Creative Nursing最新文献

Research shows how vital sleep is to total health, with poor sleep having a strong correlation with morbidity and mortality, yet fewer than half of top hospitals have sleep-friendly practices. This article describes a project motivated by the lived experiences of a nurse manager and a hospitalist who partnered to improve the sleep environments on two inpatient units. They used design thinking, empathizing with the patients' experiences with the sleep environment, to design interventions to promote quality sleep. Results showed improvements in patient experience on the Hospital Consumer Assessment of Healthcare Providers & Systems question, "During your hospital stay how often was the area around your room quiet at night?" Patient measures on how well the hospital created conditions for sleep on the unit also showed improvements, as well as the patients' perception of how well they slept. Care teams can use design thinking to replicate this project and listen to their patients to build and deploy interventions on their units to improve sleep environments.

Background: The Continuity of Midwife Care (CMC) model is an evidence-based care model that positively influences the health and well-being of women, their families, and midwives. Although effective communication strategies have not been determined, online resources are known to reach a wider audience and make CMC research more visible. The All-you-need-to-know-about-continuity-of-carer newsletter, distributed by the authors, is a strategy to communicate valuable and credible CMC content from knowledge producers to users. Purpose: To explore the newsletter's functional elements and the connection between it as a communication strategy and the individuals interacting with it and to present a case demonstration of a newsletter example. Methods: A descriptive case report with a theory-driven approach using 10 elements of human communication theories. Conclusions: The following elements of human communication contribute to understanding the functioning of the newsletter: Grounded Theoretical Theory, the Practical-Action Theory and goal-oriented communication (communication theory), the Syntactic Theory of Visual Communication and the rhetorical tradition of communication (tradition of communication), Elaboration Likelihood and the socio-cultural model of communication (communicator), implied compliance-gaining, parole, semiosis, narrative paradigm and rhetoric logic (message), social organisation communication, co-cultural communication and invitational rhetoric (conversation), the orientation and exploratory affective exchange stages of social exchange (relationship), Structuration Theory (group), the Theory of Bureaucracy (organisation), the Cultivation Theory (media), and the Diffusion of Innovation and Ethnography of Communication (culture and society). Implications: The newsletter succeeds in managing CMC information and reaching an interested audience. Further evaluation is required to explore if or how the newsletter affects information use.

Organizational socialization (OS) is a critical process that all employees go through. In addition to the job characteristics, the efficiency and effectiveness of the OS process impact the individual's ability to adjust and be involved in the job. This study proposes and tests a new model in which psychological safety mediated the effects of OS and job characteristics on the job involvement of 313 newly recruited health-care professionals' working in 10 private hospitals in South India. Researchers used Uncertainty Reduction Theory to explain the relationship between the variables under study. The results indicate that newcomers' job involvement is predicted positively by OS and job characteristics, and that psychological safety mediates these relationships. These findings as well as their implications in the health-care professional arena are discussed within the Eastern cultural contexts of organizational behavior research.

Design labs are one of the most exciting multidimensional communication and disruption strategies available to health-care teams today. A design lab can be as simple as a gathering of people who use the framework of design thinking to iterate solutions and innovations to problems in their environment. Design labs support teams in exploring solutions for current health-care challenges, in a safe, creative space. They are a place where nurses can explore their own practice and iterate organizational policies and processes.

The concept of transforming power over to power with, the theme of this issue of Creative Nursing, comes from Riane Eisler's cultural transformation theory describing a continuum of domination and partnership along which cultures orient themselves. Hierarchies are important organizing principles in many systems; it is not their presence that is inhumane, but how they function. Domination systems display authoritarian rule in both the family and the state or tribe, with strict hierarchies of domination, and narratives that normalize domination and present the violence that maintains it as inevitable. Partnership systems are characterized by egalitarian structures in both the family and state or tribe, with hierarchies of actualization in which power is used to empower others rather than disempower, low levels of sanctioned violence (since it is not needed to maintain power), and narratives depicting mutual respect, accountability, and benefit as natural. All the articles in this issue of Creative Nursing depict empowerment: of patients, parents and other family members, foster parents, children from preschool age to near adulthood, providers of direct patient care at many levels in many areas, nurses seeking to publish their knowledge, and all people who seek to use language that demonstrates respect and value for all people while acknowledging the diverse cultures in which we abide.

