The purpose of this study was to describe how students identify and interpret multiple embedded c... more The purpose of this study was to describe how students identify and interpret multiple embedded clinical cues in a case study, and then reflect these using SBAR (Situation, Background, Assessment, and Recommendation). Using Tanner's model of clinical judgment, a descriptive design was used to examine SBAR assignments completed by second-semester nursing students (n = 80). The majority of students (n = 62, 77.5%) in the study were unable to successfully follow all of the clinical judgment phases of the model: noticing, interpreting, responding, and reflecting. Although SBAR is an important tool for communicating clinical information, gaps exist between noticing and interpreting clinical cues, and forming an appropriate course of action. [J Nurs Educ. 2015;54(3, Suppl.):S31-S34.].
Resilient organizations modify structures to meet the demands of the marketplace. The author desc... more Resilient organizations modify structures to meet the demands of the marketplace. The author describes a structure that enables multihospital organizations to innovate and rapidly adapt to changes. Service line management within a matrix model is an evolving rganizational structure for complex systems in which nurses are pivotal members.
Journal of Continuing Education in Nursing, Apr 1, 2014
Nurses, positioned as members of one of the most highly trusted professions, are called to meet t... more Nurses, positioned as members of one of the most highly trusted professions, are called to meet the health needs of patients and communities in a variety of ways. The Institute of Medicine calls nurses to partner with physicians and other professionals to redesign health care in the United States. One way that nurses can answer the call is by serving in the boardroom, where decisions regarding health and health care are made. Identified competencies for board leadership include (a) open communication, (b) planning, (c) active engagement, (d) collaboration, (e) decision-making skills, (f) financial stewardship, (g) organizational skills, (h) advocacy, and (i) visionary skills. Board competency development begins in nursing school and continues throughout one's professional career. A board leadership self-assessment tool is provided as a guide for personal and professional growth. Continuing education professionals play an important role in development of boardroom competency. J Contin Educ Nurs. 2014;45(4):162–168.
Much has been written about the need for health care professionals to consistently promote polici... more Much has been written about the need for health care professionals to consistently promote policies and best practices that create safe, high-quality care environments. At times, nurses deviate from established policies and procedures to create work-arounds or changes in work patterns to accomplish patient care goals. The purpose of this study was to identify common work-arounds and describe what influenced the nurse to engage in the work-around as observed by fourth-year baccalaureate students in clinical settings. A descriptive qualitative approach was used to describe the findings from a Quality and Safety Education for Nurses–based assignment. Ninety-six individual student assignments were included in this analysis; the themes of infection prevention and control and medication management emerged. The theme of workload emerged as the reason why students believed nurses engaged in work-arounds. Further studies are needed to determine how work-arounds influence short- and long-term...
Health care is a dynamic field challenged by development of new technology, response to consumer ... more Health care is a dynamic field challenged by development of new technology, response to consumer expectations, and industry consoli. dations and mergers. Effective leadership is essential for health care organizations to survive and thrive. Employers often rate leadership skills as the most important competence for employees. Today's global marketplace offers many opportunities for talented leaders. The challenge for organizations is to retain and develop leaders within their current workforce. This article will describe mentoring as a component of leadership development. Several studies from the literature — relating benefits of mentoring — will be summarized. Analysis of the value of mentoring and the outcomes realized within a single health care system will be discussed. Many organizations use a structured approach to mentoring for development of potential leaders and managers for the future as well as retention of employees. Mentoring can be used to motivate employees by pro...
Long-term care facilities seek ways to enhance the quality of life for residents. Cycling Without... more Long-term care facilities seek ways to enhance the quality of life for residents. Cycling Without Age (CWA), a new international cycling program, is gaining momentum for older adults. This study explored resident riders’ and trishaw pilots’ lived experience of their participation in the CWA program using a qualitative approach at a long-term care facility in the United States. Researchers conducted 27 face-to-face, semi-structured interviews with riders and pilots. For resident riders, the three themes identified included (a) breath of fresh air; (b) wave, chat, and remember; and (c) sit back and relax. Two themes were identified for the pilots: (a) change in frame of mind, and (b) mental and physical rewards. CWA can be as a new strategy for person-centered care. The CWA program provides nursing an opportunity to advocate, recommend, and obtain an order for residents to participate in the program.
