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Nursing Administration Quarterly

Rita Solbakken, Elisabeth Bergdahl, Gudrun Rudolfsson, Terese Bondas
To explore and derive new conceptual understanding of nurse leaders' experiences and perceptions of caring in nursing. RESEARCH QUESTION: What is caring in nursing leadership from the nurse leaders' perspectives? There is a paucity of theoretical studies of caring in nursing leadership. Noblit and Hares interpretative meta-ethnography was chosen because of its interpretative potential for theory development. Caring in nursing leadership is a conscious movement between different "rooms" in the leader's "house" of leadership...
October 2018: Nursing Administration Quarterly
Jiyoung Noh, Eui Geum Oh, So Sun Kim, Yeon Soo Jang, Hyun Soo Chung, Ogcheol Lee
Despite high awareness of the need, opportunities for nurses to gain disaster experience or training are limited. In Korea, most disaster training is done in an undergraduate curriculum where there is very limited practice, and the educational topics are mostly focused on the field aspect of disaster events. The purpose of this study was to determine the need for such training for hospital nurses and to determine appropriate and relevant components of the training contents. A qualitative survey approach using the modified Delphi method was used to collect and analyze the data...
October 2018: Nursing Administration Quarterly
Shannon Munro, Aida Haile-Mariam, Carole Greenwell, Sevtap Demirci, Owais Farooqi, Shikha Vasudeva
Implementation and dissemination of an oral care initiative enhanced the safety and well-being of Veterans at the Salem VA Medical Center by reducing the risk of non-ventilator-associated hospital-acquired pneumonia (NV-HAP). The incidence rate of non-ventilator-associated hospital-acquired pneumonia decreased from 105 cases to 8.3 cases per 1000 patient-days (by 92%) in the initial VA pilot, yielding an estimated cost avoidance of $2.84 million and 13 lives saved in 19 months postimplementation. The team was successful in translating this research into a meaningful quality improvement intervention in 8 VA hospitals (in North Carolina, Texas, and Virginia) that has promoted effective and consistent delivery of oral care across hospital service lines and systems, improved the health of Veterans, and driven down health care costs associated with this largely preventable illness...
October 2018: Nursing Administration Quarterly
Hannah J Jang, Daniel Weberg, Catherine Dower
Within a large integrated health care system that includes local, regional, and national medical centers and offices, quality and patient safety teams, and research institutes, more than 58 000 nurses are employed, with the vast majority providing point-of-care service to patients and members. A small but increasingly important number of nurses are involved in quality improvement and research teams to improve patient care. Within this environment, a number of developments point to a growing need for nursing leadership in systems-level and delivery science policies and research...
October 2018: Nursing Administration Quarterly
Lianna Z Ansryan, Harriet Udin Aronow, Bernice Coleman, Flora Haus, Cathy Rodgers Ward, Gloria Sanchez-Rico, Peggy Berwald, Barbara LeQuire, Linda Burnes Bolton
Systems Addressing Frail Elders (SAFE) Care is an interprofessional team-based program, which was developed and evaluated in a cluster randomized controlled trial. Results of this trial included reduced length of stay and complications for patients. This article describes a successful partnership across 4 Magnet hospitals in the dissemination of the model. A 2-year sequential implementation process was completed, with an approach of adoption, adaptation, and abandonment. The model was successfully implemented at each participating Magnet hospital...
October 2018: Nursing Administration Quarterly
Kiara McNamara, Phyllis Wright
With a goal of increasing transparency regarding the utilization of Observation Units (OUs) in relation to Medicare policies, a 2012-2014 retrospective analysis was performed on 108 009 de-identified records of patients admitted from emergency departments to OUs within an urban health system. A cost-benefit analysis of OUs from the patient-centered perspective provided the theoretical patient cost. Using a query search, data regarding encounter type, length of stay, insurance carrier, origin, disposition, and age were collected...
October 2018: Nursing Administration Quarterly
Ursula Kelly, Corrine Abraham, Sharlene Toney, Lisa Muirhead, Susan E Shapiro
Schools of nursing located within academic health centers have embraced expanded opportunities to lead in this era of rapid change and considerable uncertainty in US health care. These schools bear a unique responsibility to work with their clinical nursing partners to advance the care of patients, improve the health of communities and populations, and help steward the nation's health care resources. This article describes how the Emory University Nell Hodgson Woodruff School of Nursing has formed and sustained academic-practice partnerships in response to these imperatives...
October 2018: Nursing Administration Quarterly
Phyllis P Wright, John N Cranmer
Academic and clinical site partnerships are not new. However, many of these have not resulted in graduates of nursing education programs who are prepared to fulfill their full potential as newly employed professionals. This article describes an education program for Doctorate of Nursing Practice (DNP) students in which the students, under the close supervision of academic faculty, utilize their statistical analyses and complex system coursework to study and address "wicked" problems faced by health care organizations...
