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Professional Governance in a Time of Crisis
The global COVID-19 health crisis has significantly altered the structures and processes of healthcare in innumerable unanticipated ways. No profession has been more impacted or challenged than nursing. In many settings, nursing professional governance has been abandoned or neglected. The impact of this trend is outlined in this article. The authors suggest to nurse leaders that nursing professional governance can be an invaluable mechanism for nursing engagement in the midst of managing a crisis. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Articles Source Type: research

Non–Direct Care Nurses: Professional Identity and Role in the COVID-19 Pandemic
CONCLUSION Nurses in nonclinical roles desire to be involved in responses to emergency events, but not as direct care providers. Involvement enables them to feel valuable despite nonclinical roles. During emergency events, nursing leaders should mobilize the talents of this workforce segment, offering role choice when feasible. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Articles Source Type: research

Implementing Evidence Informed Practice Changes: Barriers, Facilitators, and Work Environments
CONCLUSIONS Implementing evidence into practice is facilitated by committing organizational resources, fostering supportive work environments, integrating evidence into quality improvement projects, offering continuing education, and reducing the complexity of translating evidence into practice and the number of institution-wide initiatives. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Articles Source Type: research

Choosing the Ideal Advanced Practice Leader for Your Organization
This month’s column highlights the attributes, competencies, and qualifications for consideration when selecting the ideal advanced practice leader, one that is collaborative and skilled in providing leadership at the executive or health systems level. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Departments: Spotlight on APRN Outcomes and Leadership Source Type: research

A Look Back on Leadership Lessons From the Early Days of the COVID-19 Pandemic and What We Can Learn for the Future
This article highlights 6 leadership strategies used in the early days of the pandemic. Reviewing these lessons learned and revisiting the strategies used during this time will help today's leaders continue to lead through the COVID-19 pandemic and beyond. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Departments: Spotlight on Leadership Source Type: research

7 Executive Strategies to Stabilize the Nursing Workforce
The COVID-19 pandemic exacerbated long-standing challenges in the workforce, resulting in a shortage of nurses that has now reached crisis levels. At the same time, there is a concerning “skills gap” that has been emerging for some time. Leaders have typically relied on legacy recruitment and retention strategies to mitigate these challenges, but these will not be sufficient to address staffing gaps. In this article, the authors discuss how current staffing challenges differ from previous workforce shortages and propose 7 executive strategies for C-suite leaders to prepare for the future nursing workforce. (Source: JON...
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Departments: Spotlight on Nurse Retention Source Type: research

A Comparison of the 2023 Magnet® Manual and the 2020-2030 Future of Nursing Report
The Magnet Recognition Program® completed a crosswalk between the National Academy of Medicine (NAM) recommendations in the 2020-2030 Future of Nursing report and the recently released 2023 Magnet Application Manual. In comparing the 2 documents, it was determined the Magnet® framework aligns with several of the NAM recommendations. Both the NAM and Magnet program emphasize health equity and diversity in patient care, education, and nurse wellness. In this column, one can learn how both documents establish guidelines for empowering the nursing profession as the primary means to improving health equity and outcomes for th...
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Departments: Magnet® Perspectives Source Type: research

Building Nurse Manager Well-being by Reducing Healthcare System Demands
The National Academies of Medicine consensus study committee reported that US healthcare workers experience high levels of burnout resulting from external pressures on the healthcare system and the organization of work. Nurse managers are especially susceptible to burnout. This column provides evidence-based strategies to improve the work environment, reduce the burden of job demands, and promote well-being among nurse managers. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - April 1, 2022 Category: Nursing Tags: Departments: AONL Leadership Perspectives Source Type: research

Decreasing On-shift Stress With a Crisis Intervention Cart
Because of the pandemic's impact on morbidity and mortality, nursing leaders have witnessed a marked increase in the number of staff who experience crisis and extreme stress during their shift. This hospital's Engagement and Resilience Council aimed to mediate this stress by implementing resilience-building interventions during moments of peaked stress. Preliminary data show these interventions may markedly improve stress levels in frontline caregivers by up to 52% in some clinical settings. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Departments: Spotlight on Leadership Source Type: research

Clinical Leader Series: A Virtual Mental Well-being Initiative for Nurse Leaders During the COVID-19 Pandemic and Beyond
CONCLUSIONS This type of education, as well as psychological support, will continue to be needed after the pandemic due to burnout, moral injury, and primary or secondary trauma. Findings are applicable to future crisis situations. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research

Addressing Occupational Fatigue in Nurses: A User-Centered Design Approach for Fatigue Risk Management
CONCLUSIONS This study advances the science and practice for FRM in nursing. The design principles and concepts from this study can be used to facilitate implementation of FRM systems in hospitals. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research

Near Miss Research in the Healthcare System: A Scoping Review
CONCLUSIONS Solely understanding causes of near misses cannot guarantee effective learning; we also need to apply appropriate learning theories. Advanced technologies should be applied to solve long-standing underreporting issues. Accurate and consistent indicators should be applied in near miss research and management. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research

Crisis Leadership During and After the COVID Pandemic: Astute Nurse Leaders Make the Difference
This article explores crisis leadership, with the purpose of offering a series of leadership behaviors and strategies for nurse administrators to limit and reduce the harm of crises, specifically the COVID-19 pandemic, to healthcare professionals. Based on the assumption that generic or universal crisis management approaches are generally ineffective and efficacious crisis management must be tailored to a specific crisis, a study was conducted to identify the most serious COVID-based stressors. The results revealed 5 categories of COVID stressors which are, in ascending order: miscellaneous, administration, patients/patien...
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research

Leadership and Staff Perceptions on Long-term Care Staffing Challenges Related to Certified Nursing Assistant Retention
CONCLUSION When organizational leaders understand how to meet the needs and interests of CNAs, they can reduce turnover. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research

Seeking to Understand: Qualitative Research on Sustainability of Evidence-Based Practice in Acute Care
CONCLUSIONS Assessing clinician experiences, beliefs, and values of an EBP should be incorporated into a strategic sustainability plan. Clinician understanding of how an EBP can advance the patient plan of care could promote ownership of professional practice and sustainment. (Source: JONA: The Journal of Nursing Administration)
Source: JONA: The Journal of Nursing Administration - February 18, 2022 Category: Nursing Tags: Articles Source Type: research