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https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#1
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29658853/moving-an-evidence-based-policy-agenda-forward-leadership-tips-from-the-field
#2
Teresa Garrett
Advancing evidence-based policy change is a leadership challenge that nurses should embrace. Key tips to ensure that evidence-based policy changes are successful at the individual, community, and population levels are offered to help nurses through the change process. The public trust in the nursing profession is a leverage point that should be used to advance the use of evidence, expedite change, and improve health for students and across communities.
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29643162/what-attributions-do-australian-high-performing-general-practices-make-for-their-success-applying-the-clinical-microsystems-framework-a-qualitative-study
#3
Annette H Dunham, James A Dunbar, Julie K Johnson, Jeff Fuller, Mark Morgan, Dale Ford
OBJECTIVES: To identify the success attributions of high-performing Australian general practices and the enablers and barriers they envisage for practices wishing to emulate them. DESIGN: Qualitative study using semi-structured interviews and content analysis of the data. Responses were recorded, transcribed verbatim and coded according to success characteristics of high-performing clinical microsystems. SETTING: Primary healthcare with the participating general practices representing all Australian states and territories, and representing metropolitan and rural locations...
April 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29624760/nurse-turnover-in-the-kingdom-of-saudi-arabia-an-integrative-review
#4
REVIEW
Rawaih Falatah, Olfat A Salem
AIM: To appraise and synthesise existing literature on nurse turnover in the Saudi Arabian context. BACKGROUND: Saudi Arabia is notably one of the nations with a health care system that is bombarded by high rates of turnover and turnover intention. Moreover, rapid population growth and the expansion of the health care system increase the demand on registered nurses in the kingdom. EVALUATION: Eleven primary sources were reviewed using Whittemore and Knafl's (Journal of Advanced Nursing, 2005; 52, 546-553) integrative review method...
April 6, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29623741/nursing-leadership-at-this-juncture-in-history
#5
Anabell Castro Thompson
No abstract text is available yet for this article.
March 2018: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/29621071/back-to-basics-adherence-with-guidelines-for-glucose-and-temperature-control-in-an-american-comprehensive-stroke-center-sample
#6
Anne W Alexandrov, Paola Palazzo, Sharon Biby, Abbigayle Doerr, Wendy Dusenbury, Rhonda Young, Anne Lindstrom, Mary Grove, Georgios Tsivgoulis, Sandy Middleton, Andrei V Alexandrov
BACKGROUND: Variance from guideline-directed care for glucose and temperature control remains unknown in the United States at a time when priorities have shifted to ensure rapid diagnosis and treatment of acute stroke patients. However, protocol-driven nursing surveillance for control of hyperglycemia and hyperthermia has been shown to improve patient outcomes. METHODS: We conducted an observational pilot study to assess compliance with American guidelines for glucose and temperature control and association with discharge outcomes in consecutive acute stroke patients admitted to 5 US comprehensive stroke centers...
April 4, 2018: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/29618112/critical-care-in-the-military-health-system-a-survey-based-summary-of-critical-care-services
#7
Jason J Nam, Christopher J Colombo, Cristin A Mount, Elizabeth A Mann-Salinas, Ferdinand Bacomo, Adam W Bostick, Konrad Davis, James K Aden, Kevin K Chung, Mary S McCarthy, Jeremy C Pamplin
Introduction: Critical care is an important component of in-patient and combat casualty care, and it is a major contributor to U.S. healthcare costs. Regular exposure to critically ill and injured patients may directly contribute to wartime skills retention for military caregivers. Data describing critical care services in the Military Health System (MHS), however, is lacking. This study was undertaken to describe MHS critical care services, their resource utilization, and differences in care practices amongst military treatment facilities (MTFs)...