New methods of care are required to meet the needs of people with dementia and their caregivers. ... more New methods of care are required to meet the needs of people with dementia and their caregivers. The Namaste Care™ program provides a person-centered approach through meaningful activities and loving touch. The purpose of this qualitative study was to explore the experiences of residents, staff, and family involved in the Namaste Care™ program at a long-term care facility in the United States. A descriptive approach was used to interview 14 staff members. The findings revealed six themes: peaceful sanctuary, relating their way, transforming experiences, connections and community, positive moments, and awakened to the possibilities. Results suggest that Namaste Care™ may be useful for individuals no longer able to participate in traditional long-term care setting activities. Further studies are indicated to confirm the impact on hospital readmissions, therapy enhancement, and medication use in relationship to Namaste Care™ program participation.
Leadership change is an event that occurs in all organizations. Shortages of qualified individual... more Leadership change is an event that occurs in all organizations. Shortages of qualified individuals to fill vacant nurse leadership positions in hospitals within the United States may cause stress on organizations, work units, and employees. The purpose of the study is to explore and analyze the effect of registered nurse (RN) workforce shortages on nurse leader turnover and succession in U.S. hospitals and variation by extent of RN shortage. This descriptive, nonexperimental study uses an archival research methodology to study characteristics of nurse leaders in U.S. hospitals. The study uses the 2004 National Sample Survey of Registered Nurses (NSSRN) along with RN shortage data from the Center for Health Workforce Studies. Participants in the NSSRN are RNs with an active license to practice nursing as of March 2004. The framework for the research is based on strategic contingency theory. Analysis is conducted using descriptive and multivariate techniques. The study identifies that approximately 17% of nurse leaders changed position and/or employer in 2003, and a majority of nurses (61%) were promoted to leadership positions from within the organization. A minority (24%) of nurse leaders in U.S. hospitals hold a master’s or doctoral degree. Nurse leaders in states with a nurse shortage work significantly more hours than leaders in nonshortage states (p <.01);
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home > ...
The purpose of this study was to describe how students identify and interpret multiple embedded c... more The purpose of this study was to describe how students identify and interpret multiple embedded clinical cues in a case study, and then reflect these using SBAR (Situation, Background, Assessment, and Recommendation). Using Tanner&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s model of clinical judgment, a descriptive design was used to examine SBAR assignments completed by second-semester nursing students (n = 80). The majority of students (n = 62, 77.5%) in the study were unable to successfully follow all of the clinical judgment phases of the model: noticing, interpreting, responding, and reflecting. Although SBAR is an important tool for communicating clinical information, gaps exist between noticing and interpreting clinical cues, and forming an appropriate course of action. [J Nurs Educ. 2015;54(3, Suppl.):S31-S34.].
Resilient organizations modify structures to meet the demands of the marketplace. The author desc... more Resilient organizations modify structures to meet the demands of the marketplace. The author describes a structure that enables multihospital organizations to innovate and rapidly adapt to changes. Service line management within a matrix model is an evolving rganizational structure for complex systems in which nurses are pivotal members.
Journal of Continuing Education in Nursing, Apr 1, 2014
Nurses, positioned as members of one of the most highly trusted professions, are called to meet t... more Nurses, positioned as members of one of the most highly trusted professions, are called to meet the health needs of patients and communities in a variety of ways. The Institute of Medicine calls nurses to partner with physicians and other professionals to redesign health care in the United States. One way that nurses can answer the call is by serving in the boardroom, where decisions regarding health and health care are made. Identified competencies for board leadership include (a) open communication, (b) planning, (c) active engagement, (d) collaboration, (e) decision-making skills, (f) financial stewardship, (g) organizational skills, (h) advocacy, and (i) visionary skills. Board competency development begins in nursing school and continues throughout one's professional career. A board leadership self-assessment tool is provided as a guide for personal and professional growth. Continuing education professionals play an important role in development of boardroom competency. J Contin Educ Nurs. 2014;45(4):162–168.
