Future Proofing: The Nursing Now Campaign
In many Western democracies, nursing consumes a comparatively large proportion of the health service budget and delivers the highest proportion of direct patient care. Therefore, identifying and representing the contribution of nurses to clinical effectiveness as well as the wider social benefit to populations and the economy is crucial. Predictive models on health and social care requirements for the next quarter of a century report a staggering shift in population age, multimorbidity, and complexity of need. This is leading to the widespread realization that change is needed to ensure that health care throughout the worl...
Source: Nursing Administration Quarterly - December 7, 2018 Category: Nursing Tags: News From the Front Source Type: research
Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 7, 2018 Category: Nursing Tags: Guest Editorial Source Type: research
From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - December 7, 2018 Category: Nursing Tags: From the Editor Source Type: research
International Nursing: Caring in Nursing Leadership—A Meta-ethnography From the Nurse Leader's Perspective
To explore and derive new conceptual understanding of nurse leaders' experiences and perceptions of caring in nursing. Research question: What is caring in nursing leadership from the nurse leaders' perspectives? There is a paucity of theoretical studies of caring in nursing leadership. Noblit and Hares interpretative meta-ethnography was chosen because of its interpretative potential for theory development. Caring in nursing leadership is a conscious movement between different “rooms” in the leader's “house” of leadership. This emerged as the metaphor that illustrates the core of caring in nursing leadership, pres...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
International Nursing: Needs Assessment for Training in Disaster Preparedness for Hospital NursesA Modified Delphi Study
Despite high awareness of the need, opportunities for nurses to gain disaster experience or training are limited. In Korea, most disaster training is done in an undergraduate curriculum where there is very limited practice, and the educational topics are mostly focused on the field aspect of disaster events. The purpose of this study was to determine the need for such training for hospital nurses and to determine appropriate and relevant components of the training contents. A qualitative survey approach using the modified Delphi method was used to collect and analyze the data. The surveys were conducted in 3 rounds. After ...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Implementation and Dissemination of a Department of Veterans Affairs Oral Care Initiative to Prevent Hospital-Acquired Pneumonia Among Nonventilated Patients
Implementation and dissemination of an oral care initiative enhanced the safety and well-being of Veterans at the Salem VA Medical Center by reducing the risk of non–ventilator-associated hospital-acquired pneumonia (NV-HAP). The incidence rate of non–ventilator-associated hospital-acquired pneumonia decreased from 105 cases to 8.3 cases per 1000 patient-days (by 92%) in the initial VA pilot, yielding an estimated cost avoidance of $2.84 million and 13 lives saved in 19 months postimplementation. The team was successful in translating this research into a meaningful quality improvement intervention in 8 VA hospitals (i...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Nursing Partnerships in Research and Quality Improvement Within a Large Integrated Health Care System
This article describes a partnership between clinical operations leaders and researchers (nurse scientists) to determine and utilize evidence-based practices to meet a system goal. The first objective of this article is to describe the barriers and potential solutions in combining practice, quality improvement, and research efforts across regions within a large integrated health care system. The second objective is to describe the uniqueness and importance of nurse leaders across interdisciplinary teams to simultaneously pursue research, quality improvement, and operational goals for the organization. (Source: Nursing Admi...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Systems Addressing Frail Elders (SAFE) Care: Description of Successful Partnerships Across Hospitals
This article describes a successful partnership across 4 Magnet hospitals in the dissemination of the model. A 2-year sequential implementation process was completed, with an approach of adoption, adaptation, and abandonment. The model was successfully implemented at each participating Magnet hospital. Implementation included capacity building, organizational change, and process implementation. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
The Medicare Patient-Centered Partnership With Observation Units
With a goal of increasing transparency regarding the utilization of Observation Units (OUs) in relation to Medicare policies, a 2012-2014 retrospective analysis was performed on 108 009 de-identified records of patients admitted from emergency departments to OUs within an urban health system. A cost-benefit analysis of OUs from the patient-centered perspective provided the theoretical patient cost. Using a query search, data regarding encounter type, length of stay, insurance carrier, origin, disposition, and age were collected. The 2016 Health Care Cost and Utilization Report was used as a means to extrapolate cost. The r...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Growing a Robust Academic Practice Partnership in an Academic Health System
This article describes how the Emory University Nell Hodgson Woodruff School of Nursing has formed and sustained academic-practice partnerships in response to these imperatives. The structures and processes that have supported the partnerships are shared, as are the keys to success in a true partnership. The authors describe the work required to achieve mutually agreed-upon goals, along with the challenges that faculty and health care leaders have faced in their journey to system partnerships. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Leveraging Graduate Academic-Practice Partnerships to Transform Health System Outcomes
This article describes an education program for Doctorate of Nursing Practice (DNP) students in which the students, under the close supervision of academic faculty, utilize their statistical analyses and complex system coursework to study and address “wicked” problems faced by health care organizations. This partnership between academia and practice is benefitting practice partners, students, and patients. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Start Together, Stay Together: Nurse Residencies of the Future
This article highlights the current and future state of nursing education and clinical practice integration through the lens of an academic-practice partnership, by demonstrating the benefit of a unified approach to nurse residencies. Through adaption and creation of a shared culture, education and service can work effectively together in the development of a pipeline for future nurses in a wide array of nursing roles. As partners, they can demonstrate the nursing profession's ability to meet the health needs of consumers at a local, national, and global level. Agile evolution of the traditional nurse residency model is an...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Funding Academic and Clinical Nurse Strategies Through Joint Fund-raising Initiatives and Grateful Patient Engagement
The Manatt report recommends a multipronged revenue portfolio to support academic health center (AHC) nursing*: tuition, clinical practice, and external support. Most AHC nursing enterprises rely only on the first two—student tuition and patient billing. Philanthropy is not generally viewed as a viable revenue stream, especially for clinical nursing operations, but it should be. While health care's operating margins are shrinking, philanthropy continues to rise. In 2016, joint hospital and medical school fund-raising programs received an average of $100 million per organization. Nursing schools and hospitals concentrate ...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Creating New Models of Care Through Academic-Clinical Partnership
There are many documented instances of academic nurses creating faculty practice opportunities to support their faculty and students. Fewer articles have been published about the value of these shared models to clinical partners. Advanced practice nurses from the academic and clinical departments at Emory University and Emory Healthcare codesigned a new model of care that addresses the health system's need to achieve better experiences and health outcomes for patients living with dementia. The nurse-led clinical practice, called Integrated Memory Care Clinic, is an innovative example of joint planning and design by academi...
Source: Nursing Administration Quarterly - September 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
