Nurse Leader最新文献

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. Eighty-two percent of the LCJR scores increased from the presimulation (mean 25.86; SD 3.93) to postsimulation (mean 30.59; SD 4.58). The evaluation noted 90% of the nurses indicated the project was extremely helpful in facilitating clinical judgment. It is essential to interpret these results cautiously due to the small sample size.

The nursing shortage is at a crisis level across the nation. Representatives from the Appalachian Highlands Center for Nursing Advancement, including Tennessee Center for Nursing Advancement, held listening sessions with nurses across Tennessee in the Fall of 2022. Approximately 461 attendees participated in the 18 statewide listening sessions that consisted of 47 small groups. Nurses suggested a variety of strategies for addressing the nursing shortage across Tennessee, including (1) building a pipeline for education; (2) developing and implementing innovative clinical and academic models; (3) supporting nurse well-being; and (4) developing aggregate nursing data. This article provides key findings with recommendations directly from nurses.

For over a century, health indicators for Black men in the United States have lagged behind that of other groups. Underlying the poor health of Black men are health inequities that result from social conditions that adversely affect their health. Nurses are well equipped to promote health equity for individuals, communities, and populations. The purpose of this paper is to present strategies that nurse leaders can implement within their organizations and surrounding communities to promote health equity for Black men.

This article describes an Institute for Health Improvement (IHI) project to improve care delivery in ways that will help nurses thrive. The American Organization for Nursing Leadership (AONL) has been a key partner in this work, serving as a stakeholder of the Nurse Staffing Think Tank, whose report, referenced below, helped to show the need for such an initiative. AONL participated in the expert panel that helped to develop the recommendations guiding this work and continues to spread the findings of the IHI project through AONL committee work, IHI presentations at AONL events, and a learning community sponsored by the American Hospital Association and AONL.

Nursing must lead the way in redesigning health care through nursing science. To meet this call to action, clear leadership with vision and innovative collaboration is required wherein all nurses are leaders playing a role in asking questions across diverse approaches to inquiry. Clinical–academic partnerships remain a key strategy to strengthen nursing practice and prepare nurses with skills to serve as change agents. In Colorado, we have formalized a unique bidirectional clinical–academic partnership between Children’s Hospital Colorado and the University of Colorado College of Nursing. Through shared vision, mission, and strategy, our bold vision is focused on advancing pediatric nursing science.

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 retirements outpacing new entrants. This paper examines a forward-thinking strategy that positions nursing as a strategic partner with interprofessional disciplines such as food and nutrition services, EVS, patient observation, patient transport, biomedical services, and engineering.

Unplanned change in response to a crisis presents a unique opportunity for organization learning. During the COVID-19 pandemic, registered nurses (RN) experienced workplace change at a pace that is unprecedented in recent decades. The purpose of this qualitative study was to contribute to organizational learning through analysis of nurses’ experiences within a 3-tiered model of nursing redeployment. Three key themes emerged that highlight the importance of relationships and working conditions during periods of rapid change, and the potential impact of unplanned change on longer-term RN career planning.

The ongoing and new wars and conflict occurring in today’s world have decimated local health care systems and displaced nurses and health care workers. As the demand for nursing professionals continues to rise, identifying and supporting nurses who have experienced involuntary migration as refugees could constitute an underutilized pool of talent with a diverse range of experience and qualifications. Successful assimilation into the US health care system requires a comprehensive strategy that prioritizes safety, and fosters a sense of belonging while considering the evolving needs and expectations of both nurse migrants and the health care institutions. This article delves into the multifaceted challenges faced by displaced nurses and key strategies needed for acclimatization to the intricacies of the US health care system.