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Sharing Leadership Vulnerability 分享领导力的弱点
IF 1.3 Q3 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.01.007
Nurse leaders confront many complex challenges during their day. The emotional well-being of the nurse leader may continue to erode when situations requiring ethical consideration present themselves. The cumulative effect of continued moral distress can create moral residue, linked to disequilibrium of physical, mental, and emotional well-being. Leaders sharing their stories is a powerful way to create meaning and connection while helping to alleviate emotional distress and improve mental well-being. Three nurse leaders share their stories of distress and reveal the healing power of authentic vulnerability.
护士长每天都要面对许多复杂的挑战。当需要考虑道德问题的情况出现时,护士长的情感健康可能会继续受到侵蚀。持续的道德困扰所产生的累积效应会造成道德残留,从而导致身心和情感的失衡。领导者分享自己的故事是创造意义和联系的有力方式,同时有助于缓解情绪困扰和改善心理健康。三位护士领导者分享了他们的苦恼故事,揭示了真实脆弱的治愈力量。
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引用次数: 0
New Graduate Nurses’ Perceptions of Disruptive Behaviors and Implications for Nurse Leaders 新毕业护士对破坏性行为的看法及对护士长的启示
IF 1.3 Q3 NURSING Pub Date : 2024-10-01 DOI: 10.1016/j.mnl.2024.03.013
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. Additionally, proposed strategies nurse leaders can implement to address and prevent disruptive behaviors will be shared.
新毕业的护士(NGNs)在过渡到第一个注册护士(RN)职位时,正在适应新的文化,很容易目睹和经历各种破坏性行为。当 NGN 在其所处环境中受到他人的恶劣对待时,他们的工作满意度和幸福感会受到负面影响,并开始考虑离职或完全离开护理行业。本文将讨论从 NGNs 收集到的关于他们对工作场所破坏性行为看法的调查结果。此外,还将分享护士长为解决和预防破坏性行为而实施的建议策略。
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引用次数: 0
The Power of Self-Scheduling: Frontline Nurses’ Insights and Perspectives to Achieve Staffing Flexibility 自我排班的力量:一线护士对实现人员配置灵活性的见解和观点
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.012

The nursing workforce is in a crisis, and workforce flexibility for nurses is a promising solution to alleviating the crisis. Despite alignment on the importance of flexibility, frontline nurses and health care executives define workforce flexibility differently. A survey of 500 nurses was completed to understand how frontline nurses define and perceive flexibility through a variety of flexible work arrangements. Recommendations for improving nursing workforce flexibility include increasing flexible work practices and offerings such as self-scheduling, part-time work, per-diem, and internal gig work.

护理人员队伍正处于危机之中,而护士劳动力的灵活性是缓解危机的一个有希望的解决方案。尽管在灵活性的重要性上达成了一致,但一线护士和医疗管理人员对劳动力灵活性的定义却不尽相同。我们完成了一项针对 500 名护士的调查,以了解一线护士如何通过各种灵活的工作安排来定义和感知灵活性。提高护理人员灵活性的建议包括增加灵活的工作方式和服务,如自我排班、兼职工作、按日计酬和内部临时工作。
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引用次数: 0
Nurse Leader Guide 护士长指南
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.008
May Saulan DNP, MPA, MSN, RN, CNOR, AOCNS, Lystra M. Swift DNP, MA, RN, CNOR, Rebecca M. Patton DNP, RN, CNOR, FAAN

Workplace incivility and bullying occur at staggering rates and affect the nurse's safety, well-being, work environment, and relationship with their coworker. The alarming impact can immobilize the healthcare industry since nursing is the largest group in the healthcare profession. According to the 2019 to 2020 Healthy Nurse Survey, 18% to 26% of perioperative nurses experienced incivility/bullying. With repeated exposure, nurses may accept uncivil behaviors, view them as normal, and display these discourteous acts themselves. This work aims to provide leaders with comprehensive strategies to identify and mitigate these behaviors and promote a healthy work environment.

