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1.
J Nurs Adm ; 51(3): 120-122, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570366

RESUMO

In recognition of the Year of the Nurse and Midwife, the 2020 annual conference of the Association for Leadership Science in Nursing (ALSN) celebrated A Look Back to Move Forward in recognition of the 50th anniversary of ALSN. The ALSN began as the Council of Graduate Education for Administrative Nursing (CGEAN) in 1970. Today, ALSN maintains the goals of shaping graduate education and research to inform nursing leadership practice.


Assuntos
Distinções e Prêmios , Educação de Pós-Graduação em Enfermagem/história , Educação de Pós-Graduação em Enfermagem/tendências , Liderança , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/história , Recursos Humanos de Enfermagem/educação , Adulto , Feminino , Previsões , História do Século XX , História do Século XXI , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
2.
J Nurs Adm ; 51(3): 149-155, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570372

RESUMO

Healthcare organizations must be intentional and purposeful in creating diversity programs. A nursing leader mentorship program for racial and ethnic minority nurse managers was introduced at a large academic medical center to meet this need. The program design was based on the successful Leadership Institute for Black Nurses, first conducted at a university school of nursing. The participants in the 4-month program were 16 nurse managers from 2 city hospitals and their mentors.


Assuntos
Currículo , Bacharelado em Enfermagem/organização & administração , Grupos Étnicos/educação , Tutoria/organização & administração , Mentores/estatística & dados numéricos , Grupos Minoritários/educação , Enfermeiras Administradoras/educação , Centros Médicos Acadêmicos/estatística & dados numéricos , Adulto , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Grupos Minoritários/estatística & dados numéricos , Cidade de Nova Iorque , Adulto Jovem
3.
J Nurs Adm ; 51(3): 117-119, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570365

RESUMO

Dynamic nursing leadership and engagement of nursing at all levels are critical to effective care delivery. During the COVID-19 crisis, many organizations suspended non-COVID-related meetings, including professional governance councils where practice decisions are made. This article highlights how shared or professional governance was leveraged during this global pandemic at a large academic medical center and community hospital effectively sustaining autonomous nursing practice while responding to a rapidly changing environment and impacting quality patient care.


Assuntos
/enfermagem , Conselho Diretor/organização & administração , Hospitais Comunitários/organização & administração , Liderança , Enfermeiras Administradoras/organização & administração , Cuidados de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Adulto , Chicago , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Organizacionais , Pandemias
4.
J Nurs Adm ; 51(3): 126-127, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570368

RESUMO

A strong shared governance framework gives nurses control over their practice. Whether unit based or system wide, shared governance provides the infrastructure to deliver high-quality patient care, especially in a crisis. This month's Magnet® Perspectives column takes a closer look at the concept of shared governance, how it has evolved, why it is important, and how it helped nurses in Magnet hospitals navigate the early months of the COVID-19 pandemic. We explore the critical nature of ensuring that everyone's voice is heard to not only survive but also ultimately thrive during times of change.


Assuntos
/enfermagem , Liderança , Enfermeiras Administradoras/organização & administração , Cuidados de Enfermagem/organização & administração , Recursos Humanos de Enfermagem no Hospital/organização & administração , Papel Profissional , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Organizacionais , Pandemias , Estados Unidos
5.
J Nurs Adm ; 51(3): 156-161, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33570373

