Addressing Population Health: Regional Partnership
This article describes a partnership between 2 community hospitals in Maryland to meet the goals of the waiver. The partnership addressed the triple aim: improving access and population health; improving the experience of care; and decreasing per capita hospital costs for the patients both organizations serve. The goals of the partnership were to develop and implement cross-organizational, multidisciplinary tools and processes to reduce potentially avoidable utilization; integrate behavioral health into primary care settings; and improve all hospital patient outcomes and satisfaction for the target population. The success ...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
The Effect of Virtual Nursing and Missed Nursing Care
This article describes the impact of a Virtually Integrated Care team on missed nursing care as defined by the MISSCARE survey. This multisite project reported that the most common missed cares and reasons for missed cares were consistent with other reported results in earlier literature. However, when evaluating missed cares that were directly impacted by the virtual nurses' roles and responsibilities, 1 of the 2 sites demonstrated a decrease in missed nursing care during the project. The virtual nurses with in the team were constantly monitoring care, and even though the second site did not demonstrate a similar finding,...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Transitional Care Home Visits Among Underserved Patients With Heart Failure
This article discusses the findings of a quality improvement project that evaluated health outcomes in underserved patients with HF who participated in a transitional care home visitation program. The visitation program exemplifies the role of leadership in facilitating transitions across the health care continuum. The 2-year retrospective review included 79 participants with HF. Comparisons of outcomes were made over 6 months. Although not statistically significant, clinically significant differences in health outcomes were observed in participants who received a home visit>14 days compared with ≤14 days after hospital ...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Implementation of the Clinical Nurse Leader Role in the Veterans Health Administration
The Veterans Health Administration (VHA) led implementation of the Clinical Nurse Leader (CNL) role nationally with the goal to meet system needs for strong clinical leadership across all settings. After a decade of CNL role implementation, the VHA supported this evaluation to determine the current state, the successes, the challenges, and the fidelity to the original intent of the role. The team used mixed methods to evaluate the state of the CNL initiative. Ten evaluation activities were undertaken including a facility survey directed toward chief nurse executives at all VHA facilities, and a second survey directed at re...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Coach Mindset: Preparing Leaders to Create a Climate of Trust and Value
Health care, like other industries, is faced with increased competition from both traditional and nontraditional players. A top challenge facing organizations is the ability to effectively develop leaders to lead in an increasingly volatile, uncertain, complex, and ambiguous environment. Organizations with effective leaders have been shown to outperform their peers. Transforming leadership to include the adoption of a coach mindset that creates a climate of trust, enables improved engagement and performance of nurses (employees) and teams, while also accelerating the creation of value and outcome improvements for patients,...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Diversifying Nursing Leadership Through Commitment, Connection, and Collaboration
This article discusses how organizations can support the leadership development of underrepresented minority nurses through connection, collaboration, and commitment. Also highlighted are strategies that underrepresented minority nurses can employ, as they pursue leadership roles. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Clinical Nurses: Leading Through the Complexity of Human Trafficking
This article describes an improvement project led by clinical nurses and a nurse leader that involved interdisciplinary groups, the local nonprofit community, and state agencies. The ensuing partnership created a system-wide trauma-informed human trafficking program that identified and holistically addressed the health care needs of trafficked victims throughout the risk continuum. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Sustainability of an Interprofessional Collaborative Practice Model for Population Health
Sustainability is an important concept in implementation science, yet little about sustainability is published in leadership journals. Leaders are charged on a daily basis with initiating programs that make a difference; however, they are often not well prepared to design effective strategies to sustain their efforts. In a value-based health care industry where facilitating access to care, enhancing the patient experience, improving health outcomes, and reducing the cost of care are imperative, creating sustainability strategies that achieve these results is key. In this article, we describe the successful efforts within a...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Building Community Well-being by Leveraging the Economic Impact of Health Systems
This article describes how to use the enormous economic impact of hospitals and health systems as anchor institutions embedded in local communities. By leveraging the everyday business practices of hospitals and health systems, such as hiring, purchasing, and investing, nurses can help to transform the economic and consequent health well-being of socioeconomically disadvantaged individuals and neighborhoods. Hiring, purchasing, and investing in nearby neighborhoods build community wealth through both gainful employment and subsequent recirculation of money locally. Improving the economic viability of the local community po...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
First-Line Nurse Managers' Challenges at the Crossroads of Norwegian Health Care Reforms
Norwegian municipal health care has large public service offerings, funded by tax revenues; however, the current Norwegian welfare model is not perceived as sustainable and future-oriented. First-line nurse managers in Norwegian municipal health care are challenged by changes due to major political and government-initiated reforms requiring expanded utilization of home nursing. The aim of this theoretical study was to describe challenges the first-line nurse managers in a Nordic welfare country have encountered on the basis of government-initiated reforms and to describe strategies to maintain their responsibilities in nur...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
A Complexity-Informed Model to Guide Nurse Manager Practice
This article applies a complexity lens to understand nurse manager practice and other organizational factors influencing job performance. The evidence developed thus far yielded the identification of dimensions of the organizational context that support nurse manager practice and nurse manager job performance. Additional research is needed to identify the essential ingredients to support nurse manager practice. Organizational success depends on developing synergy among the administrative, adaptive, and enabling leadership functions of organizations. (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Nurse-Led Initiative to Improve Addiction Services: An Interdisciplinary Approach
Local efforts to provide treatment for individuals with substance use disorder have had some success in addressing the continued nationwide drug epidemic. A nurse-led withdrawal and stabilization program was developed that includes an interdisciplinary team of physicians, advanced practice providers, nurses, social workers, and substance abuse counselors. Utilizing a shared vision of optimal patient care, we describe how principles of high reliability were incorporated to build a successful program within a community hospital setting from the design of the unit, development of treatment protocols, staffing, and ongoing pro...
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Original Articles Source Type: research
Guest Editorial
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: Guest Editorial Source Type: research
From the Editor
No abstract available (Source: Nursing Administration Quarterly)
Source: Nursing Administration Quarterly - June 9, 2020 Category: Nursing Tags: From the Editor Source Type: research
Organizational Trust, Psychological Empowerment, and Organizational Commitment Among Licensed Practical Nurses
In this study, we examine the influence of organizational trust on organizational commitment among licensed practical nurses (LPNs). Guided by prior research and theory, we also consider whether psychological empowerment mediates the influence of organizational trust on organizational commitment. To accomplish these tasks, we examine data from our survey of all registered LPNs in a Midwestern US state on their levels of organizational trust, psychological empowerment, and organizational commitment. Using path decomposition procedures, we isolate the net effect of organizational trust on organizational commitment into total...
Source: Nursing Administration Quarterly - March 11, 2020 Category: Nursing Tags: Original Articles Source Type: research
