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Journal of Nursing Administration

Deborah J Stilgenbauer, Joyce J Fitzpatrick
OBJECTIVE: The purposes of the study were to describe levels of innovativeness in nurse executives, clinical directors, and nurse managers in acute care settings in the United States and to compare innovativeness between the groups. BACKGROUND: Nurse leaders must navigate the complex ever-changing landscape of healthcare. New strategies are necessary for managing resources and improving patient outcomes. METHODS: A survey was posted in the American Organization of Nurse Executives newsletter using the Scales for Measurement of Innovativeness to measure innovativeness...
February 6, 2019: Journal of Nursing Administration
Jennifer Ryiz-Semmel, Monique France, Robin Bradshaw, Marjorie Khan, Barbara Mulholland, Joanne Meucci, Jacqueline McGrath
BACKGROUND/PURPOSE: Ongoing dissatisfaction with anonymous peer feedback led to problem solving to equip nurses to provide and receive respectful and meaningful feedback during face-to-face peer review. PROBLEM: Giving and receiving feedback about other's performance and collaboration are a vital aspect of teambuilding; yet, no programmatic training existed to prepare and equip nurses to feel confident and comfortable in providing or receiving face-to-face peer feedback...
February 5, 2019: Journal of Nursing Administration
Claire Seguin
OBJECTIVE: The aim of this study was to explore how a personality quality termed grit impacts the well-being and success of nurses who serve in positions of healthcare leadership. BACKGROUND: As the responsibilities of nurse leaders become increasingly complex, there is concern that job satisfaction is becoming more difficult, and burnout and attrition more common. Grit, perseverance, and passion for long-term goals are associated with reduced burnout and predictable success in other industries, but less is known about its impact on nurse leaders...
February 5, 2019: Journal of Nursing Administration
Fiona Paul, Leah Abecassis, Dawn Freiberger, Susan Hamilton, Pamela Kelly, Elizabeth Klements, Christine LaGrasta, Lindsay Lemire, Ellen OʼDonnell, Erin Patisteas, Caitlin Phinney, Karen Conwell, Theresa Saia, Katherine Whelan, Laura J Wood, Patricia OʼBrien
The process of developing a 3-tiered advanced practice RN (APRN) competency-based professional advancement model at Boston Children's Hospital is described. The model recognizes the contributions of entry-level and expert APRNs to advanced clinical practice and outcomes, impact, and leadership, while incorporating the tenets of Patricia Benner's Novice to Expert Model and the American Association of Critical- Care Nurses Synergy Model of Care.
January 10, 2019: Journal of Nursing Administration
Yunchuan Lucy Zhao, Marjorie Bott, Jianghua He, Heejung Kim, Shin Hye Park, Nancy Dunton
Falls and injurious falls are a major safety concern for patient care in acute care hospitals. Inpatient falls and injurious falls can cause extra financial burden to patients, families, and healthcare facilities. This article provides clinical implications and recommendations for adult inpatient fall and injurious fall prevention through a brief review of factors associated with falls and injurious falls and current fall prevention practices in acute care hospitals.
January 9, 2019: Journal of Nursing Administration
Margarita de la Fuente, Ashley Schoenfisch, Barbara Wadsworth, Joyce Foresman-Capuzzi
OBJECTIVE: The aim of this study was to evaluate the impact of behavior management training on nurses' confidence in managing aggressive patients. BACKGROUND: Nurses are at a high risk of experiencing violence directed toward them by patients. METHODS: This quality improvement project used a pre-and-post study design. A survey was administered within 1 month before behavior management training and 1 month after training, capturing participants' demographic and work characteristics, as well as their experiences with patient/visitor-perpetrated violence...
January 9, 2019: Journal of Nursing Administration
Helene Bowen-Brady, Barbara Haag-Heitman, Valerie Hunt, Margaret Oot-Hayes
OBJECTIVE: The purpose of this study was to understand clinical nurses' perceptions of their participation in a formal, annual peer review process at a metropolitan community hospital. BACKGROUND: Peer review is an essential component of professional nursing practice for self-regulation of the practice and promotion of quality and safety. Robust empirical evidence of formalized and effective peer review nursing processes is not evident. METHODS: A descriptive qualitative study with focus group interviews was used...
November 28, 2018: Journal of Nursing Administration
Kathy Chappell, Dahn Jeong, Rima ElChamaa, Vicki Lundmark, Deborah Kendall-Gallagher, Elizabeth Salt, Robin Newhouse, Meg Johantgen, Scott Reeves, Donald Moore, Curtis Olson, Thomas Van Hoof, David Price, Craig Campbell, Natalia Danilovich, Simon Kitto
OBJECTIVE: The aim of this study was to construct a sensitizing definition of certification in nursing for research purposes that can provide a foundation from which to further develop a coherent research program building evidence about the impact of certification on healthcare outcomes. BACKGROUND: The lack of a single definition of certification in nursing makes it difficult to draw conclusions about the relationship between specialty certification and patient outcomes...
November 28, 2018: Journal of Nursing Administration
Kati L Wijdenes, Terry A Badger, Kate G Sheppard
OBJECTIVE: This study evaluated the prevalence and severity of compassion fatigue (CF) risk among nurses employed in a large southwestern hospital system. BACKGROUND: Compassion fatigue is defined as multifaceted exhaustion stemming from untreated distress that leads to physical and emotional problems. Low morale, increased medication errors, and higher turnover can result. METHODS: A descriptive design was used to identify: 1) the prevalence and severity of CF risk among a sample of registered nurses; and 2) the differences in demographic characteristics correlated with CF risk...
