MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Nurse Leader' source. Wed, 08 Feb 2012 21:55:05 +0100 http://www.medworm.com/index.php?rid=5650473&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211003375%2Fabstract%3Frss%3Dyes Hometown: (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650473 Wed, 01 Feb 2012 05:00:00 +0100 5650473 http://www.medworm.com/index.php?rid=5650472&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002953%2Fabstract%3Frss%3Dyes In the early 1970s one of our northeastern hospitals had just suffered a long and bitter strike. No sooner was the strike over than the nursing administrator was fired, as usual. I had never worked in a union hospital, so it was with some trepidation that I applied for the position for which I was hired. I was pleased that I could gain the skill set that our changing world would require. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650472 Wed, 01 Feb 2012 05:00:00 +0100 5650472 http://www.medworm.com/index.php?rid=5650471&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001790%2Fabstract%3Frss%3Dyes Top athletes, businesspeople, and sports teams know that excellence is never an accident, so shouldn't the same be true in every profession? Excellence in nursing is something we strive for every day. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650471 Wed, 01 Feb 2012 05:00:00 +0100 5650471 http://www.medworm.com/index.php?rid=5650470&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001571%2Fabstract%3Frss%3Dyes This article is not a “how to” guide to layoffs but rather a manager's perspective of a layoff and its impact on staff and leadership dynamics. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650470 Wed, 01 Feb 2012 05:00:00 +0100 5650470 http://www.medworm.com/index.php?rid=5650469&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001789%2Fabstract%3Frss%3Dyes Violence in hospital emergency departments is a dangerous problem. The International Council of Nurses described this problem as a “world-wide epidemic” in 2008, and recent studies have clearly indicated that emergency nurses are particularly vulnerable to workplace violence. These abuses and assaults have a direct effect on staff morale, the amount of nonproductive work, and the length of staff employment in our emergency departments. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650469 Wed, 01 Feb 2012 05:00:00 +0100 5650469 http://www.medworm.com/index.php?rid=5650468&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002096%2Fabstract%3Frss%3Dyes The Institute for Nursing Healthcare Leadership (INHL) surveys have been designed as a series of research projects. They aim at taking an early step toward understanding nurse leader influence, knowledge, and success. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650468 Wed, 01 Feb 2012 05:00:00 +0100 5650468 http://www.medworm.com/index.php?rid=5650467&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121100293X%2Fabstract%3Frss%3Dyes Support for shared governance has been accumulating in strength and numbers in recent decades. Now, more than ever, hospitals are actively initiating and evolving shared-governance programs as a vehicle for the practice of excellence in professional nursing, as demonstrated by the Magnet Recognition Program®. Shared governance provides the structure for development of professional nursing by articulating a mechanism for advocacy and influence of the staff nurse through all levels of nursing. Shared governance reinforces processes of professional excellence by empowering ownership of quality nursing practice and influencing both the work environment and administrative functions. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650467 Wed, 01 Feb 2012 05:00:00 +0100 5650467 http://www.medworm.com/index.php?rid=5650466&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002928%2Fabstract%3Frss%3Dyes “As director of our level I emergency department, I was called to a medical-surgical unit to perform service recovery for a newly admitted female patient who expressed dissatisfaction regarding her ED wait time. As I waited outside the room, I overheard a physician say to the patient and her family, “I'm sorry that you got stuck in that black hole of an ED.” Courtney Vose, RN, MBA, MSN, APRN (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650466 Wed, 01 Feb 2012 05:00:00 +0100 5650466 http://www.medworm.com/index.php?rid=5650465&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002898%2Fabstract%3Frss%3Dyes After climbing a great hill, one only finds that there are many more hills to climb. —Nelson Mandela For those on the Journey to Magnet Excellence™, the quest never really ends, although plateaus may periodically be reached. Magnet organizations must maintain constant forward momentum and consistently evolve. How does an organization that has achieved American Nurse Credentialing Center (ANCC) Magnet Recognition Program® status climb the next hill? It reaches the pinnacle by closely adhering to the 5 Model Components, which “are essential to the continued development of the nursing profession and to quality outcomes in patient care,” according the ANCC. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650465 Wed, 01 Feb 2012 05:00:00 +0100 5650465 http://www.medworm.com/index.php?rid=5650464&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002916%2Fabstract%3Frss%3Dyes Confusion exists about the intent and focus of annual performance reviews (APR) compared with professional peer reviews (PPR). To ensure that both reviews are meeting organizational, professional, individual nurse, and patient needs, it's important to clarify the issues of ownership and intended outcomes for these processes. Understanding the purposes and expected outcomes can help managers move beyond what can feel like a dreaded task that yields a lot of paper work and little value to a meaningful process that can create individual, professional, and organizational success. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650464 Wed, 01 Feb 2012 05:00:00 +0100 5650464 http://www.medworm.com/index.php?rid=5650463&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211003156%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650463 Wed, 01 Feb 2012 05:00:00 +0100 5650463 http://www.medworm.com/index.php?rid=5650462&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002904%2Fabstract%3Frss%3Dyes RH: We both come from the same part of the country, one that is rich in nurse leaders. Can you tell me what brought you into nursing? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650462 Wed, 01 Feb 2012 05:00:00 +0100 5650462 http://www.medworm.com/index.php?rid=5650461&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002941%2Fabstract%3Frss%3Dyes This is a tale about Amy, a busy leader with a vexing challenge. For 11 months, Amy had been the director of an emergency room in a large urban hospital. She is a seasoned, skilled nurse leader who is well intentioned and inspired to do her best. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650461 Wed, 01 Feb 2012 05:00:00 +0100 5650461 http://www.medworm.com/index.php?rid=5650460&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002977%2Fabstract%3Frss%3Dyes We have long had challenges in nursing to groom and persuade staff nurses to pursue and accept management roles. Staff nurses often comment that managers have difficult and pressure-filled jobs that involve long work hours and around-the-clock accountability. To be sure, middle managers feel the constant squeeze between being a member of administration and needing to support the needs of unit-level staff. The tension of this vice is wearing and often visible to those who interact with the managers, leading to the sense that the job is less flexible and less desirable than a staff role. It is no wonder that organizations face difficult odds to plan and orchestrate succession in nursing management roles. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650460 Wed, 01 Feb 2012 05:00:00 +0100 5650460 http://www.medworm.com/index.php?rid=5650459&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002102%2Fabstract%3Frss%3Dyes This article was very intriguing because the author discussed the importance of a leader serving as a role model and being able to encourage and implement change. As a current nurse manager and aspiring leader, I am astounded to find literature that aids in the development of future nurse leaders; so astounded that I would like to include my thoughts on this article. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650459 Wed, 01 Feb 2012 05:00:00 +0100 5650459 http://www.medworm.com/index.php?rid=5650458&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002965%2Fabstract%3Frss%3Dyes The more we examine the impact of the mortgage crises on our economic well-being, the more critical becomes a parallel issue known as the healthcare bubble. The growing costs of providing healthcare and the increases in premiums, copays, and deductibles create a gloom and doom scenario. Our middle class cannot afford the increase in taxes that the public sector may need, nor can we absorb any more costs in our broken healthcare system. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650458 Wed, 01 Feb 2012 05:00:00 +0100 5650458 http://www.medworm.com/index.php?rid=5650457&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211003259%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5650457 Wed, 01 Feb 2012 05:00:00 +0100 5650457 http://www.medworm.com/index.php?rid=5496169&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002370%2Fabstract%3Frss%3Dyes Nurse leaders are frequently called upon to deal with challenging and distressing human resource (HR) issues. Throughout my career, some of my most critical learning opportunities have been HR-related. What I've learned is that it's easy to talk the talk of “do the right thing for the patients always,” but it takes a true leader and principled individual to walk the walk each day. