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Clinical nurse leader

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https://www.readbyqxmd.com/read/29332263/creating-a-primary-care-workforce-strategies-for-leaders-clinicians-and-nurses
#1
Patricia Robinson, Julie Oyemaja, Bridget Beachy, Jeff Goodie, Lisa Sprague, Jennifer Bell, Mike Maples, Christy Ward
Many primary care clinics struggle with rapid implementation and systematic expansion of primary care behavioral health (PCBH) services. Often, an uneven course of program development is due to lack of attention to preparing clinic leadership, addressing operational factors, and training primary care providers (PCPs) and nurses. This article offers competency tools for clinic leaders, PCPs, and nurses to use in assessing their status and setting change targets. These tools were developed by researchers working to disseminate evidence-based interventions in primary care clinics that included fully integrated behavioral health consultants and were then used by early adaptors of the PCBH model...
January 13, 2018: Journal of Clinical Psychology in Medical Settings
https://www.readbyqxmd.com/read/29323780/nurses-perceptions-on-the-overuse-of-health-services-a-qualitative-study
#2
Moriah E Ellen, Saritte Perlman
PURPOSE: To examine whether nurses in Israel think there is overuse of health services, the reasons behind the issue, and ways to reduce the overuse. DESIGN: This was a qualitative study using semistructured interviews. A convenience sample of community care nurses from health clinics across Israel was interviewed. Interviews focused on common areas of overuse, outcomes of overuse, causes of overuse, and potential ways to address the issue. Interviews were recorded, transcribed, and analyzed thematically...
January 11, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29322579/the-employee-retention-triad-in-healthcare-exploring-relationships-among-organizational-justice-affective-commitment-and-turnover-intention
#3
Tyrone A Perreira, Whitney Berta, Monique Hebert
BACKGROUND: Turnover in healthcare is a serious concern, as it is contributes to the global nursing shortage and is associated with declines in quality of care, patient safety, and patient outcomes. Turnover also impacts care teams and is associated with decreased staff cohesion and morale. PURPOSE: The purpose of this study is to increase understanding of the relationships between organizational justice, affective commitment and turnover intention in healthcare...
January 10, 2018: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29303904/impact-of-relational-coordination-on-staff-and-patient-outcomes-in-outpatient-surgical-clinics
#4
Jody Hoffer Gittell, Caroline Logan, Jack Cronenwett, Tina C Foster, Richard Freeman, Marjorie Godfrey, Dale Collins Vidal
BACKGROUND: Pressures are increasing for clinicians to provide high-quality, efficient care, leading to increased concerns about staff burnout. PURPOSE: This study asks whether staff well-being can be achieved in ways that are also beneficial for the patient's experience of care. It explores whether relational coordination can contribute to both staff well-being and patient satisfaction in outpatient surgical clinics where time constraints paired with high needs for information transfer increase both the need for and the challenge of achieving timely and accurate communication...
January 5, 2018: Health Care Management Review
https://www.readbyqxmd.com/read/29240571/developing-the-clinical-nurse-leader-survey-instrument-a-modified-delphi-study
#5
Miriam Bender, Alice Avolio, Patricia Baker, James L Harris, Nancy Hilton, Lisle Hites, Linda Roussel, Bobbi Shirley, Patricia L Thomas, Marjory Williams
Clinical nurse leader (CNL)-integrated care delivery is an emerging nursing model, with growing adoption in diverse health systems. To generate a robust evidence base for this promising nursing model, it is necessary to measure CNL practice to explicitly link it to observed quality and safety outcome improvements. This study used a modified Delphi approach with an expert CNL panel to develop and test the face, content, and construct validity of the CNL Practice Survey instrument.
December 13, 2017: Journal of Nursing Care Quality
https://www.readbyqxmd.com/read/29219906/targeted-interventions-to-advance-a-culture-of-inquiry-at-a-large-multicampus-hospital-among-nurses
#6
Eileen J Carter, Reynaldo R Rivera, Kelly A Gallagher, Kenrick D Cato
OBJECTIVES: The aim of this study is to assist nurse leaders in developing innovative structures to foster a culture of inquiry among professional nurses. BACKGROUND: Critical to nurse's engagement in evidence-based practice (EBP) is a culture of inquiry, in which nurses critically evaluate patient care activities and actively review existing evidence to address identified clinical issues. A bundle of structural interventions was implemented across a large, multisite hospital to advance a culture of inquiry...
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29219902/disseminating-knowledge-through-publication-magnet%C3%A2-nurses-changing-practice
#7
Rebecca Graystone
Clinical nurses and nurse leaders are inspiring and fostering amazing outcomes. In this column, the new Magnet Recognition Program® director discusses the expectation for dissemination of outcomes from Magnet®-designated organizations building on work presented at the 2017 National Magnet Conference™.