March 29, 2018: Military Medicine
https://www.readbyqxmd.com/read/29616202/pediatric-critical-care-in-resource-limited-settings-overview-and-lessons-learned
#8
REVIEW
Tina M Slusher, Andrew W Kiragu, Louise T Day, Ashley R Bjorklund, Arianna Shirk, Colleen Johannsen, Scott A Hagen
Pediatric critical care is an important component of reducing morbidity and mortality globally. Currently, pediatric critical care in low middle-income countries (LMICs) remains in its infancy in most hospitals. The majority of hospitals lack designated intensive care units, healthcare staff trained to care for critically ill children, adequate numbers of staff, and rapid access to necessary medications, supplies and equipment. In addition, most LMICs lack pediatric critical care training programs for healthcare providers or certification procedures to accredit healthcare providers working in their pediatric intensive care units (PICU) and high dependency areas...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29614322/effects-of-the-educational-leadership-of-nursing-unit-managers-on-team-effectiveness-mediating-effects-of-organizational-communication
#9
Eun Ha Choi, Eun-Kyung Kim, Pil Bong Kim
EDUCATIONAL LEADERSHIP OF NURSING UNIT MANAGERS ON TEAM EFFECTIVENESS: Mediating Effects of Organizational Communication Satisfaction. PURPOSE: This study identifies the effects of the educational leadership of nursing unit managers on team effectiveness and the mediating effects of organizational communication satisfaction; it highlights the importance of educational leadership and organizational communication and provides the data needed to enhance the education capacity of managers...
March 31, 2018: Asian Nursing Research
https://www.readbyqxmd.com/read/29614190/the-value-of-peer-mentorship-as-an-educational-strategy-in-nursing
#10
Tannis Andersen, Kathy Watkins
BACKGROUND: The emphasis of this article is to provide nursing instructors with a valuable educational strategy grounded in andragogical principles for reflection and implementation in their educational practice. METHOD: An expository review of the value of peer mentorship as an educational strategy that fits within the humanistic adult education philosophy and social constructivism theory was conducted. RESULTS: The value in peer mentorship is greatest for nursing students as mentors and mentees, predominantly in encouraging self-directed learning, building relationships, providing emotional and educational support, and developing collaboration and leadership skills...
April 1, 2018: Journal of Nursing Education
https://www.readbyqxmd.com/read/29600826/-leading-better-care-an-evaluation-of-an-accelerated-coaching-intervention-for-clinical-nursing-leadership-development
#11
Stuart Cable, Edith Graham
AIM: Outcomes of an accelerated co-active coaching intervention for senior clinical nursing leadership development. BACKGROUND: Co-active coaching is characterized by a whole person approach, commitment to deep learning and conscious action through supportive compassionate and courageous coach-coachee partnership. The national leadership capabilities framework, "Step into Leadership", was used for development and evaluation. METHODS: 116 senior clinical nurse leaders attended one face-to-face induction day and received a total of 3 hours of one-to-one telephone coaching and two virtual peer group facilitated sessions...
March 30, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29599394/improving-quality-and-safety-in-nursing-homes-and-home-care-the-study-protocol-of-a-mixed-methods-research-design-to-implement-a-leadership-intervention
#12
Siri Wiig, Eline Ree, Terese Johannessen, Torunn Strømme, Marianne Storm, Ingunn Aase, Berit Ullebust, Elisabeth Holen-Rabbersvik, Line Hurup Thomsen, Anne Torhild Sandvik Pedersen, Hester van de Bovenkamp, Roland Bal, Karina Aase
INTRODUCTION: Nursing homes and home care face challenges across different countries as people are living longer, often with chronic conditions. There is a lack of knowledge regarding implementation and impact of quality and safety interventions as most research evidence so far is generated in hospitals. Additionally, there is a lack of effective leadership tools for quality and safety improvement work in this context. METHODS AND ANALYSIS: The aim of the 'Improving Quality and Safety in Primary Care-Implementing a Leadership Intervention in Nursing Homes and Homecare' (SAFE-LEAD) study is to develop and evaluate a research-based leadership guide for managers to increase quality and safety competence...
March 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29596711/through-the-eyes-of-nurse-managers-in-long-term-care-identifying-perceived-competencies-and-skills
#13
Kathleen H Dever
Nurse managers (NMs) in long-term care supervise health care services for individuals with high acuity levels and numerous comorbidities. There is minimal research identifying NMs' skills and competencies as unit leaders within the long-term care environment. The current mixed-methods study identified NMs' leadership skills and competencies. Nineteen NMs with ≥5 years' long-term care management experience completed the Nurse Manager Inventory Tool and were individually interviewed. They rated their clinical skills at the competent level and their financial/strategic management skills at the novice level...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596709/leadership-in-nursing-homes-directors-of-nursing-aligning-practice-with-regulations
#14
Elena O Siegel, Kristen Bettega, Debra Bakerjian, Suzanne Sikma
Nursing homes use team nursing, with minimal RN presence, leaving the majority of direct care to licensed practical/vocational nurses (LPNs/LVNs) and unlicensed assistive personnel (UAP), including medication aides. The current article describes challenges faced by nursing home directors of nursing (DONs) leading and managing a team nursing approach, including consideration of scope of practice, delegation and supervision regulations, and related policy implications. A secondary data analysis was performed of qualitative data from a study to develop and test DON guidelines for delegation in nursing home practice...