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496169 Thu, 01 Dec 2011 05:00:00 +0100 5496169 http://www.medworm.com/index.php?rid=5496168&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001601%2Fabstract%3Frss%3Dyes The Congressional Decision Implementation Team (CDIT) is a multidisciplinary team formed to track the implementation of the Patient Care Governing Congress (PCGC) decisions. This team includes the communication officer, the clinical informaticist, the executive sponsor of the policy development and review council, and a clinical education member. The chief nursing executive (CNE) provides executive support as needed. There has been little published information to guide the process of implementing nursing shared governance decisions. Subsequently, the CDIT team was developed to create an effective plan to implement decisions and disseminate the information to the appropriate staff. The CDIT team meets monthly on the day following the Congress meeting to discuss the decisions, identify accou... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496168 Thu, 01 Dec 2011 05:00:00 +0100 5496168 http://www.medworm.com/index.php?rid=5496167&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001054%2Fabstract%3Frss%3Dyes The professional, hospital-based nurse is quickly becoming a rare commodity. The impending nursing shortage has caused many organizations to re-evaluate the imperative role of the bedside nurse. It takes an extremely dedicated, intelligent, and flexible person to withstand the daily demands of patients, physicians, peers, and family members in the hospital setting. The job is often stressful and difficult. Though at times, hospital nursing is very rewarding, nurses are not getting the support they need in order to perform these demanding jobs. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496167 Thu, 01 Dec 2011 05:00:00 +0100 5496167 http://www.medworm.com/index.php?rid=5496166&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001030%2Fabstract%3Frss%3Dyes This article discusses the history of the challenges associated with complex patients and how the act of caring can facilitate transformational leadership within a healthcare environment. The roles of the nurse leader and direct care staff in this transformation process will also be described. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496166 Thu, 01 Dec 2011 05:00:00 +0100 5496166 http://www.medworm.com/index.php?rid=5496165&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000838%2Fabstract%3Frss%3Dyes As a nurse leader, you are looked to for guidance and you are a role model to others. Nurse leaders can be an inspiration to staff that might be considering a new writing project. As you think about your own work in professional writing, I'd like you to also consider leadership that includes encouraging and mentoring staff to publish as well. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496165 Thu, 01 Dec 2011 05:00:00 +0100 5496165 http://www.medworm.com/index.php?rid=5496164&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002680%2Fabstract%3Frss%3Dyes In his groundbreaking book, The World is Flat, Thomas Friedman observed that people from around the world are connected in more ways than ever before. Our world is becoming smaller as advances in communication and technology bring people together globally in ways that were not possible even a decade ago. Recent events in our international economic markets have made it clear that, in many arenas, countries throughout the world are interdependent on each other. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496164 Thu, 01 Dec 2011 05:00:00 +0100 5496164 http://www.medworm.com/index.php?rid=5496163&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002345%2Fabstract%3Frss%3Dyes The Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health” offers a historic opportunity to transform nursing to improve patient care for all Americans. If policymakers heed the report's recommendations, the United States could create a future healthcare system that fosters interprofessional collaboration, makes quality care more accessible to diverse populations, promotes wellness and disease prevention, reliably improves health outcomes, and provides compassionate care across the lifespan. Nurses at all levels must take ownership of these recommendations and seek allies from a wide variety of fields, both within and outside of healthcare, to attract the political capital necessary to implement these recommendations. It will take active political ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496163 Thu, 01 Dec 2011 05:00:00 +0100 5496163 http://www.medworm.com/index.php?rid=5496162&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002333%2Fabstract%3Frss%3Dyes The US health system for organizing and delivering healthcare services is under tremendous pressure for change driven by both the market and the policy sector. The challenges to lower costs, improve quality, expand access, and enhance the consumer experience will mean significant alteration in the way care is organized, financed, and delivered and will likely unfold over the next decade and a half. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496162 Thu, 01 Dec 2011 05:00:00 +0100 5496162 http://www.medworm.com/index.php?rid=5496161&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002321%2Fabstract%3Frss%3Dyes Although nurses have long championed for patients and sought to provide high-quality, patient- and family-centered care, our healthcare system too often fails to provide optimum services. The Robert Wood Johnson Foundation (RWJF), the largest US-based health and healthcare philanthropy, and the AARP Center to Champion Nursing in America, part of the largest US consumer organization, have joined forces to help remake our healthcare system. The two organizations have embarked on a Campaign for Action that builds on the blueprint in the Institute of Medicine (IOM) report “The Future of Nursing: Leading Change, Advancing Health” for transforming the nursing profession to enhance the quality and value of healthcare. RWJF has long invested in nursing programs, and AARP has advocated social c... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496161 Thu, 01 Dec 2011 05:00:00 +0100 5496161 http://www.medworm.com/index.php?rid=5496160&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121100231X%2Fabstract%3Frss%3Dyes In talks and media presentations, Dr. Donna Shalala has said that, if fully implemented, the findings and recommendations noted in the Institute of Medicine's (IOM) report “The Future of Nursing: Leading Change, Advancing Health” could signal nursing's ‘golden age.’ The age would be golden because nursing has the human resources and intellectual capacity to meet emerging demands on the healthcare system, an orientation to patient-centered advocacy stretching from acute to community-based care, and the level of engagement to radically span the gaps in healthcare delivery that fragment the array of services Americans consider as their healthcare system. Shalala intentionally adds that leadership is the single critical factor in unleashing the full appreciation for what nursing will b... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496160 Thu, 01 Dec 2011 05:00:00 +0100 5496160 http://www.medworm.com/index.php?rid=5496159&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002308%2Fabstract%3Frss%3Dyes Leadership is a practiced art that requires a commitment to continuous learning, use of knowledge and experiences to shape the journey to mastery, and ownership of change that will benefit the greater good. This issue of Nurse Leader describes the leadership journey to implement the recommendations from the Institute of Medicine (IOM) report on the future of nursing released in October 2010. This landmark study is a blueprint for the transformation of nursing as a strategic prerequisite for improving the nation's healthcare system and healthcare for all Americans. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496159 Thu, 01 Dec 2011 05:00:00 +0100 5496159 http://www.medworm.com/index.php?rid=5496158&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002874%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496158 Thu, 01 Dec 2011 05:00:00 +0100 5496158 http://www.medworm.com/index.php?rid=5496157&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002813%2Fabstract%3Frss%3Dyes Name (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496157 Thu, 01 Dec 2011 05:00:00 +0100 5496157 http://www.medworm.com/index.php?rid=5496156&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002291%2Fabstract%3Frss%3Dyes LBB: Describe your leadership journey. Where did it start? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496156 Thu, 01 Dec 2011 05:00:00 +0100 5496156 http://www.medworm.com/index.php?rid=5496155&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002369%2Fabstract%3Frss%3Dyes How many of us say we are committed to developing the next generation of leaders, yet how many of us don't have the time or funds to help them grow? When we are working with talented staff with leadership potential, do we actively support them with concrete plans, engaging learning opportunities, and consistent follow-up? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496155 Thu, 01 Dec 2011 05:00:00 +0100 5496155 http://www.medworm.com/index.php?rid=5496154&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002357%2Fabstract%3Frss%3Dyes This report focuses on identifying how nursing can best contribute to healthcare delivery in the coming years of reform. The recommendations are far reaching and include the need to partner with other professions to lead change in care across the continuums of all phases of wellness and illness and throughout all care delivery settings. The key messages are far reaching and present considerable challenges both to the profession itself as well as to the larger interprofessional teams that care for people. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496154 Thu, 01 Dec 2011 05:00:00 +0100 5496154 http://www.medworm.com/index.php?rid=5496153&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002679%2Fabstract%3Frss%3Dyes Up to my ears in alligators and loving every minute of it, recently I have been the interim chief nursing officer for a hospital system. Fortunately, the patient care leaders and administrative team are outstanding. All of them have been willing to accept and work collaboratively with me. It brought to mind a plan that 4 of my colleagues and I tried to execute over 20 years ago. We had observed other nurse leaders who had demonstrated and proven their abilities in running a new business, and we wanted to follow their lead. We spent several months determining what our product would be; ultimately, we decided to develop a business plan to provide midlevel managers on an interim basis to hospitals. We completed the plan and sent up a trial balloon through discussion with others. In general th... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496153 Thu, 01 Dec 2011 05:00:00 +0100 5496153 http://www.medworm.com/index.php?rid=5496152&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002746%2Fabstract%3Frss%3Dyes Include Writing in your Leadership Plan (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5496152 Thu, 01 Dec 2011 05:00:00 +0100 5496152 http://www.medworm.com/index.php?rid=5390461&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002047%2Fabstract%3Frss%3Dyes Just when you think you have learned the essential career lessons, another one surfaces. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390461 Sat, 01 Oct 2011 04:00:00 +0100 5390461 http://www.medworm.com/index.php?rid=5390460&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003447%2Fabstract%3Frss%3Dyes Much has been written in the last few years about retaining older workers and the notion of “wisdom in the workplace.” Typically, articles refer to nurses who have held direct care positions throughout their careers. This is not always the case. Reversals of fortune, so to speak, prompted unexpected returns of two nurses in executive positions to direct practice. The move from the C-suite, or top executive level of an organization, to frontline work takes effort and reframing. Given extended work lives and the uncertainties of healthcare leadership, others may confront this phenomenon. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390460 Sat, 01 Oct 2011 04:00:00 +0100 5390460 http://www.medworm.com/index.php?rid=5390459&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000152%2Fabstract%3Frss%3Dyes Nurses are challenged to maintain resilience against burnout and develop successful coping skills in the work environment. As nursing leaders in an academic medical center, we observed symptoms of compassion fatigue in the nursing staff. In an effort to address this issue, a comprehensive program was developed and piloted to alert nurses to the risks of cumulative stress and provide training for self-care promotion to minimize the negative effects of compassion fatigue. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390459 Sat, 01 Oct 2011 04:00:00 +0100 5390459 http://www.medworm.com/index.php?rid=5390458&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000139%2Fabstract%3Frss%3Dyes The collaboration for the project Transitioning Hospital-Based Nurse Leaders to the Practice Doctorate (Doctor of Nursing Practice [DNP] degree program) was initiated by Case Western Reserve University. Participating hospitals included Greenwich (CT) Hospital, Mt. Sinai Hospital (NYC), Carilion Health Care System (Roanoke, VA), Exeter Hospital (Exeter, NH), Shore Memorial Hospital (Atlantic City, NJ), and the North Shore Long Island Jewish Health System (Long Island, NY). The partnership is focused on collaboration that enhances both nursing education and practice. This DNP program for hospital-based nurse administrators and advanced practice nurses (APNs) has been offered onsite in these hospitals to strengthen evidence-based practice, thus improving the quality of healthcare delivered in... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390458 Sat, 01 Oct 2011 04:00:00 +0100 5390458 http://www.medworm.com/index.php?rid=5390457&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000024%2Fabstract%3Frss%3Dyes “Shared governance is…the vehicle for change, growth, and empowerment for the profession and the professional.”(p ix) The nurses providing direct care are in the optimal position to impact professional practice through identification of what works, what doesn't, and what needs to be improved and/or changed. As a result, consistent, safe, and quality patient outcomes can be realized, communication processes can improve, and satisfaction, empowerment, and engagement of the nursing staff can increase. Providing opportunities for the direct care nurse to have control over changes in professional practice, work environment, policies, procedures, and unit-specific initiatives is an important component of achieving success, ownership, and professional accountability. As a result, benefits a... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390457 Sat, 01 Oct 2011 04:00:00 +0100 5390457 http://www.medworm.com/index.php?rid=5390456&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003459%2Fabstract%3Frss%3Dyes The ongoing debate about healthcare (finance) system reform has been very contentious. Politicians, lobbyists, and the public are deeply divided, as are the various healthcare professions. Each side makes claims others dispute, making it difficult to separate the wheat from the chaff. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390456 Sat, 01 Oct 2011 04:00:00 +0100 5390456 http://www.medworm.com/index.php?rid=5390455&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001844%2Fabstract%3Frss%3Dyes As I pushed the elevator button, my colleague Dan, the director for environmental services at the hospital where I work, said, “Come with me. It's up one, down two.” As we entered the stairwell, I discovered that Dan's motto meant more than just walking up one flight or down two to avoid using the elevator and perhaps get a little fitter; it also was “a way to free up the elevator for patients so they don't have to wait for a busy elevator,” he explained. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390455 Sat, 01 Oct 2011 04:00:00 +0100 5390455 http://www.medworm.com/index.php?rid=5390454&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001820%2Fabstract%3Frss%3Dyes There is no question in any nursing leader's mind that the healthcare revolution during this first part of the 21st century is characterized by the integration of innovative technology solutions into practice. There are two parallel transformations occurring simultaneously and merging at the core of patient care. The first is the vast changes in the reimbursement models toward value-based purchasing, creating new models of care delivery and a quest for outcomes, that are only scratching the surface today. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390454 Sat, 01 Oct 2011 04:00:00 +0100 5390454 http://www.medworm.com/index.php?rid=5390453&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001819%2Fabstract%3Frss%3Dyes What if there was a science-based means to foster positive organizational features, such as collaboration, vitality, trust, resilience, and respect in the practice environment? What if the end results included positive energy, work environments, and patient, staff, and organizational outcomes? Positive organizational scholarship (POS) offers tools and resources to help nurse leaders to promote such spiraling upward. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390453 Sat, 01 Oct 2011 04:00:00 +0100 5390453 http://www.medworm.com/index.php?rid=5390452&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001807%2Fabstract%3Frss%3Dyes New York City banker Felix Warburg told a story of meeting a fellow wealthy businessman who was angry with public health nurse and Henry Street Settlement House founder, Lillian Wald (1876–1940). This businessman planned to see her and give her a piece of his mind. “No,” Warburg is quoted as saying, “don't do that. If you're sure you are right, you'd better write her a letter. If you see her,” he said, shrugging his shoulders expressively (so the story goes), “you might change your mind. I have.” Paul and Felix Warburg were in charge of Henry Street Settlement investments and worked with Wald frequently. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390452 Sat, 01 Oct 2011 04:00:00 +0100 5390452 http://www.medworm.com/index.php?rid=5390451&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002126%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390451 Sat, 01 Oct 2011 04:00:00 +0100 5390451 http://www.medworm.com/index.php?rid=5390450&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002242%2Fabstract%3Frss%3Dyes Name (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390450 Sat, 01 Oct 2011 04:00:00 +0100 5390450 http://www.medworm.com/index.php?rid=5390449&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001868%2Fabstract%3Frss%3Dyes Toni Villarruel is the associate dean for research and scholarship, a professor, and the Nola J. Pender Collegiate Chair at the University of Michigan School of Nursing. She graciously gave Nurse Leader the following interview. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390449 Sat, 01 Oct 2011 04:00:00 +0100 5390449 http://www.medworm.com/index.php?rid=5390448&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001832%2Fabstract%3Frss%3Dyes Is there such a thing as too much change? Many of us would say yes. So what? Nurse leaders at all levels of a system must manage the amount of organizational change that is present, whether we think it is too much or not. