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1.
J Nurs Adm ; 52(6): 345-351, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35536878

RESUMO

OBJECTIVE: The objective of this multisite study was to explore the professional and personal experiences of US nurse managers (NMs) during the COVID-19 pandemic. BACKGROUND: NMs are the most accessible and visible nurse leaders to the frontline staff during this pandemic. METHODS: Thirty-nine NMs from 5 health systems across the US participated in focus groups in this qualitative study. Data were analyzed using a constant comparative method. RESULTS: Three major themes were identified: challenges, feelings and emotions, and coping. Subthemes emerged within each major theme. CONCLUSION: NMs across the country accepted considerable responsibility at great professional and personal consequence during the pandemic. NMs experienced challenges, ethical dilemmas, and expressed negative emotions. As the usual coping strategies failed, NMs reported that they are considering alternative career choices. This work provided evidence to help senior leaders strategize about mechanisms for reducing managerial dissonance during times of stress.


Assuntos
COVID-19 , Enfermeiras Administradoras , COVID-19/epidemiologia , COVID-19/enfermagem , Humanos , Enfermeiras Administradoras/psicologia , Pandemias , Pesquisa Qualitativa , Estados Unidos/epidemiologia
2.
Nurs Adm Q ; 46(2): 177-184, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35239588

RESUMO

New York City (NYC) was in the eye of the COVID-19 pandemic storm in the spring of 2020. Since that time, the country has seen wave after wave of outbreaks and concurrent psychosocial crises. Clinical nurses and nurse leaders delivered extraordinary care with grit, innovation, agility, and resilience. When in the eye of the storm, staff have to feel safe and have a voice even in command-control, adaptive modes. Nurses and nurse leaders have been resilient, and organizations have to play their part in decreasing work burden and creating positive work environments. Non-value-added work as well as barriers to practice should be eliminated permanently. This article describes the many challenges including intensive care unit capacity, staffing, well-being, and lack of visitation, as well as leadership lessons such as the importance of presence, based on the NYC experience of a chief nursing officer in a large academic medical center. These lessons and their implications for our workforce, for public health, and for leadership development and competencies and have taught us how to lead into the future.


Assuntos
COVID-19 , Liderança , Enfermeiras Administradoras , Pandemias , COVID-19/enfermagem , Humanos , Cidade de Nova Iorque , Enfermeiras Administradoras/psicologia
3.
J Nurs Adm ; 52(1): 42-50, 2022 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-34897206

RESUMO

OBJECTIVE: The aim of this study was to describe the current state of the interim manager (IM) role and the impact of the role on job performance. BACKGROUND: Interim managers provide leadership during organizational change, yet little is known about the role and its impact on outcomes. METHODS: An electronic survey was completed by 179 IMs working in acute care hospitals. Instruments included the Nurse Manager Practice Environment Scale, Decision Involvement Scale, Subjective Stress Scale, Maslach Burnout Inventory, and Brief Resilience Scale. RESULTS: The average tenure for IMs was 10 months. Despite moderately high levels of stress and exhaustion, IMs were resilient, positively viewed their work environment, and perceived their job performance as positively impacting nurse and patient outcomes. Interim managers were generally satisfied in their roles and likely to pursue nursing leadership as a career. CONCLUSION: Interim managers desire permanent leadership opportunities providing a pool for replacing exiting nurse managers. Support is needed to be successful.


Assuntos
Esgotamento Profissional , Enfermeiras Administradoras/psicologia , Avaliação de Resultados da Assistência ao Paciente , Desempenho Profissional , Local de Trabalho/psicologia , Feminino , Humanos , Masculino , Inovação Organizacional , Inquéritos e Questionários
4.
J Nurs Adm ; 51(12): 630-637, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34789686

RESUMO

OBJECTIVE: This research study was designed to analyze the impact of an evidence-based charge nurse (CN) education program on novice and experienced CNs' self-confidence and satisfaction with the role, skill competencies, and nursing metrics. BACKGROUND: Charge nurses are critical to effective daily unit operations. However, executive nursing leadership found that unit performance varied by CN despite experience. METHODS: University faculty partnering with nurse leaders developed an evidence-based CN education program including a series of classes, coaching in skills and role responsibilities by nurse leaders, and evaluation of skills competencies before and after the CN education program. RESULTS: The CN program was associated with significant positive changes in CN performance, nurse-specific metrics, hospital-acquired events, and patient satisfaction. CONCLUSIONS: Interventions targeting frontline leaders positively impact CN performance.