October 2018: Nursing Administration Quarterly
Noreen Bernard, Kristy K Martyn
Consumerism and globalism are driving the demand for new business and education models. Nurse executives in all work environments are facing the need to innovate and implement new service models in a nimble and rapid manner. This article highlights the current and future state of nursing education and clinical practice integration through the lens of an academic-practice partnership, by demonstrating the benefit of a unified approach to nurse residencies. Through adaption and creation of a shared culture, education and service can work effectively together in the development of a pipeline for future nurses in a wide array of nursing roles...
October 2018: Nursing Administration Quarterly
Amy Dorrill
The Manatt report recommends a multipronged revenue portfolio to support academic health center (AHC) nursing: tuition, clinical practice, and external support. Most AHC nursing enterprises rely only on the first two-student tuition and patient billing. Philanthropy is not generally viewed as a viable revenue stream, especially for clinical nursing operations, but it should be. While health care's operating margins are shrinking, philanthropy continues to rise. In 2016, joint hospital and medical school fund-raising programs received an average of $100 million per organization...
October 2018: Nursing Administration Quarterly
Carolyn K Clevenger, Janet Cellar
There are many documented instances of academic nurses creating faculty practice opportunities to support their faculty and students. Fewer articles have been published about the value of these shared models to clinical partners. Advanced practice nurses from the academic and clinical departments at Emory University and Emory Healthcare codesigned a new model of care that addresses the health system's need to achieve better experiences and health outcomes for patients living with dementia. The nurse-led clinical practice, called Integrated Memory Care Clinic, is an innovative example of joint planning and design by academic and clinical nurses to advance the teaching, practice, and research mission of the School of Nursing as well as help satisfy the health system's ability to achieve the Triple Aim...
October 2018: Nursing Administration Quarterly
Mary Magee Gullatte, Elizabeth J Corwin
Engaging in clinical inquiry is a natural foundation for a nurse's critical thinking strategy and application to practice. Transforming clinical inquiry into a formal research question designed to improve patient care and/or the practice environment can, however, sometimes seem overwhelming to clinical nurses. It may even be seen as out of scope for their daily practice. As a result, aligning the trifold mission of service, education, and research at an Academic Health Sciences Center can be challenging unless there exists a purposeful strategy to achieve this goal...
October 2018: Nursing Administration Quarterly
Linda A McCauley, Sharon H Pappas
No abstract text is available yet for this article.
October 2018: Nursing Administration Quarterly
Patricia S Yoder-Wise
No abstract text is available yet for this article.
October 2018: Nursing Administration Quarterly
Roy L Simpson, Linda Burnes Bolton
No abstract text is available yet for this article.
October 2018: Nursing Administration Quarterly
(no author information available yet)
No abstract text is available yet for this article.
October 2018: Nursing Administration Quarterly
Mohammad Mari, Aladeen Alloubani, Mohammad Alzaatreh, Hamzeh Abunab, Analita Gonzales, Mohammad Almatari
Job satisfaction improves the outcome of health care services. Nurses' job satisfaction should receive more attention in Saudi Arabia, and worldwide. This study was undertaken to measure factors that affect job satisfaction among critical care nurses at King Khalid Hospital in Saudi Arabia. This study used a quantitative, cross-sectional method. A convenient sample of 190 critical care nurses was recruited from the main government hospital in Saudi Arabia. Job satisfaction scales were used in this study. Overall, the staff nurses were neither satisfied nor dissatisfied with their work...
July 2018: Nursing Administration Quarterly
Jane Barnsteiner, Joanne Disch
Person- and family-centered care (PFCC) is a philosophy that has been espoused for decades and yet is rarely embedded in health care organizations. Difficulties dispelling the numerous myths about what PFCC is, as well as daunting challenges to designing and implementing it, have hindered progress. The chief nurse officer is well-positioned to assume organizational leadership in successfully navigating this effort. This article provides 9 specific steps a chief nurse officer should take to create a culture, with supportive systems and an environment, to ensure authentic PFCC...
July 2018: Nursing Administration Quarterly
Christina Dempsey, Mary Jo Assi
To lead others in achieving exemplary outcomes, nurse leaders need to understand the vital and interdependent connection between quality, safety, the patient and RN experience of care, and RN engagement. The triple aim of improving population health, enhancing patient experience, and reducing cost cannot be accomplished without a robust and engaged workforce that finds joy and meaning in its work. This is especially true for the nursing workforce. The vital connection of nurse engagement to the experience of care, and ultimately to nurse and patient outcomes, is clear...
July 2018: Nursing Administration Quarterly
Terese Bondas
The purpose of this study was to describe the participation of nurses and nurse leaders in self-organizing teams formed to develop innovative nursing care. The theoretical perspective combines Bondas' caritative theory on nursing leadership with Waterman's and Dolan's work on ad hoc organizations. Seven self-organizing teams participated in a 2-year action research project. Data were collected through fieldwork, formal and informal individual and group interviews, and diaries. Analytical abstraction methodology described by Miles et al was used...
July 2018: Nursing Administration Quarterly
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