LGBT Older Adults and Nurse Administrators: An Opportunity for Advocacy
One of the greatest health care challenges of the 21st century is the rapidly growing number of older adults in the United States. This aging population is also becoming increasingly diverse, and with this diversity comes an increased number of older adults who identify as lesbian, gay, bisexual, and transgender (LGBT). The needs and health outcomes of this specific subgroup of the older adult population cannot be extrapolated from the more general population of older adults. Nurses have the opportunity to lead health care providers in improving care for this vulnerable and sometimes invisible population. Leading this char...
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Addressing Social Determinants of Health Through Advocacy
The social determinants of health (SDOH) are receiving increased attention due to their influence on health disparities, health outcomes, and overall quality of life. Nurse leaders must take an active role in advocating for strategies that address these important issues. The purpose of this descriptive study was to explore nurses' knowledge, attitudes, and behaviors related to SDOH. A sample of 107 registered nurses completed the SDOH survey. Findings revealed that nurses experience personal discomfort and anticipate patient discomfort related to addressing the SDOH in their practice. They also voice a lack of skill, lack ...
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Leadership Advocacy: Bringing Nursing to the Homeless and Underserved
Nurses have historically played a key role in advocacy and service for all members of the community, including those who are traditionally underserved by other providers or the health system. Nurses from a local Atlanta community health system, both clinical and administrative, have continued this tradition by developing an advocacy and service program for the downtown homeless of Atlanta. From its beginnings as a highly informal volunteer program to its current structure as a strongly integrated community health center for the underserved and homeless of Atlanta, local nurses have demonstrated their strong value of servic...
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Kaiser's School of Nursing: A 70-Year Legacy of Disruptive Innovation—Corrigendum
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Corrigendum Source Type: research
Advocating to Protect Our Nurses: Addressing Unethical Recruitment of Foreign-Educated Nurses
Advocacy in the nursing sector is often about advocating for patients. However, nurses have begun to put more effort into protecting their rights as workers. Advocacy on behalf of foreign-educated nurses has been a critical component of this advocacy. While foreign-educated nurses can make our nursing workforce stronger, this can only happen if they are well-treated and well-trained. Organizations across diverse missions and perspectives have come together to promote fair treatment of foreign-educated nurses, which ultimately ensures that all nurses are working as effectively as possible and that patients receive proper ca...
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Original Articles Source Type: research
Advocacy for All—But Especially for the Most Vulnerable
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Interview Source Type: research
Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: Guest Editorial Source Type: research
From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - March 5, 2018 Category: Nursing Tags: From the Editor Source Type: research
Nurses' Use of Positive Deviance When Encountering Electronic Health Records-Related Unintended Consequences
This article describes nurses' experiences with unintended consequences emerging from the use of an EHR. In some situations, nurses were positively deviant when encountering unintended consequences relating to EHRs to accomplish patient care or protect patient safety. Nurses engaged in work-arounds to provide patient care when the EHR did not meet their needs, sometimes in positively deviant ways. Qualitative data were collected from 5 open-ended questions at the end of a quantitative survey. Analysis included coding of responses and organization of processes in line with the triangle model, a human factors framework, to i...
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Book Review
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Book Review Source Type: research
NCH Healthcare System, Naples, Florida: Philanthropy Targeted for Nursing Innovation
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: On the Scene Source Type: research
International Nursing: Constructing an Advanced Practice Registered Nurse Practice Model in the UAE: Using Innovation to Address Cultural Implications and Challenges in an International Enterprise
This article will look at how one hospital in the United Arab Emirates introduced the APRN role to a health care environment of a country where it has not been recognized historically. Cultural challenges and barriers for the implementation of the role include regulatory, societal, and institutional. Innovation and collaboration are necessary to address these challenges and barriers and to pave the way for a successful advanced practice model pilot, as well as for the future use of the role. Innovation is also one of the key performance indicators for the country's health care. However, the idea of advanced practice is a n...
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
The CNO and Leading Innovation: Competencies for the Future
Although innovation is critical to success in today's tumultuous environment, health care is slow to embrace it, and there is significant variability in strategic adoption of innovation across organizations. Nurse leaders do not need to be innovators themselves but must engage in, and have the ability to create, an organizational culture of innovation. Twenty-six leadership behaviors specific to innovation leadership were identified through a Delphi study to develop competencies as well as the knowledge, skills, and attitudes that support nurse leaders in acquiring or expanding the capability of nurse leaders to create a c...
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Creativity and Innovation in Health Care: Tapping Into Organizational Enablers Through Human-Centered Design
There is an increasing drive in health care for creativity and innovation to tackle key health challenges, improve quality and access, and reduce harm and costs. Human-centered design (HCD) is a potential approach to achieving organizational innovation. However, research suggests the nursing workforce feels unsupported to take the risks needed for innovation, and leaders may not understand the conditions required to fully support them. The aim of this study was to identify enabling conditions that support frontline nurses in their attempts to behave as champions of innovation and change. An HCD workshop was undertaken with...
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
Nursing Integration and Innovation Across a Multisystem Enterprise: Priorities for Nurse Leaders
There is no escaping the fact that the ability to skillfully influence change is a requirement for nurse leaders. This need is intensified as the national health care system reforms and as the morphology of health care systems continues to change, especially in academic health care systems. The purpose of this article was 2-fold. The first objective was to relay the experience of the integration of nursing practice, education, and research within an academic health care system. The second was to, through this story of integration, expose the uniqueness and importance of nurse leader roles influencing innovation across a mu...
Source: Nursing Administration Quarterly - January 1, 2018 Category: Nursing Tags: Original Articles Source Type: research
