Paul Coyne, DNP, MBA, MS, APRN, AGPCNP-BC
Paul Coyne is a distinguished figure in the realm of health care, currently serving as the Senior Vice President and Chief Nurse Executive at the Hospital for Special Surgery (HSS), the world ’s leading academic medical center focused on musculoskeletal health. His journey from a financial analyst at Goldman Sachs to a luminary in nursing and health care leadership is not just a career transition but a narrative of overcoming personal health challenges, including hypertrophic cardiomyo pathy, a stroke, and the profound vulnerabilities these experiences entailed. (Source: Nurse Leader)
Source: Nurse Leader - May 3, 2024 Category: Nursing Authors: Reynaldo R. Rivera Tags: Leader to Watch Source Type: research

Nursing Leaders ’ Influence on Clinical Nurses’ Evidence-Based Practice Implementation: Impact of an Evidence-Based Practice Leadership Behavior Program
This study used a quantitative, pretest, posttest comparative design to determine whether acute and critical care nursing leaders’ participation in an evidence-based practice (EBP) Leadership Behavior Program made a difference in nursing leaders’ self-reported and clinical nurses’ perceptions of nursing leaders’ EBP leadership behaviors and competencies. The program was designed for nursing leaders that included synchronous and asynchronous activities. (Source: Nurse Leader)
Source: Nurse Leader - April 30, 2024 Category: Nursing Authors: Lindsey J. Patton, Zara Sajwani-Merchant, Sara Moore, Peng Chen, Amy Six-Means, Linda Markey Tags: Featured article Source Type: research

An Innovative Academic Clinical Partnership
NewYork-Presbyterian Hospital (NYPH) evaluates quality and patient safety (QPS) metrics and goals for the hospital enterprise and at each hospital site. The hospital QPS committee lead an initiative focused on C-difficile (C-diff) with a multifaceted strategy to meet the standardized infection ratio (SIR) goals for 2021. As part of this program, an innovative practice partnership between NYPH and Columbia University School of Nursing (CUSON) emerged to create an audit program while providing students first-hand experience with hospital-based quality improvement initiatives. (Source: Nurse Leader)
Source: Nurse Leader - April 30, 2024 Category: Nursing Authors: Susan D. Chin, Heidi Hahn-Schroeder, Candice Smith, MariLou Prado-Inzerillo Tags: Featured article Source Type: research

Intervene: An Incentive-based Program to Increase Nurse Manager Self-care and Resiliency Following the Covid-19 Pandemic
This study aims to investigate the potential of technology-driven interventions in enhancing health behaviors and resilience among nursing management. Conducted in 2021 at a major urban hospital, the study engaged 32 nurse leaders, and found that time was a major barrier to participating and the intervention did not improve resiliency. (Source: Nurse Leader)
Source: Nurse Leader - April 30, 2024 Category: Nursing Authors: Kiara Torno, Carolyn Sun Tags: Featured article Source Type: research

Generational Differences in the Nursing Workforce
The nursing workforce consists of individuals from multiple generational cohorts and includes a dynamic mix of nurses who reflect the cultural and historical events that shaped their generation. As the Baby Boomer generation retires and younger generational cohorts fill their positions, Generation X and Millennials are a growing majority in the workforce, and the number of Generation Z nurses is steadily increasing. To recruit, retain, and lead teams with multigenerational members, nurse leaders need to understand the differences in attitudes toward work life and professional identity among generations and how to leverage ...
Source: Nurse Leader - April 29, 2024 Category: Nursing Authors: Todd E. Tussing, Esther Chipps, Joni Tornwall Tags: Featured article Source Type: research

Solving the Practice-Management Perception Gap – A Key to Creating Heathier Work Environments
The most recent American Association of Critical-Care Nurses National Nurse Work Environment Study reveals a continued practice-management perception gap concerning the health of nurse work environments, with frontline nurse managers (FNMs) generally rating the work environment healthier than do direct care nurses (DCNs). The results also support the important influence FNMs have on DCNs and the health of the work unit. Key priorities must include gaining a better understanding of the underlying causes of practice-management perception gaps, addressing the gaps through open discussion and communication, and DCNs and FNMs c...
Source: Nurse Leader - April 29, 2024 Category: Nursing Authors: Beth Ulrich, Connie Barden, Linda Cassidy, Natasha Varn-Davis Tags: Featured article Source Type: research

It Takes a Village
Nurse leaders and educators play a vital role in supporting new-to-practice nurses. While nurse residency programs have been established in many organizations, communication between nurse leaders and hospital-based educators regarding NRP implementation and outcomes can vary. A leadership survey within our statewide NRP demonstrated outcomes at or above the national mean; however, feedback from leaders revealed lack of awareness about key program elements and an opportunity for greater engagement with nurse residents. (Source: Nurse Leader)
Source: Nurse Leader - April 29, 2024 Category: Nursing Authors: Edna Cadmus, Michele Livich Roberts Tags: Featured article Source Type: research

Reducing the Friction in Health Care
The challenges with clinician burnout and lack of joy at work existed before COVID-19. In 2017, the Institute for Healthcare Improvement published a widely read white paper titled, The IHI Framework for Improving Joy at Work.1 One of the leadership strategies recommended in this work was identifying the unique impediments to joy in work in the local context. The goal was for leaders to work with staff to identify impediments in daily work —the "pebbles in their shoes"—and then set priorities and address them together. (Source: Nurse Leader)
Source: Nurse Leader - April 25, 2024 Category: Nursing Authors: Rose Sherman Tags: Editorial Source Type: research

