Nursing management最新文献

Background: Intent to stay (ITS) is the best predictor of nurse turnover. Interventions aimed at combating turnover may be ineffective if they're developed without getting input from nurses to understand why they stay.

Purpose: The aim of this study is to understand the factors contributing to clinical nurses' ITS in an organization.

Methods: A qualitative descriptive design used semistructured interviews with questioning grounded in the theoretical framework of clinical nurses' ITS. RNs were recruited from three hospitals from the same Magnet®-recognized health system in the urban Southeast US.

Results: A total of 18 clinical nurses were interviewed, and four major themes were identified: organizational culture, sense of belonging, leadership in action, and sustainability of bedside nursing.

Conclusions: Integrating organizational culture, sense of belonging, leadership in action, and resources for direct care nursing will strengthen nurses' ITS and encourage nurses to pursue direct care nursing as a career destination.

Abstract: The purpose of this article is to share the implementation of an inpatient virtual nursing program that utilized existing equipment and resources. Following challenges and staff dissatisfaction with the initial process, the virtual nursing committee reassessed and revised the program. The second implementation was successful, as evidenced by improved patient experience scores and positive staff surveys.

Background: Patients prescribed psychoactive medications require routine laboratory monitoring to ensure safety and therapeutic effectiveness of pharmacotherapy. Inadequate monitoring of routine laboratory values increases the risk of adverse outcomes, emphasizing the importance of consistent attendance at scheduled laboratory appointments.

Purpose: The purpose of this quality improvement project was to evaluate a nurse-driven telephone-based reminder protocol to improve laboratory appointment adherence among patients prescribed psychoactive medications requiring routine monitoring.

Methods: A 6-week intervention at a community clinic was led by nursing staff who performed standardized telephone-based reminders prior to scheduled laboratory appointments. Communication was used to promote appointment adherence, with outcomes measured through no-show rates and patient satisfaction.

Results: Implementation of the protocol reduced laboratory appointment no-show rates from 33% at baseline to 19% postintervention. Patient feedback was positive, with 83% of surveyed participants reporting satisfaction with the reminder process and improved clarity regarding their care.

Conclusions: The nurse-driven Ring, Remind, Report protocol improved appointment adherence, enhanced medication safety monitoring, and supported more efficient clinic workflows. The results suggest that standardized reminder calls may be a sustainable strategy for improving adherence among patients prescribed psychoactive medications requiring routine laboratory monitoring.

Abstract: Professional identity integrates values, ethics, knowledge, leadership, and professional comportment, reflected in a nurse's behaviors, countenance, and demeanor. Developing a professional identity prepares nurses for advanced roles to advocate for patients, families, and the nursing profession. A professional identity elevates standards of care to promote health access, equity, and quality to achieve optimal outcomes in diverse populations and communities. Nurses with strong professional identities are competent and confident role models and engage with the interprofessional team in a collegial and inclusive manner. These nurses experience role satisfaction and elevate the public perception of nursing as a respected profession.

Background: After implementing a comprehensive fall program, a critical process for investigating patient fall events, the post-fall huddle form (PFHF), was identified as an opportunity to collect extensive data to promote fall prevention. However, the PFHF was a manual process in paper format only and consisted of approximately 50 questions. The process was deemed laborious and wasn't consistently completed.

Purpose: The aim was to promote completion rates and evaluate the impact on direct care nurses in a neurosciences unit.

Methods: The quality improvement project included designing an electronic PFHF, education for entering and validating the data, routine feedback, and pre- and postimplementation surveys. Supportive features included force functions, deidentification, electronic health record interoperability, and automated leader notification.

Results: Completion rates improved from 11.1% to an overall average of 99.6%. There was statistical significance related to decreased time to complete the form electronically for the initiator (P = .035) and the validator (P = .003). Frustrations and concerns expressed during the preimplementation survey decreased upon using the electronic PFHF.

Conclusions: Utilizing technology, the electronic PFHF increased completion rates, enhanced data collection, and improved staff satisfaction. In addition, health care leaders increased the valuable data needed to promote patient safety and cost-savings.