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Journal of Nursing Administration

MariLou Prado-Inzerillo, Joanne T Clavelle, Joyce J Fitzpatrick
OBJECTIVE: Describe the relationship between leadership practices and engagement of chief nursing officers (CNOs) in Magnet® organizations. BACKGROUND: Transformational leadership practices and CNO engagement are vital in influencing nursing practice. METHODS: Magnet hospital CNOs were invited to participate in a quantitative descriptive study via an online survey published in 2 newsletters. RESULTS: The CNOs rated their leadership practices high across all dimensions; the top leadership practice of Magnet CNOs was enabling others to act...
September 11, 2018: Journal of Nursing Administration
Jeffrey N Doucette
No abstract text is available yet for this article.
September 11, 2018: Journal of Nursing Administration
Ron C Carpio, Laura P Castro, Heinrich M Huerto, Martha E F Highfield, Sherri Mendelson
OBJECTIVES: This study explored the assessment of resilience at work among 1st-line nurse managers (NMs). BACKGROUND: Resilience is the ability to cope with stress. NMs have stressful roles and may ultimately withdraw from management if they lack resilient behaviors. Having a measurement of resilience at work in NMs and other healthcare workers may facilitate resilience development approaches. METHODS: In a descriptive, cross-sectional design, an electronic survey of 25-item, 7-subscale Resilience at Work (RAW) self-report assessment was distributed to 77 NMs...
September 11, 2018: Journal of Nursing Administration
Rebecca Graystone
The link between healthy work environments and patient safety, nursing satisfaction, and quality outcomes is well established, yet many nurses work in environments that are unsafe and uncivil. What are the essential elements that contribute to a healthy practice environment? How can we create roles and working conditions that enable nurses to be fulfilled and happy in their careers? This month's Magnet Perspectives column explores the relationship between a healthy practice environment and better outcomes and examines how the Journey to Magnet Excellence® leads to higher nurse satisfaction and retention, improved interdisciplinary collaboration, excellent patient care, and exemplary patient results...
September 11, 2018: Journal of Nursing Administration
Linda Weaver Moore, Cynthia Sublett, Cathy Leahy
OBJECTIVE: The purpose of this study is to explore nurse managers' (NMs') perceptions regarding disruptive nurse-to-nurse relationships. BACKGROUND: Nurse managers play a pivotal role in creating and sustaining healthy practice environments. They must understand how to recognize and confront disruptive nurse relationships that can threaten the health of their units. METHODS: A qualitative study design using researcher-participant interviews of 13 NMs from 5 institutions provided data regarding NMs' views on nurse relationships...
September 7, 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.
September 7, 2018: Journal of Nursing Administration
Susan Cobb, Kathleen Wolf, Christa Shine, Anne Jadwin
As part of the Magnet® application process, chief nurse executives (CNEs) are challenged to support the development, implementation, and evaluation of a Professional Practice Model (PPM) and include clinical nurses in this process. A focus group approach is a way to meet dual goals of evaluating the PPM and involving clinical nurses in the research process. The article describes how a focus group approach can be used effectively to identify themes and highlight the role of the CNE. In addition, the PPM resulted in revisions based on clinical nurse input...
September 2018: Journal of Nursing Administration
Kyoung Ja Kim, Moon Sook Yoo
OBJECTIVE: The aim of this study was to explore the influence of new graduate nurses' psychological capital (PsyCap) and work engagement (WE) on their intention to remain in nursing. BACKGROUND: New graduate nurses experience stressful work environments, emotional exhaustion, and burnout. Positive psychological resources, such as PsyCap and WE, may promote the retention of new graduate nurses. METHODS: A cross-sectional survey design was used...
September 2018: Journal of Nursing Administration
Clare Rees, Lisa Wirihana, Rob Eley, Rebecca Ossieran-Moisson, Desley Hegney
OBJECTIVE: This article reports findings from a 2016 survey exploring the working life of nurses/midwives in Queensland, Australia. Responses related to occupational violence (OV) are reported. BACKGROUND: OV is linked to high rates of burnout. It is imperative to continue efforts to understand how to avoid burnout and build nurse/midwives' resilience. METHODS: A total of 2397 nurse/midwives working in Queensland responded to the survey and were asked to answer 8 questions related to OV...
September 2018: Journal of Nursing Administration
Marianne E Weiss, Kathleen L Bobay, Meg Johantgen, Maria R Shirey
Magnet® and other organizations investing resources in evidence-based practice (EBP) are ideal laboratories for translational nursing research. Translational research, the study of implementation of evidence into practice, provides a unique opportunity to leverage local EBP work for maximum impact. Aligning EBP projects with rigorous translational research can efficiently meet both EBP and research requirements for Magnet designation or redesignation, inform clinical practice, and place organizations at the leading edge of practice-based knowledge development for the nursing discipline...