RESUMO

OBJECTIVE: The purpose of this study was to test the effectiveness of a daylong resilience retreat on healthcare professionals' anxiety levels, intention to engage in mindfulness practices, and self-efficacy around mindfulness. BACKGROUND: Caregiver burnout is a concern that needs to be addressed at the organizational level so that professionals can reduce their risk of psychological injury while providing high-quality care. The COVID-19 (novel coronavirus) pandemic has exacerbated symptoms of burnout among nurses nationally. METHODS: Ten sessions of daylong resilience retreats were delivered to independent groups of nurses, nurse practitioners, and other healthcare professionals. Preretreat and postretreat assessments were completed using a 19-item survey developed by the research team to assess state anxiety, intention to engage in mindfulness practices, and self-efficacy around mindfulness. RESULTS: One hundred six healthcare professionals completed the resilience retreats. There was a statistically significant decrease in state anxiety scores following the retreat. The majority of the participants reported high intentions to engage in mindfulness practices and felt confident about incorporating mindfulness in their lives. CONCLUSIONS: Brief resilience retreats endorsed by nurse leadership can reduce perceived anxiety and facilitate engagement in contemplative practices, which are associated with a decrease in the risk of burnout.


Assuntos
Ansiedade/prevenção & controle , Esgotamento Profissional/psicologia , /psicologia , Atenção Plena , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Adulto , Esgotamento Profissional/prevenção & controle , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/psicologia , Pandemias , Resiliência Psicológica , Estados Unidos
6.
Nurs Manag (Harrow) ; 28(1): 32-41, 2021 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-33496150

RESUMO

Stress, suboptimal mental health and an inadequate work-life balance are underlying and serious issues in the nursing profession, affecting staff recruitment and retention and potentially having a detrimental effect on patient care. While compassion towards patients is central to the nursing role, often 'compassion towards the compassionate' is lacking. The need for compassion is even more important now, and in the months ahead, due to the additional stressors experienced by nurses during the COVID-19 pandemic, whether they are on the front line, furloughed or shielding. This article includes reflections from nursing staff and uses their stories to encourage reflection on ethical and moral dilemmas experienced during the pandemic. The Compassion in the Workplace model is suggested as a tool that can be used by nurse managers to examine their compassion levels and to support the development of a compassionate workplace. In addition, this article offers some practical ideas on what compassionate leadership might look like in day-to-day practice.


Assuntos
/enfermagem , Empatia , Relações Interprofissionais , Enfermeiras Administradoras/psicologia , Enfermagem/organização & administração , Humanos , Liderança , Recursos Humanos de Enfermagem/psicologia
7.
J Nurs Adm ; 51(2): 63-66, 2021 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-33449594

RESUMO

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.


Assuntos
/enfermagem , Estado Terminal/enfermagem , Liderança , Enfermeiras Administradoras/psicologia , Papel do Profissional de Enfermagem/psicologia , /psicologia , Estado Terminal/psicologia , Humanos , Satisfação no Emprego , Relações Enfermeiro-Paciente
8.
BMC Palliat Care ; 20(1): 11, 2021 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-33435954

RESUMO

BACKGROUND: Palliative care day services provide a safe environment for people with palliative care needs, enabling them to access a range of services while acting as a respite services for family caregivers. Viewed as marginal services, they are often under resourced and under researched. The aim of this study was to understand how palliative day care services contribute to client care from the perspective of management and hospice multidisciplinary teams. METHODS: A descriptive qualitative study, using six focus groups conducted with staff at three United Kingdom hospices in England, Scotland and Northern Ireland. Thirty-five participants were recruited, including management and staff. Discussions were transcribed and analysed thematically. RESULTS: Four key themes emerged: (1) variations of care, beyond heterogeneity of patients; (2) unclear referrals and inconsistent patient population; (3) recognising strengths and challenges and (4) an uncertain future. A major focus of group discussions was the model of care and the benefits of the service, however the importance of demonstrating services' effectiveness and value for money was highlighted. CONCLUSIONS: Management and hospice staff believed day-services to be a helpful introduction to palliative care, providing both social and medical support. Economic pressures and patient demand were influencing them to move from a social model to a hybrid model. Further research is needed to understand the effectiveness of the service.


