronic health record can be mined and analyzed for decision support. METHODS: This study used a descriptive, retrospective analysis of repeated measures of acuity generated from 28 739 nursing assessments of 405 consecutive subjects treated for heart failure (HF) in a 455-bed southern hospital...
August 31, 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834807/scope-of-practice-barriers-for-advanced-practice-registered-nurses-a-state-task-force-to-minimize-barriers
#5
Maria A Lofgren, Susan K Berends, Jimmy Reyes, Carmen Wycoff, Meghan Kinnetz, Ami Frohling, Laura Baker, Sue Whitty, Mary Dirks, Mary OʼBrien
Collegial relationships, administrative champions, and persistence are key components to breaking down barriers to advanced practice RN (APRN) practice. This article addresses how Iowa APRNs in a state-sanctioned task force identified barriers for practicing at the top of their licensure in a full practice authority state including defending the right to control the scope of nursing practice in court.
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834806/building-a-culture-of-authentic-partnership-one-academic-health-center-model-for-nursing-leadership
#6
Janie Heath, Colleen Swartz
Senior nursing leaders from the University of Kentucky (UK) College of Nursing and UK HealthCare have explored the meaning of an authentic partnership. This article quantifies the tangible benefits and outcomes from this maturing academic nursing and clinical practice partnership. Benefits include inaugural academic nursing participation in health system governance, expanded integration of nursing research programs both in the college and in the health science center, and the development of collaborative strategies to address nursing workforce needs...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834805/using-gamification-to-improve-productivity-and-increase-knowledge-retention-during-orientation
#7
Stacey Brull, Susan Finlayson, Teresa Kostelec, Ryan MacDonald, Dina Krenzischeck
BACKGROUND: Nursing administrators must provide cost-effective and efficient ways of orientation training. Traditional methods including classroom lecture can be costly with low retention of the information. Gamification engages the user, provides a level of enjoyment, and uses critical thinking skills. PURPOSE: The aim of this study is to explore the effectiveness, during orientation, of 3 different teaching methods: didactic, online modules, and gamification. Specifically, is there a difference in nurses' clinical knowledge postorientation using these learning approaches? METHODS: A quasi-experimental study design with a 115-person convenience sample split nurses into 3 groups for evaluation of clinical knowledge before and after orientation...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834804/stages-of-adoption-concern-and-technology-acceptance-in-a-critical-care-nursing-unit
#8
Gina M Berg, Jamie LoCurto, Diana Lippoldt
OBJECTIVE: The aim of this study is to examine the stages of concern (self, task, and impact) and usability (trust, perceived usefulness, and ease of use) shifts experienced by nurses adopting new technology. BACKGROUND: Patient care processes in critical care units can be disrupted with the incorporation of information technology. New users of technology typically transition through stages of concern and experience shifts in acceptance during assimilation. METHODS: Critical care nurses (N = 41) were surveyed twice: (1) pre, immediately after training, and (2) post, 3 months after implementation of technology...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834803/embedding-a-professional-practice-model-across-a-system
#9
Jennifer S Mensik, Deborah Maust Martin, Karen L Johnson, Carla M Clark, Christina M Trifanoff
Professional practice models (PPMs) are an integral part of any organization on the Magnet® journey, whether initial designation or redesignation. Through the journey, the PPM should become embedded within the nursing culture. Leadership at multiple levels is crucial to ensure successful adoption and implementation.
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834802/guiding-principles-for-creating-value-and-meaning-for-the-next-generation-of-nurse-leaders
#10
Erik Martin, Nora Warshawsky
The wave of retirements is beginning to hit nursing, taking a toll on our cadre of nursing leaders. Ongoing healthcare reform is adding to the stress burden and exerting an effect on nurse leader turnover. The next generation of leaders will likely come from our millennial nurses, who have different attitudes toward work than previous generations. The AONE assembled a panel of experts to create guidelines to assist nurse executives in recruiting the next generation of talent into formal leadership roles.
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834801/the-daisy-award-a-patient-family-perspective-of-compassionate-and-extraordinary-care
#11
Cynthia Divens Sweeney
What does it mean to patients and families to recognize the extraordinary and compassionate care provided by amazing nurses? The triple aim framework of the Institute for Healthcare Improvement includes the patient/family experience as 1 of the 3 targets contributing to better healthcare outcomes. In this column, the perspective of recognizing "their" nurse with The DAISY Award will be shared by a patient's family.
