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Brief Mindfulness Practice Course for Healthcare Providers
CONCLUSIONS Findings support the short-term and sustained impact of this brief mindfulness curriculum on mindful awareness, quality of life, and aspects of burnout for healthcare professionals. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Articles Source Type: research

Time from Pain Assessment to Pain Intervention
OBJECTIVE The purpose of this study was to describe factors that influence nurses' time from pain assessment to intervention for acute postsurgical pain. BACKGROUND Nurses' time is a limited resource that must be optimized to manage patients' pain within budget constraints. Little is known about processes and activities nurses negotiate to manage pain. METHODS Human factors engineering and ethnography were used to quantify factors influencing time from pain assessment to intervention. RESULTS On the basis of 175.5 observation hours, nurses spent 11% of shifts (mean, 83 minutes) on pain care activit...
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Articles Source Type: research

Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes by Magnet® Recognition Status
CONCLUSIONS Having shared or self-governance is a strategy that can be considered by nurse leaders to improve select nurse-related outcomes. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Articles Source Type: research

COVID-19: The Lived Experience of Critical Care Nurses
Conclusion Themes revealed suggest a number of actions hospital administrators could take to support CCNs as they experience the challenges of a pandemic. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Articles Source Type: research

A Descriptive Study of Resiliency and Health in Practicing Nurses
OBJECTIVES The aim of this study was to identify the degree of resilience and self-perceived physical and mental health in practicing nurses. BACKGROUND Stressors and challenges of everyday demands influence resilience and well-being in acute care nurses. METHODS Nurses were surveyed using the Connor-Davidson Resilience Scale and PROMIS Global Health. One sample t test compared the study group to the general population mean of resiliency, physical and mental health scores. Linear regression analysis identified factors associated with resiliency. RESULTS Of the 859 practicing nurses in the sample, m...
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Articles Source Type: research

Pandemic Challenges: Keeping Nursing Research Alive
Nursing has been pandemic-slammed. Although 2020 will be forever entangled with the COVID-19 pandemic, we, as nurse leaders, must continue to move forward and beyond this endemic challenge. We cannot lose focus on generating new knowledge to continue nursing excellence and move our profession forward. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Departments: Spotlight on Leadership Source Type: research

The Role of Nurse Leaders in the Well-being of Clinicians
This column reviews the concept of humanism in leadership. After surviving a year perceived by many healthcare professionals as the most challenging of a generation, the author reflects on leadership essentials for rebuilding our nursing workforce. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Departments: ALSN Perspectives Source Type: research

Using Structural Empowerment to Improve Outcomes
In the changing healthcare climate, a robust continuous professional development program is critical to ensure excellent patient care and the best outcomes. It is essential for educators and leaders to understand the factors that enhance the impact of continuous professional development. Organizational leadership must support successful education programs and the ability to provide educational activities. In this month's Magnet® Perspectives, we will review how the Institute of Medicine and Quadruple Aim framework can support structural empowerment through continuous professional development to improve outcomes. (Source: ...
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

Preparing Nurse Leaders for Value-Based Care: A Toolkit to Guide Practice Transformation
Organizations across the country are redesigning care delivery to improve quality and outcomes, enhance the patient experience, reduce costs, and, ultimately, produce better population health. Leaders from the American Organization for Nursing Leadership engaged key stakeholders to discuss the role nursing can play and the toolkit that will be introduced this year to guide nurse leaders in striving for value. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - July 1, 2021 Category: Nursing Tags: Departments: AONL Leadership Perspectives Source Type: research

The Reality for Minorities Exploring Nurse Executive Leadership
This article advocates for formal mentorship as an evidence-based pathway to expand diversity in nurse executive leadership. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

Innovations in Evaluating Nursing Academic Practice Partnerships
Academic-practice partnerships are formalized relationships encouraged by the American Association of Colleges of Nursing to meet healthcare and societal needs. While Academic-practice partnerships have existed for decades, the process for evaluating their outcomes often lacks a robust, standardized structure. The purpose of this article is to describe one organization's process for developing and implementing an evaluation blueprint for appraising an Academic-practice partnership. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

Advance Practice Provider Transformational Leadership Structure: A Model for Change
CONCLUSIONS An APP director and leadership structure are vital to the creation of infrastructure to support APPs in this healthcare. Optimization and standardization of APP practice resulted in role clarity and allowed for support of practice development. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

The Nurse Manager's Experience of Moral Distress
The purpose of this study was to describe the moral distress experiences of nurse managers. Moral distress has been studied among direct patient care providers including nurses and physicians. The moral distress experience among nurse managers is less understood. We conducted a qualitative descriptive study with 19 nurse managers from 5 healthcare institutions in Virginia. Interview data were analyzed using a directed content analysis, as the structural components of the moral distress phenomenon are already known. Participants suffered moral distress when they were unable to achieve or maintain effective unit function and...
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

A Scoping Review of the Impact of Downsizing on Survivors
Dynamics in the workplace are tumultuous. Downsizing within organizations is one strategy to adjust staffing to volumes. Survivor demoralization and loss of trust in the organization are the primary outcomes of organizational downsizing. These deep emotional responses to psychological contract breach/violation result in decreased organizational citizenship behavior, decreased organizational commitment, decreased productivity, and employees who desire to work elsewhere. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

Nurse Listening as Perceived by Patients: How to Improve the Patient Experience, Keep Patients Safe, and Raise HCAHPS Scores
CONCLUSIONS Embracing these described behaviors could significantly impact patients' safety and recovery. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research