RESUMEN
This article explores the experiences and learnings of 2 ambulatory care nurse leaders on the front lines of the Covid-19 pandemic using the theory "navigating through chaos" as a framework.
Asunto(s)
COVID-19/enfermería , Enfermedad Crítica/enfermería , Liderazgo , Enfermeras Administradoras/psicología , Rol de la Enfermera/psicología , COVID-19/psicología , Enfermedad Crítica/psicología , Humanos , Satisfacción en el Trabajo , Relaciones Enfermero-PacienteRESUMEN
OBJECTIVE: The aim of this study was to explore actions and the processes charge nurses (CNs) implement to keep patients safe and generate an emerging theory to inform CN job descriptions, orientation, and training to promote patient safety in practice. BACKGROUND: Healthcare workers must provide a safe environment for patients. CNs are the frontline leaders on most hospital units and can function as gatekeepers for safe patient care. METHODS: This grounded theory study utilized purposive sampling of CNs on medical-surgical units in a 400-bed metropolitan hospital. Data collection consisted of 11 interviews and 6 observations. RESULTS: The emerging theory was navigating through chaos: CNs balancing multiple roles, maintaining a watchful eye, and working with and leading the healthcare team to keep patients safe. CONCLUSIONS: CNs have knowledge of patients, staff, and complex healthcare environments, putting them in opportune positions to influence patient safety.
Asunto(s)
Rol de la Enfermera , Personal de Enfermería en Hospital , Seguridad del Paciente , Evaluación de Procesos, Atención de Salud , Administración de la Seguridad/métodos , Humanos , Entrevistas como AsuntoRESUMEN
Charge nurses have integral roles in healthcare organizations. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient assignments are made and proposes a framework to guide the process of patient assignments.
Asunto(s)
Personal de Enfermería en Hospital/organización & administración , Admisión y Programación de Personal , Técnicas de Planificación , Carga de Trabajo , Continuidad de la Atención al Paciente , Humanos , Supervisión de Enfermería , Seguridad del Paciente , Estados UnidosRESUMEN
This article articulates the growing shortage of nursing faculty and identifies factors that impact nurses' decisions to pursue graduate studies in nursing education. Kurt Lewin's Force Field Analysis and a Decision Matrix are applied to the process of pursuing graduate studies in nursing education. When driving forces outweigh restraining forces, nurses are more likely to pursue graduate studies in nursing education. Innovative solutions to strengthen driving forces and overcome restraining forces include: offering more programs with a focus in nursing education; financial support; flexible program delivery options, including more online graduate programs; mentoring; and collaborations between employers and academic institutions. The implications of this analysis for nurses, academic nurse leaders and nursing faculty, nurse employers, and governing bodies are presented.