Improving Scheduling Efficiency in the Setting of Staff Turnover and Increased Surgical Volume in the Post-anesthesia Care Unit Using Census Data Trends
This article describes the successful implementation of a staffing restructuring in the Post-Anesthesia Care Unit (PACU) at a large Cancer Center in New York City. Retrospective census data (hourly census “snapshots” and 60-day average daily census trends) in the Main PACU was evaluated to predict PACU's busiest working hours and adjust PACU staffing targets accordingly. This restructure led to a 55% decrease in overtime expenditure in 2023 YTD compared to 2022 YTD ($264,248 and $588,063 annual d ollars spent, respectively), despite a 6.6% increase in surgical volume and 2x the amount of staff turnover in 2023 compared...
Source: Nurse Leader - April 25, 2024 Category: Nursing Authors: Victoria Bihler Tags: Featured article Source Type: research

Reaching Regulatory Compliance Metrics
It can be challenging to meet regulatory compliance measures when there are competing priorities with short staffing and workplace burnout. Finding a way to reach regulatory compliance standards without heavily relying on dispensary actions to enforce compliance can help reengage nursing teams, create a sense of purpose, and establish a leader and staff collaborative approach to nursing excellence. By creating a shared vision for the unit, nurse leaders can collaborate with staff to reach needed standards that support patient care outcomes. (Source: Nurse Leader)
Source: Nurse Leader - April 19, 2024 Category: Nursing Authors: Laurie Arrison Tags: Featured article Source Type: research

Next Level Nurse Partnership
Nursing is the backbone of the health care industry. No other sector of health care has as broad of a reach or direct impact on patient care and in the post-pandemic environment, the importance of nursing has been amplified as new technologies and workflows disrupt the status quo, and nurse teams and leaders continue to face new pressures and obstacles in their efforts to care for patients. Despite the significant role nursing plays in maintaining and improving access to care, there is a growing challenge involving the state of the nursing workforce, and nurses are leaving the profession at an alarming rate, with retiremen...
Source: Nurse Leader - April 19, 2024 Category: Nursing Authors: Aundrea Mills Source Type: research

New Graduate Nurses ’ Perceptions of Disruptive Behaviors and Implications for Nurse Leaders
As new graduate nurses (NGNs) transition into their first registered nurse (RN) position, they are acclimating to a new culture and vulnerable to witnessing and experiencing various disruptive behaviors. When NGNs are treated poorly by others in their environment, their job satisfaction and well-being are negatively impacted, and they begin to consider leaving their job or the nursing profession altogether. In this article, survey results collected from NGNs on their perceptions of disruptive behaviors in the workplace will be discussed. (Source: Nurse Leader)
Source: Nurse Leader - April 18, 2024 Category: Nursing Authors: Larissa Africa, Martha Grubaugh, Renee Thompson Tags: Featured article Source Type: research

Safe Staffing Through New Models of Care
Safety is the number 1 priority for nurse leaders, and ensuring safe staffing is critical. Safe staffing in an era of nurse shortages must be achieved by a radical change to the current models of care. Clinical organizations must innovate by implementing and testing new models of care while partnering with their local academic colleagues to develop a new body of evidence. There is a need to educate all stakeholders, including legislators, that mandated nurse-to-patient ratios are not the best solution to ensure that patients have access to excellent care and that nurses are able to practice in a professionally fulfilling e...
Source: Nurse Leader - April 18, 2024 Category: Nursing Authors: Sylvain Trepanier, Kathleen Sanford, Gay Landstrom, Rosalie Mainous, Susan Bakewell-Sachs Tags: Featured article Source Type: research

Can Your Organization Hire an RN in 7 Days or Less?
There continue to be so many conversations about nurse recruitment processes, such as why it takes so long to hire a nurse, and whether or not the overall recruitment process actually works. When I hear these and other comments related to nurse recruitment, I always think of the famous baseball player and manager Yogi Berra, known for his humorous and often paradoxical quotes, who reportedly said, "It's like d éjà vu all over again.” I also think back on my time spent both as a nurse recruiter and as an executive leader in a recruitment marketing agency, and recently reread a 2003 research study entitled Recruiting Nur...
Source: Nurse Leader - April 6, 2024 Category: Nursing Authors: Beth A. Brooks Tags: The Career Coaching Corner Column Source Type: research

Integrating Human-Centered Approaches to Align Doctor of Nursing Practice Curriculum With Real-World Practice
Doctor of Nursing Practice (DNP) programs, preparing nurse leaders for today ’s complex health care environment, must support needed competencies and provide fresh, innovative strategies that align with real-world practices. A traditional postgraduate DNP program created an integrated curriculum and expanded the leadership thread to incorporate a contemporary and evidence- based theoretical framework, Human-Centered Leadership in Healthcare. This leadership theory with its highly relational approach between leaders, peer leaders, and teams quickly resonated with students. (Source: Nurse Leader)
Source: Nurse Leader - April 4, 2024 Category: Nursing Authors: Margie Hamilton Sipe, Kay Kennedy Tags: Featured article Source Type: research