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390448 Sat, 01 Oct 2011 04:00:00 +0100 5390448 http://www.medworm.com/index.php?rid=5390447&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001856%2Fabstract%3Frss%3Dyes It is probably safe to say that most healthcare organizations are deeply involved in many large-scale change projects as they search for better ways to deliver care and manage costs and quality. Leaders are expected to manage these projects and to get results that are considered successful. In almost every case, the project leader is learning as they go and devoting considerable time and energy to the process. Whether it is called quality management, lean, restructuring, or a host of other titles, it all boils down to making fundamental changes in how work is done and how people think through clinical care and business processes in new ways. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390447 Sat, 01 Oct 2011 04:00:00 +0100 5390447 http://www.medworm.com/index.php?rid=5390446&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002059%2Fabstract%3Frss%3Dyes Transformational leadership and partnership development are synergistic. The partnerships between key stakeholders provide for the implementation of a shared vision. Bernard Bass, expanding on the work of James McGregor Burns, identified the key components of transformational leadership as follows: (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390446 Sat, 01 Oct 2011 04:00:00 +0100 5390446 http://www.medworm.com/index.php?rid=5390445&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211002175%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5390445 Sat, 01 Oct 2011 04:00:00 +0100 5390445 http://www.medworm.com/index.php?rid=5111790&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121100125X%2Fabstract%3Frss%3Dyes The title of this article, an old Buddhist proverb, contains a lot of substance in it. Let me share my experience with you. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111790 Sun, 31 Jul 2011 23:00:00 +0100 5111790 http://www.medworm.com/index.php?rid=5111789&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003010%2Fabstract%3Frss%3Dyes In the world of 24/7, how does senior nursing leadership develop the skills in the frontline nurse manager necessary to maintain consistent high team performance within the entire staff when their senior leader is not around? This requires a deeper level of communication with the frontline manager that produces a culture of understanding, trust, and organizational commitment that may go beyond what a traditional, functional manager is willing to provide. Through our collaboration, (Elizabeth- nursing career progressing from staff nurse to director over a span of 32 years and Charles- corporate manager for 24 years, postgraduate leadership professor, and leadership training consultant), we have identified some basic thoughts for development of frontline nursing managers. The following four ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111789 Sun, 31 Jul 2011 23:00:00 +0100 5111789 http://www.medworm.com/index.php?rid=5111788&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003411%2Fabstract%3Frss%3Dyes As nursing leaders continue to strive to create a culture of safety, many hospitals are incorporating safety practices utilized in highly reliable industries. Manufacturing, the airline industry, Toyota, and the nuclear power plants are just a few of the industries that have been emulated. From these industries, healthcare has adapted several techniques, some of which include Lean, Six Sigma, failure mode and effects analysis, and crew resource management. Many of the techniques listed here have been effective in reducing the risk of patient harm. A new safety practice, adapted from the nuclear power plant industry, seems to be appearing on the healthcare horizon. This new practice is known as “red rules.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111788 Sun, 31 Jul 2011 23:00:00 +0100 5111788 http://www.medworm.com/index.php?rid=5111787&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002764%2Fabstract%3Frss%3Dyes Most people tend to take themselves too seriously. They get so caught up in the rapidity of the moment or with the power struggle of us versus them that they forget one of the most important aspects of life and living. You are hereby given permission to have fun at work! In taking a lighter approach by adding an appreciation of humor, an effective leadership tool is born and a constructive therapeutic intervention in both the classroom and clinical setting evolves. Humor and laughter can result in more dedicated nurses and improved work ethics. Because human spirituality is based upon relationships, humor creates that connective bond between people who laugh together. A leader must connect with emotion—the spirit, the soul. What better way to touch a heart than to use humor? Humor shows ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111787 Sun, 31 Jul 2011 23:00:00 +0100 5111787 http://www.medworm.com/index.php?rid=5111786&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001285%2Fabstract%3Frss%3Dyes Change is a fundamental part of everyday living. Merriam-Webster defines change as “making something different.” Although this definition is simple, change has varying degrees of complexity. It exists on an individual, organizational, and societal level. Change is considered situational in nature, occurring at a phenomenally rapid rate. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111786 Sun, 31 Jul 2011 23:00:00 +0100 5111786 http://www.medworm.com/index.php?rid=5111785&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001297%2Fabstract%3Frss%3Dyes Nurse leaders are key drivers for the creation of quality work environments and quality patient care outcomes at the frontline of healthcare delivery. Their charge has been to provide leadership to assure quality nursing care, and ensure the satisfaction of their patients, families, staff, physicians, and hospital executives at each and every clinical care site. In this era of transparency and with the onset of accountable care organizations, the charge is now broader—outcomes must be sustained. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111785 Sun, 31 Jul 2011 23:00:00 +0100 5111785 http://www.medworm.com/index.php?rid=5111784&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001303%2Fabstract%3Frss%3Dyes The nursing shortage that exists today and the one that will continue necessitate the need for strong nursing leadership. Partnering with nursing leaders are nursing faculty who are committed to working with their clinical partners to meet their expectations of a competent workforce. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111784 Sun, 31 Jul 2011 23:00:00 +0100 5111784 http://www.medworm.com/index.php?rid=5111783&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001595%2Fabstract%3Frss%3Dyes The past decade in health care has seen a remarkable focus and emphasis on improving quality outcomes, especially related to a culture of safe patient care. The risks to hospital patients are great, and the call to action for caregivers was sounded over a decade ago. The Institute of Medicine's (IOM) 2000 report, “To Err is Human,” shocked the nation with its claim of 98,000 lives lost each year from medical error. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111783 Sun, 31 Jul 2011 23:00:00 +0100 5111783 http://www.medworm.com/index.php?rid=5111782&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001315%2Fabstract%3Frss%3Dyes The nurse manager looks out from the nursing station at the four patient rooms. Through each of the open curtains, she can see the advanced technology attached to each patient. She watches, as the new graduate nurse, who recently completed her orientation, rises from her seat to receive her patient who is returning from a special procedure. As she assists transport in bringing the patient into his room, her peers remain at the nurses' station. It is almost 30 minutes later when she is done attaching monitors, straightening lines, and assessing her patient. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111782 Sun, 31 Jul 2011 23:00:00 +0100 5111782 http://www.medworm.com/index.php?rid=5111781&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001327%2Fabstract%3Frss%3Dyes In 2008, chief nursing officers (CNOs) of Connecticut Hospital Association (CHA) member hospitals sought to address concerns and issues related to the work environment of nurses that led to the development of a statewide hospital nursing workplace environment assessment carried out under the auspices of a CHA board committee. The project involved the completion of a survey by 2,083 registered nurses (RNs) from 20 hospitals, completion of surveys by 14 CNOs, focus groups, individual hospital and statewide results reporting, and rich dialogue among nursing leaders through follow-up learning sessions. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111781 Sun, 31 Jul 2011 23:00:00 +0100 5111781 http://www.medworm.com/index.php?rid=5111780&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001613%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111780 Sun, 31 Jul 2011 23:00:00 +0100 5111780 http://www.medworm.com/index.php?rid=5111779&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001728%2Fabstract%3Frss%3Dyes Hometown (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111779 Sun, 31 Jul 2011 23:00:00 +0100 5111779 http://www.medworm.com/index.php?rid=5111778&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001339%2Fabstract%3Frss%3Dyes Ann Scott Blouin has certainly had an esteemed career, which now has taken her to be the first nurse to assume the position as executive vice president for accreditation and certification operations at The Joint Commission! (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111778 Sun, 31 Jul 2011 23:00:00 +0100 5111778 http://www.medworm.com/index.php?rid=5111777&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001273%2Fabstract%3Frss%3Dyes Our conference call was about to end. Just as this lively conversation among nurse leaders concluded, a participant said, “Can we talk about the imposter syndrome?” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111777 Sun, 31 Jul 2011 23:00:00 +0100 5111777 http://www.medworm.com/index.php?rid=5111776&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001261%2Fabstract%3Frss%3Dyes Careers are personal, and they evolve from an internal drive that one has to move to the next step—whatever that may be. While advancement is often somewhat prescriptive in managerial organizations as promotional paths are guided by a series of steps through the layers of management, in fact, with the rapidly evolving healthcare field, there are new and exciting opportunities that arise each day that may provide options to the leader who desires to get to the top. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111776 Sun, 31 Jul 2011 23:00:00 +0100 5111776 http://www.medworm.com/index.php?rid=5111775&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001340%2Fabstract%3Frss%3Dyes The magic word in my family was always please. One could almost get anything as a child when the word please was part of the sentence. In experiencing the world of healthcare management, I have added an even more magic word, why! Think about how often we carry out different processes and rote schedules and duties but do not think to question why. I often ask students why they are proposing or considering something and get a blank look. They realize that the why has not been established, and if it has, it is not visible even to the creator of the proposal. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111775 Sun, 31 Jul 2011 23:00:00 +0100 5111775 http://www.medworm.com/index.php?rid=5111774&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001650%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=5111774 Sun, 31 Jul 2011 23:00:00 +0100 5111774 http://www.medworm.com/index.php?rid=4906368&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000802%2Fabstract%3Frss%3Dyes While employed by a large New York consulting firm with a substantial healthcare practice, I found myself frequently in meetings with the executive teams of various healthcare organizations. My specialty was nursing operations. On one occasion, a chief executive officer looked at me and said, “I see the nurse in you. You care about these people.” At the time, I took his comment as a sign of my weakness. I thought I needed to be tougher. It was only later that I realized that simply being tough was not enough; compassion for patients and the people who care for them, even during periods of organizational and financial distress, is important. The nurse in me is an asset. The trick is combining clarity in understanding the situation facing a healthcare organization with compassion for its... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906368 Tue, 31 May 2011 23:00:00 +0100 4906368 http://www.medworm.com/index.php?rid=4906367&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121000217X%2Fabstract%3Frss%3Dyes The need to hire for specific competencies has always presented a challenge to recruiters, since competencies are skills and attitudes that are expressed in behavior, but behavior needs to be observed over time. Perhaps the challenge is even more daunting when the behavior of interest relates to cultural competence, which is difficult to define, much less to assess in job applicants. Most employers turn to their fall-back position, which is to hire good people and then train them to meet a cultural competence standard after the fact. With new technology, however, employers can actually be proactive in screening candidates for the very competencies they seek. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906367 Tue, 31 May 2011 23:00:00 +0100 4906367 http://www.medworm.com/index.php?rid=4906366&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002715%2Fabstract%3Frss%3Dyes The concept of leadership is elusive. Is it a behavior, a combination of actions, personal characteristics, tangible and measurable, assumed? Are leaders born? Are leaders made? Can positive change really be made? What drives the thinking behind leadership behavior? Does a more seasoned nurse have more leadership potential or characteristics than a younger, enthusiastic, energetic nurse? With whom do organizational leaders take a chance? Do mentoring and coaching come into play? Are female leaders viewed as less competent than male? All these and many more questions are quite interesting to ponder. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906366 Tue, 31 May 2011 23:00:00 +0100 4906366 http://www.medworm.com/index.php?rid=4906365&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002703%2Fabstract%3Frss%3Dyes Nursing and nurses seem overwhelmed and anxious, leading to confusion, frustration, and compassion fatigue. Nurses are leaving positions and, even sadder, leaving nursing totally. Are the confusion and anxiety leading to fatigue caused by distractions of conflict, complexity, technology, and speed of change? Bhaerman and Lipton state that people in leadership either consciously or unconsciously thrive on conflict rather than collaboration. This conflict produces anxiety and fear that distract us from our own intrinsic power and values. Their prescription for combating confusion and fear is to develop “weapons of mass distraction.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906365 Tue, 31 May 2011 23:00:00 +0100 4906365 http://www.medworm.com/index.php?rid=4906364&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002399%2Fabstract%3Frss%3Dyes One day, one management team, and one decision changed the course of multiple careers in a matter of minutes. As I sat with my coworkers and listened to a nurse manager outline an unfamiliar path for my new career, my eyes began to well with tears. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906364 Tue, 31 May 2011 23:00:00 +0100 4906364 http://www.medworm.com/index.php?rid=4906363&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000553%2Fabstract%3Frss%3Dyes There is a need to develop leadership skills that give advanced practice nurses, such as those with the doctorate of nursing practice degree (DNP), the tools they will need for effective communication skills, staff development, mentoring, and staying abreast of new technological advances. In fact, where does advanced practice nursing leadership come from? How do we mentor a new generation of nurse practitioners (NPs)? Graduate nursing students need a plan in place before they start to practice. Mentoring and creating a network that uses technology is instrumental for a new generation of NPs. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906363 Tue, 31 May 2011 23:00:00 +0100 4906363 http://www.medworm.com/index.php?rid=4906362&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000772%2Fabstract%3Frss%3Dyes An increasing amount of information suggests there are positive financial, productivity, patient, and staff satisfaction outcomes associated with creating cultures of effective caring. These data cannot be ignored and form a call to action. For example, a critical topic that has emerged is compassion fatigue (CF). What can be done to avoid experiencing the negative impacts of workaholism, compassion fatigue, stress, and lack of energy and innovation in the workplace? Peter Drucker said it best: “Your foremost job as a leader is to raise your own energy level and then help orchestrate the energies of those around you.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906362 Tue, 31 May 2011 23:00:00 +0100 4906362 http://www.medworm.com/index.php?rid=4906361&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000760%2Fabstract%3Frss%3Dyes Your patient satisfaction team, which includes staff nurses, nurse managers, and nurse executives, has developed an effective service recovery program that pushed scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) from the 60th percentile to the 95th percentile in 18 months. Nurses in the neonatal intensive care unit (ICU) recently implemented evidence-based suctioning guidelines that eliminate saline instillation, a practice still used despite its ineffectiveness and potential harm to the larynx. Clinical nurse specialists in the surgical ICU just completed a study of early ambulation that significantly reduced mortality. Three great topics for professional publication, but how can you help staff navigate the unfamiliar waters from idea development to ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906361 Tue, 31 May 2011 23:00:00 +0100 4906361 http://www.medworm.com/index.php?rid=4906360&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000759%2Fabstract%3Frss%3Dyes To lead is to live dangerously because when leadership counts, when you lead people through difficult change, you challenge what people hold dear—their daily habits, tools, loyalties, and ways of thinking—with nothing more to offer perhaps than a possibility. …And people resist in all kinds of creative and unexpected ways that can get you taken out of the game: pushed aside, undermined, or eliminated. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906360 Tue, 31 May 2011 23:00:00 +0100 4906360 http://www.medworm.com/index.php?rid=4906359&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000747%2Fabstract%3Frss%3Dyes Nursing is a profession with a history of religious roots. The first nurses were not trained and, in some cases, represented individuals who had little or no education. The religious roots and lack of education led to the assumption of a role of subservience to others. Florence Nightingale demonstrated the impact that good care could have on patient outcomes during the Crimean War. Her work formed the basis for standardized nurses' training within a hospital. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906359 Tue, 31 May 2011 23:00:00 +0100 4906359 http://www.medworm.com/index.php?rid=4906358&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001042%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906358 Tue, 31 May 2011 23:00:00 +0100 4906358 http://www.medworm.com/index.php?rid=4906357&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001248%2Fabstract%3Frss%3Dyes Name (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906357 Tue, 31 May 2011 23:00:00 +0100 4906357 http://www.medworm.com/index.php?rid=4906356&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000735%2Fabstract%3Frss%3Dyes It is my honor to interview Dr. Marla Weston, chief executive officer of the American Nurses Association (ANA) in Silver Spring, Maryland, just outside of Washington, DC. Her impressive influence within the nursing profession and diverse management experience have placed her as a leader who is defined by her passion and exceptional values. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906356 Tue, 31 May 2011 23:00:00 +0100 4906356 http://www.medworm.com/index.php?rid=4906355&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000796%2Fabstract%3Frss%3Dyes Some years ago, the rock group The Who immortalized the line “Meet the new boss… same as the old boss.” Originally, these words symbolized the disappointment of a generation seeking but not finding large-scale change. Now, however, the prospect of no change is comforting to LuAnn, a seasoned vice president in a large health system on the West Coast. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906355 Tue, 31 May 2011 23:00:00 +0100 4906355 http://www.medworm.com/index.php?rid=4906354&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000784%2Fabstract%3Frss%3Dyes Leading in healthcare entails a vast variety of activities that should culminate in a well-run clinical enterprise that meets requirements that are almost too numerous to manage. It is a complex and fast-moving business requiring leaders who can connect the dots of multiple systems that result in the delivery of good and reliable care. If leaders could focus each and every minute on the clinical unit that they run, the process of leading would be somewhat manageable. But the reality is that leaders are spending the vast majority of their time in meetings of questionable value that take place off—and away from—their units. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906354 Tue, 31 May 2011 23:00:00 +0100 4906354 http://www.medworm.com/index.php?rid=4906353&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000826%2Fabstract%3Frss%3Dyes The vision of Nurse Leader at its inception was to communicate with, guide, share with, and inform nurses in management. However, over time, I recognized that leadership is about far more than that expected of those in management roles. Clinicians who choose to become experts in their field demonstrate the key components of what leadership is about in action. These characteristics have been discussed in numerous articles, research, and the literature. One critical asset is a cognitive recognition of the nursing profession's mission to provide caring and compassionate care. As nurse leaders, it is also our responsibility to ensure that this is practiced and valued in all roles. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906353 Tue, 31 May 2011 23:00:00 +0100 4906353 http://www.medworm.com/index.php?rid=4906352&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211001200%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4906352 Tue, 31 May 2011 23:00:00 +0100 4906352 http://www.medworm.com/index.php?rid=4672708&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000681%2Fabstract%3Frss%3Dyes Hometown (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672708 Thu, 31 Mar 2011 23:00:00 +0100 4672708 http://www.medworm.com/index.php?rid=4672707&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000115%2Fabstract%3Frss%3Dyes “Being present” is a term we use to mean attending events and paying attention during conversations. So, showing up and then actively listening are skills that help us learn and help others to acknowledge nurses' critical involvement in a variety of activities both in nursing and external to nursing. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672707 Thu, 31 Mar 2011 23:00:00 +0100 4672707 http://www.medworm.com/index.php?rid=4672706&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000164%2Fabstract%3Frss%3Dyes Healthcare is complex and requires effective leaders skilled at leading and adapting to change. The Canadian Nurses Association states, “Leadership plays a pivotal role in the lives of nurses” and “Nursing requires strong, consistent, and knowledgeable leaders.” Obtaining this knowledge and skill is difficult. Although numerous studies have examined and explained leadership, no definitive theory has emerged to guide leaders. Nor is there evidence available on what theory is most effective for the new leader. Compounding these problems is the massive amount of literature available on leadership that a new leader must sift through to acquire the knowledge to determine which leadership style to adopt and implement into practice. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672706 Thu, 31 Mar 2011 23:00:00 +0100 4672706 http://www.medworm.com/index.php?rid=4672705&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000176%2Fabstract%3Frss%3Dyes At the urging of consumers and third party payers, many organizational report cards are now available at the click of a button. These reports can aid consumers in deciding where to receive healthcare services. Third party payers also use patient outcome data when determining which facilities to include in their networks. These reports are by no means completely reliable, but measures have been taken to ensure risk-adjusted data are provided. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672705 Thu, 31 Mar 2011 23:00:00 +0100 4672705 http://www.medworm.com/index.php?rid=4672704&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000073%2Fabstract%3Frss%3Dyes The preparation/practice gap (PPG) is no secret, nor is it a new phenomenon. It is an issue that I've seen denied, debated, and discussed in my roles as an assistant professor, nurse practitioner, and acute care administrator. In each environment, my colleagues have eloquently justified the reasons for the “gap”: sicker patients, advanced technology, aging workforce, faculty getting too old, not enough faculty, no dollars for “adequate” nursing orientation, new graduates that cannot think “critically,” nurses eating their young—the list goes on. I must admit that I, myself, have passionately stood behind many of these arguments throughout the years. Thus, my goal is not to minimize these concerns. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672704 Thu, 31 Mar 2011 23:00:00 +0100 4672704 http://www.medworm.com/index.php?rid=4672703&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000061%2Fabstract%3Frss%3Dyes Every healthcare leader should be engaged in advancing accountable care in his or her organization. In order to be a knowledgeable contributor on the executive team, the healthcare leader must know the significant questions to ask about accountable care and be able to provoke innovative thinking and action. It is also imperative that leaders understand the strategies necessary for creating an environment of accountable care. The goal in many organizations is to improve quality and reduce healthcare costs without rationing care—and some will continue to focus solely on those efforts. However, such a course of action will not be enough. The rules are shifting, and current reimbursement is going to significantly change. In fact, proposed reforms are expected to have a 20% to 25% negativ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672703 Thu, 31 Mar 2011 23:00:00 +0100 4672703 http://www.medworm.com/index.php?rid=4672702&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000048%2Fabstract%3Frss%3Dyes Barbara Stanny said, “An empty vessel has little to offer. Obligatory or guilt-driven self-denial is always undermining, leading to anger, resentment, and pain. Without taking care of ourselves, we engage in self-sabotage.” What? Are you nuts? Are you saying that, if I take better care of myself, the documentation needed to support my facility's Magnet Journey will magically create itself? No, we all wish it were that simple, don't we? What I am saying, nurse leader, is that if you understand that the momentum, energy, commitment, and productivity needed to achieve any quality designation and provide inspirational leadership essential for these tough times, you would be better equipped to start with self-nurturing words and self-loving actions that you offer yourself as you ready i... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672702 Thu, 31 Mar 2011 23:00:00 +0100 4672702 http://www.medworm.com/index.php?rid=4672701&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000036%2Fabstract%3Frss%3Dyes This article discusses the importance of using a framework to achieve the desired goals in a community-based healthcare system. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672701 Thu, 31 Mar 2011 23:00:00 +0100 4672701 http://www.medworm.com/index.php?rid=4672700&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000103%2Fabstract%3Frss%3Dyes Accountable care organizations, TJH, Centers for Disease Control and Prevention, HCCAPS, meaningful use, nurse knowledge transfer, SBAR, L-M-N-O-P—what has become of healthcare? What about the technology, both in equipment and information systems? And don't forget report cards, service recovery, evolving measurements that require continual follow up. And meeting that budget! How does a nurse executive manage these days? