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1.
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
2.
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
3.
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
4.
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
5.
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
6.
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
7.
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
8.
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
9.
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
10.
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
11.
J Nurs Adm ; 50(10): 497-498, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925659

RESUMO

When the coronavirus hit the United States earlier this year, hospitals across the country were forced to quickly convert to crisis mode. Overnight, health systems transformed clinical and administrative operations to care for rising numbers of COVID-19 patients. Now, as the country slowly reopens and we move back to "normal," hospitals again face a major reboot to regroup and recover. Those that meet this challenge successfully will survive. Many others will not. This month's Magnet Perspectives column examines how Magnet hospitals are uniquely positioned to ride the waves and manage the chaos. What are the components that helped them adapt and adjust when COVID-19 struck, and how are those elements facilitating response and recovery? The column also looks at how the Magnet Recognition Program itself responded to challenges posed by the coronavirus and altered some of its long-standing processes to meet customer needs.


Assuntos
Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Administração Hospitalar , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Credenciamento/estatística & dados numéricos , Humanos , Liderança , Equipe de Enfermagem/organização & administração , Estados Unidos/epidemiologia
12.
J Nurs Adm ; 50(10): 505-507, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925662

RESUMO

Nursing leaders have voiced concern about the health and well-being of nurses and other healthcare providers during the recovery phase of disaster response after the coronavirus pandemic. There is much that can be learned from the experiences of our military colleagues. Behavioral health military nurses serving on readiness teams have educated leaders on how to apply psychological first aid (PFA) within their units during the recovery phase of disasters. This article will describe how nursing leaders can use PFA to enhance psychological support and resilience in their staff.


Assuntos
Infecções por Coronavirus/epidemiologia , Liderança , Enfermeiras Administradoras/psicologia , Recursos Humanos de Enfermagem/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Humanos , Relações Interprofissionais , Enfermagem Militar , Resiliência Psicológica , Apoio Social
13.
Crit Care Nurs Q ; 43(4): 468-479, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32833781

RESUMO

The COVID-19 pandemic presented an unprecedented opportunity to test the emergency management plan of one large urban teaching hospital. In this article, a detailed description of the hospital's surge planning process with lessons learned has been provided.


Assuntos
Infecções por Coronavirus/epidemiologia , Hospitais de Ensino/organização & administração , Hospitais Urbanos/organização & administração , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Capacidade de Resposta ante Emergências/organização & administração , Humanos , Pennsylvania/epidemiologia
14.
J Nurs Adm ; 50(9): 468-473, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826516

RESUMO

Nurse leaders seek effective strategies to engage nurses in decision-making when striving for clinical excellence. When leaders cultivate safe environments, nurses are encouraged to discover new knowledge and innovations. In our institution, nurse leaders designed a systematic guide using Liberating Structures to empower nurses to develop a professional practice model.


Assuntos
Liderança , Modelos de Enfermagem , Enfermeiras Administradoras , Cultura Organizacional , Prática Profissional , Desenvolvimento de Pessoal/organização & administração , Competência Clínica , Humanos , Enfermeiras Administradoras/organização & administração , Enfermeiras Administradoras/psicologia
15.
J Nurs Adm ; 50(9): 489-494, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32826518

RESUMO

OBJECTIVE: The aim of this study was to determine the relationship between clinical nurses' perception of the authentic nurse leadership of their manager and their perception of the work environment on their unit. BACKGROUND: Authentic leadership (AL) and healthy work environments contribute to staff engagement and improved patient outcomes. There is limited research linking these 2 variables. METHODS: Two hundred fifty-four clinical nurses at a national conference participated in a cross-sectional, correlational, descriptive study using the Authentic Nurse Leadership Questionnaire and the Critical Elements of a Healthy Work Environment Survey. RESULTS: Overall, nurses rated the authentic nurse leadership of their manager as present most of the time and agreed their work environment was healthy. There was a moderate correlation between AL and healthy work environment. Background variables were not significantly related to nurses' perceptions of the authentic nurse leadership of their manager or their work environment. CONCLUSIONS: This is the 1st study using these authentic nurse leadership and healthy work environment frameworks. In this novel nursing model of AL, caring is an attribute that was valued by frontline nurses. This is a call to action for leadership development at every level using AL principles and for the improvement of lagging domains in nursing work environments, both critically needed during challenging healthcare times and for the ultimate purpose of improving patient and workforce outcomes.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Modelos de Enfermagem , Enfermeiras Administradoras/organização & administração , Inquéritos e Questionários , Local de Trabalho/organização & administração
16.
Pflege ; 33(4): 207-218, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32811325

