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The Impact of Traumatic Stress, Resilience, and Threats to Core Values on Nurses During a Pandemic
CONCLUSIONS The findings will help leaders understand the potential for postpandemic mental health problems and the role of resilience in maintaining well-being. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Articles Source Type: research

The Effect of Career Plateauing as a Mediating Factor on Nurses' Job Satisfaction and Promotability
CONCLUSION Career plateauing is a significant determinant of nurses' job satisfaction and promotability. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Articles Source Type: research

Health System Redesign of Cardiac Monitoring Oversight to Optimize Alarm Management, Safety, and Staff Engagement
CONCLUSIONS Decreasing alarm frequency can be safely achieved in academic and community hospitals by creating a system-wide monitoring infrastructure and standardized processes that engage interdisciplinary teams. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Articles Source Type: research

Meaningful Recognition: The Tie to Purpose
Meaningful recognition is powerful and tied to purpose. As nurses, we are motivated by our ability to contribute and make a difference in our patients' lives. As leaders, we can buffer the negative effects of burnout, foster a positive work environment, and cultivate a culture of gratitude and trust by creating and sustaining a culture of recognition. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Departments: Spotlight on DAISY Source Type: research

Offering Support and Staying Inspired: An Interview With Maureen Swick
This year, Maureen Swick, PhD, MSN, RN, NEA-BC, received the American Organization for Nursing Leadership (AONL) prestigious Lifetime Achievement Award, which honors an AONL member recognized by the nursing community as a significant leader in the nursing profession who has served AONL in an important leadership capacity. Swick served as chair of the AONL Board of Directors and AONL CEO/American Hospital Association chief nursing officer. She has held executive leadership roles at several health systems and now is enterprise senior vice president of nursing and pharmacy at Atrium Health, Charlotte, North Carolina. This is ...
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Departments: AONL Leadership Perspectives Source Type: research

Magnet® Empirical Outcomes: Key Strategies to Improve Sustainability
Healthcare organizations are challenged to demonstrate sustainability of quality outcomes within an ever-changing healthcare environment. The Magnet® model and empirical outcomes component provides a framework for demonstrating improvements in quality outcomes and is a foundation for creating professional nursing care environments to support sustainability. Within this high-performing professional nursing care environment, nursing leaders are able to engage in key strategies to enhance sustainability of quality outcomes once achieved. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - October 1, 2022 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

A Correlational Study Exploring Nurse Work Anxiety and Animal-Assisted Therapy
OBJECTIVE The aim of this study was to perform a correlational study to explore nurse work anxiety. BACKGROUND Nurses experience work anxiety with chronic stressful situations, high-acuity assignments, and rigorous patient care standards. The purpose of this study was to determine whether animal-assisted therapy during active worked hours would reduce nurse work-related anxiety. METHODS Animal-assisted therapy interventions were performed for both day and night shifts. Beck's Anxiety Inventory (BAI) tool was used pre and post intervention. Each nurse interacted with the therapy dog for at least 10 minutes...
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Ambulatory Oncology Nurses Weigh in About 12-Hour Shifts
CONCLUSIONS Ambulatory oncology nurses perceived benefits to quality, safety, and satisfaction for both nurses and patients related to 12-hour shifts. Further evaluation of patient, nurse, and organizational outcomes unique to ambulatory settings is essential for nurse executives in formulating data-driven staffing plans. The incorporation of 12-hour shifts should be considered. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Nurses as Clinical Advisors in an Interprofessional COVID-19 Crisis Command Center
The use of nurses as clinical advisors in an interprofessional COVID-19 crisis command center proved successful. By engaging nurses as clinical advisors in the command center structure, one organization was able to facilitate optimal decisions around nursing leadership and advocacy, capacity and staffing, the development and implementation of innovative novel care models, clinical training and upskilling, and maintaining the safest possible environment for the patients and team members. Including a nurse-led clinical advisor role within future command center structures is an important strategy to reshaping how organization...
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Impressions of Conventional Bedside Discharge Teaching Among Readmitted Heart Failure Patients
CONCLUSION Discharge teaching could be improved by diminishing the volume of print materials distributed to HF patients, providing simple summaries of the most relevant advice, focusing on patient concerns more than the hospital agenda, and directly including home caregivers in teaching. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Optimizing Care Teams by Leveraging Advanced Practice Providers Through Strategic Workforce Planning
DISCUSSION APP utilization is an important topic that has not been consistently addressed in the literature. Inappropriate utilization and lack of top of licensure practice have been associated with increased turnover, decreased job satisfaction, and professional development. By developing a multidisciplinary workforce planning committee, full-time employee positions are evaluated with a goal of optimizing and standardizing the role of APPs at SHC. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Work Readiness of Newly Licensed RNs
CONCLUSIONS Work readiness adds to our understanding of factors that can affect the transition of NLRNs into the work setting. Further research is needed to understand how work readiness develops over time, factors that predict work readiness, and its relationship to NLRN retention and other outcomes. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

Redesigning a Clinical Advancement Program to Promote and Strengthen Competencies of Clinical Nurses
Clinical advancement programs (CAPs) benefit direct care nursing staff, patients, and healthcare institutions. As standards in nursing practice and workforce evolve, changes in CAPs are necessary. In this quality improvement project, nursing leadership and a 15-member nurse committee redesigned a CAP using Benner's Novice to Expert Model. Changes included self-selection of specialty tracks by shadowing senior nurses in direct patient care, education, and leadership. CAPs increase satisfaction, collaboration, and generation of innovative knowledge. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

The Business Case for Magnet® Designation: Using Data to Support Strategy
The Magnet® journey has increased in relevance as the sources of evidence reflect the complex role of the nurse in quality, safety, and the patient care experience. Creating a business case to secure the resources required to embark and travel on the Magnet journey is an essential tool for the chief nurse. Identifying expenses, cost savings or avoidance, and return on investment for nursing services are all important elements of a business case. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Articles Source Type: research

An Effective Model for Unit-Based Advanced Practice Provider/Physician Collaboration on a Complex Medicine Hospital Unit
Advanced practice provider care effectively improves outcomes and reduces costs. During COVID-19 challenges and staffing shortages, a team developed and piloted a collaborative advanced practice provider/physician hospital medicine model that resulted in improved outcomes, costs, and quality metrics, including increased productivity and revenue, decreased length of stay, and decreased medical emergency team/rapid response calls. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - September 1, 2022 Category: Nursing Tags: Departments: Spotlight on Clinical Care Source Type: research