Nurses are frequently exposed to trauma both inside and outside of the hospital setting. This trauma exposure may lead to symptoms that can be harmful to the nurse and make it more difficult for them to provide quality care to patients. Trauma-informed professional development is a strategy that can help nursing professional development practitioners create an environment where recovery after trauma is possible. This article provides definitions and exemplars for practice.
An integrated health system including 12 hospitals, an expansive network of ambulatory settings, and health insurance plans began a systematic review of the existing nursing professional practice model (PPM) created in 2007 to assess current relevancy. The goal was to determine PPM concepts and imagery that represent present-day nursing workforce. This article shares how a formal review of literature, utilization of focus groups, and system-wide shared decision-making influenced creation and evaluation of a revised PPM.
Although positive correlations between nursing professional development (NPD) staffing and organizational outcomes have been demonstrated, no evidence of optimal NPD department structures was found. Using an organizational participatory research method, NPD department structures in acute care hospital systems and their relationships to publicly reported patient outcomes and satisfaction were explored. Hospitals with centralized NPD departments had significantly fewer unplanned readmissions for pneumonia than hospitals with hybrid structures. No other significant differences were found.
Sustaining a competency program across a large healthcare system presents significant challenges, especially with acquisitions and periods of high turnover. This article describes how a large healthcare system revitalized a faltering competency program and created structures to ensure ongoing sustainability and leader engagement. After implementation of these strategies, the number of departments that completed competency processes increased from 397 to 798.
Schools of nursing are struggling to prepare registered nurses to practice in today's complex healthcare settings. Nurse residency programs are a good solution to support the transition to practice. Nursing education leaders must be informed of the nursing quality and safety outcomes of nurse residency programs. This literature review provides insight and evaluation of the evidence related to the impact of nurse residency programs with substantial evidence of nurse outcomes and minimal patient outcomes.
Retaining mid-career nurses is a priority to address the nursing shortage exacerbated by COVID-19. Nurses are more likely to stay if they feel valued. This scoping review revealed a variety of intrapersonal, interpersonal, and external factors that influence how mid-career nurses feel valued. Nursing professional development practitioners can influence satisfaction and retention by implementing mentoring and professional development programs for nurses and managers. More research is needed to understand the impact of the mid-career nurse-nurse manager relationship.
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