Monitoring Your and Your Staff ’s Fatigue
In 1989, the recruitment and retention of critical care nurses had become a challenge for many hospitals. Hospital leaders implemented the 12-hour shift, assuming this new scheduling option would address nurse recruitment and retention challenges being encountered with the latest nursing shortage.1 This new sccheduling option quickly spread beyond intensive care unit doors before key questions could be answered about its advantages and disadvantages. The implementation of 12-hour work shift patterns at that time was an attempt at a short-term solution intended to reduce stress, burnout, turnover, and overall salary expense...
Source: Nurse Leader - August 16, 2022 Category: Nursing Authors: Beth A. Brooks Tags: The Career Coaching Corner Source Type: research
Mentorship ReSPeCT Study: A Nurse Mentorship Program ’s Impact on Transition to Practice and Decision to Remain in Nursing for Newly Graduated Nurses
This study analyzed the effectiveness of a mentorship program offering individualized mentorship through culturally congruent, customized pairing for 96 mentees. Key findings of this study show that this nursing mentorship was beneficial for the majority of mentees on their decision to remain in nursing, and on their self-confidence, problem-solving, professional communication, and transition to practice, with perceived benefits steadily increasing for mentees up to 2 years. (Source: Nurse Leader)
Source: Nurse Leader - August 14, 2022 Category: Nursing Authors: Jeneva Gularte-Rinaldo, Roberta Baumgardner, Tip Tilton, Vivian Brailoff Source Type: research
Nursing Career Coach: The Difference
Nursing retention is critical for health care organization success. Reasons for nurses exiting their current organizations include access to professional growth explicitly aligned with the individual nurse ’s purpose. One health care system sought to address this need with the creation of the nurse career coach (NCC) to support nurses in exploring roles that align with their individual passion and purpose. Through the coaching process, professional growth, nurse retention, and empowerment of nurses have been experienced as a result. (Source: Nurse Leader)
Source: Nurse Leader - August 11, 2022 Category: Nursing Authors: Tiffany Wagoner-Duncan, April Tinsley Source Type: research
The Childcare Conundrum
The nursing workforce in 2022 is not the same workforce we had in 2019 —especially demographically. Large numbers of Baby Boomer and older Gen X nurses either have retired or are retiring. By 2025, Millennial and Generation Z nurses will be over 70% of the workforce and are in their prime childbearing years.1 Over the past year, I have been doing nationwide virtual r etention workshops for health systems. So many nurse managers have told me the same thing—their younger staff are reducing hours or leaving their positions because of childcare issues. (Source: Nurse Leader)
Source: Nurse Leader - August 11, 2022 Category: Nursing Authors: Rose Sherman Tags: Editorial Source Type: research
Implementing Nurse Extracorporeal Membrane Oxygenation Specialists to Maintain a Sustainable Program
Extracorporeal membrane oxygenation (ECMO) offers hope for patients with acute respiratory distress syndrome when other treatment methods fail. However, ECMO requires continuous hourly management leading to extremely high operating costs. With the onset of the COVID-19 pandemic, the high number of patients on ECMO led to a significant increase in the costs when using perfusionists to manage ECMO. Switching to a nurse-driven model resulted in a 52% decrease in costs related to the hourly management. (Source: Nurse Leader)
Source: Nurse Leader - August 10, 2022 Category: Nursing Authors: David L. Boyd, Giancarlo Lyle-Edrosolo Tags: Featured articles Source Type: research
Building a Longitudinal Workforce Plan for Nursing
This article describes a health system ’s work to implement a 10-year nursing workforce development plan based on the work of the state’s nursing workforce center. Key goals included improving nursing workforce diversity, advancing the education and certification of nurses, and building nursing leadership. Results were achieved throu gh structural and operational standards, targeted financial incentives, and professional development strategies, including the design of a nurse residency program and optimization of academic relationships. (Source: Nurse Leader)
Source: Nurse Leader - August 5, 2022 Category: Nursing Authors: Carol Bradley, Jana Bitton Source Type: research
To Err Is Human, Just Culture, Practice, and Liability in the Face of Nursing Error
More than 2 decades have passed since the launch of the modern patient safety movement. Despite this, medical errors continue to be a serious public health threat and leading cause of death. Leaders should continually commit to the safe reporting of errors, especially in light of the criminal trial, conviction, and sentencing of a former Tennessee nurse involved in a fatal medication error. The purpose of this paper is to highlight a systematic approach addressing just culture and error reporting by revisiting Err Is Human: Building a Safer Health System, just culture principles, practice considerations, and liability pote...
