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The Journal of nursing administration
Contemporary Publishing Associates]
The Journal of nursing administration

Contemporary Publishing Associates]

0002-0443

The Journal of nursing administration/Journal The Journal of nursing administration
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    Laudato Si Lessons Nurses Recognizing Our Responsibility in Climate Science and Health Systems Resilience

    Kurnat-Thoma, Emma L.
    3页
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Diversity, Equity, and Inclusion in the 2023 Magnet (R) Application Manual

    Bryant, TiffanyPruski, Beth B.Yarbrough, Carey B. R.
    2页
    查看更多>>摘要：The mission and vision of the Magnet Recognition Program (R) is to continually elevate patient care and transform healthcare globally through an environment where nurses and the interprofessional team flourish. Diversity, equity, and inclusion (DEI) affect healthcare workers and patients. The Commission on Magnet Recognition further integrated structures and processes involving DEI into the 2023 Magnet (R) Application Manual to emphasize the importance of organizations' enculturation of these initiatives as a part of the mission and vision. This Magnet Perspectives column reviews the organizational overview items and sources of evidence addressing DEI in the 2023 Magnet Application Manual and offers resources for nursing leadership.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Reversing the Great Resignation in Nursing More Things to Consider

    Boston-Fleischhauer, Carol
    3页
    查看更多>>摘要：Much has been written about the impact of COVID-19 on the US labor market, most recently described as the Great Resignation of employees in American industries. The question for healthcare executives is whether factors prompting massive resignations in other industries have any bearing on efforts to retain the healthcare workforce, particularly in nursing, and what nursing leaders can do to address this trend.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Leader Standard Work A Model for Improving Efficiencies in Leadership and Healthcare

    Kupec, StephanieReinemann, MichaelSelley, Victoria H.Graves, Elsie...
    3页
    查看更多>>摘要：Although several methods have been proposed to help reduce inefficiencies in healthcare, these may be inaccessible or impractical for leaders to implement given their complexity. Leader Standard Work (LSW) has been successfully utilized in other industries to help improve the efficiencies of leaders by providing individual, manageable concepts that leaders can rapidly implement to effect change. This column provides a brief overview of LSW and how it may be used to leadership effectiveness and, ultimately, healthcare.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Protecting Pediatric Healthcare Personnel With Personal Protective Equipment-Specific Roles

    Valdez, SondraWalton, KarenLoresto, Figaro, Jr.Nyquist, Ann-Christine...
    2页
    查看更多>>摘要：During the height of the COVID-19 pandemic, organizations had to prioritize protecting healthcare personnel (HCP) through effective communication and providing necessary personal protective equipment (PPE). Inadequate and inconsistent supply of PPE has been noted as a cause of anxiety and concern for HCPs. A pediatric hospital in the Western United States responded by developing a system of processes to protect their staff. This column describes the creation of specific COVID-19 roles to support the communication and the resourcing of PPE.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Developing a Unit Profile Dashboard to Inform Nursing Care Delivery Based on Unique Needs of Patients

    Ruppel, HalleyOliver, AshleyChandrasekhar, SandhyaHickerson, Kirsten A....
    6页
    查看更多>>摘要：Nurse leaders need real-time, accurate data to design care delivery models and make decisions that reflect the patient populations they serve. To support nurse leader practice and optimize patient care, we developed a unit profile dashboard to describe the unique characteristics of patient populations cared for on each clinical unit at our hospital. In this article, we describe dashboard development, challenges, use cases, and plans for data analytics to further advance nursing practice.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    A Stakeholder Evaluation of an RN-to-BSN Academic Progression Program

