A blueprint for nursing innovation centers.

BACKGROUND: The interest in and demand for healthcare innovation has heightened amid the COVID-19 pandemic. Organizations are challenged to balance the goals of daily operations with innovation to stay relevant and compete in the marketplace. Innovation is critical for not only the success and sustainability of organizations, but the well-being of the faculty, staff, and clients they serve. PURPOSE: In this article, we present an overview of several Nursing Innovation Centers in the United States as well as examples of colleges without formal innovation centers but who are addressing innovation in their programs. METHODS: We examined the subjective experience of nursing innovation in seven colleges of nursing using semi-structured intervieweds and thematic analysis. FINDINGS: We discuss four themes for creating an innovation center or innovation focus and six themes important for sustainability and impact. In addition, we provide a working model for these themes and provide lessons learned along with trends and recommendations for the future. DISCUSSION: This information provides guidance and a framework for academic and practice organizations aspiring to create opportunities for innovation to flourish in their institutions. We also encourage leadership to critically evaluate and address biases in faculty hiring, research evaluation, publication practices, educational opportunities and mentoring to overcome the diversity innovation paradox.

Perfil de liderança dos enfermeiros de um serviço hospitalar / Nursing leaders profile in a hospital service / Perfil de liderazgo de enfermeras de un servicio hospitalario

Objetivo: analisar o perfil de liderança dos enfermeiros de um hospital do oeste catarinense, sob a ótica do modelo de Liderança Situacional. Método: estudo quantitativo transversal, realizado com 71 enfermeiros. A coleta de dados deu-se entre os meses de julho a setembro de 2017, na qual utilizou-se um instrumento da teoria situacional. A análise foi a estatística descritiva. Resultado: com a pesquisa é possível afirmar que o estilo de liderança persuadir foi o predominante nos enfermeiros; os líderes possuem um grau de efetividade positivo quanto a adaptabilidade de estilo de liderança, estando a sua maioria na faixa de eficácia. Conclusão: a partir dos resultados identificados considera-se que o enfermeiro, ao desenvolver sua assistência profissional, deve estar apto a liderar uma equipe de enfermagem no ambiente hospitalar, visto que, a melhoria da qualidade da assistência prestada depende do trabalho coletivo

Objective: to analyze the leadership profile of nurses in a hospital in western Santa Catarina, from the perspective of the Situational Leadership Model. Method: cross-sectional quantitative study conducted with 71 nurses. Data collection took place between July and September 2017, using an instrument of situational theory. The analysis was descriptive statistics. Result: with the research it is possible to affirm that the style of persuading leadership was predominant in nurses; Leaders have a positive degree of effectiveness in leadership style adaptability and are mostly in the range of effectiveness. Conclusion: from the identified results, it is considered that nurses, when developing their professional care, should be able to lead a nursing team in the hospital environment, since the improvement of the quality of care depends on the collective work

Objetivo: analizar el perfil de liderazgo de las enfermeras en un hospital en el oeste de Santa Catarina, desde la perspectiva del modelo de Liderazgo Situacional. Método: estudio cuantitativo transversal realizado con 71 enfermeras. La recolección de datos tuvo lugar entre julio y septiembre de 2017, utilizando un instrumento de teoría situacional. El análisis fue estadística descriptiva. Resultado: con la investigación es posible afirmar que el estilo de persuadir al liderazgo era predominante en las enfermeras; Los líderes tienen un grado positivo de efectividad en la adaptabilidad del estilo de liderazgo y se encuentran principalmente en el rango de efectividad. Conclusión: a partir de los resultados identificados, se considera que las enfermeras, al desarrollar su atención profesional, deberían poder liderar uno grupo de enfermería en el entorno hospitalario, ya que la mejora de la calidad de la atención depende del trabajo colectivo

Outpatient healthcare utilization 30 days before and after hospitalization for heart failure in France: Contribution of the national healthcare database (Systèmenationaldesdonnéesdesanté).