September 2018: Journal of Nursing Administration
Diann Johnston, Julie Villa
A new chief nursing officer describes the transformational leadership strategies she and her team used to turn their hospital, once below the national mean on National Database of Nurse Sensitive Indicators and patient/RN satisfaction scores, into a highly engaged and effective organization achieving top-performing outcomes.
September 2018: Journal of Nursing Administration
Joan Gygax Spicer, Patricia S A Sparacino, Noris E Larkin
Clinical and administrative nurse leaders in a safety-net health system in Northern California developed and implemented a nursing practice framework to complement the system's 5-year strategic initiative (2015-2020). Their contributions have been integral to the health system's strategic direction and success. This article summarizes highlights of the journey from intellectual curiosity to pragmatic implementation system-wide.
September 2018: Journal of Nursing Administration
Patricia Reid-Ponte
In this column, Dr Reid-Ponte interviews Dr Karen Cox, current president of the American Academy of Nursing and chief operating officer for Children's Mercy Hospital in Kansas City. Dr Cox discusses her leadership trajectory and lessons learned.
September 2018: Journal of Nursing Administration
Rebecca Graystone
It has been more than 35 years since an enterprising team of nurse researchers evaluated the nursing shortage of the 1980s and unearthed findings that led to the creation of the American Nurses Credentialing Center's Magnet Recognition Program®. Today, the Magnet® credential stands as the highest international acknowledgment of nursing excellence in healthcare organizations.
September 2018: Journal of Nursing Administration
Barbara B Brewer, Kathleen M Carley, Marge M Benham-Hutchins, Judith A Effken, Jeffrey Reminga, Michael Kowalchuck
OBJECTIVE: The aim of this study was to compare information sharing and advice networks' relationships with patient safety outcomes. BACKGROUND: Communication contributes to medical errors, but rarely is it clear what elements of communication are key. METHODS: We investigated relationships of information-sharing and advice networks to patient safety outcomes in 24 patient care units from 3 hospitals over 7 months. Web-based questionnaires completed via Android tablets provided data to create 2 networks using ORA, a social network analysis application...
September 2018: Journal of Nursing Administration
Ann E Dechairo-Marino, Mara E Collins Raggi, Sherri Garber Mendelson, Martha E F Highfield, Robert G Hess
OBJECTIVE: The study aim was to determine if a targeted redesign of shared decision making improved shared governance (SG). BACKGROUND: Nursing SG is collaborative decision making between nurses at every level; it improves quality of care, empowers nurses, and enhances nurse satisfaction. METHODS: Using a quasi-experimental, pretest/posttest design, researchers electronically distributed the Index of Professional Nursing Governance (IPNG) to an inclusive, convenience sample of RNs in a Magnet®-designated 377-bed community medical center...
September 2018: Journal of Nursing Administration
John M Welton, Sharon H Pappas
No abstract text is available yet for this article.
September 2018: Journal of Nursing Administration
Lisa Potts, Catherine Ryan, Lauren Diegel-Vacek, Alisa Murchek
OBJECTIVE: The goal of this project was to decrease handoff delays from the emergency department (ED) as measured by ready to move (RTM)-to-occupied time. BACKGROUND: ED boarding compromises the quality, safety, and experience of patient care. Lack of standardized and transparent handoff communication contributes to boarding time. This process improvement initiative implemented a standardized electronic situation, background, assessment, and recommendation (eSBAR) format-based nursing handoff process from the ED to a medical unit...
September 2018: Journal of Nursing Administration
Stephanie Schoster Meade, Denise K Gormley
Nurse executives must develop creative solutions to improve staff perceptions of the work environment and decrease turnover, as well as stay connected with their staff. This article summarizes an innovative closed feedback loop using an electronic record incorporated into chief nursing officer rounding and the impact on NDNQI survey results.
July 2018: Journal of Nursing Administration
Sapan S Desai, John Cosentino, Kimberly Nagy
Ruptured abdominal aortic aneurysms (AAAs) are associated with a 90% overall mortality and $150 000 cost of care per patient. Despite improvements in intensive care and surgical technology, morbidity and mortality remain unchanged over the past 20 years. The most significant predictor of survival is time from the door of the hospital to the operating room. To streamline operational efficiency, a team utilized Lean Six Sigma methodologies, team training, and intentional clinical process design to institute changes in our clinical processes, enhance care coordination, and improve communication...
July 2018: Journal of Nursing Administration
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