January 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29213213/-from-resistance-to-challenge-child-health-service-nurses-experiences-of-how-a-course-in-group-leadership-affected-their-management-of-parental-groups
#8
Åsa Lefèvre, Pia Lundqvist, Eva Drevenhorn, Inger Hallström
Background: All parents in Sweden are invited to child health service (CHS) parental groups, however only 49% of the families participate. The way the parental groups are managed has been shown to be of importance for how parents experience the support and CHS nurses describe feeling insecure when running the groups. Lack of facilitation, structure and leadership might jeopardise the potential benefit of such support groups. This study describes CHS nurses' experiences of how a course in group leadership affected the way they ran their parental groups...
2017: BMC Nursing
https://www.readbyqxmd.com/read/29212539/the-relationships-between-the-combination-of-person-and-organization-related-conditions-and-patients-perceptions-of-palliative-care-quality
#9
Tuva Sandsdalen, Sevald Høye, Ingrid Rystedt, Vigdis Abrahamsen Grøndahl, Reidun Hov, Bodil Wilde-Larsson
BACKGROUND: Little is known about the combination of person- and organization- related conditions and the relationships with patients' perspectives of care quality. Such a combination could contribute knowledge reflecting the complexity of clinical practice, and enhance individualized care. The aim was to investigate the relationships between the combination of person- and organization-related conditions and patients' perceptions of palliative care quality. METHODS: A cross-sectional study, including 191 patients in the late palliative phase (73% response rate) admitted to hospice inpatient care (n = 72), hospice day care (n = 51), palliative units in nursing homes (n = 30) and home care (n = 38), was conducted between November 2013 and December 2014, using the instrument Quality from the Patients' Perspective specific to palliative care (QPP-PC)...
December 6, 2017: BMC Palliative Care
https://www.readbyqxmd.com/read/29194334/creativity-and-innovation-in-health-care-tapping-into-organizational-enablers-through-human-centered-design
#10
Christi Dining Zuber, Louise Moody
There is an increasing drive in health care for creativity and innovation to tackle key health challenges, improve quality and access, and reduce harm and costs. Human-centered design (HCD) is a potential approach to achieving organizational innovation. However, research suggests the nursing workforce feels unsupported to take the risks needed for innovation, and leaders may not understand the conditions required to fully support them. The aim of this study was to identify enabling conditions that support frontline nurses in their attempts to behave as champions of innovation and change...
January 2018: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/29179828/reducing-the-risk-of-cardiovascular-diseases-in-non-selected-outpatients-with-schizophrenia-a-30-month-program-conducted-in-a-real-life-setting
#11
Peter Hjorth, Anette Juel, Mette Vinther Hansen, Nikolaj Juul Madsen, Anne Grethe Viuff, Povl Munk-Jørgensen
BACKGROUND: The most common cause of premature death in people with schizophrenia is cardiovascular disease, partially explained by an unhealthy lifestyle, smoking, poor diet and sedentary behavior. We aimed to reduce cardiovascular risk factors. METHOD: Naturalistic follow-up study with 54 long-term-treated non-selected outpatients with schizophrenia. The 30-month program consisted of individual guidance, group sessions and normal treatment and care offered in our clinic...
December 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/29178213/interprofessional-collaboration-between-junior-doctors-and-nurses-in-the-general-ward-setting-a-qualitative-exploratory-study
#12
Charmaine J Tang, Wen T Zhou, Sally W-C Chan, Sok Y Liaw
AIM: To explore the collaboration experiences of junior physicians and nurses in the general ward setting. BACKGROUND: Junior physicians and nurses do not always work collaboratively and this could affect the quality of patient care. The understanding of the issues affecting junior physicians and nurses working together is needed to inform strategies to improve interprofessional collaboration. METHODS: Nineteen junior physicians and nurses were interviewed in 2012 and 2013...
November 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29177454/factors-influencing-the-activation-of-the-rapid-response-system-for-clinically-deteriorating-patients-by-frontline-ward-clinicians-a-systematic-review
#13
Wei Ling Chua, Min Ting Alicia See, Helena Legio-Quigley, Daryl Jones, Augustine Tee, Sok Ying Liaw
Purpose: To synthesize factors influencing the activation of the rapid response system (RRS) and reasons for suboptimal RRS activation by ward nurses and junior physicians. Data sources: Nine electronic databases were searched for articles published between January 1995 and January 2016 in addition to a hand-search of reference lists and relevant journals. Study selection: Published primary studies conducted in adult general ward settings and involved the experiences and views of ward nurses and/or junior physicians in RRS activation were included...
