The Advanced Practice Registered Nurse Leadership Role in Nursing Homes
This article highlights the critical role of advanced practice registered nurses in the care of older adults living in nursing homes. This population is one of the frailest, marginalized, and often neglected in the United States. The COVID-19 pandemic impact on nursing homes resulted in a stunning number of infections and subsequent resident deaths. This is a shameful reminder of the many challenges and gaps in the nursing home industry including inadequate staffing, high staff turnover, improper isolation technique, and lack of fundamental knowledge of how to adequately implement infection prevention and control processes...
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Deb Bakerjian Source Type: research

The Art of Nursing Leadership in a Challenging Patient Care Environment
Long-term care is often thought to encompass the final stages of life for our aging and older adult population. The National Institute on Aging (2017)1 describes the intent of long-term care as meeting a person ’s health and personal care needs through a variety of services. The goal of this specialized patient care is to help individuals live as independently and safely as possible when day-to-day activities have become challenging. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - May 4, 2022 Category: Nursing Authors: Benjamin Smallheer Tags: Foreword Source Type: research

Overview of Nurse Leadership
As the largest and most trusted health care discipline, nurses are uniquely positioned to provide leadership in the delivery of quality care. Nowhere is this more obvious than in long-term care settings that service the growing population of older adults. Long-term care settings are places where nursing skills and interests are particularly well matched with residents ’ needs.1 They are also settings where there is enormous potential for nurses to innovate and implement models of professional practice that successfully integrate these settings into the mainstream of health care. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - April 2, 2022 Category: Nursing Authors: Melodee Harris, Ann Kolanowski, Sherry Greenberg Tags: Preface Source Type: research

Systematic Review of Burnout in US Nurses
Nurses experience high levels of burnout, and this has become a major factor in recruitment and retention of nurses. Several factors have been associated with burnout, but it is not clear which factors are the most significant predictors. Understanding the most prevalent factors that are associated with burnout will allow for the development and implementation of interventions to ameliorate and/or reduce burnout in the nursing workforce. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: George A. Zangaro, Dorothy Dulko, Debra Sullivan, Deborah Weatherspoon, Kathleen M. White, Vincent P. Hall, Robin Squellati, Amber Donnelli, Julie James, Debra Rose Wilson Source Type: research

Comparison of Factors Associated with Physician and Nurse Burnout
Burnout is a condition resulting from chronic workplace stress that has not been effectively managed, described in 3 dimensions: (a) feelings of energy depletion or exhaustion, (b) increased mental distance from one ’s job, and (c) reduced professional efficacy. Burnout is a widespread problem reaching concerning levels among health care professionals, with more than 50% of physicians and one-third as many as 80% of nurses reporting symptoms. The National Academy of Medicine (NAM) action collaborative on clin ician well-being and resilience has prioritized exploring ways to enhance baseline understanding of clinician wel...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Dorothy Dulko, George A. Zangaro Source Type: research

Eight Ways Nurses Can Manage a Burnt-Out Leader
Health professionals, including nurses, are vulnerable to burnout, which occurs when chronic stress is not managed. COVID-19 led to nurses working in stressful environments, and being required to work mandatory overtime. The result was an increase in burnout. Nurses exhibited physical, psychological, emotional, and behavioral signs of burnout. There are several ways that nurses can mitigate the situation and have more control over burnout. Nurses need to work together to support each other, including supporting the leader. There are several actions, such as mindfulness activities and maintaining a healthy lifestyle that ca...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Robin Squellati, George A. Zangaro Source Type: research

The Effect of Burnout on Quality of Care Using Donabedian ’s Framework
Donabedian ’s framework offers a model to evaluate the relationship between patient outcomes, influenced by clinical care delivery structures and processes. Applying this model proposes that adequate and appropriate structures and processes within organizations are necessary to realize optimal outcomes; it i s imperative that leadership focuses on those structures and processes to reduce the risk of burnout. Current research cannot determine whether burnout causes decreased quality or working in a setting with decreased quality causes burnout. The follow-up question is whether curtailing burnout will im prove quality or ...
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: Kathleen M. White, Dorothy Dulko, Bonnie DiPietro Source Type: research

Burnout in Nursing: Causes, Management, and Future Directions
NURSING CLINICS OF NORTH AMERICA (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Authors: George A. Zangaro, Dorothy Dulko, Debra Sullivan Source Type: research

Copyright
ELSEVIER (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Source Type: research

Contributors
BENJAMIN SMALLHEER, PhD, RN, ACNP-BC, FNP-BC, CCRN, CNE (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Source Type: research

Contents
Benjamin Smallheer (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Source Type: research

Forthcoming Issues
Nursing Leadership in Long-Term Care (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 28, 2022 Category: Nursing Source Type: research

Social Isolation and Nursing Leadership in Long-Term Care
Nursing leaders have a responsibility to promote and facilitate social engagement and connectedness to mitigate social isolation in long-term care (LTC). The COVID-19 pandemic has emphasized longstanding problems in LTC facilities, such as staff mix, workload, and support. The pandemic has shed light on the severe deleterious effect of social isolation and the critical importance of maintaining social engagement and connectedness, especially in times of crisis or major change. Staff education and ongoing support cannot be overemphasized. Critical nursing leadership and interdisciplinary collaboration engaging all team memb...
Source: Nursing Clinics of North America - February 21, 2022 Category: Nursing Authors: Diana Lynn Woods, Adria E. Navarro, Pamela LaBorde, Margaret Dawson, Stacy Shipway Source Type: research

Social Isolation and Nursing Leadership in Long-term Care: Moving Forward after COVID-19
Nursing leaders have a responsibility to promote and facilitate social engagement and connectedness to mitigate social isolation in long term care (LTC). The COVID-19 pandemic has emphasized longstanding problems in LTC facilities, such as staff mix, workload, and support. The pandemic has shed light on the severe deleterious effect of social isolation and the critical importance of maintaining social engagement and connectedness, especially in times of crisis or major change. Staff education and ongoing support cannot be overemphasized. Critical nursing leadership and interdisciplinary collaboration, engaging all team mem...
Source: Nursing Clinics of North America - February 21, 2022 Category: Nursing Authors: Diana Woods, Adria E. Navarro, Pam LaBorde, Margaret Dawson, Stacy Shipway Source Type: research

The Influence of Leadership Style and Nurse Empowerment on Burnout
The levels of burnout nurses experience continue to increase with resultant negative impacts on the nursing work environment, patient outcomes, and the retention of qualified nurses. Nurse leaders are essential in developing and fostering positive work environments that retain an empowered and motivated workforce. Research indicates that positive and relational leadership styles can improve nurses ’ job satisfaction, organizational commitment, and retention while concurrently reducing emotional exhaustion and burnout. (Source: Nursing Clinics of North America)
Source: Nursing Clinics of North America - February 9, 2022 Category: Nursing Authors: Vincent P. Hall, Kathleen M. White, Jeanne Morrison Source Type: research