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Journal of Nursing Administration

Wendy B Hansbrough, Gina Kray, Faten Katib
OBJECTIVE: This quantitative study examined patients' trust of a nurse who represents the Muslim faith by wearing the hijab. BACKGROUND: Presumptions about nurse trustworthiness based on religious affiliation may impede the effectiveness of the nurse-patient relationship and diminish the ability of nursing care to promote patient's feelings of well-being. METHODS: Hospitalized participants were randomly given a picture of a nurse either wearing the hijab or not...
July 11, 2018: Journal of Nursing Administration
Joanne R Duffy, Stacey Culp, Tom Padrutt
OBJECTIVE: The aims of this study are to describe and evaluate the factors associated with missed nursing care in an acute care community hospital. BACKGROUND: Despite RNs' accountability for high-quality patient care in hospitals, missed nursing care is widespread, jeopardizing patient safety and health system costs. Better understanding of the factors associated with missed nursing care may provide nurse leaders with opportunities for improvement. METHODS: Using a cross-sectional correlational study design, 138 RNs were randomly sampled during May-June 2017...
July 11, 2018: Journal of Nursing Administration
Erik R Martin, Robert Kallmeyer
OBJECTIVE: The purpose of this study was to explore how generational differences contribute to challenges in recruiting the next generation of talent into nursing administration roles. BACKGROUND: The current workforce is aging. Nursing administrative roles, which for the purpose of this study are defined as nurse managers, are increasingly difficult to fill with leaders from upcoming Generations X and Y. METHODS: A descriptive, nonexperimental study was undertaken using a convenience sample...
July 11, 2018: Journal of Nursing Administration
Chenjuan Ma, Amy Witkoski Stimpfel
OBJECTIVE: The aim of this study was to examine the impact of nurse shift patterns on nurses' collaboration with nurses and physicians in US acute care hospital units. BACKGROUND: Collaboration between nurses and other healthcare providers is critical for ensuring quality patient care. Nurses perform collaboration during their shift work; thus, nurse shift patterns may influence collaboration. However, there is a dearth of empirical evidence of the relationship between nurse shift patterns and collaboration of nurses with other healthcare providers...
June 2018: Journal of Nursing Administration
Lynne Phifer, Karen Robeano, Angela Ivey, Jane Blood-Siegfried
Supporting nurses with associate degrees in nursing (ADNs) to return to school is challenging for nurse executives. Strategies include tuition reimbursement, scholarships, and flexible scheduling. Despite these measures, it is anticipated that we will fall short of a goal of 80% bachelor's degree-prepared nurses by 2020. The aim of this project was to increase ADN-prepared RN readiness to return to school through motivational interviewing.
June 2018: Journal of Nursing Administration
Heather L Williams, Teresa Costley, Lanell M Bellury, Jasmine Moobed
OBJECTIVE: The aim of this study was to explore the relationships between nurse-reported health-promoting behaviors (HPBs), job stress, and job satisfaction in a hospital setting. BACKGROUND: Job stress and satisfaction are key components of the nursing work environment; however, evidence of the relationship between HPB and job stress and satisfaction is lacking. METHODS: A cross-sectional, 144-item survey was administered to nurses working in an acute care, community hospital in the southeastern United States...
June 2018: Journal of Nursing Administration
Jacqueline Loversidge, Po-Yin Yen, Esther Chipps, Lynn Gallagher-Ford, Lynne Genter, Jacalyn Buck
OBJECTIVE: The aim of this study was to describe differences in associate degree (ADN) and baccalaureate degree-prepared (BSN) nurses' perceptions of top-of-license (TOL) practice. BACKGROUND: To date, no empirical work has examined whether ADN and BSN nurses approach TOL practice nursing activities differently. METHODS: We conducted a qualitative pilot study with focus groups to explore the perceptions of a group of ADN- and BSN-prepared nurses concerning nursing activities and their relation to TOL practice...
June 2018: Journal of Nursing Administration
Margo A Halm, Kristen Crusoe
Sustaining a clinical excellence culture for Magnet® redesignation requires continued engagement of frontline nurses, nurse leaders, and executives. Appreciative Inquiry is a strength-based approach emanating from a positive core. From this core, teams discover, dream, design, and create their preferred destiny. This article describes how a Magnet-designated organization used Appreciative Inquiry to revitalize its redesignation preparation and beyond.
June 2018: Journal of Nursing Administration
Sadeeka Al-Majid, Nika Carlson, Melody Kiyohara, Merideth Faith, Cyril Rakovski
OBJECTIVES: The aim of this study was to assess the degree of compassion satisfaction and compassion fatigue (CF) among critical care, oncology and charge nurses. BACKGROUND: Cumulative grief resulting from caring for critically/terminally ill patients may result in CF, leading to lower quality care and higher nurse attrition. METHOD: Data were collected from 38 direct care nurses and 10 charge nurses, using the Professional Quality of Life...
June 2018: Journal of Nursing Administration
Lisa B E Shields, Lewis Perkins, Lisa Clark, Christopher B Shields
After experiencing growth in a neuroscience service line, nurse leaders identified a need for increased competencies among clinical staff. This hospital met the need by developing a unique multidisciplinary neuroscience nursing course to improve the clinical competence, confidence, and professional development of bedside nurses.
June 2018: Journal of Nursing Administration
Angela S Prestia
This column profiles Mary Jo Bulfin, MBA, RN, CENP, chief executive officer of St. Mary's Medical Center, West Palm Beach, Florida. Ms Bulfin began her career as a staff nurse in the organization where she is now the CEO and discusses her career path and lessons learned.
June 2018: Journal of Nursing Administration
Melanie Roberts
In this month's Magnet® Perspectives column, Melanie Roberts, DNP, RN-BC, CNS, CCNS, CCRN, critical care clinical nurse specialist at Medical Center of the Rockies (MCR) and Poudre Valley Hospital, discusses her efforts to implement the state-ofthe-art European Resuscitation Council (ERC) guideline for resuscitation of cardiovascular (CV) surgery patients. Her evidence-based initiative has improved quality of care and mortality rates among the CV surgery population at MCR. Dr Roberts' pioneering work earned her the 2017 National Magnet Nurse of the Year Award for Empirical Outcomes...
June 2018: Journal of Nursing Administration
Carol Boston-Fleischhauer
The public reporting of clinical and operational performance measures is old news for chief nurse executives (CNEs). Since the advent of value-based purchasing and patient experience measures, CNEs have partnered with other executives to ensure organizational readiness and success with the performance measures being publicly shared. In 2018, healthcare organizations face a new wave of public reporting expectations-price. Once again, executives will need to ensure organizational readiness. Chief nurse executives must analyze the impact of this trend on the nursing enterprise and carefully consider how to best prepare for healthcare price transparency...
June 2018: 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...
June 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...
June 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
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