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A model to streamline career progression for nurse managers and retain emerging leaders. 一个简化护士管理人员职业发展的模式,并保留新兴的领导者。
Pub Date : 2019-10-01 DOI: 10.1097/01.NUMA.0000580600.38004.c1
Deborah C. Stamps, S. Beales, M. Toor
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引用次数: 1
Be CIVIL: Committing to zero tolerance for workplace incivility. 文明:承诺对工作场所的不文明行为零容忍。
Pub Date : 2019-10-01 DOI: 10.1097/01.NUMA.0000580628.91369.50
Maureen Kroning
Nurses in healthcare settings face numerous challenges, such as economic and reimbursement constraints, fast-paced technologic advances, the need to retrieve and report high quantities of data, and the increased demand to care for patients with complex medical needs, to name a few. These challenges, among others, create stressful and emotionally charged environments. The American Nurses Association (ANA) acknowledges that the environments in which nurses often work can “lead to situations where emotions boil over.”1 According to the ANA, incivility and bullying are “widespread in all settings.”2 And The Joint Commission reports that incivility in the form of bullying is at epidemic levels.3 Workplace incivility and bullying are topics frequently talked about in our offices, hallways, stairwells, and cafeterias, yet they may be hard to address in action. The effects of incivility, bullying, and violence in our work environments put everyone in the institution at risk for physical and emotional harm. In fact, incivility, bullying, and workplace violence are so prevalent that The Joint Commission issued a Sentinel Event Alert for all “behaviors that undermine a culture of safety.”4 In one study polling 800 managers and employees in 17 industries, it was found that the financial loss and negative effects of incivility were enormous, including decreased motivation, creativity, and team spirit and one-third less quality of work being accomplished.5 Eighty percent of those polled spent time worrying at work about the incidence of incivility, 60% spent time at work avoiding the offender, and 78% admitted to being less committed to the organization.5 The effects of incivility can stifle
医疗保健环境中的护士面临着许多挑战,例如经济和报销限制、快节奏的技术进步、检索和报告大量数据的需求,以及对具有复杂医疗需求的患者的护理需求的增加,等等。这些挑战,以及其他挑战,创造了充满压力和情绪的环境。美国护士协会(ANA)承认,护士经常工作的环境会“导致情绪失控”。根据ANA的说法,不文明和欺凌“在所有环境中都很普遍”。联合委员会报告说,以欺凌形式出现的不文明行为已经达到了流行病的程度在我们的办公室、走廊、楼梯间和自助餐厅,工作场所的不文明行为和欺凌行为是经常被谈论的话题,但它们可能很难在行动中解决。在我们的工作环境中,不文明、欺凌和暴力的影响使机构中的每个人都面临着身体和情感伤害的风险。事实上,不文明、欺凌和工作场所暴力是如此普遍,以至于联合委员会对所有“破坏安全文化的行为”发布了“哨兵事件警报”。一项调查了17个行业的800名经理和员工的研究发现,不文明行为造成的经济损失和负面影响是巨大的,包括积极性、创造力和团队精神的降低,完成的工作质量降低三分之一80%的受访者在工作中担心不文明行为的发生,60%的人在工作中避开冒犯者,78%的人承认自己对公司的忠诚度降低了不文明的影响可以扼杀
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引用次数: 5
An introduction to project management. 项目管理入门。
Pub Date : 2019-10-01 DOI: 10.1097/01.NUMA.0000580584.07510.9b
Gen Guanci, C. Bjork
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引用次数: 0
Turning the page: Nursing in the digital age and beyond. 翻开新的一页:数字时代及以后的护理。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579012.32858.2b
Tim Porter-Oʼgrady
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引用次数: 2
Healthcare then and now: Impact on nursing leadership. 过去和现在的医疗保健:对护理领导的影响。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579008.94739.05
D. Bowers, Caryl Goodyear
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引用次数: 1
The evolution of evidence-based practice. 循证实践的演变。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579000.09987.b0
Amy McMenamin, Carolyn Sun, Patricia A. Prufeta, R. Raso
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引用次数: 3
Patients-The ultimate winners of multidisciplinary rounding. 病人——多学科围捕的最终赢家。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579028.63352.fa
Maureen Kroning, Kenneth Janowski, Bijo Chacko, A. Foran
A ccording to the Institute for Healthcare Improvement, multidisciplinary rounds allow healthcare workers to come together to share their expertise with the goal of improving both the quality and safety of patient care.1 Multidisciplinary rounding is known to increase positive patient outcomes and decrease the “silo effect” through improved communication between healthcare disciplines, leading to better patient and staff satisfaction.2,3 In a healthcare system that’s often chaotic and fragmented, multidisciplinary rounds not only help foster teamwork, but also increase the healthcare team’s awareness of the patient’s care plan and their ability to communicate the care plan to the patient and his or her and family.1 At our hospital, the CCUs had successfully utilized multidisciplinary rounding for over 6 years; patient satisfaction scores for communication with doctors, communication with nurses, and discharge planning were higher on the CCUs compared with the medical units that hadn’t incorporated multidisciplinary rounding. Staff members present for multidisciplinary rounding on the CCUs included, but weren’t limited to, the patient’s primary RN and licensed independent practitioner, the chief medical officer (CMO), the nurse manager, the pharmacist, and the case manager. During rounding, the areas of care reviewed included the medication regimen, indication for use of central line and indwelling urinary catheters, the patient’s length of stay, any psychological and social concerns, and the patient’s discharge plan. A pilot team was formed to implement multidisciplinary rounding on a busy telemetry unit. The team developed goals and utilized
根据医疗保健改进研究所的说法,多学科查房使医疗保健工作者能够聚集在一起,分享他们的专业知识,以提高患者护理的质量和安全性已知多学科舍入可以提高患者的积极结果,并通过改善医疗保健学科之间的沟通减少“筒仓效应”,从而提高患者和工作人员的满意度。2,3在一个经常混乱和分散的医疗保健系统中,多学科查房不仅有助于培养团队合作,而且还可以提高医疗保健团队对患者护理计划的认识,以及他们与患者及其家人沟通护理计划的能力在我们医院,ccu已经成功地利用多学科查房超过6年;CCUs患者在与医生沟通、与护士沟通和出院计划方面的满意度得分高于未采用多学科舍入的医疗单位。参加ccu多学科查房的工作人员包括但不限于患者的主要注册护士和有执照的独立医生、首席医疗官(CMO)、护士经理、药剂师和病例管理员。在查房期间,审查的护理领域包括药物治疗方案,使用中心静脉导管和留置导尿管的指征,患者的住院时间,任何心理和社会问题,以及患者的出院计划。成立了一个试点小组,在一个繁忙的遥测单位实施多学科围捕。团队制定目标并加以利用
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引用次数: 2
Navigating a role transition: How to use your nursing leadership skills in a new career chapter. 引导角色转变:如何在新的职业篇章中运用你的护理领导技能。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579036.86223.bb
V. Kiper
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引用次数: 1
50 years of nursing: A respectful retrospective. 50年的护理:尊敬的回顾。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000579024.25235.b0
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引用次数: 0
Developing confident decision-makers. 培养自信的决策者。
Pub Date : 2019-09-01 DOI: 10.1097/01.NUMA.0000578992.64245.47
K. Drake
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引用次数: 0
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Nursing Management (springhouse)
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