Patient experience and team engagement are key performance indicators in organizational strategic planning. Health-care organizations have a seldom-used resource within acute care settings that expands the ability to improve patients' experiences of their care as well as their own team engagement. Environmental services (ES) staff, the second largest health-care workforce, spend an average of 10 min per patient day interacting with patients and families. Few studies highlight how nursing theory may influence patient experience outside of the nursing role. This paper explores how ES staff at a non-profit rural 974-bed academic medical center impacted patient experience using nursing theory to promote a caring environment. Applying Watson's Theory of Human Caring and Caritas Processes^© with ES team members beginning at leadership levels increased team engagement and improved patient experience. ES team members benefited from a professional nursing framework and from being integrated as a valued partner in advancing human caring.

Nurses perform a key role in national and international humanitarian efforts. This case study of a highly experienced Registered Nurse who has engaged in international humanitarian projects for more than 30 years provides unique insight into the way nurses care for underserved populations. This nurse constructed knowledge and derived meaning from her practice by utilizing Carper's Patterns of Knowing. Many previous studies have proposed that Aesthetic Knowing is the dominant form of knowledge most nurses use to synthesize their understanding. However, in her personal account, this nurse identified Ethical Knowing as the overarching framework she used to construct all her other forms of knowledge and to derive meaning from her experiences. Findings from this case study identify significant themes related to the role of nurses in humanitarian work, and provide new insight into prevailing Western theoretical frameworks and how nurses can address health disparities among marginalized populations.

Background: Professionalism is a multidimensional and dynamic concept that is a fundamental requirement to providing safe, quality nursing care. In the Slovak sociocultural context, professionalism is given only limited attention, and research in this area is completely lacking in community nursing. Purpose: To explore how community nurses (CNs) working in home care agencies understand professionalism in the context of their practice in Slovakia. Methods: This focused ethnography involved 10 CNs working in home care in two Slovak regions. The study was conducted between January and July 2022 and employed semistructured interviews, field notes, and reflexive thematic analysis. Findings: In this specific group and setting, understanding of professionalism was reflected through four themes: professional socialization, community service provision, job satisfaction, and professionalism in danger. Conclusions: The findings showed the need to improve the conditions of the working environment of nurses in the community setting. Implications for practice: The findings have implications for local policy, home care agency management, and nursing education in terms of strengthening professionalism in this specific nursing setting and cultural context.

The bright vision presented by this book provides an invigorating push to bring out the inner anarchist hidden in even the most complacent of health professionals. This book renews the ongoing discussion of how theory-driven change can be used to ground and promote the integration of love and human caring into system innovation. Each chapter of this book provides concrete and realistic application strategies to front-line practice and gives intensive guidance on how to linguistically and intellectually challenge the barriers within an organization that can undermine a vision of holistic caring. For leaders of teams, this book provides invaluable tools to build a culture of caring and maintain a team that perceives caring from both leadership and the organization as a whole. For team members, this book is a reminder that an expectation of workplace culture that is positive, supportive, and fosters growth is not out of reach; it simply has yet to be implemented within their system.

Introduction: To facilitate partnerships between nurses and their patients with psychiatric illness, it is important to provide a safe narrative space for both parties where patients can voice their opinions. Purpose: A case study shows how the Patient-Authored Medical Record (PAMR) can contribute to health practice reform. Methods: A patient who visited an outpatient psychiatric clinic was asked to describe his life events. The researchers created the patient's PAMR, a first-person account of how he thought his illness could be cured, which was used when conducting follow-up meetings. The contents of the PAMR and that of subsequent meetings were used to evaluate the tool's usefulness. Results: The narrative content of the PAMR and the follow-up meetings reflected a reduction in the patient's symptoms and a change in his perception of his illness. Conclusions: Patient-authored medical records could be a step toward health-care reform. Allyships created with patients can form new cooperative two-way relationships that are more equal than authoritative one-way relationships.