Reducing the Friction in Health Care
The challenges with clinician burnout and lack of joy at work existed before COVID-19. In 2017, the Institute for Healthcare Improvement published a widely read white paper titled, The IHI Framework for Improving Joy at Work.1 One of the leadership strategies recommended in this work was identifying the unique impediments to joy in work in the local context. The goal was for leaders to work with staff to identify impediments in daily work —the "pebbles in their shoes"—and then set priorities and address them together. (Source: Nurse Leader)
Source: Nurse Leader - April 25, 2024 Category: Nursing Authors: Rose Sherman Tags: Editorial Source Type: research
Improving Scheduling Efficiency in the Setting of Staff Turnover and Increased Surgical Volume in the Post-anesthesia Care Unit Using Census Data Trends
This article describes the successful implementation of a staffing restructuring in the Post-Anesthesia Care Unit (PACU) at a large Cancer Center in New York City. Retrospective census data (hourly census “snapshots” and 60-day average daily census trends) in the Main PACU was evaluated to predict PACU's busiest working hours and adjust PACU staffing targets accordingly. This restructure led to a 55% decrease in overtime expenditure in 2023 YTD compared to 2022 YTD ($264,248 and $588,063 annual d ollars spent, respectively), despite a 6.6% increase in surgical volume and 2x the amount of staff turnover in 2023 compared...
Source: Nurse Leader - April 25, 2024 Category: Nursing Authors: Victoria Bihler Tags: Featured article Source Type: research
Reaching Regulatory Compliance Metrics
It can be challenging to meet regulatory compliance measures when there are competing priorities with short staffing and workplace burnout. Finding a way to reach regulatory compliance standards without heavily relying on dispensary actions to enforce compliance can help reengage nursing teams, create a sense of purpose, and establish a leader and staff collaborative approach to nursing excellence. By creating a shared vision for the unit, nurse leaders can collaborate with staff to reach needed standards that support patient care outcomes. (Source: Nurse Leader)
Source: Nurse Leader - April 19, 2024 Category: Nursing Authors: Laurie Arrison Tags: Featured article Source Type: research
Next Level Nurse Partnership
Nursing is the backbone of the health care industry. No other sector of health care has as broad of a reach or direct impact on patient care and in the post-pandemic environment, the importance of nursing has been amplified as new technologies and workflows disrupt the status quo, and nurse teams and leaders continue to face new pressures and obstacles in their efforts to care for patients. Despite the significant role nursing plays in maintaining and improving access to care, there is a growing challenge involving the state of the nursing workforce, and nurses are leaving the profession at an alarming rate, with retiremen...
Source: Nurse Leader - April 19, 2024 Category: Nursing Authors: Aundrea Mills Source Type: research
New Graduate Nurses ’ Perceptions of Disruptive Behaviors and Implications for Nurse Leaders
As new graduate nurses (NGNs) transition into their first registered nurse (RN) position, they are acclimating to a new culture and vulnerable to witnessing and experiencing various disruptive behaviors. When NGNs are treated poorly by others in their environment, their job satisfaction and well-being are negatively impacted, and they begin to consider leaving their job or the nursing profession altogether. In this article, survey results collected from NGNs on their perceptions of disruptive behaviors in the workplace will be discussed. (Source: Nurse Leader)
Source: Nurse Leader - April 18, 2024 Category: Nursing Authors: Larissa Africa, Martha Grubaugh, Renee Thompson Tags: Featured article Source Type: research
Safe Staffing Through New Models of Care
Safety is the number 1 priority for nurse leaders, and ensuring safe staffing is critical. Safe staffing in an era of nurse shortages must be achieved by a radical change to the current models of care. Clinical organizations must innovate by implementing and testing new models of care while partnering with their local academic colleagues to develop a new body of evidence. There is a need to educate all stakeholders, including legislators, that mandated nurse-to-patient ratios are not the best solution to ensure that patients have access to excellent care and that nurses are able to practice in a professionally fulfilling e...
Source: Nurse Leader - April 18, 2024 Category: Nursing Authors: Sylvain Trepanier, Kathleen Sanford, Gay Landstrom, Rosalie Mainous, Susan Bakewell-Sachs Tags: Featured article Source Type: research
Can Your Organization Hire an RN in 7 Days or Less?