March 29, 2018: Journal of Gerontological Nursing
https://www.readbyqxmd.com/read/29596292/informing-leadership-models-nursing-and-organizational-characteristics-of-neonatal-intensive-care-units-in-freestanding-children-s-hospitals
#15
Cheryl A Toole, Michele DeGrazia, Jean Anne Connor, Kimberlee Gauvreau, Hillary Bishop Kuzdeba, Patricia A Hickey
BACKGROUND: Neonatal intensive care units (NICUs) located in freestanding children's hospitals may exhibit significant variation in nursing and organizational characteristics, which can serve as opportunities for collaboration to understand optimal staffing models and linkages to patient outcomes. OBJECTIVES: Adopting methods used by Hickey et al in pediatric cardiovascular critical care, the purpose of this study was to provide a foundational description of the nursing and organizational characteristics for NICUs located in freestanding children's hospitals in the United States...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29573023/leadership-style-and-organisational-commitment-among-nursing-staff-in-saudi-arabia
#16
Mansour Al-Yami, Paul Galdas, Roger Watson
AIMS: To examine how nurse managers' leadership styles, and nurses' organisational commitment in Saudi Arabia relate. BACKGROUND: Effective leadership is influential in staff retention; however, recruiting and maintaining nurses is an increasing problem in Saudi Arabia. METHODS: Using a survey design, the Multifactor Leadership Questionnaire and the Organisational Commitment Questionnaire were distributed to a sample of 219 nurses and nurse managers from two hospitals in Saudi Arabia...
March 23, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29570141/the-american-organization-of-nurse-executives-and-american-hospital-association-initiatives-work-to-combat-violence
#17
Karen Wray
Violence affecting healthcare workers and healthcare organizations continues to be a serious safety issue. In this Leadership Perspectives column, Karen Wray, an American Organization of Nurse Executives (AONE) member who has experienced a mass causality incident 1st hand, outlines AONE's continuing work to promote safety and combat violence. She discusses recent work on violence issues by the American Hospital Association, AONE's parent organization.
April 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29566626/holistic-leadership-nursing-s-unique-contribution-to-healthcare
#18
Pamela N Clarke, Michael R Bleich
This dialogue is focused on holistic leadership from the perspective of a well-known leader in nursing. He frames the changing healthcare environment and nursing's unique contribution on the interprofessional team.
April 2018: Nursing Science Quarterly
https://www.readbyqxmd.com/read/29555092/development-of-the-leadership-influence-self-assessment-lisa%C3%A2-instrument
#19
Casey R Shillam, Jeffrey M Adams, Debbie Chatman Bryant, Joy P Deupree, Suzanne Miyamoto, Matt Gregas
PURPOSE: This study aims to describe the development and psychometric evaluation of the Leadership Influence Self-Assessment (LISA©) tool. BACKGROUND: LISA© was designed to help nurse leaders assess and enhance their influence capacity by measuring influence traits and practices and identifying areas of strength and weakness. METHODS: Concepts identified in the Adams Influence Model and input from content experts guided the development of 145 items for testing...
November 15, 2017: Nursing Outlook
https://www.readbyqxmd.com/read/29554590/patient-centered-care-nurse-work-environment-and-implicit-rationing-of-nursing-care-in-swiss-acute-care-hospitals-a-cross-sectional-multi-center-study
#20
Stefanie Bachnick, Dietmar Ausserhofer, Marianne Baernholdt, Michael Simon
BACKGROUND: Patient-centered care is a key element of high-quality healthcare and determined by individual, structural and process factors. Patient-centered care is associated with improved patient-reported, clinical and economic outcomes. However, while hospital-level characteristics influence patient-centered care, little evidence is available on the association of patient-centered care with characteristic such as the nurse work environment or implicit rationing of nursing care. OBJECTIVE: The aim of this study was to describe patient-centered care in Swiss acute care hospitals and to explore the associations with nurse work environment factors and implicit rationing of nursing care...
November 24, 2017: International Journal of Nursing Studies
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