Making the Case
This article introduces the concept and makes the case for embracing Safety-Specific Transformational Leadership in health care by proposing an operational definition and samples of behavioral assessment items for instrument development. (Source: Nurse Leader)
Source: Nurse Leader - March 13, 2023 Category: Nursing Authors: Shelly A. Fischer Source Type: research
Engaging Frontline Nurses in Building an Electronic Workload Acuity Tool
Nursing leadership and nursing informaticists engaged bedside nurses in the design, build, and evaluation of the Nursing Workload Acuity tool, which produced a robust evaluation process and seamless implementation of an acuity tool embedded in the electronic health record. The tool uses existing data elements from the electronic health record that are mapped to rules to produce a dynamic score. Bedside nurses evaluated content, points, and scoring, which confirmed the acuity tool included necessary elements and matched nursing perception of workload greater than 90% consistently. (Source: Nurse Leader)
Source: Nurse Leader - March 12, 2023 Category: Nursing Authors: Ida Anderson, Meg Furukawa, Lynn Mayer, Stesha Selsky Source Type: research
Developing a Highly Functional Nursing Resource Team With New Graduates in an Academic Health System
Developing a new graduate (NG) nursing resource team (NRT), also called a float team, requires a well-rounded structured program. NRTs provide flexible, cost-effective resource allocation, with proven positive outcomes in employee engagement and retention. NRT leadership developed a thoughtful approach to onboarding NG RNs, with positive outcomes evident in the reduction of salary costs and vacancies/turnover rates, and the increase in positive staff satisfaction/engagement. This paper describes the development and outcomes associated with an innovative approach in addressing contemporary staffing constraints through the d...
Source: Nurse Leader - March 11, 2023 Category: Nursing Authors: Jessica Fasano, Quyen Wong, Kathleen Evanovich Zavotsky Source Type: research
The Future of Work: A Human and Machine Mindset
“The Future of Work: A Human and Machine Mindset” is a perspective on the nursing shortage that introduces a human + machines mindset solution. There is a mismatch between demand (too much) and supply (not enough). Traditional methods such as recruiting, hiring, flexible scheduling, and retenti on bonuses won’t solve the problem. We address transforming nursing tasks—identifying tasks best suited for people or technology as well as remodeling the work of the nurse to run in tandem with technology. (Source: Nurse Leader)
Source: Nurse Leader - March 8, 2023 Category: Nursing Authors: Kaveh Safavi, Maureen O ’Neal Source Type: research
Developing Nursing Leadership Skills When Working With Disaster Response Programs
As the frequency and intensity of disasters worsen, now is the time for leaders in nursing to respond, hone their leadership skills, and acquire new competencies. The impact of these disasters will wreak havoc on community public health in both the short and long term, and involvement at any level of the four emergency management cycles —mitigation phase, preparedness phase, response phase, and recovery phase—will positively impact community health and enhance nurse leadership skills. Responding to a disaster requires resilience, knowledge of emergency management, willingness to work in austere environments, and transp...
Source: Nurse Leader - March 6, 2023 Category: Nursing Authors: Dana Reed Source Type: research
Addressing Abusive Behavior from Patients and Families: Top Performance-Changing Strategies for Health care Leaders
Based on contemporary research and our experiences working with hundreds of health care clients, this article provides a forum for health care leaders to understand and engage their staff in more effectively intervening regarding patient and family abusive behavior. We take a prescriptive approach by sharing a model that provides a context for engaging evidence-based strategies for de-escalation and systems approaches. (Source: Nurse Leader)
Source: Nurse Leader - March 4, 2023 Category: Nursing Authors: Renee Thompson, Mitchell Kusy Source Type: research
Leading Through Times of Transformation: Purpose, Trust, and Co-Creation
The health care system is in a paradigm shift as it emerges from the global pandemic. The financial, workforce, and technology that supported care in years past are transforming, and this liminal season is the perfect time for experimentation and risk-taking. As previous structures and ways of working are crumbling, increasing labor expenses from contingent labor, and the entry of big technology companies such as Amazon as competition to existing health systems. Nurses have the opportunity to transform each aspect of how they work and experience the profession through purpose driven work the drive transformation. (Source: Nurse Leader)
Source: Nurse Leader - March 3, 2023 Category: Nursing Authors: Crystal Lawson, Dan Weberg Source Type: research
Keeping Nurses Safe
In a recent piece for Becker ’s Hospital Review, Michael Dowling, CEO of Northwell Health, noted that the health care industry has a new and unthinkable priority right now. Leaders now struggle to keep staff safe in their work environment.1 Over the past 2 years, we have seen a dramatic spike in staff assaults, with many lead ing to serious injury and death. Beyond physical assault, nurses are subjected to daily verbal microaggressions from patients and their families. (Source: Nurse Leader)
Source: Nurse Leader - March 3, 2023 Category: Nursing Authors: Rose O. Sherman Tags: Editorial Source Type: research
Someone ’s Been Sitting in My Chair: Leadership Lessons from the Three Bears
Despite consistent turnover in health care chief executive officer (CEO) and president positions, nurse leaders remain a minority in these roles. Nurses have served as heads of hospitals for hundreds of years, dating back to the days of Florence Nightingale. Evidence demonstrates the critical impact of nurse leaders in improving clinical and organizational outcomes, as well as the portability of their knowledge and skills into these positions. In order to increase the percentage of nurses in CEO and president roles, nurse leaders, researchers, academicians, and professional organizations will need to galvanize behind an in...