Assuntos
Hospital Dia , Pessoal de Saúde , Hospitais para Doentes Terminais , Cuidados Paliativos , Cuidados Intermitentes , Pessoal Técnico de Saúde , Cuidadores , Assistência à Saúde , Grupos Focais , Acesso aos Serviços de Saúde , Humanos , Enfermeiras Administradoras , Enfermeiras e Enfermeiros , Pesquisa Qualitativa , Encaminhamento e Consulta , Reino Unido
10.
Nurs Sci Q ; 34(1): 33-38, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33349174

RESUMO

This is a dialogue between two PhD nurses who have served as chief nursing officers; one is now in academia wondering about current scholarly endeavors in practice. Topics addressed include working relationships at the executive level, the chief nursing officer that is PhD prepared, theory in practice, scrambling to honor nursing's pact with society during the COVID-19 pandemic, and some recommendations for academia.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Educação em Enfermagem , Educação de Pós-Graduação em Enfermagem , Humanos , Relações Interprofissionais , Papel do Profissional de Enfermagem , Teoria de Enfermagem
11.
J Nurs Adm ; 51(1): 38-42, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33278200

RESUMO

Nurse managers are an integral part of the healthcare system and have powerful influence at the point of service. The experience of joy and meaning in the work of healthcare contributes to achievement of positive outcomes. This study aimed to learn how nurse managers described joy and meaning in their practice. Results included 5 themes: to mentor and be mentored, to focus on the patient, to create and cultivate environments, to be optimistic, and to be empowered by leaders. The themes are described and illustrated with participant quotes. Specific implications for organizations and leaders are discussed.


Assuntos
Felicidade , Enfermeiras Administradoras/psicologia , Humanos , Liderança , Enfermeiras Administradoras/tendências , Pesquisa Qualitativa , Local de Trabalho/psicologia , Local de Trabalho/normas
12.
J Nurs Adm ; 50(12): 623-628, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181524

RESUMO

OBJECTIVE: The study examined relationships between nurses' perceptions of implicit rationing of nursing care and leadership style in the nursing work environment. BACKGROUND: Nurses' perceptions of higher amounts of implicit rationing of nursing care relate to perceptions of lower quality of care and poorer patient outcomes. This study was the 1st to examine leadership style and implicit rationing of nursing care. METHODS: Using a cross-sectional survey study design, 35 039 RNs were randomly sampled during September 2017 to March 2018. RESULTS: Findings support an association between nurses' perceptions of an emotionally intelligent leadership style and lower amounts of implicit rationing of nursing care. CONCLUSION: Implicit rationing of nursing care in the nursing work environment is significantly associated with emotionally intelligent leadership style. Nurse executives, and nursing faculty in administrative-focused graduate programs, can provide development and education in emotionally intelligent leadership skills.


Assuntos
Inteligência Emocional , Alocação de Recursos para a Atenção à Saúde , Liderança , Enfermeiras Administradoras/psicologia , Cuidados de Enfermagem/estatística & dados numéricos , Estudos Transversais , Humanos , Local de Trabalho/psicologia
13.
J Nurs Adm ; 50(12): 616-617, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181597

RESUMO

The COVID-19 pandemic has left frontline staff burned out and exhausted. Meanwhile, executives need to ask more of their staff to ensure organizational viability. In this article, the authors propose that executives commit to taking specific actions to create a more supportive work environment and form an executive-clinician compact. This article outlines the 5 actions executives should take to bolster staff engagement and resilience long-term.


Assuntos
Esgotamento Profissional/prevenção & controle , Infecções por Coronavirus , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral , Resiliência Psicológica , Adulto , Humanos , Local de Trabalho/psicologia
14.
J Nurs Adm ; 50(12): 618-622, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181598

RESUMO

The nurse manager role is increasingly complex, and oftentimes, leadership competencies are learned through experience rather than an effective role transition. The need for a transition-to-practice program for new nurse managers is frequently cited in the literature. This evidence-based practice project resulted in significant improvement in leadership competencies and was used in the development of an American Organization for Nursing Leadership nurse manager transition-to-practice program to be offered in 2021.