BACKGROUND: Guidelines have been published concerning patient management after hospitalization for heart failure. The French national healthcare database (Systèmenationaldesdonnéesdesanté; SNDS) can be used to compare these guidelines with real-life practice. AIMS: To study healthcare utilization 30 days before and after hospitalization for heart failure, and the variations induced by the exclusion of institutionalized patients, who are less exposed to outpatient healthcare utilization. METHODS: We identified the first hospitalization for heart failure in 2015 of adult beneficiaries of the health insurance schemes covering 88% of the French population, who were alive 30 days after hospitalization. Outpatient healthcare utilization rates during the 30 days after hospitalization and the median times to outpatient care, together with their interquartile ranges, were described for all patients, and for a subgroup excluding institutionalized patients. RESULTS: Among the 104,984 patients included (mean age 79 years; 52% women), 74% were non-institutionalized (mean age 78 years; 47% women). The frequencies of at least one consultation after hospitalization and the median times to consultation were 69% (total sample) vs. 78% (subgroup excluding institutionalized patients) and 8 days (interquartile range 3; 16) vs. 7 days (3; 15) for general practitioners, 20% vs. 21% and 14 days (7; 23) vs. 16 days (9; 24) for cardiologists and 58% vs. 69% and 3 days (1; 9) vs. 2 days (1; 7) for nurses, with reimbursement of diuretics in 77% vs. 86%, angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers in 48% vs. 55% and beta-blockers in 55% vs. 63%. Departmental variations, excluding institutionalized patients, were large: general practice consultations (interquartile range 74%; 83%), cardiology consultations (11%; 23%) and nursing care (68%; 77%). CONCLUSIONS: Low outpatient healthcare utilization rates, long intervals to first healthcare utilization and departmental variations indicate a mismatch between guidelines and real-life practice, which is accentuated when including institutionalized patients.

Twenty years of management of care in Chile: what we know, what we do not know, what is yet to come. An analysis of arguments.

For over 20 years, the notion of 'management of care' has been foregrounded as key in the jurisdiction of the nursing profession, with the aim of detaching itself from the wider medical umbrella. A number of voices have advocated such centrality. These include juridical, academic and occupational perspectives. Critical stances, although peripheral, have also been voiced. These have been received, at best, with a 'polite silence' in mainstream circles.By looking at the arguments surrounding the 'management of care' circulated in these two decades, this article reports the various forms of discursive practice that participate in the political process of autonomy building. Particularly, we focus on the validity of the arguments as well as the cohesion across arguments within the knowledge system. In doing so, we evaluate its main premises and foundations, the reach of the conceptualisation and its disjointed, differing and incomplete bases. Similarly, we used an inferential technique for the reconstruction of omitted and unexpressed assertions.The article introduces an approach of the humanities that is seldom seen in healthcare. It also proposes a research agenda in regard to management of care for the upcoming decades.

Nursing consultation for people with diabetes mellitus: experience with an active methodology.

OBJECTIVE: to describe our experience with a methodology for teaching nursing consultation in support of people with diabetes mellitus at a Family Health Unit. METHOD: experience report with four moments-submission of the proposal to the team; theorizing; nursing care for people with diabetes mellitus at home and at the health unit, and evaluation of learning. RESULTS: the pedagogical process favored the integration between service and users, contributed to implement and apply the nursing process and strengthened professional training, based on the epidemiological profile of chronic diseases and its implications for nursing in primary care. FINAL CONSIDERATIONS: the active methodology discussed here allowed for a resignification of knowledge and a qualification of nursing care, demonstrating to be an important instrument for integrating clinical practice and epidemiology in accordance to experienced reality.

Nursing consultation for people with diabetes mellitus: experience with an active methodology / Consulta de enfermería a las personas con diabetes mellitus: experiencia con metodología activa / Consulta de enfermagem às pessoas com Diabetes Mellitus: experiência com metodologia ativa

ABSTRACT Objective: to describe our experience with a methodology for teaching nursing consultation in support of people with diabetes mellitus at a Family Health Unit. Method: experience report with four moments—submission of the proposal to the team; theorizing; nursing care for people with diabetes mellitus at home and at the health unit, and evaluation of learning. Results: the pedagogical process favored the integration between service and users, contributed to implement and apply the nursing process and strengthened professional training, based on the epidemiological profile of chronic diseases and its implications for nursing in primary care. Final considerations: the active methodology discussed here allowed for a resignification of knowledge and a qualification of nursing care, demonstrating to be an important instrument for integrating clinical practice and epidemiology in accordance to experienced reality.

RESUMEN Objetivo: Describir la experiencia con la metodología de la problematización para la enseñanza de la consulta de enfermería a las personas con diabetes mellitus en una Unidad de Salud de la Familia. Método: Relato de experiencia realizado en cuatro momentos -presentar la propuesta al equipo; teorizar; dar asistencia de enfermería a las personas con diabetes mellitus en los domicilios y en la unidad de salud; y evaluar el aprendizaje. Resultados: El proceso de enseñanza-aprendizaje favoreció la integración entre servicio y usuarios, contribuyó a implantar y aplicar el proceso de enfermería, y fortaleció la formación a partir del reconocimiento del perfil epidemiológico para el cuidado de enfermería a las enfermedades crónicas en la atención primaria. Consideraciones finales: La metodología activa propició la resignificación del conocimiento y la cualificación del cuidado de enfermería, constituyéndose como importante instrumento para unir la clínica a la epidemiología a partir de la realidad experimentada.

