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Decline in Physical Restraint Use Following Implementation of Institutional Guidelines
OBJECTIVE To investigate the strategies implemented at our institution to reduce medical restraint use. BACKGROUND Restraints have been utilized to prevent agitation, self-extubations, and falls, although they are often associated with negative repercussions for nurses and patients. METHODS The restraint data at our institution were compared with the National Database of Nursing Quality Indicators (NDNQI) benchmark. We also described the measures taken to improve restraint documentation. RESULTS The number of patients in medical restraints, medical restraint hours, medical restraints/patient-days, ...
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

Disparities in Nurse Job Dissatisfaction and Intent to Leave: Implications for Retaining a Diverse Workforce
CONCLUSION Nurse administrators may find opportunities to decrease intent to leave among Black nurses through focused efforts to target areas of dissatisfaction. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Articles Source Type: research

Wisdom Shared: Health System Nurse Executives Share Success Strategies for Building High-Performing Nursing Organizations
This article outlines the key elements of a system nursing organization and serves to aid in the development, improvement, and sustainability of successful system nursing structures. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Departments: Spotlight on Leadership Source Type: research

The Global Pandemic: Should COVID-Inspired Care Innovations Continue?
The COVID pandemic generated unparalleled operational disruption. C-suites and chief nurse executives responded to create capacity and clinical readiness despite enormous uncertainty. Innovations were put in place to combat the care crisis; however, is there merit in continuing these innovations as the pandemic subsides? Examining highly impactful operational innovations that were rapidly implemented during the pandemic should be prioritized as organizations seek to establish their new normal. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Departments: Spotlight on Disruptive Innovation Source Type: research

A Glimpse Into the Magnet® Program Office: The High-Performing Senior Magnet® Program Analyst Team
The Magnet Recognition Program® has a dedicated team of RNs and non-RNs who are committed to advancing nursing and supporting healthcare organizations on their Magnet® journeys. Healthcare organizations who are either Magnet-designated or applicants for Magnet designation regularly communicate with the various members of the Magnet program office team. This perspective will highlight the roles of the senior Magnet program analysts and the assistant director of Magnet program operations. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

Letter to Friends: My Quest for Racial Healing
This past year brought the deadliest pandemic of our time and a huge social awakening and movement for racial justice. It became clear to me in late spring that I needed to learn more about structural racism, White supremacy, racial healthcare disparities, unconscious bias, and my own prejudices that govern my attitudes, values, behaviors, and decisions as a nurse leader, faculty member, board member, and a human being. To that end, I began to read, watch, and listen to both scholarly and lay journals and media that provide historical and current empirical accounts and studies of how racism and White supremacy have dominat...
Source: JONA: The Journal of Nursing Administration - May 27, 2021 Category: Nursing Tags: Departments: Guest Editorial Source Type: research

Effect of Shared Governance on Nurse-Sensitive Indicator and Satisfaction Outcomes: An International Comparison
Objective Researchers examined associations between Index for Professional Nursing Governance (IPNG) scores and outcomes, by US and international hospitals. Background Nursing governance and effects on nurse-related outcomes are not well studied. Methods Associations were evaluated using average IPNG scores from 2170 RNs and nurse-sensitive indicators (NSIs) and patient and RN satisfaction outcomes (n = 205 study units, 20 hospitals, 4 countries). Results International units had better IPNG shared governance scores (113.5; US = 100.6; P (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

Assessing Evidence-Based Practice Knowledge: An Innovative Approach by a Nursing Research Council
CONCLUSIONS Our EBPQ scores were consistent with prior findings. Our strategies provide a framework for other institutions in similar stages of implementing EBP and nurse-led research initiatives. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

Developing Effective Senior Nurse Leaders: The Impact of an Advanced Leadership Initiative
CONCLUSION The ALP has shown promise in strengthening SE for senior nurse leaders by supporting leadership skill development, follow-up training, and peer network development. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

An Integrative Review of Organizational Factors Influencing Successful Large-Scale Changes in Healthcare
CONCLUSION The factors that emerged from this review are consistent with concepts of implementation but broadened and highlight learning organizations in successful LSC. The results of this review informed the development of a reflective tool on LSC for nurse leaders. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

Perceptions of Authentic Nurse Leadership and Work Environment and the Pandemic Impact for Nurse Leaders and Clinical Nurses
CONCLUSIONS This is the 2nd study of the positive relationship between ANL and HWE using these models, supporting ANL as an essential standard of a HWE. ANL was present for clinical nurses in a pandemic year signaling that nurse leaders rose to meet frontline leadership needs. HWE was present overall, but not for clinical nurses. Leadership is essential to work environments and outcomes especially in times of crisis and significant change. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

Why Some Nurses Obtain Specialty Certification and Others Do Not
CONCLUSION Two strategies that hold promise for increasing nurse specialty certification are improving hospital work environments and preferentially hiring BSN nurses. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

A Psychometric Evaluation of the Casey-Fink Graduate Nurse Experience Survey
CONCLUSIONS This study was needed to inform survey item revisions. The CFGNES continues to be valuable in providing voice to the needs of graduate nurses and evidence for improving nurse residency program outcomes. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Articles Source Type: research

Conducting a Virtual Research Symposium: Path to Success
Strategies used to change an annual statewide research symposium from a face-to-face experience to a virtual event at a 434-bed Magnet® redesignated community hospital are described. The program met with success and increased access for attendees. For the 1st time, credited to the virtual format, representatives from all 9 hospitals in the system were able to attend. Feedback following the symposium suggested that participants who live at a distance from the hospital appreciated being able to attend the meeting without traveling, technical issues were promptly resolved, and presenters received positive evaluations. (Sourc...
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Departments: Spotlight on Leadership Source Type: research

Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice
This article introduces IS, leadership competencies essential for supporting implementation research and practice, and preparing an IS-ready workforce. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - May 1, 2021 Category: Nursing Tags: Departments: ALSN Perspectives Source Type: research