Source: Nurse Leader - August 3, 2022 Category: Nursing Authors: Rachelle J. Lancaster, Vida Vizgirda, Sharon Quinlan, Mary Beth Kingston Source Type: research
Nature: A Post-Pandemic Prescription
The last 2 years created a nursing environment that added new complexities to an already fragile state. As the COVID-19 pandemic started to wane, data began coming out that nurses were experiencing symptoms of post-traumatic stress. These studies cautiously revealed current pain points, predictions for the future highlighting an ever-shrinking workforce, increases in clinician suicide, and caregiver burnout at all-time highs. As leaders began looking for new solutions, a growing consensus about nature and awe rose to the top, identifying that these experiences transform the stress and struggles of daily living. (Source: Nurse Leader)
Source: Nurse Leader - August 2, 2022 Category: Nursing Authors: Brian Weirich, Carey Ramirez Source Type: research
Leveraging EBP to Establish Best Practices, Achieve Quality Outcomes, and Actualize High Reliability: Building EBP Competency Is Not Enough
Health care in the United States has been in a critical state for decades and the recent pandemic has added additional stress to a system that is underpinned by widespread variation in practice and care. Evidence-based practice (EBP) is a methodological, problem-solving approach to identify best practices that, when implemented and sustained, leads to quality outcomes, and actualization of true high reliability. To reap the benefits of EBP, however, leaders must do more than simply build EBP competencies. (Source: Nurse Leader)
Source: Nurse Leader - August 2, 2022 Category: Nursing Authors: Laura Caramanica, Lynn P. Gallagher-Ford Source Type: research
Interview With Patti Hart, DNP, RN, CPN, NEA-BC
Patti Hart, DNP, RN, CPN, NEA-BC, is Chief Nursing Officer, at the Medical University of South Carolina in Charleston, South Carolina. (Source: Nurse Leader)
Source: Nurse Leader - August 1, 2022 Category: Nursing Authors: Roxane Spitzer Tags: What's on YOUR Desk Source Type: research
For All: Atrium Health Efforts Create a More Diverse, Inclusive Culture
Atrium Health, headquartered in Charlotte, North Carolina, is the recipient of this year's American Organization for Nursing Leadership ’s Prism Award, which recognizes excellence in diversity efforts. The nurse leaders at the hospital network, which includes health centers in North Carolina, South Carolina, Georgia, and Alabama, made diversity a priority across the entire enterprise. In the last 5 years, Atrium Health has powered -up its diversity, equity, and inclusion initiatives, signing the American Hospital Association Equity of Care Pledge and offering a plethora of programs and tools such as diversity certificati...
Source: Nurse Leader - August 1, 2022 Category: Nursing Authors: Maureen Swick, Patricia J. Mook, Stephanie McDonald Tags: AONL Source Type: research
Table of Contents
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Source: Nurse Leader - August 1, 2022 Category: Nursing Source Type: research
Editorial Board
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Source: Nurse Leader - August 1, 2022 Category: Nursing Source Type: research
Timothy W. Mislan, MS, BS, RN, NEA-BC
Tim Mislan is currently the chief nursing officer (CNO) of Deer Valley Medical Center in Phoenix, Arizona. Deer Valley Medical Center is 1 of the 6 HonorHealth system hospitals in the Phoenix area, all of which have earned multiple Magnet ® designations except the newest hospital, which has only been open a short time. Tim’s long and successful career in nursing leadership has been defined by unique actions and nontraditional career opportunities. What began as a pursuit for a career in academia at the bench moved to caring for th ose in need at the bedside. (Source: Nurse Leader)
Source: Nurse Leader - August 1, 2022 Category: Nursing Authors: Rhonda Anderson Tags: Leader to Watch Source Type: research
Improving Nurse and Patient Experiences with Voice-Controlled Intelligent Personal Assistants
Our large quaternary-care medical center partnered with a technology start-up company to implement an innovative project using voice-controlled intelligent personal assistants (VIPAs) to improve patient communication workflow, medication education and ultimately hospital efficiency. Specifically, the team utilized 2nd generation Amazon Echo dots for the VIPAs. Nursing leaders and frontline staff developed a workflow map of patient requests, identifying tasks for specific roles with timed escalation. (Source: Nurse Leader)
Source: Nurse Leader - July 21, 2022 Category: Nursing Authors: Patricia “Peachy” Hain, Paul Cancio, Golda Morales, Mary Nhieu, Renette Grace Antonio, Janette V. Moreno Source Type: research
