Disrupt Now for Future Focus
Health care organizations are challenged by numerous and rapid changes. Although nurse leaders seldom lead the whole organization's response to these changes, most changes impact the nursing workforce. To be prepared and proactive, nurse leaders need to consider the process of disrupting what the nursing workforce does to keep current with what society expects of nursing. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Evolution of Care and Nursing: Moving With the Patients
Health care costs are growing exponentially. They will continue to erode disposable income, especially among those most in need of health care—the poor and elderly. As the baby boomer generation ages, we will see dramatic growth in health care spending, which will influence the health care market in new ways. Increased government intervention and technological advancements will only further this shift. Factors driving the need for health care transformation include fragmentation, access problems, unsustainable costs, suboptimal outcomes, and disparities of care. Nurses now have more tools (ie, mHealth, telemedicine, and ...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Virtual Nursing: The New Reality in Quality Care
The purpose of this article is to report on an innovative new model of care and the effects this model pilot program had on patient satisfaction, staff satisfaction, physician satisfaction, patient quality metrics, and financial metrics. The Virtually Integrated Care team is a model of care that leverages technology to bring an experienced expert nurse into the patients' room virtually. The advanced technology allows the virtual nurse to direct and monitor patient care, interacting with the patient through 6 core roles: patient education, staff mentoring/education, real-time quality/patient safety surveillance, physician r...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Disruptive Engagements With Technologies, Robotics, and Caring: Advancing the Transactive Relationship Theory of Nursing
Human caring, founded on a Japanese caring perspective and nursing theory, fosters innovative and creative ideas for an aging society. The growing reality of health care dependency on technology presents a temptation to give robots utility as partners in nursing practice. Human caring expressed in human-to-human relationships, and also between humans and nonhumans, is a futuristic model for health care, with humanoid robots as major supporters. The purpose of this article is to explore this disruptive technology, along with its functions and characteristics. Tanioka's Transactive Relationship Theory of Nursing is shared al...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Creativity and Innovation: An Essential Competency for the Nurse Leader
Innovation keeps an organization competitive and adaptive to change. Nurse leaders are looking for new ways to innovate and transform, being challenged to influence quality, design new care delivery models, and create workplaces that empower nurses to advance new ideas that lead to innovation. Innovation involves risk as well as new ways of thinking. The workforce must feel confident that a creative approach to problem-solving is valued and supported. The nurse leader must role model use of creative approaches to problem-solving and promote a spirit of innovation among today's workforce. The nurse leader can learn to be mo...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Simulation as a Nursing Education Disrupter
Simulation as an evidence-based pedagogy began emerging at a time when many constraints were being imposed on clinical experiences for nursing students. As research illuminated the advantages of simulation and standards were developed, educators began to recognize the limitations of the clinical setting, such as the inability to provide experiences in teamwork and delegation, and a focus on tasks. Simulations are crafted to provide an experience that matches content that is being taught in class, and debriefing techniques guide learners in a reflective process that promotes the development of clinical reasoning and judgmen...
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
An Interview With Innovators
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Interview Source Type: research
Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: Guest Editorial Source Type: research
From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2019 Category: Nursing Tags: From the Editor Source Type: research
Book Review
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Book Review Source Type: research
Addressing Falls Among Older Oncology Patients Through Complexity Science
This article presents an innovative approach for creating a point-of-care interdisciplinary approach to address high fall risk frequencies in ambulatory oncology clinics using complexity leadership principles. Processes for nurse executives to consider for replication of this approach for other challenging clinical situations are suggested using the emerging competence of DNP educated nurses. Adults with cancer who are older than 65 years are at a higher risk for falls than older adults without cancer. Oncology providers and nurses are not routinely screening, documenting, and preventing falls. A fall injury in an older ad...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Our Own Worst Enemies: The Nurse Bullying Epidemic
Nurse bullying is a systemic, pervasive problem that begins well before nursing school and continues throughout a nurse's career. A significant percentage of nurses leave their first job due to the negative behaviors of their coworkers, and bullying is likely to exacerbate the growing nurse shortage. A bullying culture contributes to a poor nurse work environment, increased risk to patients, lower Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) patient satisfaction scores, and greater nurse turnover, which costs the average hospital $4 million to $7 million a year. Addressing nurse bullying begins...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Innovation in Nursing Leadership: A Skill That Can Be Learned
Innovation and creativity are part of everyday life for the bedside nurse. Nursing clinicians continuously innovate and create to meet each patient's unique needs. However, policies, regulations, and drama can inhibit that creativity when clinicians move into management. Three nurse leaders discuss their journeys to bring innovation into their leadership practices through participation in a yearlong program, the “Executive Fellowship in Innovation Health Leadership.”
The authors share insights gained after they participated in a cohort of health care leaders who took part in this yearlong fellowship. Details of the fe...
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
International Nursing: GSD International Nursing Academy: An Italian Case of Practical Disruption Highlighting the Worth of Nursing Within Health Care Organizations
This article describes the recent experiences of Gruppo San Donato International Nursing Academy. The disruptive case shared here underlines the worth of nursing within health care organizations. The Gruppo San Donato International Nursing Academy aims to be a striking model to innovate health care delivery through the optimal utilization of the nursing workforce, uniting the areas of nursing management, nursing education, and research into a unique organizational platform. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
Telehealth: Disrupting Time for Health Care Quantity and Quality
This article explores the history and impact telehealth has had on provider and consumer supply and demand for time, becoming a widely adopted technological health care service delivery model that has demonstrated significant benevolent contributions to the health care industry and the patients it serves. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 5, 2019 Category: Nursing Tags: Original Articles Source Type: research