Assuntos
Competência Clínica/normas , Educação Continuada em Enfermagem/normas , Enfermagem Baseada em Evidências/educação , Enfermagem Baseada em Evidências/normas , Enfermeiras Administradoras/educação , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/normas , Supervisão de Enfermagem/normas , Adulto , Feminino , Humanos , Liderança , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem/psicologia , Adulto Jovem
5.
J Nurs Adm ; 51(12): 626-629, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34789688

RESUMO

OBJECTIVE: The purpose of this qualitative survey was to document executive nurse leaders' perception of their own leadership qualities in the context of the American Hospital Association (AHA) recommended membership requirements for executive hospital board appointment. BACKGROUND: Hospital boards of trustees are increasingly responsible for the quality of care and its impact on financial performance. High-performing boards are focused on the accountability of chief executive officer for quality metrics. Nurse leaders have valuable insight into key shared governance issues such as quality of care, financial performance, legal requirements, and regulatory oversight. METHODS: Fifty senior-level nurse executive members polled from the American Organization of Nurse Leaders, the Texas Organization of Nurse Leaders, and the Texas Nurse Practitioners Association completed an online quantitative survey using The Center for Healthcare Governance (CHG) Assessment Tool© of the AHA, which details a list of skills, experience, and personal qualities for executive hospital board placement. Respondents ranked their individual knowledge and skills on a 4-point Likert scale. RESULTS: Participant responses indicated that senior-level nurse executives have significant expertise in the key areas of quality, patient safety and performance, healthcare administration and policy, and business management. Areas ranking lower are those associated with organizational specialties: legal, construction project management, and finance. CONCLUSION: This information can be used to educate executive hospital boards regarding the qualifications of nurse leaders members. Nursing leaders, professional organizations, and academia can use this information to assess the skills of senior nursing leaders as it relates to potential board appointments.


Assuntos
Conselho Diretor/normas , Liderança , Enfermeiras Administradoras/psicologia , Enfermeiras Administradoras/normas , Papel do Profissional de Enfermagem/psicologia , Competência Profissional/normas , Adulto , American Hospital Association , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estados Unidos
6.
J Nurs Adm ; 51(12): 595-596, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34817466

RESUMO

Mary Beth Kingston, PhD, RN, NEA-BC, FAAN, chief nurse executive of Advocate Aurora Health and past president of the American Organization for Nursing Leadership (AONL), interviews her mentor, Joanne Disch, PhD, RN, FAAN, who serves on the Advocate Aurora Health Board of Directors and was the inaugural chair. Dr Disch also serves as chair of the Chamberlain University Board of Trustees and is professor ad honorem at the University of Minnesota School of Nursing. This is an abridged version of the interview, which took place at the AONL Virtual Conference in 2020.


Assuntos
Atitude do Pessoal de Saúde , Liderança , Enfermeiras Administradoras/psicologia , Cuidados de Enfermagem/psicologia , Resiliência Psicológica , Risco , Adulto , Feminino , História do Século XXI , Humanos , Estados Unidos
7.
J Nurs Adm ; 51(12): 597-599, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34817467

RESUMO

Although many clinical leaders use the cultural competency model to help clinicians deliver equitable care, evidence on the model's effectiveness is mixed. In this article, the authors propose that nursing leaders adopt cultural humility as a framework that better positions nurses to build trust, engage patients in their care, and improve health outcomes. This article outlines 4 strategies that leaders can use to actively engage staff in cultural humility and support the cultural transformation required to mitigate the impact of clinician bias in care delivery.


Assuntos
Competência Cultural/psicologia , Assistência à Saúde Culturalmente Competente/normas , Enfermeiras Administradoras/psicologia , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Recursos Humanos de Enfermagem/psicologia , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
J Nurs Adm ; 51(12): 614-619, 2021 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-34817469

RESUMO

Nurse leaders have a responsibility to nurture a work environment that prioritizes meaningful recognition. This quality improvement project explored the perceptions of meaningful recognition of inpatient pediatric surgical nurses. Meaningful recognition provides a chance to honor all voices, particularly those that have not been previously heard. To be heard is to be honored and to be recognized is to be valued.


Assuntos
Relações Interpessoais , Satisfação no Emprego , Enfermeiras Administradoras/psicologia , Enfermeiras Pediátricas/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Enfermagem Perioperatória , Local de Trabalho/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
11.
J Nurs Adm ; 51(11): 537-540, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34705759

RESUMO

Nurses and nurse leaders are working in unprecedented intense and demanding environments, and the COVID-19 pandemic continues to place strain on their mental well-being. If stressful work conditions remain at extraordinary high levels, nurses and leaders may ultimately leave their positions, creating even more uncertainty in the workforce. Enhancing individual resilience has become a superficial response in retaining nurses during a global nursing shortage. We argue that resilience is not solely an individual responsibility. Rather, resilience it is a mutual responsibility between the individual and the organization. In this article, we discuss how nurse leaders can foster organizational resilience while also enhancing their own individual resilience within the current pandemic environment, and as we transition to a post-COVID environment.