工作场所不文明行为和欺凌行为的发生率惊人,影响到护士的安全、福祉、工作环境以及与同事的关系。由于护士是医疗保健行业中人数最多的群体,因此这种令人担忧的影响可能会使医疗保健行业动弹不得。根据 2019 年至 2020 年健康护士调查,18% 至 26% 的围手术期护士经历过不文明行为/欺凌。随着反复接触,护士可能会接受不文明行为,将其视为正常现象,并自己表现出这些不礼貌行为。这项工作旨在为领导者提供全面的策略,以识别和减少这些行为,促进健康的工作环境。
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引用次数: 0
Children’s Health Diversifies Workforce and Cultivates Belonging 儿童健康使劳动力多样化并培养归属感
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.06.001
Brennan Lewis DNP, APRN, PCNS-BC, NEA-BC, Tiffany Montgomery MSN, RN, NPD-BC, Barry Owen MBA, RN, NEA-BC, Tammy Webb PhD, RN, NE-BC

Children’s Health, a 2-campus pediatric health care system with locations across North Texas, is this year’s American Organization for Nursing Leadership’s Prism Award recipient. The Prism Award recognizes a health care system for its leadership in advancing diversity and inclusion within the nursing profession, organization, or community. This article details the system’s efforts to establish diversity, equity, inclusion, and belonging as a priority and the many ways diversity, equity, inclusion, and belonging are imbued in workforce development and operations.

Children's Health 是一家拥有两个校区、遍布北德克萨斯州的儿科医疗保健系统,今年荣获了美国护理领导组织的 Prism 奖。棱镜奖旨在表彰医疗保健系统在推进护理行业、组织或社区的多样性和包容性方面所发挥的领导作用。本文详细介绍了该系统将多样性、公平性、包容性和归属感作为优先事项的努力,以及将多样性、公平性、包容性和归属感融入劳动力发展和运营的多种方式。
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引用次数: 0
Team Building in a Multigenerational Workforce 多代员工中的团队建设
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2023.11.019

Nurse leaders are charged with building effective teams to provide safe, compassionate, quality care to their patients and families. How we communicate with these teams is an important element of team building. Examining generational differences to foster effective communication and team building has gained increased attention, with many studies and articles published on this topic. This article is intended to provide insight into team building without taking generational differences into consideration, based on one leader’s extensive experience leading teams in a variety of settings.

护士长的职责是建立有效的团队,为病人和家属提供安全、体贴、优质的护理服务。如何与这些团队沟通是团队建设的一个重要因素。通过研究代际差异来促进有效沟通和团队建设已越来越受到关注,许多相关研究和文章也已发表。本文旨在根据一位领导者在不同环境中领导团队的丰富经验,在不考虑代际差异的情况下为团队建设提供见解。
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引用次数: 0
Spirituality Educational Intervention to Enhance Spirituality Clinical Practice and Resilience 加强灵修临床实践和复原力的灵修教育干预措施
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.004

This descriptive research used an evidence-based spirituality intervention as an innovative approach for nurse leaders to support nurse’s use of spirituality in clinical care to promote resilience in acute care settings. The intervention used the Auctioning Spirituality and Spiritual care Education Training (ASSET) model as a framework to enhance spiritual practices. Two valid and reliable tools measured participant’s attitudes toward spiritual practices and resilience. The sample included participants (N = 185) working in acute care settings. Participants’ attitudes on spirituality-integrated practice are strongly correlated with resilience composite scores (r = 0.562, p < 0.04). Spirituality training enhances self-awareness and increases spiritual dimensions of clinical practice.