November 21, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29153960/barriers-and-facilitators-to-the-implementation-of-an-evidence-based-electronic-minimum-dataset-for-nursing-team-leader-handover-a-descriptive-survey
#14
Amy J Spooner, Leanne M Aitken, Wendy Chaboyer
INTRODUCTION: There is widespread use of clinical information systems in intensive care units however, the evidence to support electronic handover is limited. OBJECTIVES: The study aim was to assess the barriers and facilitators to use of an electronic minimum dataset for nursing team leader shift-to-shift handover in the intensive care unit prior to its implementation. METHODS: The study was conducted in a 21-bed medical/surgical intensive care unit, specialising in cardiothoracic surgery at a tertiary referral hospital, in Queensland, Australia...
November 15, 2017: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29149485/factors-influencing-the-delivery-of-the-fundamentals-of-care-perceptions-of-nurses-nursing-leaders-and-healthcare-consumers
#15
Tiffany Conroy
AIM AND OBJECTIVES: To explore the factors described by nurses and consumer representatives influencing the delivery of the fundamentals of care. BACKGROUND: An ongoing challenge facing nursing is ensuring the 'basics' or fundamentals of care are delivered optimally. The way nurses and patients perceive the delivery of the fundamentals of care, had not been explored. Once identified, the factors that promote the delivery of the fundamentals of care may be facilitated ...
November 17, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29117816/aaohn-member-opinions-on-demonstrating-value-a-closer-look-at-the-findings
#16
Karen Mastroianni
An assessment was conducted to update a tool kit published by the American Association of Occupational Health Nurses (AAOHN) in 1998. The original document, Success Tool for Measuring and Articulating Value, had been a respected resource. Although the AAOHN guide, Demonstrating Value, is a tool with steps and examples for demonstrating value, the intention of this article is to explore the rich data collected during the assessment process, which included interviews with occupational health nurse leaders and an AAOHN member survey...
November 1, 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/29090016/interventions-to-increase-use-of-services-mental-health-awareness-in-nigeria
#17
Julian Eaton, Emeka Nwefoh, Godwin Okafor, Ugochukwu Onyeonoro, Kenneth Nwaubani, Claire Henderson
BACKGROUND: Mental health services in Nigeria consist mainly of large government psychiatric hospitals and there are very few mental health professionals to serve the large population of the country. However, more recently, community mental health services, which have been shown to improve access to care and clinical outcomes are beginning to develop in some locations. Despite efforts to promote more accessible services, low levels of knowledge about effective treatment of mental disorders means that even where these services are available, a very small proportion of people utilise these services...
2017: International Journal of Mental Health Systems
https://www.readbyqxmd.com/read/29083459/bringing-evidence-based-practice-to-latin-america-transforming-nursing-education-and-practice
#18
Constance Visovsky, Denise J Maguire, Cheryl Zambroski, Linette Palacios
Evidence-based practice (EBP) continues to gain global attention. In the Latin American country of Panama, nursing practice has largely been guided by oral tradition and clinical experience rather than the use of best evidence. The authors used a conference-based approach in a joint effort between the University of South Florida and the University of Panama to introduce EBP to nursing leaders in Panama to bring change to the nursing curricula and, ultimately, change in nursing practice. J Contin Educ Nurs. 2017;48(11):512-516...
November 1, 2017: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29076628/barriers-and-facilitators-of-care-for-diverse-patients-nurse-leader-perspectives-and-nurse-manager-implications
#19
Yolanda Ogbolu, Debra A Scrandis, Grace Fitzpatrick
OBJECTIVE: To examine chief nurse executives' perspectives on: (1) the provision of culturally and linguistically appropriate services in hospitals and (2) to identify barriers and facilitators associated with the implementation of culturally and linguistically appropriate services. BACKGROUND: Hospitals continue to face challenges providing care to diverse patients. The uptake of standards related to culturally and linguistically appropriate services into clinical practice is sluggish, despite potential benefits, including reducing health disparities, patient errors, readmissions and improving patient experiences...
October 27, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/29076264/clinical-leadership-and-nursing-explored-a-literature-search
#20
REVIEW
David Stanley, Karen Stanley
AIMS AND OBJECTIVES: This integrative literature review explores what we know of the concept of clinical leadership and what the term means. Clues to the definition of clinical leadership, the attributes of effective and less effective clinical leaders, models of clinical leadership and the barriers that hinder clinical leadership development were explored. BACKGROUND: While nursing leadership, or healthcare leadership, are terms that have been evident in nursing and health industry literature for many decades, clinical leadership is a relatively new term and is may still be misunderstood...
October 27, 2017: Journal of Clinical Nursing
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