RESUMO
The nursing context in pediatric rehabilitation is that of caring for children with disabilities and complex developmental differences and health conditions in an ever-changing and demanding environment. Rehabilitation nurses aim to continuously advance nursing leadership, practice, education and research to meet service needs. Strengths-Based Nursing and Healthcare (SBNH) is a philosophy and value-driven approach that aligns with and enables the advancement of strengths-based rehabilitation nursing and family-centred care. This paper describes the leadership approach undertaken to implement SBNH in a Canadian pediatric rehabilitation hospital context over a 10-year period. We will share what we did and what we learned.
Assuntos
Liderança , Humanos , Canadá , Criança , Enfermagem Pediátrica/tendências , Enfermagem Pediátrica/organização & administração , Enfermagem Pediátrica/educação , Enfermagem em Reabilitação/tendências , Enfermagem em Reabilitação/organização & administração , Enfermagem em Reabilitação/métodos , Crianças com Deficiência/reabilitaçãoRESUMO
This article outlines how chief nurse executives (CNEs) in an urban regional hospital network are navigating the balancing act of organizational (internal) and system-level (regional and/or provincial) accountabilities amid the coronavirus disease 2019 (COVID-19) pandemic. Key to their leadership efforts is finding the right balance in making critical decisions and building trust to ensure staff resiliency and safety amid managing their own resilience while enacting both internal and external accountabilities. These accountabilities include having presence and influence at the regional planning, executive planning and incident command decision-making tables. Insights from their experiences and lessons learned will be shared alongside recent calls to action for nursing leadership that can serve as a playbook for CNEs dealing with future waves of COVID-19 and unplanned events.
Assuntos
Liderança , Enfermeiros Administradores/psicologia , Resiliência Psicológica , Responsabilidade Social , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Humanos , Entrevistas como Assunto/métodos , Pandemias/prevenção & controle , Pesquisa QualitativaRESUMO
In 2008, Michael Garron Hospital, transformed its approach to care delivery. The rationale: to improve quality, increase safety and boost patient and staff engagement and satisfaction. The Coordinated Care Team (CCT) model has enabled nurses to not only work to their full scopes of practice within a team of interprofessional providers and unlicensed staff, but also helped create a culture of safety and patient-centredness in a value-driven context. Critics suggest a need for more evaluation and evidence of efficacy. This article provides a rationale, discussion and evaluation of the CCT model based on data curated from implementation to 2016.