Much has been written about the need for health care professionals to consistently promote polici... more Much has been written about the need for health care professionals to consistently promote policies and best practices that create safe, high-quality care environments. At times, nurses deviate from established policies and procedures to create work-arounds or changes in work patterns to accomplish patient care goals. The purpose of this study was to identify common work-arounds and describe what influenced the nurse to engage in the work-around as observed by fourth-year baccalaureate students in clinical settings. A descriptive qualitative approach was used to describe the findings from a Quality and Safety Education for Nurses–based assignment. Ninety-six individual student assignments were included in this analysis; the themes of infection prevention and control and medication management emerged. The theme of workload emerged as the reason why students believed nurses engaged in work-arounds. Further studies are needed to determine how work-arounds influence short- and long-term...
Health care is a dynamic field challenged by development of new technology, response to consumer ... more Health care is a dynamic field challenged by development of new technology, response to consumer expectations, and industry consoli. dations and mergers. Effective leadership is essential for health care organizations to survive and thrive. Employers often rate leadership skills as the most important competence for employees. Today's global marketplace offers many opportunities for talented leaders. The challenge for organizations is to retain and develop leaders within their current workforce. This article will describe mentoring as a component of leadership development. Several studies from the literature — relating benefits of mentoring — will be summarized. Analysis of the value of mentoring and the outcomes realized within a single health care system will be discussed. Many organizations use a structured approach to mentoring for development of potential leaders and managers for the future as well as retention of employees. Mentoring can be used to motivate employees by pro...
Long-term care facilities seek ways to enhance the quality of life for residents. Cycling Without... more Long-term care facilities seek ways to enhance the quality of life for residents. Cycling Without Age (CWA), a new international cycling program, is gaining momentum for older adults. This study explored resident riders’ and trishaw pilots’ lived experience of their participation in the CWA program using a qualitative approach at a long-term care facility in the United States. Researchers conducted 27 face-to-face, semi-structured interviews with riders and pilots. For resident riders, the three themes identified included (a) breath of fresh air; (b) wave, chat, and remember; and (c) sit back and relax. Two themes were identified for the pilots: (a) change in frame of mind, and (b) mental and physical rewards. CWA can be as a new strategy for person-centered care. The CWA program provides nursing an opportunity to advocate, recommend, and obtain an order for residents to participate in the program.
New methods of care are required to meet the needs of people with dementia and their caregivers. ... more New methods of care are required to meet the needs of people with dementia and their caregivers. The Namaste Care™ program provides a person-centered approach through meaningful activities and loving touch. The purpose of this qualitative study was to explore the experiences of residents, staff, and family involved in the Namaste Care™ program at a long-term care facility in the United States. A descriptive approach was used to interview 14 staff members. The findings revealed six themes: peaceful sanctuary, relating their way, transforming experiences, connections and community, positive moments, and awakened to the possibilities. Results suggest that Namaste Care™ may be useful for individuals no longer able to participate in traditional long-term care setting activities. Further studies are indicated to confirm the impact on hospital readmissions, therapy enhancement, and medication use in relationship to Namaste Care™ program participation.
Leadership change is an event that occurs in all organizations. Shortages of qualified individual... more Leadership change is an event that occurs in all organizations. Shortages of qualified individuals to fill vacant nurse leadership positions in hospitals within the United States may cause stress on organizations, work units, and employees. The purpose of the study is to explore and analyze the effect of registered nurse (RN) workforce shortages on nurse leader turnover and succession in U.S. hospitals and variation by extent of RN shortage. This descriptive, nonexperimental study uses an archival research methodology to study characteristics of nurse leaders in U.S. hospitals. The study uses the 2004 National Sample Survey of Registered Nurses (NSSRN) along with RN shortage data from the Center for Health Workforce Studies. Participants in the NSSRN are RNs with an active license to practice nursing as of March 2004. The framework for the research is based on strategic contingency theory. Analysis is conducted using descriptive and multivariate techniques. The study identifies that approximately 17% of nurse leaders changed position and/or employer in 2003, and a majority of nurses (61%) were promoted to leadership positions from within the organization. A minority (24%) of nurse leaders in U.S. hospitals hold a master’s or doctoral degree. Nurse leaders in states with a nurse shortage work significantly more hours than leaders in nonshortage states (p <.01);
Wolters Kluwer Health may email you for journal alerts and information, but is committed to maint... more Wolters Kluwer Health may email you for journal alerts and information, but is committed to maintaining your privacy and will not share your personal information without your express consent. For more information, please refer to our Privacy Policy. ... Skip Navigation Links Home > ...
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