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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
Karen White-Trevino, Valorie Dearmon
The emergency department is a complex environment in which reliable communication is vital for safe patient care. Communication during nurse shift report can be risky without an effective report process in practice. Reliability improves with the use of a standardized, patient-centered nurse handoff process. Quality improvement methods were used to promote reliable information exchange during nurse shift handoff through the implementation of a standardized, patient-centric bedside report process. Forty-six hospital-based emergency nurses participated in the project...
July 2018: Nursing Administration Quarterly
Meredith Gould, Marci Mann, Heather Martin, Rachael Erwin, Ron Schultz, Kristen Swanson
The use of "Caring Cards" is a unique innovation, which builds on reliable Lean processes. It adds the way we emotionally care for people to a Lean methodology. This article describes how the foundational constructs of nursing theory are paired with aspects of universal fall precautions. In a pilot prioritizing Caring Cards, conversations between leaders and staff provide a way for the nurse to describe his or her critical thinking about fall prevention that is individualized to a patient. Leaders collect information on barriers to care and demonstrate follow-up actions to staff members who raise concerns...
July 2018: Nursing Administration Quarterly
Joanne T Clavelle
Engaging persons in their health care influences the quality of care and improves patient safety, health outcomes, and the patient experience. Emerging technology is enabling patients to be more fully engaged in their care. At the same time, the rapid emergence of these solutions is impacting nursing professional practice, workflows, and care delivery models across the continuum. Faced with a sustained and continued technology explosion, nurse executives are uniquely positioned to lead care transformation that leverages technology to engage patients at the point of care, redefine nursing practice, and improve empirical outcomes...
July 2018: Nursing Administration Quarterly
Barbara Jacobs, Julie McGovern, Jamie Heinmiller, Karen Drenkard
Anne Arundel Medical Center has been on a 3-year journey to improve employee well-being with the assumption that employee well-being and employee engagement are interconnected. Improvements in employee well-being will result in increased employee engagement and will be a pivotal driver to assist the health system meet its goals. Historically, Anne Arundel Medical Center successfully differentiated itself in the market by being the region's high-quality, low-cost provider of health services delivered through intense collaboration with patients and families...
July 2018: Nursing Administration Quarterly
K David Bailey, Suzette Cardin
Engagement in health care has gained in importance over time. It has become increasingly important in the work that nurses do to optimize patient involvement in the management of their health care activities. Nurse leaders are being called upon to build and sustain cultures of engagement for their employees and ultimately for patients. The purpose of this article is to share an engagement process that has proven successful at a community-based academic medical center that has received Magnet designation. While engagement remains a multifaceted process for all parties involved and requires a constant focus, the authors have focused on 3 key areas to increase registered nurse engagement...
July 2018: Nursing Administration Quarterly
Beth A Lown
Compassion, the foundation of Nursing, is a source of both healing for those who suffer and of purpose and meaning for those who seek to heal others. Increasingly, however, the fast pace and volume of care and documentation requirements diminish time with patients and families and hinder the enactment of compassion. These issues and other aspects of the work environment decrease the satisfaction and well-being of professional caregivers and are contributing to a rising tide of burnout. Research suggests that employee engagement emerges from their satisfaction and well-being; however, it is difficult for an individual to engage when she or he feels depleted and unsupported...
July 2018: Nursing Administration Quarterly
Victoria Niederhauser, Jason Wolf
Health care organizations recognize that it is difficult to achieve consistent excellence in patient experience. Nursing leaders cannot underestimate the importance of the role they play in efforts to improve the patient experience. This article outlines a call to action for nurse leaders to consider reframing the patient experience as a focal point for the entire organization's strategic approach and tactics. This involves facilitating a dialogue about the organization's patient experience definition; building a strong, positive organization culture; creating processes to ensure the engagement of all voices; ensuring a focus across the continuum of care; and addressing the key drivers of patient experience excellence...
July 2018: Nursing Administration Quarterly
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Nursing Administration Quarterly
Susan M Grant, Pamela Jones, Bonnie Pilon
As national efforts intensify to improve health outcomes and reduce health care costs, hospitals search for effective ways to partner with patients and families to achieve these goals. Many are implementing patient and family advisory programs (PFAPs) where patients, families, administrators, and clinicians work together to improve the patient experience. However, hospitals struggle with engaging the underserved-specifically, dual-eligible patients enrolled in both Medicare and Medicaid-in PFAPs. This quality improvement project used telephone interviews with 12 dual-eligible beneficiaries and 4 of their providers to identify successful approaches to engage these patients in the hospital PFAP...
July 2018: Nursing Administration Quarterly
Pat Mastors
Note from the Editor: This article is written by Pat Mastors, founder of the Patients' View Institute. While we traditionally publish articles by nurse leaders for nurse leaders, Ms Mastors offers us a view of hospital care from patients and families. We are publishing this as a gift to our readers because who can better tell us what is most important to those who receive our care than the recipients themselves.
July 2018: Nursing Administration Quarterly
Karen Drenkard, Joyce Batcheller
No abstract text is available yet for this article.
July 2018: Nursing Administration Quarterly
(no author information available yet)
No abstract text is available yet for this article.
July 2018: Nursing Administration Quarterly
Jane M Carrington, Nicolette Estrada, Angela C Brittain, Katherine M Dudding, Benjamin J Galatzan, Christine Nibbelink, Ryan J Rasmussen, Monte L Roberts, Susan M Renz
No abstract text is available yet for this article.
April 2018: Nursing Administration Quarterly
Kevin L Meek, Paula Williams, Caryn J Unterschuetz
To improve patient satisfaction ratings and decrease readmissions, many organizations utilize internal staff to complete postdischarge calls to recently released patients. Developing, implementing, monitoring, and sustaining an effective call program can be challenging and have eluded some of the renowned medical centers in the country. Using collaboration with an outsourced vendor to bring state-of-the-art call technology and staffed with specially trained callers, health systems can achieve elevated levels of engagement and satisfaction for their patients postdischarge...
April 2018: Nursing Administration Quarterly
Mia-Riitta Lehtonen, Mervi Roos, Kati Kantanen, Tarja Suominen
The aim of this research was to describe nurse managers' leadership and management competencies (NMLMC) from the perspective of nursing personnel. Nurse managers are responsible for the management of the largest professional group in social and health care. The assessment of NMLMC is needed because of their powerful influence on organizational effectiveness. An electronic survey was conducted among the nursing personnel (n = 166) of 1 Finnish hospital in spring 2016. Nursing personnel assessed their manager using a NMLMC scale consisting of general and special competences...
April 2018: Nursing Administration Quarterly
Lee Galuska, Judith Hahn, E Carol Polifroni, Gregory Crow
Health care transformation is guided by the triple aim of improving health, enhancing the patient experience, and reducing costs. Experts have recommended the addition of a fourth aim, improving the experience of providing care. They advise that achievement of the triple aim will only be possible if we create the conditions where health care workers can find meaning and joy in their work. Nurses' experiences with meaning and joy in their practice have not been well described. In an effort to fill this knowledge gap, nurses across the nation recently participated in a qualitative study to share their experiences with meaning and joy in their nursing practice...
April 2018: Nursing Administration Quarterly
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