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social processes in nursing organizational and leadership

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https://www.readbyqxmd.com/read/27422410/barriers-to-and-facilitators-for-implementing-quality-improvements-in-palliative-care-results-from-a-qualitative-interview-study-in-norway
#1
Ragni Sommerbakk, Dagny Faksvåg Haugen, Aksel Tjora, Stein Kaasa, Marianne Jensen Hjermstad
BACKGROUND: Implementation of quality improvements in palliative care (PC) is challenging, and detailed knowledge about factors that may facilitate or hinder implementation is essential for success. One part of the EU-funded IMPACT project (IMplementation of quality indicators in PAlliative Care sTudy) aiming to increase the knowledge base, was to conduct national studies in PC services. This study aims to identify factors perceived as barriers or facilitators for improving PC in cancer and dementia settings in Norway...
2016: BMC Palliative Care
https://www.readbyqxmd.com/read/26027721/are-staffing-work-environment-work-stressors-and-rationing-of-care-related-to-care-workers-perception-of-quality-of-care-a-cross-sectional-study
#2
MULTICENTER STUDY
Franziska Zúñiga, Dietmar Ausserhofer, Jan P H Hamers, Sandra Engberg, Michael Simon, René Schwendimann
OBJECTIVES: To describe care worker-reported quality of care and to examine its relationship with staffing variables, work environment, work stressors, and implicit rationing of nursing care. DESIGN: Cross-sectional study. SETTING: National, randomly selected sample of Swiss nursing homes, stratified according to language region and size. PARTICIPANTS: A total of 4311 care workers of all educational backgrounds (registered nurses, licensed practical nurses, nurse aides) from 402 units in 155 nursing homes completed a survey between May 2012 and April 2013...
October 1, 2015: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/25932832/transforming-communication-and-safety-culture-in-intrapartum-care-a-multi-organization-blueprint
#3
Audrey Lyndon, M Christina Johnson, Debra Bingham, Peter G Napolitano, Gerald Joseph, David G Maxfield, Daniel F OʼKeeffe
Effective, patient-centered communication facilitates interception and correction of potentially harmful conditions and errors. All team members, including women, their families, physicians, midwives, nurses, and support staff, have a role in identifying the potential for harm during labor and birth. However, the results of collaborative research studies conducted by organizations that represent professionals who care for women during labor and birth indicate that health care providers may frequently witness, but may not always report, problems with safety or clinical performance...
May 2015: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/25878192/recruiting-and-surveying-catholic-parishes-for-cancer-control-initiatives-lessons-learned-from-the-cruza-implementation-study
#4
Jennifer D Allen, Laura S Tom, Bryan Leyva, Sarah Rustan, Hosffman Ospino, Rosalyn Negron, Maria Idalí Torres, Ana V Galeas
BACKGROUND: We describe activities undertaken to conduct organizational surveys among faith-based organizations in Massachusetts as part of a larger study designed to promote parish-based cancer control programs for Latinos. METHOD: Catholic parishes located in Massachusetts that provided Spanish-language mass were eligible for study participation. Parishes were identified through diocesan records and online directories. Prior to parish recruitment, we implemented a variety of activities to gain support from Catholic leaders at the diocesan level...
September 2015: Health Promotion Practice
https://www.readbyqxmd.com/read/25857371/transforming-communication-and-safety-culture-in-intrapartum-care-a-multi-organization-blueprint
#5
Audrey Lyndon, M Christina Johnson, Debra Bingham, Peter G Napolitano, Gerald Joseph, David G Maxfield, Daniel F O'Keeffe
Effective, patient-centered communication facilitates interception and correction of potentially harmful conditions and errors. All team members, including women, their families, physicians, midwives, nurses, and support staff, have a role in identifying the potential for harm during labor and birth. However, the results of collaborative research studies conducted by organizations that represent professionals who care for women during labor and birth indicate that health care providers may frequently witness, but may not always report, problems with safety or clinical performance...
May 2015: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/25851413/transforming-communication-and-safety-culture-in-intrapartum-care-a-multi-organization-blueprint
#6
Audrey Lyndon, M Christina Johnson, Debra Bingham, Peter G Napolitano, Gerald Joseph, David G Maxfield, Daniel F O'Keeffe
Effective, patient-centered communication facilitates interception and correction of potentially harmful conditions and errors. All team members, including women, their families, physicians, midwives, nurses, and support staff, have roles in identifying the potential for harm during labor and birth. However, the results of collaborative research studies conducted by organizations that represent professionals who care for women during labor and birth indicate that health care providers may frequently witness, but may not always report, problems with safety or clinical performance...
