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Nursing Administration Quarterly

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https://www.readbyqxmd.com/read/29194338/nurses-use-of-positive-deviance-when-encountering-electronic-health-records-related-unintended-consequences
#1
Alycia A Bristol, Christine W Nibbelink, Sheila M Gephart, Jane M Carrington
As organizations adopt electronic health records (EHRs), nurses frequently encounter system barriers and difficulty performing role expectations. This article describes nurses' experiences with unintended consequences emerging from the use of an EHR. In some situations, nurses were positively deviant when encountering unintended consequences relating to EHRs to accomplish patient care or protect patient safety. Nurses engaged in work-arounds to provide patient care when the EHR did not meet their needs, sometimes in positively deviant ways...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194337/nch-healthcare-system-naples-florida-philanthropy-targeted-for-nursing-innovation
#2
Michele Thoman, Laurie Kay Zone-Smith
No abstract text is available yet for this article.
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194336/international-nursing-constructing-an-advanced-practice-registered-nurse-practice-model-in-the-uae-using-innovation-to-address-cultural-implications-and-challenges-in-an-international-enterprise
#3
Sue A Behrens
Despite utilization of the advanced practice registered nurse (APRN) in the United States health care system, there is little information about the introduction, utilization, and challenges of the APRN role globally, especially in the Middle East. This article will look at how one hospital in the United Arab Emirates introduced the APRN role to a health care environment of a country where it has not been recognized historically. Cultural challenges and barriers for the implementation of the role include regulatory, societal, and institutional...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194335/the-cno-and-leading-innovation-competencies-for-the-future
#4
Barbara Weatherford, Kathleen A Bower, Joan Vitello-Cicciu
Although innovation is critical to success in today's tumultuous environment, health care is slow to embrace it, and there is significant variability in strategic adoption of innovation across organizations. Nurse leaders do not need to be innovators themselves but must engage in, and have the ability to create, an organizational culture of innovation. Twenty-six leadership behaviors specific to innovation leadership were identified through a Delphi study to develop competencies as well as the knowledge, skills, and attitudes that support nurse leaders in acquiring or expanding the capability of nurse leaders to create a culture of innovation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194334/creativity-and-innovation-in-health-care-tapping-into-organizational-enablers-through-human-centered-design
#5
Christi Dining Zuber, Louise Moody
There is an increasing drive in health care for creativity and innovation to tackle key health challenges, improve quality and access, and reduce harm and costs. Human-centered design (HCD) is a potential approach to achieving organizational innovation. However, research suggests the nursing workforce feels unsupported to take the risks needed for innovation, and leaders may not understand the conditions required to fully support them. The aim of this study was to identify enabling conditions that support frontline nurses in their attempts to behave as champions of innovation and change...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194333/nursing-integration-and-innovation-across-a-multisystem-enterprise-priorities-for-nurse-leaders
#6
Sharon Pappas, Linda McCauley
There is no escaping the fact that the ability to skillfully influence change is a requirement for nurse leaders. This need is intensified as the national health care system reforms and as the morphology of health care systems continues to change, especially in academic health care systems. The purpose of this article was 2-fold. The first objective was to relay the experience of the integration of nursing practice, education, and research within an academic health care system. The second was to, through this story of integration, expose the uniqueness and importance of nurse leader roles influencing innovation across a multisystem enterprise to fulfill the organization's mission...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194332/operationalizing-a-nursing-innovation-center-within-a-health-care-system
#7
Nancy M Albert
In nursing, the terms "innovation" and "innovative" are used freely, especially when individuals or groups either develop something new or improve upon current practice. Innovation is often considered adjunct work, not part of foundational work that aims to meet the vision, mission, and values of the organization. Nurse leaders must include innovation as an important theme of this foundational work. Innovation must become a core expectation of all nurses and nursing team members. Team members can provide ideas that lead to innovations...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194331/kaiser-s-school-of-nursing-a-70-year-legacy-of-disruptive-innovation
#8
Jim DʼAlfonso, Deloras Jones, Terri Moss
A legacy project was launched in 2016 to research, capture, and record the history and voice of Kaiser Foundation School of Nursing alumni. The inspirational stories of these early nursing pioneers emerged within a disruptive and innovative health care system known as Kaiser Permanente. Led by a doctorally prepared nurse director, the new school boldly rejected the dominant social norms of the 1940s by welcoming minorities and offering an unprecedented curriculum that prioritized prevention, health promotion, and wellness over conventional institutionalized sick care models...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194330/accelerating-innovation-through-coopetition-the-innovation-learning-network-experience
#9
Chris McCarthy, Penny Ford Carleton, Elizabeth Krumpholz, Marilyn P Chow
Coopetition, the simultaneous pursuit of cooperation and competition, is a growing force in the innovation landscape. For some organizations, the primary mode of innovation continues to be deeply secretive and highly competitive, but for others, a new style of shared challenges, shared purpose, and shared development has become a superior, more efficient way of working to accelerate innovation capabilities and capacity. Over the last 2 decades, the literature base devoted to coopetition has gradually expanded...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194329/buildings-barriers-and-breakthroughs-bridging-gaps-in-the-health-care-enterprise
#10
Karla Kaelin, Kathy Okland
Health care architecture and design are critical resources that are often underestimated and overlooked. As we seek to extract every available resource at our disposal to serve patients and sustain the bottom line, it is vital that we consider the influence the building imposes on the patient and caregiver experiences. Buildings impact both caregiver behaviors and the economic enterprise and are, therefore, the business of health care executives. This understanding is not only an executive obligation, it is an executive opportunity...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194328/the-power-of-the-frame-systems-transformation-framework-for-health-care-leaders
#11
Kathy A Scott, Janice Pringle
Health care leaders are responsible for oversight of multiple and competing change interventions. These interventions regularly fail to achieve the desired outcomes and/or sustainable results. This often occurs because of the mental models and approaches that are used to plan, design, implement, and evaluate the system. These do not account for inherent characteristics that determine the system's likely ability to innovate while maintaining operational effectiveness. Theories exist on how to assess a system's readiness to change, but the definitions, constructs, and assessments are diverse and often look at facets of systems in isolation...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194327/guest-editorial
#12
Tim Porter-OʼGrady, Kathy Malloch, Dan Weberg
No abstract text is available yet for this article.