There continue to be so many conversations about nurse recruitment processes, such as why it takes so long to hire a nurse, and whether or not the overall recruitment process actually works. When I hear these and other comments related to nurse recruitment, I always think of the famous baseball player and manager Yogi Berra, known for his humorous and often paradoxical quotes, who reportedly said, "It's like d éjà vu all over again.” I also think back on my time spent both as a nurse recruiter and as an executive leader in a recruitment marketing agency, and recently reread a 2003 research study entitled Recruiting Nur...
Source: Nurse Leader - April 6, 2024 Category: Nursing Authors: Beth A. Brooks Tags: The Career Coaching Corner Column Source Type: research
Integrating Human-Centered Approaches to Align Doctor of Nursing Practice Curriculum With Real-World Practice
Doctor of Nursing Practice (DNP) programs, preparing nurse leaders for today ’s complex health care environment, must support needed competencies and provide fresh, innovative strategies that align with real-world practices. A traditional postgraduate DNP program created an integrated curriculum and expanded the leadership thread to incorporate a contemporary and evidence- based theoretical framework, Human-Centered Leadership in Healthcare. This leadership theory with its highly relational approach between leaders, peer leaders, and teams quickly resonated with students. (Source: Nurse Leader)
Source: Nurse Leader - April 4, 2024 Category: Nursing Authors: Margie Hamilton Sipe, Kay Kennedy Tags: Featured article Source Type: research
The Effect of Preventable Harm Simulation on Entry-Level Nurses' Clinical Judgment
Beginning nurses face challenges such as increased care complexities, an aging patient population, and the knowledge-to-practice gap, resulting in practice errors. The project used preventable harm simulation scenarios, using the Lasater Clinical Judgment Rubric to evaluate clinical judgment behaviors in pre- and postsimulation exercises and a 30-minute facilitator-led group discussion. Eight-two percent of the LCJR scores increased from the presimulation (mean 25.86; SD 3.93) to postsimulation (mean 30.59; SD 4.58). (Source: Nurse Leader)
Source: Nurse Leader - April 2, 2024 Category: Nursing Authors: Nicole Williams Tags: Featured Article Source Type: research
Systems Caring
This article provides an overview of 5 systems thinking principles and the rationale for how they complement the work of the leader. (Source: Nurse Leader)
Source: Nurse Leader - April 2, 2024 Category: Nursing Authors: Therese DeVries Narzikul, Melissa O ’Connor Tags: Featured article Source Type: research
Table of Contents
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Source: Nurse Leader - April 1, 2024 Category: Nursing Source Type: research
Editorial Board
(Source: Nurse Leader)
Source: Nurse Leader - April 1, 2024 Category: Nursing Source Type: research
Representation Matters
A diverse health leadership team can enhance quality outcomes, help reduce social disparities, and even affect an organization ’s reputation. In 2020, the National Council of State Boards of Nursing reported minorities make up approximately 19% of the nursing workforce.1 Yet, according to a 2020 report by Berlin et al.,2 only 5% of health care C-suite positions are held by minority women. (Source: Nurse Leader)
Source: Nurse Leader - April 1, 2024 Category: Nursing Authors: Mary Ann Fuchs, Erik Martin, Stacey Chappell Tags: AONL Source Type: research
Kerri Hensler, DNP, MPA, BSN, RN, CNOR, NEA-BC, Jeanette Livelo, DNP, MS/MBA, RN, NEA-BC, Derek Mayberry, MBA, MSN, RN, NE-BC, and Michelle Williams, Ph.D., RN-BC
Kerri Hensler, DNP, MPA, BSN, RN, CNOR, NEA-BC, is Director of Nursing for Perioperative Services at NewYork Presbyterian Hospital and Columbia University Irving Medical Center and Morgan Stanley Children ’s Hospital in New York City, New York. (Source: Nurse Leader)
Source: Nurse Leader - March 29, 2024 Category: Nursing Authors: Lucy Leclerc Tags: Leader to Watch Source Type: research
Nurse Staffing Task Force
The purpose of this paper is to describe the process and outcomes of the Nurse Staffing Task Force. This work, which followed the Partners for Nurse Staffing Think Tank, was co-convened by professional organizations to address the staffing crisis in acute and critical care. The volunteer members of the Task Force represented diverse roles in health care and met over a 9- month period. Their work resulted in an open access publication that is an inclusive representation of their collective expertise. (Source: Nurse Leader)
Source: Nurse Leader - March 29, 2024 Category: Nursing Authors: Sarah A. Delgado, Katie Boston-Leary Tags: Featured article Source Type: research