RESUMO Objetivo: Descrever a experiência da utilização de metodologia da problematização para o ensino da Consulta de Enfermagem junto a pessoas com Diabetes Mellitus de uma Unidade de Saúde da Família. Método: Relato de experiência realizado em quatro momentos: apresentação da proposta à equipe, teorização, aplicação da sistematização da assistência de enfermagem às pessoas com diabetes mellitus no domicilio dos usuários e na Unidade de Saúde e avaliação da aprendizagem. Resultados: O processo ensino-aprendizagem favoreceu a integração do ensino com o serviço e usuários, contribuiu para a implantação e aplicação do processo de enfermagem e fortaleceu a formação a partir do reconhecimento do perfil epidemiológico para o cuidado de enfermagem às doenças crônicas na atenção primária. Considerações finais: A utilização da metodologia ativa propiciou a ressignificação do conhecimento e a qualificação do cuidado de enfermagem, constituindo-se como um importante instrumento para a união da clínica à epidemiologia a partir da realidade vivenciada.

Addressing climate change through a nursing lens within the framework of the United Nations Sustainable Development Goals.

BACKGROUND: In 2000, the United Nations (UN) introduced the Millennium Development Goals (MDG), described as a global movement with the primary aim of ending world-wide poverty ("Millennium Summit," 2000). The second phase of the project, known as the post-2015 Sustainable Development Goals (SDG) agenda offers an increased emphasis on lessening the mitigating factors associated with climate change and adapting to the negative effects of climate change. Nurses are in the unique position to address the health-related impacts related to climate change through community health approaches aimed at education and promotion of environmental stewardship. PURPOSE: The purpose of this scoping review was to examine the relationships among the health consequences of climate change, nursing literature on climate change, and nursing implications. The following will be addressed: "What is nursing's role in policy, practice, and advocacy when addressing the effects of climate change? What is the importance of the SDGs as a framework for addressing climate change in the role of nursing?" METHOD: This scoping review of the literature was conducted which included the evaluation of a broad range of articles using scoping methods as frameworks. FINDINGS: An overarching theme regarding the nursing community's responsibility in addressing the effects of climate change and their role as advocates, educators, and global citizens was extracted from the scoping review. DISCUSSION: There are many opportunities for nurses to become actively involved in efforts aimed at mitigation, adaptation, and resilience efforts in climate change, including becoming involved in policy, advocacy, research, and practice opportunities.

A Unitary-Transformative Nursing Science: From Angst to Appreciation.

The discord within nursing regarding the definition of nursing science has created great angst, particularly for those who view nursing science as a body of knowledge derived from theories specific to its unique concerns. The purpose of this brief article is to suggest a perspective and process grounded in appreciation of wholeness that may offer a way forward for proponents of a unitary-transformative nursing science that transcends the discord. This way forward is guided by principles of fostering dissent without contempt, generating a well-imagined future, and garnering appreciatively inspired action for change.

Transition of New Graduate Nurses to the Workforce: Challenges and Solutions in the Changing Health Care Environment.

New graduate nurses face a host of challenges that impact successful transition to practice. Health care organizations thus need to understand how changes in the health care landscape impact new graduate nurses who are transitioning to the practice environment. This commentary discusses challenges and possible solutions to successful transition of new graduates into the work environment.

O ensino do cuidado nos cursos de graduação em enfermagem do Brasil: revisão integrativa / Teaching in nursing care of undergraduate courses in Brazil: integrative review / La enseñanza del cuidado en los cursos de graduación en enfermería de Brasil: revisión integradora

Objetivo:analisar as publicações científicas da enfermagem brasileira sobre o ensino do cuidado nos cursos de graduação. Método:estudo de revisão integrativa nas bases dados LILACS, MEDLINE e biblioteca virtual SCIELO no período 2003 a 2013. Resultados:a amostra contou com nove estudos abordando ensino do cuidar, elencando três categorias: Distorções entre concepções e práticas docentes; Metodologias para o ensino do cuidar; Professor como mediador no processo ensino-aprendizagem. Conclusão:identificaram-se distorções entre as concepções e as práticas docentes no ensino,revelando docente com concepção adequada de ensino do cuidar, porém com dificuldade em ensinar o cuidado. Docentes utilizam a metodologia tradicional não promovendo a reflexão crítica do discente. Ensinar o cuidado é um desafio. Destacam-se: deficiências na formação como enfermeiro e docente; ausência de fundamentos e teorias como base no ensino do cuidado; desconhecimento de metodologias atuais para favorecer o pensamento crítico do discente.(AU)