    Dixon, Mary E.White, Kenneth R.Hinton, IvoraDeGennaro, Regina...
    7页
    查看更多>>摘要：OBJECTIVE The aim of this study was to evaluate programmatic elements supporting BSN attainment by employed nurses holding associate degrees or diplomas, using a stakeholder involvement approach. BACKGROUND Studies have associated higher percentages of baccalaureate-prepared nurses with improved clinical outcomes. Since 2013, the study organization supported an RN-to-BSN requirement with an academic progression benefit program and achieved an 80% BSN goal by 2021. METHODS The Centers for Disease Control and Prevention's Framework for Program Evaluation was used. A mixed methods approach was orchestrated by a stakeholder team to explore use and importance of programmatic elements, and motivators and barriers for degree attainment, using an online survey and focus groups. RESULTS Respondents revealed a significant association between BSN degree attainment and financial assistance and perceived importance of financial assistance and educational fairs. CONCLUSIONS Validating organizational tactics is important for achieving increased numbers of baccalaureate-prepared nurses and supportive of the cost-effective use of resources.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Reflections From the Middle Exploring the Experience of Nurse Managers Across the United States During the COVID-19 Pandemic

    Chipps, EstherKelley, Marjorie M.Monturo, CherylBaldwin, James...
    7页
    查看更多>>摘要：OBJECTIVE The objective of this multisite study was to explore the professional and personal experiences of US nurse managers (NMs) during the COVID-19 pandemic. BACKGROUND NMs are the most accessible and visible nurse leaders to the frontline staff during this pandemic. METHODS Thirty-nine NMs from 5 health systems across the US participated in focus groups in this qualitative study. Data were analyzed using a constant comparative method. RESULTS Three major themes were identified: challenges, feelings and emotions, and coping. Subthemes emerged within each major theme. CONCLUSION NMs across the country accepted considerable responsibility at great professional and personal consequence during the pandemic. NMs experienced challenges, ethical dilemmas, and expressed negative emotions. As the usual coping strategies failed, NMs reported that they are considering alternative career choices. This work provided evidence to help senior leaders strategize about mechanisms for reducing managerial dissonance during times of stress.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Analyzing the Cost of Hospital Contact Isolation Practices Implications for Nursing Administrator Practice, Research, and Policy

    Saber, Deborah A.Norris, Anne E.Reinking, JeffTrompeter, Greg...
    7页
    查看更多>>摘要：OBJECTIVES This study aimed to determine the weekly costs of contact precaution (CP) use with medically stable patients infected/colonized with methicillin-resistant Staphylococcus aureus (MRSA) and to estimate the annual financial and environmental costs of CP. BACKGROUND The increasing use of disposables for infection control contributes to increasing hospital costs and amounts of solid waste at rates that are becoming unsustainable. METHODS A cost analysis was conducted using data from time/motion observations and previous waste audit study, along with hospital finance department values and US Department of Labor salary rates. RESULTS Weekly and annual costs were $521.67 and $557 463 (5% hospital multidrug-resistant organism [MDRO] rate assumed). Personal protective equipment accounted for 43% of the waste produced (approximately 1600 pounds annually). CONCLUSIONS Implications for nurse administrators include reevaluating activities that require personal protective equipment (PPE) and partnering with materials and human factor engineers to develop more financially and environmentally sustainable infection control practices.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins

    Newly Licensed Nurse Perceived Incivility: A Valid and Reliable Assessment Tool

    Agee, EmilyBoots, Brenda K.Cantu, ChelciaHunley, Amber N....
    6页
    查看更多>>摘要：OBJECTIVE To test the instrument, Nursing Student Perception of Civil and Uncivil Behaviors (NSPCUB) in newly licensed nurses' (NLNs') to create a credible measure of NLNs' perceptions of civil/uncivil behaviors by RNs. BACKGROUND Uncivil behaviors in the workplace result in poor morale, absenteeism, and turnover. When targeted toward NLNs, the outcome of these behaviors can affect not only a job but a future career. METHODS A convenience sample of NLNs from 3 cohorts completed the modified NSPCUB-NLN 12-item survey. Exploratory factor analysis and reliability statistics were conducted. Concurrent validity was evaluated. RESULTS Exploratory factor analysis identified passive and active incivility subscales with high reliability (overall Cronbach's alpha = 0.917). Participants expressing positive experiences scored higher than those with negative experiences (P < 0.0001), supporting instrument validity. CONCLUSIONS This study demonstrated that the NSPCUB-NLN is a valid and reliable instrument for use with NLNs. This will assist nurse leaders in evaluating unit cultures for incivility, guiding interventions for a healthy work environment.
      原文链接:
    • NSTL
    • Lippincott Williams & Wilkins