Source: Nurse Leader - March 2, 2023 Category: Nursing Authors: Cathleen Wheatley Source Type: research
Cultural Intelligence (CQ)
The world of healthcare reflects the beauty and global diversity of humans across the planet. Cultural intelligence (CQ) is no longer a nice-to-have skillset. Strengthening CQ is central to the global village nurse leaders and team members experience every day with patients, families, colleagues, and communities. When CQ is strengthened in individuals and in teams, the downstream effect is apparent in outcomes related to quality, safety, patient experience, and job satisfaction. Using Human-Centered Leadership in Healthcare as a lens, leaders and teams can take the first step in moving from knowledge to action by completin...
Source: Nurse Leader - March 1, 2023 Category: Nursing Authors: Lucy Leclerc, Kay Kennedy, Susan Campis Source Type: research
A Comprehensive Model to Support a Resilient Workforce
Historically, low resiliency has been an issue for nursing when considering work and societal-related stressors. COVID-19 has exacerbated the need for supporting policies, structural change, and resilient practices across health care. A new model was developed that guides leaders in considering structural changes to support a more resilient workforce. This model features 5 tiers —transformational leadership; policy change and physical space adaptation; compensation and time; representation; and individual and team self-care practices. (Source: Nurse Leader)
Source: Nurse Leader - March 1, 2023 Category: Nursing Authors: Tim Cunningham, Hannah Crosby Source Type: research
Academic-Practice Partnership for Doctor of Nursing Practice in a Large Medical Center
This paper describes a unique academic –practice partnership model for doctor of nursing practice (DNP) initiative to prepare nurse leader in key roles within a large academic medical center. This partnership has been sustained for several years with 9 cohorts of doctoral students. It explores the DNP graduates’ and students’ narra tives regarding the benefits to which doctoral education impacted their leadership roles, practice changes, professional growth, and initiation of community-based health projects. (Source: Nurse Leader)
Source: Nurse Leader - February 28, 2023 Category: Nursing Authors: MariLou Prado-Inzerillo, Reynaldo R. Rivera, Joyce J. Fitzpatrick Source Type: research
Exploring the Relationship Between Psychological Capital and Turnover Among New Nurses
The COVID-19 pandemic drastically changed the healthcare work environment and exacerbated workplace demands and stress. New graduate nurses (NGNs) transitioning into their first registered nurse (RN) role were not exempt. Little is known about the emotional well-being of NGNs during the COVID-19 pandemic. In this article we share NGN psychological capital (PsyCap) trends from 2019-2022 and explore the relationship between NGN PsyCap and turnover (TO). Organizational, leadership, and individual implications for practice are discussed. (Source: Nurse Leader)
Source: Nurse Leader - February 27, 2023 Category: Nursing Authors: Martha L. Grubaugh, Larissa Africa, Figaro L. Loresto Source Type: research
Issues of Concern: What Nurse Leaders Say and Need to Consider
During the past few years, nurse leaders were focused on issues affecting frontline providers and increasing financial pressures. Across the sources of data reviewed, the authors have discovered common themes that relate to staffing, mental health/well-being/morale, and finances. These key issues in nursing do not differ much from the nursing or general health care literature. In fact, many of these concerns existed before the pandemic, intensified during the pandemic, and have not been resolved since the pandemic. (Source: Nurse Leader)
Source: Nurse Leader - February 27, 2023 Category: Nursing Authors: Patricia S. Yoder-Wise, Joyce Batcheller, Lauren Sullivan Tags: Featured Article Source Type: research
Building Thriving Healthcare Teams Through Organizational Learning
The purpose of this article is to provide practical steps nurse leaders can use to build thriving healthcare teams through organizational learning. The climate, culture, and activities associated with organizational learning are well-aligned with those needed to build thriving teams. Nurse leaders who leverage this alignment can effectively recruit and retain teams while enhancing their team ’s ability to effectively navigate change. (Source: Nurse Leader)
Source: Nurse Leader - February 25, 2023 Category: Nursing Authors: Bret Lyman, Marie M. Prothero, Adrianna L. Watson Tags: Featured Article Source Type: research