May 2015: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/24986757/psychometric-analysis-of-two-new-scales-the-evidence-based-practice-nursing-leadership-and-work-environment-scales
#7
Yvette Pryse, Anna McDaniel, John Schafer
BACKGROUND: Those in nursing have been charged with practicing to the full extent of their education and training by the Institute of Medicine. Therefore, evidence-based practice (EBP) has never been more important to nursing than in the current healthcare environment. Frequently the burden of EBP is the responsibility of the bedside practitioner, but has been found to be a process that requires leadership and organizational support. A key underlying component of a strong EBP environment includes effective communications and collaboration among staff and nursing leadership...
August 2014: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/24810929/effects-of-unit-empowerment-and-perceived-support-for-professional-nursing-practice-on-unit-effectiveness-and-individual-nurse-well-being-a-time-lagged-study
#8
Heather K Spence Laschinger, Amanda Nosko, Piotr Wilk, Joan Finegan
BACKGROUND: Recruitment and retention strategies have emphasized the importance of positive work environments that support professional nursing practice for sustaining the nursing workforce. Unit leadership that creates empowering workplace conditions plays a key role in establishing supportive practice environments that increase work effectiveness, and, ultimately, improves job satisfaction. OBJECTIVES: To test a multi-level model examining the effect of both contextual and individual factors on individual nurse job satisfaction...
December 2014: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/24122954/-not-another-safety-culture-survey-using-the-canadian-patient-safety-climate-survey-can-pscs-to-measure-provider-perceptions-of-psc-across-health-settings
#9
MULTICENTER STUDY
Liane R Ginsburg, Deborah Tregunno, Peter G Norton, Jonathan I Mitchell, Heather Howley
BACKGROUND: The importance of a strong safety culture for enhancing patient safety has been stated for over a decade in healthcare. However, this complex construct continues to face definitional and measurement challenges. Continuing improvements in the measurement of this construct are necessary for enhancing the utility of patient safety climate surveys (PSCS) in research and in practice. This study examines the revised Canadian PSCS (Can-PSCS) for use across a range of care settings...
February 2014: BMJ Quality & Safety
https://www.readbyqxmd.com/read/23961801/using-a-knowledge-utilization-framework-to-explore-how-findings-from-one-study-can-be-applied-to-other-nursing-contexts
#10
P R Olsen, C Bradbury-Jones
AIM: To discuss the complexities of moving research into practice and through a case example, explore how empirical findings from one specific study could be applied to nursing in other contexts. BACKGROUND: The processes of moving research findings into practice are complex and multidimensional. In this paper, an innovative approach to social support, network-focused nursing (NFN), is used as a case example to illustrate these complexities. Social support is associated with better recovery and survival after illness and based on this, a NFN programme was developed in a Danish oncology youth unit...
September 2013: International Nursing Review
https://www.readbyqxmd.com/read/23803425/process-of-seeking-connectivity-social-relations-of-power-between-staff-nurses-and-nurse-managers
#11
Sonia A Udod
This study explored the process of how power is exercised in nurse-manager relationships in the hospital setting, to better understand what fosters and constrains staff nurse empowerment. Semi-structured interviews and participant observations were conducted with 26 participants in a hospital in Western Canada. Seeking connectivity was the basic social process in which nurses strive to connect with their manager to create a workable partnership in the provision of high-quality patient care while responding to the demands of the organizational context...
December 2012: Nursing Leadership
https://www.readbyqxmd.com/read/23289966/diffusion-of-a-collaborative-care-model-in-primary-care-a-longitudinal-qualitative-study
#12
Isabelle Vedel, Veronique Ghadi, Matthieu De Stampa, Christelle Routelous, Howard Bergman, Joel Ankri, Liette Lapointe
BACKGROUND: Although collaborative team models (CTM) improve care processes and health outcomes, their diffusion poses challenges related to difficulties in securing their adoption by primary care clinicians (PCPs). The objectives of this study are to understand: (1) how the perceived characteristics of a CTM influenced clinicians' decision to adopt -or not- the model; and (2) the model's diffusion process. METHODS: We conducted a longitudinal case study based on the Diffusion of Innovations Theory...
2013: BMC Family Practice
https://www.readbyqxmd.com/read/23151105/discourses-of-spirituality-and-leadership-in-nursing-a-mixed-methods-analysis
#13
Sheryl Reimer-Kirkham, Barbara Pesut, Richard Sawatzky, Marie Cochrane, Anne Redmond
AIM: To explore nursing discourses of spirituality and leadership. BACKGROUND: Global migration has brought unprecedented plurality to modern societies, and spirituality and religion into the purview of nurse leaders. METHOD: An innovative mixed methods approach, including a literature review, qualitative research and philosophic analysis, was utilized to examine discourses of spirituality in contexts of nursing leadership. After a literature synthesis protocol, 38 nursing literature sources were reviewed...