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29194326/from-the-editor
#13
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859010/the-effects-of-implementing-a-patient-acuity-tool-on-nurse-satisfaction-in-a-pulmonary-medicine-unit
#14
Blaney Firestone-Howard, Judith F Zedreck Gonzalez, Linda A Dudjak, Dianxu Ren, Sandra Rader
In response to nurses' concerns of equity and satisfaction with patient assignments in a pulmonary medicine unit, a Patient Acuity Tool (PAT) was implemented. The impact of the PAT on nurse satisfaction and perceived equity of patient assignments was measured using a pre-/postsurvey design. Findings of the investigation indicate that a PAT supports nurse satisfaction and equity. In addition, qualitative data suggested that the PAT improved perceived professional autonomy and nurse-to-nurse communication.
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859009/the-case-for-bringing-the-licensed-practical-nurse-back-to-the-hospital
#15
Catherine H Garner, Suzanne M Boese
The expansion of the aging population, residential care facilities, and projected registered nurse shortages pose significant challenges to nurse staffing ratios. The licensed practical/vocational nursing role is now being reexamined, as acute care and long-term care facilities look at staffing models and patient safety. There is now a demand for an increase in the numbers of practical nurse education programs, which have been overlooked as a pipeline for professional nursing. Recruiting and educating practical nurses open a pathway for greater diversity in the nursing profession as well as improving patient health outcomes...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859008/leveraging-the-internet-of-things-to-transform-care-delivery
#16
Joyce Sensmeier
No abstract text is available yet for this article.
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859007/developing-professional-practice-and-ethics-engagement-a-leadership-model
#17
Karen M Reilly, Martha Jurchak
Nurse leaders are responsible for a practice environment that fosters safe, quality patient outcomes through excellence in nursing practice. This article describes a reflective practice intervention in the Cardiac Intensive Care Unit of an urban academic medical center led by the unit nursing director and the hospital's nurse ethicist. The twice monthly case-based discussions, called "Nursing Practice and Ethics Rounds," were attended by staff and unit managers (nurse director, assistant nurse director, and clinical educator) and were facilitated by the nurse ethicist...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859006/nurses-to-their-nurse-leaders-we-need-your-help-after-a-failure-to-rescue-patient-death
#18
Cynthia Thornton Bacon
The purpose of this study was to describe nurses' needs and how they are being met and not met after caring for surgical patients who died after a failure to rescue (FTR). A qualitative, phenomenologic approach was used for the interview and analysis framework. Methods to ensure rigor and trustworthiness were incorporated into the design. The investigator conducted semistructured 1:1 interviews with 14 nurses. Data were analyzed using Colaizzi's methods. Four themes were identified: (1) coping mechanisms are important; (2) immediate peer and supervisor feedback and support are needed for successful coping; (3) subsequent supervisor support is crucial to moving on; and (4) nurses desire both immediate support and subsequent follow-up from their nurse leaders after every FTR death...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859005/on-boarding-the-middle-manager
#19
Mary OʼConnor
The trend of promoting clinical experts into management roles continues. New middle managers need a transitional plan that includes support, mentoring, and direction from senior leaders, including the chief nursing officer (CNO). This case study demonstrates how the CNO of one organization collaborated with a faculty member colleague to develop and implement a yearlong personalized on-boarding program for a group of new nurse middle managers.
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28859004/effects-of-the-nurse-athlete-program-on-the-healthy-lifestyle-behaviors-physical-health-and-mental-well-being-of-new-graduate-nurses
#20
David P Hrabe, Bernadette Mazurek Melnyk, Jacalyn Buck, Loraine T Sinnott
Recognizing that transition from nursing student to point-of-care nurse can be a stressful time period in one's career. A pilot study at a large Midwestern medical center tested the preliminary effects of a health-oriented workshop, the Nurse Athlete, on new graduate nurses' healthy lifestyle beliefs, healthy lifestyle behaviors, depressive and anxiety symptoms, as well as health outcomes. The Nurse Athlete workshop, provided in partnership with Johnson & Johnson's Human Performance Institute (HPI), used materials from HPI's Corporate Athlete program...
October 2017: Nursing Administration Quarterly
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