Assuntos
Capacitação em Serviço/estatística & dados numéricos , Liderança , Enfermeiras Administradoras/organização & administração , Competência Profissional , Autoavaliação , Humanos , Internet , Recursos Humanos de Enfermagem no Hospital/organização & administração
15.
Ig Sanita Pubbl ; 76(3): 173-186, 2020.
Artigo em Italiano | MEDLINE | ID: mdl-33142309

RESUMO

INTRODUCTION: Missed Nursing Care is widely recognized as affecting patient safety and healthcare outcomes. Theoretical frameworks, antecedents and consequences have been extensively studied while interventions aimed at preventing the Missed Nursing Care remain little investigated to date. Nurse Managers and Nurse Directors play a main role in promoting interventions at the unit, hospital and at the policy levels. However, few evidences are available to date, thus limiting an evidence-based approach. The aim of this study was to emerge interventions used on a daily basis by Nurse Managers and Directors to prevent and/or minimize Missed Nursing Care. METHODS: A qualitative descriptive study design based upon a positive deviance approach was adopted. Twelve Nurse Managers and Nurse Directors were purposefully selected, working at Hospital, Healthcare Trust or Nursing Home levels, in Italy. Participants were interviewed in two focus group sessions. A thematic analysis of the audio-recorded interviews was performed by two researchers. RESULTS: The following interventions have been reported as effective in preventing and/or minimizing the Missed Nursing Care: (a) Expanding the nursing care capacity; (b) Ensuring the standard of care and an early detection of failures; (c) Monitoring the processes of care; (d) Promoting a shared decision-making; (e) Redesigning the layout of the hospital systems; (f) Promoting a culture towards the Missed Nursing Care prevention, and (g) Realigning the nurse management to the care of patients. DISCUSSION: Several interventions based mainly on process dimension and with preventive intents are daily enacted by Nurse Managers and Directors to prevent and/or minimize Missed Nursing Care. Measuring the effect of these interventions through rigorous studies could help in expanding the evidence available to contrast a phenomenon that threatens patient safety.


Assuntos
Enfermeiras Administradoras/psicologia , Supervisão de Enfermagem/organização & administração , Fluxo de Trabalho , Humanos , Entrevistas como Assunto , Itália , Pesquisa Qualitativa
16.
San Salvador; MINSAL; nov. 30, 2020. 14 p. ilus, graf.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1141449

RESUMO

La presente herramienta administrativa contribuye a la comprensión del funcionamiento de la dependencia que conduce el accionar de la disciplina de enfermería a nivel nacional, propiciando con ello la contribución a los resultados en salud y la mejora de los diferentes procedimientos administrativos y técnicos de la profesión; involucrándose también en la planificación, coordinación, ejecución y seguimiento de las acciones, en los diferentes niveles organizativos del MINSAL


This administrative tool contributes to the understanding of the operation of the department that leads the actions of the nursing discipline at the national level, thereby promoting the contribution to health results and the improvement of the different administrative and technical procedures of the profession; also getting involved in the planning, coordination, execution and follow-up of the actions, at the different organizational levels of the MINSAL


Assuntos
Enfermagem , Manuais como Assunto , Enfermeiras Administradoras
17.
Nurs Leadersh (Tor Ont) ; 33(3): 1-3, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097098

RESUMO

In the 1958 musical South Pacific, the character Nelly Forbush trills a song of optimism and hope amid the darkness of World War II (South Pacific Enterprises and Logan 1958). The chipper message of this fictional navy nurse might well be welcome amid the negative timbre of the pervasive political, cultural and societal upheaval that we are experiencing today - not to mention the burden of a global pandemic. The tune delivers the message of a so-called "cockeyed optimist," staying positive while many are not and being buoyed by the anticipation of brighter, sunny days ahead (South Pacific Enterprises and Logan 1958). COVID-19 has unloaded countless blows to virtually every aspect of the life we once knew; surely, this is enough to leave any cockeyed optimist reeling. Where do we find the strength of character to prevail during times like this? Somehow, good leaders do; finding creativity, courage and conviction to make the most of a bad situation, they rise above it. They show optimism in the face of fear, the unknown and circumstances beyond their control. Instilling abiding trust in their followers, they lead out of the abyss, shining light on new possibilities and opportunities.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermeiras Administradoras/psicologia , Otimismo , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia
18.
Nurs Leadersh (Tor Ont) ; 33(3): 9-14, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097100