RESUMO

Nursing care in times of COVID-19: Online survey of leaders on challenges, burdens, and coping strategies Abstract. Aim: In light of the dynamic developments and consequences of the COVID-19 pandemic for the care of people in need of long-term care the following questions arise: How do leaders of care facilities perceive the challenges, how burdened are they and how do they cope with these? METHODS: Leaders from outpatient and inpatient nursing and hospice care facilities were contacted by e-mail to participate in an online survey. Closed questions were analysed descriptively, open information was analysed by content analysis. RESULTS: From of 4,333 nursing facilities contacted, usable information was available from 525 persons. The greatest pandemic-related, interdependent challenges include concern about infections of patients and employees, procurement of protective equipment, compliance with hygiene regulations, inconsistency and lack of transparency of information and guidelines that are important for work, and loss of income and lead to a cascade of burdens. Around 40 % of respondents are uncertain whether they can cope with these. According to the respondents, the well-being and presenteeism of the leaders surveyed has deteriorated in the course of the pandemic outbreak and they appeared to be more often ill at work. Financial and structural measures, the strengthening of social cohesion and explanation were mentioned as coping strategies. CONCLUSIONS: The results show an increase in challenges and illustrate interdependent pandemic-related burdens. These are mainly met by overtime and additional effort, especially on the part of leaders. It remains unclear what long-term consequences are to be expected from the burden situation.


Assuntos
Infecções por Coronavirus/epidemiologia , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Instituições de Cuidados Especializados de Enfermagem/organização & administração , Humanos , Inquéritos e Questionários
17.
Healthc Manage Forum ; 33(5): 190-194, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32815428

RESUMO

The inspiration for The American Nurse Project, Dr. Rhonda Collins, DNP, RN, FAAN, is Chief Nursing Officer for Vocera Communications. Every year around Nurses Week, Dr. Collins publishes a report examining important issues that impact the nursing profession worldwide. Her 2020 CNO report looks at many of the challenges impacting nurses before, during, and after COVID-19-highlighting the mental anguish and physical burdens that COVID-19 has placed on nurses and other frontline healthcare workers as they put themselves in harm's way to protect others. Dr. Collins examines the foundation of cognitive science and outlines a three-point strategy to guide hospital and nurse leaders moving forward as they strive to support staff members: lightening clinicians' cognitive load by addressing the difference between documentation and communication, relieving the burden of adapting to multiple systems by giving clinicians control over how they communicate, and providing clinicians with clear, contextual, just-in-time information-using software to enhance workflow, not distract from it. During these unprecedented times, health leaders can honour nurses by providing them with the tools to help strengthen resiliency and healing from this crisis.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermeiras e Enfermeiros/psicologia , Pneumonia Viral/enfermagem , Adaptação Psicológica , Betacoronavirus , Esgotamento Profissional , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Função Executiva , Humanos , Memória de Curto Prazo , Enfermeiras Administradoras/psicologia , Diagnóstico de Enfermagem , Pandemias , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Resiliência Psicológica , Estados Unidos/epidemiologia
18.
Curationis ; 43(1): e1-e8, 2020 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-32787428

RESUMO

BACKGROUND: Nurse managers are leaders in mining primary healthcare. Their leadership roles include inspiring and empowering operational managers and nursing personnel, by leading with competence developing them to become followers with insight and direction. However, these leadership roles are not clearly defined, and are negatively influenced by the traditional mining leadership style. OBJECTIVES: The aim of this study was to explore and describe the nurse managers' experiences of their leadership roles in a specific mining primary healthcare service on the West Rand, to develop recommendations to enhance these roles. METHOD: A qualitative, exploratory, descriptive and contextual research design was used in this study, following a phenomenological approach as a research method. A non-probability purposive sampling method was used. Nurse managers described experiences of their leadership roles during individual phenomenological interviews. Data saturation was reached on participant number 7. To analyse data, four stages of Giorgi's descriptive phenomenological data analysis was used. An independent coder coded the data and a consensus meeting was held. The study was guided by the theoretical framework of Winkler's role theory. RESULTS: The following subthemes emanated from data analysis: (1) leadership role ambiguity, (2) leadership roles experienced and (3) challenges experienced in leadership roles. CONCLUSION: This study revealed that the leadership roles for nurse managers in a specific mining primary healthcare service are not clearly defined. Hence enhancements and expansions of these leadership roles remained stagnant. A clearly defined policy on leadership roles for nurse managers should be developed.


Assuntos
Liderança , Enfermeiras Administradoras/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras Administradoras/estatística & dados numéricos , Papel do Profissional de Enfermagem/psicologia , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/estatística & dados numéricos , Pesquisa Qualitativa , África do Sul
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