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Nursing leadership

Esther Lee, JoAnn Daugherty, Thomas Hamelin
PURPOSE: This paper spotlights human capital management, digital technology, and costs control as issues that healthcare leaders will face in redesigning the health care ecosystem in the 21st century. DESIGN: The paper was designed to highlight the attributes that make effective leaders. It addresses how nursing leadership can take a lead to redesign the 21st Century health care system, supported by case examples. METHODS: An expansive literature review was done using MEDLINE, SAGE, Google Scholar, and University of California San Diego Library Catalogs...
June 13, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Melaine Coward
Part one of this six-part continuing professional development series considered the role of nurse managers in supporting reflection for professional learning. It was aimed at enabling readers to consider critically the role of reflection in nursing and relate this to the Nursing and Midwifery Council's professional requirements. Part two explores approaches to and benefits of reflection for self-development. The notion of self-development may seem removed from professional practice and nurse leadership but the traits that demonstrate who we are, how we learn, how we act and how we influence are related to and transferable from self to professional self...
June 14, 2018: Nursing Management (Harrow)
Alejandro Orgambídez, Helena Almeida
OBJECTIVES: This work sought to assess the predictor role of work engagement and social support from the supervisor and coworkers on affective commitment with the organization in nursing staff from southern Portugal. METHODS: A cross-sectional study was conducted with participation from 215 nursing professionals from three public hospitals in southern Portugal. RESULTS: Of the respondents, 77.21% were women. Statistically significant and positive correlations were observed between affective organizational commitment and the three dimensions of engagement: vigor (r=0...
February 2018: Investigación y Educación en Enfermería
Aisha Tamika McKenzie, Gulen Addis
AIMS AND OBJECTIVES: The aim of this study was to examine the experience of registered nurses working in renal inpatients wards at an acute National Health Service (NHS) hospital Trust. Nurse perceptions of their experience particularly in relation to job satisfaction was analysed. BACKGROUND: Increased understanding of workplace organisation and culture can contribute to improved nurse work experience and better patient care. Worldwide many studies conducted on nurse experience and job satisfaction show that job satisfaction level varies across work settings so analysis of job satisfaction at a local level such as in a ward is important for producing useful analysis and recommendations...
June 13, 2018: Journal of Clinical Nursing
Jonathan Harris, Paula Mayo
Good leadership is essential to patient-centred care and staff satisfaction in the healthcare environment. All members of the healthcare team can be leaders and evidence-based theory should inform their leadership practice. This article uses a case study approach to critically evaluate leadership as exercised by a charge nurse and a student nurse in a clinical scenario. Ineffective leadership styles are identified and alternatives proposed; considerable attention is given to critiquing both 'heroic' and 'post-heroic' transformational leadership theories...
June 14, 2018: British Journal of Nursing: BJN
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
Gerard M Fealy, Mary Casey, Denise F O'Leary, Martin S Mcnamara, Denise O'Brien, Laserina O'Connor, Rita Smith, Diarmuid Stokes
AIMS AND OBJECTIVES: The aim of this discursive paper is to collate, synthesise and discuss published evidence and expert professional opinion on enablers and barriers to the development and sustainability of specialist and advanced practice roles in nursing and midwifery. BACKGROUND: Expanded practice is a response to population health needs, healthcare costs and practitioners' willingness to expand their scope of practice through enhanced responsibility, accountability and professional autonomy...
June 12, 2018: Journal of Clinical Nursing
Leeann Whitehair, John Hurley, Steve Provost
AIMS AND OBJECTIVES: To explore how team processes support nursing teams in hospital units during every day work. BACKGROUND: Due to their close proximity to patients, nurses are central to the process of maintaining patient safety. Globally, changes in models of care delivery by nurses, inclusive of team nursing are being considered. DESIGN AND METHODS: This qualitative study used purposive sampling in a single hospital and participants were nurses employed to work on a paediatric unit...