RESUMO

During my career, I have had many mantras, including "I love to wonder what will happen tomorrow" and "It's all about relationships." Well, I have been rewarded in spades because nothing has been predictable or stable about our professional practice environments since COVID-19 infiltrated our organizations. I have been challenged to develop and implement changes at The Hospital for Sick Children - a 300-bed tertiary pediatric academic health sciences centre in Toronto, ON - that we had never contemplated before. I believe that staying true to my leadership values and core principles has been essential when taking on such challenges and staying afloat during these tumultuous times.


Assuntos
Infecções por Coronavirus/enfermagem , Hospitais Pediátricos/organização & administração , Relações Interprofissionais , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/enfermagem , Centros Médicos Acadêmicos/organização & administração , Criança , Infecções por Coronavirus/epidemiologia , Humanos , Liderança , Ontário/epidemiologia , Pneumonia Viral/epidemiologia , Centros de Atenção Terciária/organização & administração
19.
Rev Lat Am Enfermagem ; 28: e3358, 2020 Sep 07.
Artigo em Inglês, Espanhol, Português | MEDLINE | ID: mdl-32901771

RESUMO

OBJECTIVE: to analyze the main challenges of nursing in facing Coronavirus Disease-19 under the perspective of nurse managers in the west macro-region of Santa Catarina. METHOD: it consists of a qualitative study, whose data collection was done through interviews with nurses who represent the management of health care network in the region. The analysis technique used was the Discourse of the Collective Subject (DCS). RESULTS: the legacy of Florence Nightingale to contemporary nursing practice; the weaknesses and the technical operational capacity with which nursing faces in the Unified Health System (Sistema Único de Saúde - SUS); the strategies for strengthening the Unified Health System and qualification of nursing practices; and the potentialities identified in the pandemic scenario were the main ideas that emerged. In the bicentennial year of Florence Nightingale, nurses recognize her legacy to public health practice and management. Several variables interfere in professional practice, such as epidemiological aspects, working conditions, and care management in a pandemic. CONCLUSION: the pandemic scenario has taken nursing to a position of practical and scientific protagonism as a result of its proactivity and leadership in the search for knowledge based on scientific evidence.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermeiras Administradoras , Pneumonia Viral/enfermagem , Betacoronavirus , Brasil , Feminino , Humanos , Liderança , Pandemias
20.
J Nurs Adm ; 50(10): 508-514, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32889974

RESUMO

OBJECTIVE: The purpose of this study was to describe generation Y nurses' perceptions of their nurse managers' servant leadership characteristics as well as the relationship between these characteristics and intent to stay on the job. BACKGROUND: To attract and retain generation Y nurses, organizational leaders need to develop an understanding of this generation's perspectives around workplace loyalty and commitment. METHOD: This study had a quantitative correlational research design. The Servant Leadership Survey (SLS) measured 116 generation Y nurses' perception of their manager's use of servant leadership. RESULTS: Generation Y nurses' most positively rated servant leadership characteristic of their managers was accountability; the lowest was forgiveness. Significant positive relationships were found between the overall SLS score and intent to stay and between the SLS dimensions of standing back, empowerment, authenticity, humility, and stewardship, and intent to stay on the job. CONCLUSIONS: Generation Y nurses are seeking characteristics in their nurse managers that will attract them to stay on the job; if these characteristics are lacking, they may leave.


Assuntos
Relação entre Gerações , Satisfação no Emprego , Enfermeiras Administradoras/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Liderança , Masculino , New York , Reorganização de Recursos Humanos
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