Assuntos
COVID-19 , Mão de Obra em Saúde , Enfermeiras Administradoras , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Saúde Global , Humanos , Satisfação no Emprego , Saúde Mental , Enfermeiras Administradoras/organização & administração , Enfermeiras Administradoras/psicologia
12.
J Nurs Adm ; 51(11): 546-553, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34690303

RESUMO

OBJECTIVE: The purpose of this study was to identify what guides nursing practice. BACKGROUND: Change occurred when the Magnet Recognition Program® no longer required a nursing theory. METHODS: This was a mixed-methods study to identify the process used to implement nursing theory-guided practice and the relationship to professional practice recognition. Deidentified quantitative data were collected from 36 chief nursing officers (CNOs). Seventeen CNOs participated in the qualitative interview. RESULTS: Thirteen CNOs were from a Magnet®-designated facility. Ten CNOs were on the Magnet journey, and 2 had no intent to seek Magnet recognition. Two CNOs were from a Pathway to Excellence®-designated facility. One CNO was on the Pathway to Excellence journey. The majority of respondents who were Magnet® recognized who participated in the survey used Watson's Theory of Human Caring. Themes were identified that share the benefits and strategies to integrate nursing-guided theory into nursing processes, structures, and outcomes. CONCLUSION: Findings will benefit CNOs as they make decisions related to pursuing Magnet status recognition.


Assuntos
Enfermeiras Administradoras/psicologia , Teoria de Enfermagem , Guias de Prática Clínica como Assunto , Papel Profissional/psicologia , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , Inquéritos e Questionários
13.
J Nurs Adm ; 51(9): 448-454, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432737

RESUMO

OBJECTIVE: The aim of this study was to compare self-perception of leadership practices among nurse managers (NMs), day shift nurses, and night shift nurses (NSNs). BACKGROUND: Nurse managers have complex roles in healthcare, with clinical, administrative, and 24-hour accountability for unit activities. Transformational leadership inspires performance beyond expectations, while transcending self-interest for the good of the organization. METHODS: A comparative, secondary data analysis study of the Leadership Practices Inventory (LPI) 2018. RESULTS: Day shift nurses' and NSNs' mean scores had lower perceptions of leadership practices than NMs' self-assessment. Day shift nurses, NSNs, and NMs identified the highest mean scores in "enable others to act" (8.57, 8.62, and 8.82, respectively). CONCLUSIONS: The LPI assessment, the defined observer groups, and unique data visualization informed development of a comprehensive follow-up plan supporting individual and group leadership development. Research examining differences in perceptions of LPI practices across observer groups, particularly direct report staff nurses, is warranted.


Assuntos
Liderança , Enfermeiras Administradoras , Recursos Humanos de Enfermagem no Hospital/organização & administração , Inovação Organizacional , Humanos , Satisfação no Emprego , Enfermeiras Administradoras/psicologia
14.
J Nurs Adm ; 51(9): 468-473, 2021 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-34432739

RESUMO

OBJECTIVE: The objective of this study was to explore the relationship between staff nurses' perceptions of nurse manager caring behaviors and patient experience. BACKGROUND: Despite numerous interventions aimed at changing the provision of patient care to improve care quality, patient experience scores have remained moderate. Little research has been conducted exploring how caring relationships in the professional practice environment might play a role in the patient experience of care. METHODS: A cross-sectional, correlational design was used to examine the relationship between staff nurses' perceptions of nurse manager caring behaviors as measured by the Caring Assessment Tool-Administration (CAT-Adm) and acute-care patient experience using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores. RESULTS: There was a positive relationship between the staff nurses' perceptions of nurse manager caring behaviors and patients' HCAHPS overall hospital rating. There also was a positive relationship between the CAT-Adm scores and nurse manager visibility. CONCLUSION: Departments had higher HCAHPS overall hospital rating when the staff nurses perceived their unit manager as caring. In addition, the more staff nurses actually visualized their nurse manager during a shift, the more they perceived their nurse manager as caring.


Assuntos
Atitude do Pessoal de Saúde , Enfermeiras Administradoras/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Estudos Transversais , Humanos , Qualidade da Assistência à Saúde , Inquéritos e Questionários
15.
Nurs Leadersh (Tor Ont) ; 34(2): 10-11, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197286

RESUMO

Unprecedented is one of the words that has been most frequently heard during the COVID-19 pandemic. We read daily about the ongoing challenges nurses and nurse leaders face in ways that one could not have imagined 15 months ago. With each wave of rising COVID-19 cases, we are reminded of the toll that this pandemic is having on nurses. Nurse leaders have described being scared of failing and not being able to guide or support their staff through the pandemic while recognizing the need to be a strong leader, resilient and adaptable to change every single day (Lapum et al. 2021). The uncertainty and complexity have been overwhelming, and throughout this crisis, nurse leaders have been continually asked to reach into their leadership toolboxes to find ways to support nurses within contexts that have rapidly changed over and over again.


Assuntos
Liderança , Enfermeiras e Enfermeiros/psicologia , COVID-19/epidemiologia , Humanos , Saúde Mental , Enfermeiras Administradoras/psicologia , Pandemias , SARS-CoV-2
16.
Nurs Leadersh (Tor Ont) ; 34(2): 21-25, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197289

RESUMO

Loch Lomond Villa is one of the largest long-term care communities within the province of New Brunswick. Our organization supports caring living environments for over 450 clients and their family members along with 354 employees.


Assuntos
COVID-19/prevenção & controle , Diretores de Hospitais/psicologia , Assistência de Longa Duração/métodos , Enfermeiras Administradoras/psicologia , COVID-19/enfermagem , Humanos , Assistência de Longa Duração/psicologia , Novo Brunswick , Papel do Profissional de Enfermagem/psicologia
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