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28834800/developing-a-mobile-app-for-neuroscience-nurses
#12
Christi D DeLemos
In this month's Magnet® Perspectives column, the recipient of the 2016 Magnet Nurse of the Year® Award for New Knowledge, Innovations, and Improvements shares her journey to develop and disseminate a mobile application for nurses who care for neurological patients. "Neuroscience nurse" puts the latest, evidence-based information at the fingertips of nurses at the bedside in an effort to increase confidence when caring for patients with stroke, traumatic brain injury, and other neurological impairments.Nurse practitioner Christi DeLemos explains where she got the idea and how she went about implementing it...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28796025/nurse-manager-engagement-strategies-to-enhance-and-maintain-engagement
#13
Karen A Conley
OBJECTIVE: This study provided insight into the level of engagement of nurse managers (NMs) and strategies used to achieve and sustain engagement in acute care settings. BACKGROUND: Nurse managers have a significant role in staff satisfaction and unit outcomes and therefore need to be engaged in their work to influence others. Little is known about the level of individual NM engagement and strategies they use to remain engaged. METHODS: A mixed methods approach was used to elicit information about NM engagement...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28796024/addressing-occupational-fatigue-in-nurses-current-state-of-fatigue-risk-management-in-hospitals-part-1
#14
Linsey M Steege, Barbara J Pinekenstein, Jessica G Rainbow, Élise Arsenault Knudsen
OBJECTIVE: The aim of this study was to describe the current state of fatigue risk management systems (FRMS) to address nurse fatigue in hospitals. BACKGROUND: Although multiple studies have examined sources and consequences of fatigue, little is known about the current state of FRMS. METHODS: This study used a sequential exploratory mixed-method design including a survey of nurse leaders from across the United States. FINDINGS: Although healthcare organizations have implemented strategies to address fatigue, most participants' organizations did not have a formal FRMS in place...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28796023/exploring-the-influence-of-nurse-work-environment-and-patient-safety-culture-on-attitudes-toward-incident-reporting
#15
Moon Sook Yoo, Kyoung Ja Kim
OBJECTIVE: The aim of this study was to explore the influence of nurse work environments and patient safety culture on attitudes toward incident reporting. BACKGROUND: Patient safety culture had been known as a factor of incident reporting by nurses. Positive work environment could be an important influencing factor for the safety behavior of nurses. METHODS: A cross-sectional survey design was used. The structured questionnaire was administered to 191 nurses working at a tertiary university hospital in South Korea...
September 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28727627/associations-of-organizational-safety-practices-and-culture-with-physical-workload-perceptions-about-work-and-work-related-injury-and-symptoms-among-hospital-nurses
#16
Soo-Jeong Lee, Joung Hee Lee
OBJECTIVE: The study aim was to examine the relationships of organizational safety practices with nurses' perceptions about job and risk and experiences of work-related injury and symptoms. BACKGROUND: Nursing professions report high rates of work-related injuries. Organizational safety practices have been linked to workers' safety outcomes and perceptions about work. METHODS: This study analyzed data from a random sample of 280 California RNs in a cross-sectional statewide survey...
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28727626/system-level-shared-governance-structures-and-processes-in-healthcare-systems-with-magnet%C3%A2-designated-hospitals-a-descriptive-study
#17
Carlisa M Underwood, Arlene N Hayne
OBJECTIVE: The purpose was to identify and describe structures and processes of best practices for system-level shared governance in healthcare systems. BACKGROUND: Currently, more than 64.6% of US community hospitals are part of a system. System chief nurse executives (SCNEs) are challenged to establish leadership structures and processes that effectively and efficiently disseminate best practices for patients and staff across complex organizations, geographically dispersed locations, and populations...
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28727625/decreasing-stress-and-burnout-in-nurses-efficacy-of-blended-learning-with-stress-management-and-resilience-training-program
#18
Donna L Magtibay, Sherry S Chesak, Kevin Coughlin, Amit Sood
OBJECTIVE: The study's purpose was to assess efficacy of blended learning to decrease stress and burnout among nurses through use of the Stress Management and Resiliency Training (SMART) program. BACKGROUND: Job-related stress in nurses leads to high rates of burnout, compromises patient care, and costs US healthcare organizations billions of dollars annually. Many mindfulness and resiliency programs are taught in a format that limits nurses' attendance. METHODS: Consistent with blended learning, participants chose the format that met their learning styles and goals; Web-based, independent reading, facilitated discussions...
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28727624/longitudinal-outcomes-of-an-institutionally-developed-nurse-residency-program
#19
Debbie Cline, Kelly La Frentz, Bryan Fellman, Barbara Summers, Kelly Brassil
Nurse residency programs are widely implemented to enhance integration of new graduate nurses entering the workforce. This article presents a retrospective analysis of 10 years of residency data from an internally developed residency program that used the Casey-Fink Graduate Nurse Experience Survey. Outcomes of this program were similar to those from studies using commercially available products, suggesting that an internally developed residency curricula may be equally beneficial to the development of new graduate nurses...
July 2017: Journal of Nursing Administration
https://www.readbyqxmd.com/read/28727623/return-on-investment-evaluating-the-evidence-regarding-financial-outcomes-of-workplace-wellness-programs
#20
REVIEW
Julie A Astrella
Workplace wellness programs are expected to reduce employee healthcare costs, increase productivity, and provide a positive return on investment. A review of the literature from 2000 to 2016 was conducted to determine whether workplace wellness programs deliver a positive economic impact. Individual financial metrics and results varied; 6 of 7 studies reported a positive economic impact. Additional study is recommended because of the high-degree variability and lack of longitudinal data.
July 2017: Journal of Nursing Administration
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