December 2012: Journal of Nursing Management
https://www.readbyqxmd.com/read/23008901/how-nurse-leaders-can-foster-a-climate-of-good-governance
#14
Sally Bassett, Kathryn Westmore
This article is the first in a series of four examining the components of good corporate governance. Poor governance can result in patients receiving poor quality care; all healthcare professionals, therefore, have a role in ensuring effective governance. This article discusses how an organisation's culture and leadership can contribute to good corporate governance. Nurse leaders can influence the culture of effective governance by building trust and respect and challenging the behaviours that led to poor quality care...
September 2012: Nursing Management (Harrow)
https://www.readbyqxmd.com/read/23002812/collaboration-among-nurse-practitioners-and-registered-nurses-in-outpatient-oncology-settings-in-canada
#15
Jane Moore, Dawn Prentice
AIM: This article is a report on a case study that described and analysed the collaborative process among nurse practitioners and registered nurses in oncology outpatient settings to understand and improve collaborative practice among nurses. BACKGROUND: Changes in the health system have created new models of care delivery, such as collaborative nursing teams. This has resulted in the increased opportunity for enhanced collaboration among nurse practitioners and registered nurses...
July 2013: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/22731122/supporting-the-uptake-of-nursing-guidelines-what-you-really-need-to-know-to-move-nursing-guidelines-into-practice
#16
Nancy Matthew-Maich, Jenny Ploeg, Maureen Dobbins, Susan Jack
BACKGROUND: There is a current push to use best practice guidelines (BPGs) in health care to enhance client care and outcomes. Even though intensive resources have been invested internationally to develop BPGs, a gap in knowledge exists about how to consistently and efficiently move them into practice. METHODS: Constructivist grounded theory was used to explore the complex processes of a breastfeeding BPG implementation and uptake in three acute care hospitals. Interviews (n = 120) with 112 participants representing clients, nurses, lactation consultants, midwives, physicians, managers, administrators, and nurse educators as well as document and field note analysis informed this study...
May 2013: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/22640276/chronic-care-model-for-the-management-of-depression-synthesis-of-barriers-to-and-facilitators-of-success
#17
REVIEW
Anne Lise Holm, Elisabeth Severinsson
Depression is a socially- and physically-disabling condition. The Chronic Care Model (CCM) was developed to promote better management of long-term conditions, such as depression, in primary care settings. The aim of the study was to identify barriers to, and facilitators of, success when implementing the CCM for the management of depression in primary care. A systematic search was conducted in electronic databases from January 2005 to December 2011. Thirteen articles met the inclusion criteria and were reviewed by means of a thematic analysis...
December 2012: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/22459911/using-a-critical-reflection-process-to-create-an-effective-learning-community-in-the-workplace
#18
MULTICENTER STUDY
Rachel Walker, Marie Cooke, Amanda Henderson, Debra K Creedy
Learning circles are an enabling process to critically examine and reflect on practices with the purpose of promoting individual and organizational growth and change. The authors adapted and developed a learning circle strategy to facilitate open discourse between registered nurses, clinical leaders, clinical facilitators and students, to critically reflect on practice experiences to promote a positive learning environment. This paper reports on an analysis of field notes taken during a critical reflection process used to create an effective learning community in the workplace...
May 2013: Nurse Education Today
https://www.readbyqxmd.com/read/22435909/what-determines-successful-implementation-of-inpatient-information-technology-systems
#19
Joanne Spetz, James F Burgess, Ciaran S Phibbs
OBJECTIVES: To identify the factors and strategies that were associated with successful implementation of hospital-based information technology (IT) systems in US Department of Veterans Affairs (VA) hospitals, and how these might apply to other hospitals. STUDY DESIGN: Qualitative analysis of 118 interviews conducted at 7 VA hospitals. The study focused on the inpatient setting, where nurses are the main patient-care providers; thus, the research emphasized the impact of Computerized Patient Record System and Bar Code Medication Administration on nurses...
March 2012: American Journal of Managed Care
https://www.readbyqxmd.com/read/22357314/clinical-ethics-support-services-an-evolving-model
#20
Maura C Schlairet, Ken Kiser, Stephen Norris
Ethical issues arising in clinical practice are complex and clinicians must be able to manage the needs of ethically vulnerable patients and families. This paper describes a model for providing Clinical Ethics Support Services as a broad spectrum of care for management of conflict and ethically difficult situations in health care and describes how an ethics consultation process was transformed to a Holistic Care Continuum for managing the needs of ethically vulnerable patients. During a 4-year journey at a regional medical center, a Family Support Team played a central role in identification of ethically vulnerable patients/family, interdisciplinary connectivity, and iterative engagement in the clinical milieu...
September 2012: Nursing Outlook
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