November 28, 2018: Journal of Nursing Administration
Jennifer M Bradley, Linda Weaver Moore
OBJECTIVE: The purpose of this study was to explore professional coaches' perceptions of nurse managers (NMs) and the NM role. BACKGROUND: Nurse Managers are often inadequately prepared, developed, and supported in their roles. Professional coaching is a strategy that may prove beneficial to help prepare NMs for their roles. METHODS: A qualitative design using researcher-participant interviews of 11 professional coaches provided data regarding coaches' perceptions of NMs and the role development needs...
February 2019: Journal of Nursing Administration
Yumiko Kuraoka
OBJECTIVE: This study aimed to examine the relationship between experiential learning and nursing management competency among nurse managers (NMs) in the early years of a supervisory role. BACKGROUND: The relevance of experiential learning to the development of NMs has been explored in an effort to harvest the knowledge embedded in shared NM practice narratives. However, the relationship between experiential learning and nursing management competency has not been empirically measured...
February 2019: Journal of Nursing Administration
Deborah E Tyndall, Elaine S Scott, Lenna R Jones, Kristy J Cook
OBJECTIVE: This study compares and contrasts new graduate nurse attributes and perceptions using findings from a 2010 study and a recent analysis of new graduate nurses participating in the same residency program. BACKGROUND: As millennials saturate the healthcare work environment, their unique views and needs will influence the evolution of new graduate nurse residencies. METHODS: This study used previously reported data on new graduate nurses between 1999 and 2009 and compared it with a secondary analysis of data collected on new graduate nurses between 2011 and 2016...
February 2019: Journal of Nursing Administration
Nora Frasier
OBJECTIVE: This study examined the impact of a pilot leadership development program on nurse managers' (NMs') use of authentic leadership behaviors. BACKGROUND: Nurse managers often receive little or no formal training. Literature suggests formal leadership development programs can enhance their leadership competency. A leadership development program was designed and pilot tested to determine effectiveness in enhancing authentic leadership competency. METHODS: A cross-sectional study used a convenience sample of 16 NMs who participated in the pilot program...
February 2019: Journal of Nursing Administration
Thomas R Clancy
As systems evolve over time, their natural tendency is to become increasingly more complex. Studies in the field of complex systems have generated new perspectives on the application of management strategies in health systems. Much of this research appears as a natural extension of the cross-disciplinary field of systems theory. This article is the 5th in a series of articles that focuses on why technological complexity is increasing and strategies nurse administrators can use to successfully implement change in the face of it...
February 2019: Journal of Nursing Administration
Patricia Reid Ponte
In this column, nurse practitioner, educator, and scientist Dr Andrew Dwyer describes his program of translational research aimed at advancing nurses' crucial role in delivering person-centered care and engaging consumers to make informed decisions for genetic testing that are in line with their values and preferences.
February 2019: Journal of Nursing Administration
Cynthia L Holle, Lisa J Sundean, Mary Ellen Dellefield, John Wong, Ruth Palan Lopez
Research suggests that acute care patients cared for by baccalaureate-educated nurses have better outcomes. Directors of nursing (DONs) in skilled nursing facilities (SNFs) have lower rates of baccalaureate attainment than acute care nurses for unclear reasons. To understand the interest in advancing education, researchers surveyed SNF DONs in Connecticut to examine their beliefs about academic advancement and the impact of DON education on resident outcomes. Nearly 70% of participants with diplomas and associate degrees lacked interest in degree advancement and did not believe a baccalaureate degree is necessary for DONs or that DON level of education impacts resident outcomes...
February 2019: Journal of Nursing Administration
David R Marshall
In this month's Magnet® Perspectives column, guest author Dr David Marshall, JD, DNP, RN, CENP, NEA-BC, FAAN, system chief nursing and patient care services executive at the University of Texas Medical Branch (UTMB), explores nursing's proud history of innovation and looks at ways we can give nurses the means, opportunity, and motivation to unleash innovation and transformation. Dr Marshall shares details of UTMB's successful medical makerspace, where nurses and others bring ideas to life.
February 2019: Journal of Nursing Administration
Kenrick D Cato, Carolyn Sun, Eileen J Carter, Jianfang Liu, Reynaldo Rivera, Elaine Larson
OBJECTIVES: The aim of this study is to describe and evaluate the impact of the Linking to Improve Nursing Care and Knowledge (LINK) project on increasing nurse-led clinical research. BACKGROUND: Nurse-generated research is the cornerstone of evidence-based practice and continues to be a marker of nursing excellence. However, the dearth of PhD-prepared nurses creates a challenge for creating an environment to promote clinical nursing research. We evaluated the LINK project, an academic-clinical partnership, to assess its impact and feasibility, for fostering nurse-led clinical research...
January 2019: Journal of Nursing Administration
Jaynelle F Stichler, Luc R Pelletier, Tanna Thomason
OBJECTIVE: This study explored the experiences, perceptions and emotional state of nurse leaders during union activities to understand the impact on their personal and professional lives. BACKGROUND: Other than anecdotal stories shared during union negotiations and strike preparations, very little evidence exists in nursing and healthcare literature about nursing unions and their impact on nurse leaders and their organizational priorities. METHODS: This study used an exploratory, descriptive design with a convenience and snowball sample of Association of California Nurse Leaders members...
January 2019: Journal of Nursing Administration
Michele DeGrazia, Rachel L Difazio, Jean A Connor, Patricia A Hickey
The Nurse Executive Committee for Research and Inquiry (NECRI) was established to align clinical inquiry with nursing clinical operations to advance nursing science and improve patient care and outcomes for patients and their families. The authors describe the development, structure, and function of NECRI, outcomes to date, and infrastructure necessary to support a sustainable model.
January 2019: Journal of Nursing Administration
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