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Nursing leadership and influence in practice domains at a Veterans Affairs Health Care System.
York, Janet A; Valvano, Mary; Hughes, Frederica; Sternke, Lisa Marie; Lauerer, Joy A; Baker, Jamie Anne; Edlund, Barbara; Reich, Kristina; Pope, Charlene.
Afiliação
  • York JA; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC; Even Health, Baltimore, Maryland. Electronic address: grossmja@musc.edu.
  • Valvano M; Ralph H. Johnson VAHCS, Charleston, SC; Lyons VAHCS, Lyons, NJ.
  • Hughes F; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC.
  • Sternke LM; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC.
  • Lauerer JA; College of Nursing, Medical University of South Carolina, Charleston, SC.
  • Baker JA; Robley Rex VAHCS, Louisville, KY.
  • Edlund B; College of Nursing, Medical University of South Carolina, Charleston, SC; College of Nursing, Auburn University at Montgomery, Montgomery, AL.
  • Reich K; Ralph H. Johnson VAHCS, Charleston, SC.
  • Pope C; Ralph H. Johnson VAHCS, Charleston, SC; College of Nursing, Medical University of South Carolina, Charleston, SC; College of Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, SC.
Nurs Outlook ; 71(3): 101937, 2023.
Article em En | MEDLINE | ID: mdl-36965357
BACKGROUND: Studies in Veteran populations have examined disparities in health service use, care quality, outcomes and increased demands for behavioral health. PURPOSE: The purpose is to describe the development of nursing leadership roles that influenced practice improvements and demonstrated outcomes related to health disparities in a Veterans Affairs (VA) population over a 12-year period. METHODS: The Sundean and colleagues' concept analysis of nurse leadership influence was applied to frame the initiative process and impacts. DISCUSSION: Antecedents and processes that facilitated leadership development included mentorship, disparities expertise, partnerships, consultation, scholarship, dissemination, advocacy, education, and strong coauthor collaboration. Improvements and outcomes included access to services, improved health indicators, tools, workforce, funding, innovations, and nurse investigator studies, consistent with VA priorities and policy related to disparities and equity. Limitations and barriers were addressed. CONCLUSION: This initiative models' strategies to increase nurse leadership in health equity and care transformation in health systems and community practices.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos Tipo de estudo: Diagnostic_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Veteranos Tipo de estudo: Diagnostic_studies Limite: Humans País/Região como assunto: America do norte Idioma: En Ano de publicação: 2023 Tipo de documento: Article