Objective: to analyze the scientific publications of Brazilian nursing care about teaching in undergraduate courses. Method: study with an integrative review in the databases of LILACS, MEDLINE and SciELO virtual library in the period from 2003 to 2013. Results: the sample consisted of nine studies addressing education of caring, listing three categories: Distortions between conceptions and teaching practices; Methodologies for the teaching of care; The teacher as a mediator in the teaching-learning process. Conclusion: distortions between the conceptions and teaching practices in teaching were identified, showing the teacher with adequate conception of teaching of care, but with difficulty of teaching care. Teachers use traditional methods not promoting student´s critical reflection. Teaching care is challenging, highlighting: deficiencies in training as a nurse and teacher; lack of fundamentals and theories based on the careful education; lack of current methodologies to foster critical thinking of students.(AU)

Objetivo: analizar las publicaciones científicas de enfermería brasilera sobre la enseñanza del cuidado en los cursos de graduación. Método: estudio de revisión integradora en las bases de datos LILACS, MEDLINE y biblioteca virtual SCIELO en el período de 2003 a 2013. Resultados: la muestra contó con nueve estudios abordando enseñanza del cuidar, listando tres categorías: Distorsiones entre concepciones y prácticas docentes; Metodologías para la enseñanza del cuidar; Profesor como mediador en el proceso enseñanzaaprendizaje. Conclusión: se identificaron distorsiones entre las concepciones y las prácticas docentes en la enseñanza, revelando al docente con concepción adecuada de enseñanza del cuidar, pero con dificultad en enseñar el cuidado. Docentes utilizan la metodología tradicional no promoviendo la reflexión crítica del discente. Enseñar el cuidado es un desafío. Se destacan: deficiencias en la formación como enfermero y docente; ausencia de fundamentos y teorías como base en la enseñanza del cuidado; desconocimiento de metodologías actuales para favorecer el pensamiento crítico del discente.(AU)

Losing the rural nursing workforce: Lessons learnt from resigning nurses.

BACKGROUND: Australian workforce planning predicts a shortfall of nurses by 2025 with rural areas being most at risk. Rural areas have lower retention rates of nurses than metropolitan areas, with remote communities experiencing an even higher turnover of nursing staff. There have been few studies that examine the impact of nurse resignations on rural nursing workforces. OBJECTIVE: This paper is abstracted from a larger study into the reasons why nurses resign from rural hospitals and explores the resignation period. DESIGN: A qualitative study using grounded theory methods. Following in-depth interviewing and transcription, data analysis occurred with the assistance of NVivo software. SETTING: Rural NSW. PARTICIPANTS: Twelve registered nurses who had resigned from rural NSW hospitals and not for reasons of retirement, maternity leave or relocation; two participants were re-interviewed. RESULTS: While the overall study identified a grounded theory which explained rural nurses resign from hospitals due to a conflict of values, three additional themes emerged about the resignation practices at rural hospitals. The first theme identified a 'window period' which was an opportunity for the nurse to be retained. The second theme identified that nurses who had resigned were not involved in formal exit processes such as exit interviews. The third theme captured the flow-on effect from rural nurse resignations resulting in nurses leaving the profession of nursing. CONCLUSION: To facilitate nurse retention, it is important that rural hospitals manage nurse resignations more effectively. This includes re-examining resignation procedures, how nurses are treated and collecting meaningful data to inform retention strategies.

Administración de los servicios de enfermería / Administration of the nursery services

Contiene: Teoría general de la administración: administración empírica, periodo clásico y neoclásico de la administración, teorías contemporáneas de administración. Variables de estudio de la administración. Principios filosóficos de la administración, características, objetivos organizacionales, conceptos, campos de acción. Funciones administrativas: planeación, organización, herramientas de la organización, dirección, control. Calidad total en enfermería. Teóricos importantes del enfoque de calidad. Procesos gerenciales: gerencia de procesos. Planeación estratégica en enfermería. Reingeniería en enfermería. Metodología de la investigación: métodos, técnicas, diseño. Enfermería basada en la evidencia

Red Cross nurses: leading change to advance health.

American nurses are recognized for service and leadership.