June 12, 2018: Journal of Clinical Nursing
Qingqi Deng, Yao Zhang, Qiufang Li, Hua Wang, Xinfen Xu
AIMS AND OBJECTIVES: To explore factors that impact nurses' knowledge, perceptions, and practice related to kangaroo care (KC) in neonatal intensive care units (NICUs) in China. BACKGROUND: It is recognized extensively that KC is an effective intervention for improving the outcomes of preterm infants and has been recommended as a routine practice for neonatal care. However, this practice is uncommon in China and little is known about neonatal nurses' knowledge and attitude...
June 12, 2018: Journal of Clinical Nursing
Lei Cheng, Sheng Feng, Yan Hu, Marion E Broome
Thank you for the opportunity to respond to Hu and Gifford's comments(Hu & Gifford, 2018). We appreciated their acknowledgement of our findings about the factors influencing the successful implementation of evidence-based practice (EBP). The authors described leadership behaviors as having a significant role in implementing evidence-based practice. This article is protected by copyright. All rights reserved.
June 12, 2018: Journal of Clinical Nursing
Candace C Knight, Sharon H Hamilton
Introducing leadership content early in a nursing program and weaving related concepts throughout the curriculum allow students opportunities to try on leadership roles and styles and become more skilled in applying leadership concepts. This article describes the implementation and revision of a personal leadership course taught early in an undergraduate nursing curriculum using service-learning, simulation, and team-based learning. The innovative delivery of the course improved student satisfaction and relevance of leadership concepts to second-semester nursing students...
June 9, 2018: Nursing Education Perspectives
Lusine Poghosyan, Allison A Norful, Miriam J Laugesen
BACKGROUND AND PURPOSE: In 2015, New York State adopted the Nurse Practitioners Modernization Act to remove required written practice agreements between physicians and nurse practitioners (NPs) with at least 3,600 hours of practice experience. We assessed the perspectives of physicians and NPs on the barriers and facilitators of policy implementation. METHODS: Qualitative descriptive design and individual face-to-face interviews were used to collect data from physicians and NPs...
June 2018: Journal of the American Association of Nurse Practitioners
Jennifer Dale-Tam, Glenn D Posner
As an educational methodology, simulation has been used by nursing education at the academic level for numerous years and has started to gain traction in the onboarding education and professional development of practicing nurses. Simulation allows the learner to apply knowledge and skills in a safe environment where mistakes and learning can happen without an impact on patient safety. The development of a simulation scenario to demonstrate the benefits of simulation education methodologies to a large group of nurse educators was requested by nursing education leadership at The Ottawa Hospital (TOH)...
April 2, 2018: Curēus
Julie Bertram, Kris L'Ecuyer, Bobbi Shatto, Samantha Marquard, Kathleen Carril
This article describes a seminar course designed for a cohort of nursing students in a medium-sized, private Midwestern university. The purpose of the course was to help students develop the nonacademic skills that are important for successful completion of nursing school and entry into the health care workforce. The rationale for developing the course and the sample curriculum are presented, along with implications for future inquiry.
May 1, 2018: Creative Nursing
Deborah Sharp, Elisa Haynes, Helen Lee, Cindy Bussey, Abla Afatsawo, Sylvia Davis, Donna Owens, Marjorie Jenkins
AIMS AND OBJECTIVE: This article reviews a professional nurse advancement program and describes how it benefits patient care, staff engagement, and patient satisfaction. BACKGROUND: Existing literature notes that professional nurse advancement programs can empower nurses to improve nursing care at the bedside and contribute to a safe patient care environment. METHOD: The article reviews the qualitative exploration of the activities of participants in a professional nurse advancement program to determine the impact on patient care and identify benefits of the program...
May 1, 2018: Creative Nursing
Jennie Bell, Ruth Crawford, Kathy Holloway
INTRODUCTION: New Zealand has a rural population with unique healthcare needs. Traditionally, rural health care has been provided by medical general practitioners (GPs); however, as the number of GPs declines, the rural nurse specialist (RNS) role has emerged. The RNS is a registered nurse with advanced nursing skills that enable independent, autonomous practice within rural areas. The health needs of each rural community are specific to that area and the RNS role has been developed according to local healthcare needs...
June 2018: Rural and Remote Health
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
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
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
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