这项描述性研究采用循证灵性干预作为护士长的创新方法,支持护士在临床护理中使用灵性,以促进急症护理环境中的复原力。该干预措施采用拍卖灵性和灵性护理教育培训(ASSET)模型作为加强灵性实践的框架。两个有效可靠的工具测量了参与者对灵性实践和复原力的态度。样本包括在急症护理机构工作的参与者(N = 185)。参与者对灵性整合实践的态度与复原力综合得分密切相关(r = 0.562,p < 0.04)。灵性培训可增强自我意识,提高临床实践的灵性维度。
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引用次数: 0
Shaping the New Nurse Leader Generation 塑造新一代护士长
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.011

The global pandemic has highlighted the indispensable role of effective leadership in navigating the complexities of health care. In response, the New York-Presbyterian Nursing Leadership Academy (NYP NLA) emerges as a transformative initiative, designed to fortify nurse leaders with the necessary competencies to thrive in a dynamic health care environment. This manuscript provides an in-depth analysis of the NYP NLA, elucidating its targeted objectives, the adoption of pioneering educational methodologies, and the profound impact it has had on participants. Through a blend of structured mentoring, innovative teaching strategies, and comprehensive leadership development, the NYP NLA has not only positively influenced the professional trajectories of nurse leaders but has also made a notable contribution to enhancing the quality of health care delivery. By fostering a cadre of empowered, skilled, and visionary leaders, the NYP NLA is setting a new standard for leadership excellence in health care, ensuring readiness for current and future challenges.

全球大流行凸显了有效的领导力在驾驭复杂的医疗保健领域中不可或缺的作用。为此,纽约长老会护理领导力学院(NYP NLA)作为一项变革性举措应运而生,旨在强化护士领导者在动态医疗环境中茁壮成长的必要能力。本手稿对 NYP NLA 进行了深入分析,阐明了其目标、所采用的开创性教育方法以及对参与者产生的深远影响。通过结构化指导、创新教学策略和全面领导力发展的融合,纽约市立医院 NLA 不仅对护士领导者的职业发展轨迹产生了积极影响,还为提高医疗服务质量做出了显著贡献。通过培养一批有能力、有技能、有远见的领导者,纽约市立医院护理学院为医疗保健领域的卓越领导力树立了新的标准,确保为应对当前和未来的挑战做好准备。
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引用次数: 0
Nursing Leaders’ Influence on Clinical Nurses’ Evidence-Based Practice Implementation: Impact of an Evidence-Based Practice Leadership Behavior Program 护理领导对临床护士实施循证实践的影响:循证实践领导行为项目的影响
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.001
Lindsey J. Patton PhD, APRN, PCNS-BC, Zara Sajwani-Merchant PhD, RN, EBP-C, Sara Moore DNP, APRN, PPCNP-BC, CPNP-AC, NNP, EBP-C, Peng Chen MPH, CPH, BS, Amy Six-Means MLIS, Linda Markey PhD, RN

Unit-level nursing leaders’ behaviors may foster the organization’s implementation climate for evidence-based practice. This study used a quantitative, pretest, posttest comparative design to determine whether acute and critical care nursing leaders’ participation in an evidence-based practice (EBP) Leadership Behavior Program made a difference in nursing leaders’ self-reported and clinical nurses’ perceptions of nursing leaders’ EBP leadership behaviors and competencies. The program was designed for nursing leaders that included synchronous and asynchronous activities. Findings indicated that nursing leaders’ EBP competencies and EBP leadership behaviors significantly improved following participation in the program. However, clinical nurses’ perceptions did not statistically significant change.

科室级护理领导的行为可促进组织实施循证实践的氛围。本研究采用定量、前测、后测的比较设计,以确定急危重症护理领导参与循证实践(EBP)领导行为项目是否会对护理领导的自我报告和临床护士对护理领导的 EBP 领导行为和能力的看法产生影响。该计划专为护理领导设计,包括同步和异步活动。研究结果表明,参加该项目后,护理领导的 EBP 能力和 EBP 领导行为得到了显著提高。然而,临床护士的看法并没有发生统计学意义上的重大变化。
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引用次数: 0
The New World of Work: Ten Changes in Work, the Workforce, and the Workplace 工作的新世界:工作、劳动力和工作场所的十大变化
IF 1.3 Q3 NURSING Pub Date : 2024-08-01 DOI: 10.1016/j.mnl.2024.04.015
Rose Sherman EdD, RN, NEA-BC, FAAN
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引用次数: 0
期刊
Nurse Leader
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