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672700 Thu, 31 Mar 2011 23:00:00 +0100 4672700 http://www.medworm.com/index.php?rid=4672699&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000577%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672699 Thu, 31 Mar 2011 23:00:00 +0100 4672699 http://www.medworm.com/index.php?rid=4672698&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000127%2Fabstract%3Frss%3Dyes Cheryl Hoying is senior vice president for patient services for Cincinnati Children's Hospital Medical Center, a 558-bed facility whose mission is to improve child health and transform care delivery through fully integrated, globally recognized research, education, and innovation. Hoying has responsibility for nursing, pharmacy, various therapies, social work, volunteers—basically all the individuals (other than physicians) who touch patients. This role has helped her realize how important it is that nurses collaborate with all the disciplines who serve patients and families. Dr. Hoying also serves as the Interim Dean of the University of Cincinnati College of Nursing. In addition, she took over the reins as president of the American Organization of Nurse Executives (AONE) on January... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672698 Thu, 31 Mar 2011 23:00:00 +0100 4672698 http://www.medworm.com/index.php?rid=4672697&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121100005X%2Fabstract%3Frss%3Dyes Just before we boarded the plane for our Midwest destination, my colleague and I received the news: the 3-day retreat we were about to convene might be cancelled. The chief nursing officer (CNO) who hired us had heard rumors that her team was not going to come, despite her careful planning. We didn't take it personally; she hadn't given them any details about the offsite session. But she had indicated it was an opportunity to deepen their leadership skills and their cohesion as a team. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672697 Thu, 31 Mar 2011 23:00:00 +0100 4672697 http://www.medworm.com/index.php?rid=4672696&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000097%2Fabstract%3Frss%3Dyes The direct delivery of healthcare is a day-to-day drama that plays out in a multitude of ways. Providing healthcare always has an emotional edge because the stakes of human care are high even in the most stable of settings. The patient and family enter the care system with expectations of what they want and need, but often as providers, we cannot meet all of those expectations. Likewise, providers have their own sets of issues and expectations, and look for a fair amount of conformity with the plan that they set in motion. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672696 Thu, 31 Mar 2011 23:00:00 +0100 4672696 http://www.medworm.com/index.php?rid=4672695&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000188%2Fabstract%3Frss%3Dyes Editor's note: This letter was sent to Katherine Vestal about her Lessons Learned column in the December 2010 issue, and we think it's worth sharing. I am a graduate student at New York University College of Nursing. My major is nursing administration. I've been a nurse for the past 17 years, the past 3 as nurse manager of a very busy labor and delivery unit in Brooklyn, NY. We deliver 5000-plus babies per year, and I have a staff of about 85. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672695 Thu, 31 Mar 2011 23:00:00 +0100 4672695 http://www.medworm.com/index.php?rid=4672694&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000085%2Fabstract%3Frss%3Dyes Nurse leaders, like many others, want to leave a positive legacy of what has been accomplished during our lifetime. We want to know we have made positive differences in the lives of others, specifically our patients and their families, our colleagues and friends. Legacy is about what we believe and how we act; to quote Elizabeth Edwards, it is a life shaped by “what we do, not what is done to us.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672694 Thu, 31 Mar 2011 23:00:00 +0100 4672694 http://www.medworm.com/index.php?rid=4672693&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000619%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4672693 Thu, 31 Mar 2011 23:00:00 +0100 4672693 http://www.medworm.com/index.php?rid=4466887&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121000340X%2Fabstract%3Frss%3Dyes “To go to the mat”: to fight until one side is victorious “To hit the mattresses”: all-out war, from the movie “The Godfather” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466887 Sat, 01 Jan 2011 00:00:00 +0100 4466887 http://www.medworm.com/index.php?rid=4466886&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003435%2Fabstract%3Frss%3Dyes Nurse managers (NM) play an increasingly prominent role in achieving the goals of healthcare organizations and optimizing the patient and family experience of care. Robbins and Davidhizar note, “The nurse manager must be a transformational leader capable of influencing staff to align with the organization's goals.” Concurrent with the NM role is an area of need identified by Zori and Morrison, who observe, “Many nurse managers assume their position based on expertise in a clinical role with little expertise in managerial leadership skills.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466886 Sat, 01 Jan 2011 00:00:00 +0100 4466886 http://www.medworm.com/index.php?rid=4466885&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001862%2Fabstract%3Frss%3Dyes Progressive hospitals nationwide are employing innovative technologies in order to become more efficient, reduce waste, and improve patient care. Technology to pinpoint the location of equipment is helping hospitals achieve these goals by fundamentally improving how hospital nurses perform their jobs each day, beginning with knowledge of what equipment they have, where it is located, and how they manage it. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466885 Sat, 01 Jan 2011 00:00:00 +0100 4466885 http://www.medworm.com/index.php?rid=4466884&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001874%2Fabstract%3Frss%3Dyes The rapid burnout and turnover of clinical managers on medical-surgical units was becoming an increasing concern in our institution. Managers were staying less than 2 years in the position. These were professional nurses eager to embrace the challenges and opportunities management could hold for them. Unfortunately, they were leaving before they had time to develop the leadership skills necessary to create the environment they had envisioned upon taking the role. The turnover was in part due to a disconnect in their work/life balance, but it also could be attributed to a work environment that did not provide job satisfaction. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466884 Sat, 01 Jan 2011 00:00:00 +0100 4466884 http://www.medworm.com/index.php?rid=4466883&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003046%2Fabstract%3Frss%3Dyes I was sitting in my big easy chair, watching the World Cup on TV, when I realized that, as Nicoleta Gaciu observed, “Sports teams are surprisingly complex, functional structures that develop through interactions between players.” In a presentation on Physics and Leadership, she said successful teams are characterized by players who build “strong relationships with one another, which make the teams powerful and adaptable to changes and fluctuations.” Furthermore, “the relationships, the information, and the communication are always different” because the players, places, and the moments are always different. “These living organizations are nonlinear and dynamic systems.” (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466883 Sat, 01 Jan 2011 00:00:00 +0100 4466883 http://www.medworm.com/index.php?rid=4466882&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003083%2Fabstract%3Frss%3Dyes There has never been a time when the voice and competence of nursing has been so greatly needed at all levels and in all settings of healthcare as during this time of accelerated change as we shift from mechanistic bureaucracies to “technology-driven social frameworks.” Organizational nursing leaders have a dual agency. They serve as agents of society to ensure the safe and effective practice of nursing and as agents of the organization to deliver the expected/contractual behavior and organizational outcomes. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466882 Sat, 01 Jan 2011 00:00:00 +0100 4466882 http://www.medworm.com/index.php?rid=4466881&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003071%2Fabstract%3Frss%3Dyes Years ago, one nursing organization chose to feature historical black and white photos of nurses in traditional white uniforms on a series of their journal's front covers. With each picture were the same six words, “Quality, Thy Name is Nursing Care.” As a hospital nurse executive, I was so taken with those covers and their message that I had them matted and framed. They have hung in my various offices since then, a reminder of the awesome accountability nurses have to each individual patient wherever he or she receives care. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466881 Sat, 01 Jan 2011 00:00:00 +0100 4466881 http://www.medworm.com/index.php?rid=4466880&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003058%2Fabstract%3Frss%3Dyes This article is about their stories, their visions, and their insights. They are sharp learning machines, visionaries, relationship builders, and they have it. They have a presence that shows they are comfortable in their own shoes and with others. You feel their energy the moment you sit down with them. They all look back and see their nursing experience as a cornerstone of the job, although, historically, nurses who became hospital administrators were characterized as having sold out. Who in the C-suite is more appropriate to align clinician input from the bedside with financial demands? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466880 Sat, 01 Jan 2011 00:00:00 +0100 4466880 http://www.medworm.com/index.php?rid=4466879&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003034%2Fabstract%3Frss%3Dyes Emotional quotient (EQ) debuted in the mainstream management literature with Daniel Goleman's Emotional Intelligence: Why It Can Matter More Than IQ in 1995, effectively popularizing among practitioners the notion that so-called “soft skills” can be as valuable or even more valuable than technical skills in the workplace. But even prior to that time, Reuven Bar-On had been studying a construct he labeled “emotional intelligence” and was developing a means to measure it operationally in the form of an instrument known as the EQ-i. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466879 Sat, 01 Jan 2011 00:00:00 +0100 4466879 http://www.medworm.com/index.php?rid=4466878&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003423%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466878 Sat, 01 Jan 2011 00:00:00 +0100 4466878 http://www.medworm.com/index.php?rid=4466877&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000346%2Fabstract%3Frss%3Dyes Name (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466877 Sat, 01 Jan 2011 00:00:00 +0100 4466877 http://www.medworm.com/index.php?rid=4466876&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003022%2Fabstract%3Frss%3Dyes Dana Nicholson Bledsoe is the vice president of patient care services and chief nursing officer at the Children's Hospital of Orange County (CHOC), a Magnet™ hospital. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466876 Sat, 01 Jan 2011 00:00:00 +0100 4466876 http://www.medworm.com/index.php?rid=4466875&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121000306X%2Fabstract%3Frss%3Dyes During our first meeting, Suze, a young nurse leader, appeared grounded, eager, filled with ambition, and clear about her goals. “I want to change the world,” she announced. Her words and demeanor suggested that she is capable of doing just that, but she feels stalled in her current position. She described some of its limitations, and she also lamented the fact that she has no mentors. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466875 Sat, 01 Jan 2011 00:00:00 +0100 4466875 http://www.medworm.com/index.php?rid=4466874&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003095%2Fabstract%3Frss%3Dyes Across the country, nurse leaders in healthcare organizations are constantly challenged to move upward in their careers to meet the insatiable needs for qualified managers. For many years, as the roles of nurse leaders have expanded in complexity and number, these jobs are hard to fill, either internally or with external candidates. For a lot of reasons, few nurses envision themselves in managerial roles, and they often feel that these jobs are beyond their current expertise or that the drawbacks to being a manager exceed the perceived pluses. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466874 Sat, 01 Jan 2011 00:00:00 +0100 4466874 http://www.medworm.com/index.php?rid=4466873&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210003393%2Fabstract%3Frss%3Dyes “Reputation is what other people know about you. Honor is what you know about yourself.” Lois McMaster Bujold (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466873 Sat, 01 Jan 2011 00:00:00 +0100 4466873 http://www.medworm.com/index.php?rid=4466872&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461211000218%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4466872 Sat, 01 Jan 2011 00:00:00 +0100 4466872 http://www.medworm.com/index.php?rid=4364936&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002934%2Fabstract%3Frss%3Dyes Hometown (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4364936 Mon, 01 Nov 2010 00:00:00 +0100 4364936 http://www.medworm.com/index.php?rid=4222305&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001618%2Fabstract%3Frss%3Dyes What tomorrow will bring for nurse managers is certain—challenges for which ready solutions do not exist, yet they must prepare for them today. Assisting nurse managers to effectively respond to such challenges requires educational offerings that actively engage and instruct participants on how to formulate solutions. Such education also promotes independent thinking on the part of each manager, while at the same time enabling a management team to make collective decisions. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222305 Mon, 01 Nov 2010 00:00:00 +0100 4222305 http://www.medworm.com/index.php?rid=4222304&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000807%2Fabstract%3Frss%3Dyes With the US nursing shortage anticipated to grow to more than a quarter of a million by 2025, retention of registered nurses (RNs) has never been more important. Shortages in this decade are already staggering in the area of medical/surgical care, with a 14.1% national vacancy rate. As national turnover trends increase, nurses will become more mobile and more difficult to replace. Vacancy rates have wide-ranging impacts, including closed beds, restricted admissions, decreased quality of care, and higher costs to deliver care. The direct costs for recruiting replacement RNs is conservatively estimated at $10,000 per vacancy. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222304 Mon, 01 Nov 2010 00:00:00 +0100 4222304 http://www.medworm.com/index.php?rid=4222303&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000790%2Fabstract%3Frss%3Dyes Why is it that it takes the big events to capture our attention? Many times, similar events go on daily, just not on the grand scale, and we never pay attention to the impact they may have. The example I would cite is the recorded deadliest plane crash in history, the Tenerife Airport Disaster of 1977. Although the experts have come up with an exhaustive list of possible contributing factors, the one variable that stands out for me is the role of the copilot. What if the second in command understood the value of their position in the passenger seat and voiced their concern to the captain? Would the course of this event be altered? My story is not unique, but the message is. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222303 Mon, 01 Nov 2010 00:00:00 +0100 4222303 http://www.medworm.com/index.php?rid=4222302&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000911%2Fabstract%3Frss%3Dyes An ever-increasing number of hospitals have targeted specialty nurse certification as a means of providing excellent, evidence-based care and promoting professional development. Certification in gerontological nursing goes a long way to improve the knowledge and skills of nursing staff in caring for a patient population that is often the hospital's core customer base. Yet fewer than 1% of nurses are certified in gerontological nursing. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222302 Mon, 01 Nov 2010 00:00:00 +0100 4222302 http://www.medworm.com/index.php?rid=4222301&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000959%2Fabstract%3Frss%3Dyes Studies have shown that providing on-the-job leadership development to charge nurses can prevent negative clinical outcomes, significantly improving quality of care. Leadership training traditionally has been administered using classroom learning methods. However, it has been estimated that traditional training programs have little to no effect on job performance in 80% to 90% of cases. Leaders often require additional help to transfer their new knowledge to the everyday work environment. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222301 Mon, 01 Nov 2010 00:00:00 +0100 4222301 http://www.medworm.com/index.php?rid=4222300&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000947%2Fabstract%3Frss%3Dyes This article will highlight those responses and provide insight into the type of stressors that acute care nurses experience. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222300 Mon, 01 Nov 2010 00:00:00 +0100 4222300 http://www.medworm.com/index.php?rid=4222299&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002405%2Fabstract%3Frss%3Dyes During Nurses Week 2008, the Department of Veterans Affairs (VA) Office of Nursing Services (ONS) launched an innovative campaign to increase specialty certification for its nursing workforce that resulted in a one-of-a-kind national initiative. The initiative “Let's Get Certified,” currently in its third year of implementation with Phase III of the campaign, has raised the awareness of the benefits of specialty certification among the VA nursing staff. This movement has yielded a more highly educated and competent workforce, improved nurse satisfaction, and promoted quality healthcare to veterans. In early 2008 the idea for the campaign was presented to the ONS Director of Workforce Development and resulted in a nursing work group representing the 45,000 VA nurses throughout the count... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222299 Mon, 01 Nov 2010 00:00:00 +0100 4222299 http://www.medworm.com/index.php?rid=4222298&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002417%2Fabstract%3Frss%3Dyes To adequately describe the role of a nurse leader in developing staff and the unique Tampa VA Polytrauma Transitional Rehabilitation Program, a description of the Polytrauma System of Care (PSC) is warranted. This description will subsequently support the development of the unique and distinct role of the transitional nurse champion. The intimate level of involvement of a nurse leader from the inception of this program and an understanding of the exclusive needs of this patient population were imperative to program development and success. The following is a brief description of this process. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222298 Mon, 01 Nov 2010 00:00:00 +0100 4222298 http://www.medworm.com/index.php?rid=4222297&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002776%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222297 Mon, 01 Nov 2010 00:00:00 +0100 4222297 http://www.medworm.com/index.php?rid=4222296&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002934%2Fabstract%3Frss%3Dyes Hometown (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222296 Mon, 01 Nov 2010 00:00:00 +0100 4222296 http://www.medworm.com/index.php?rid=4222294&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002442%2Fabstract%3Frss%3Dyes Not long ago, I was invited to work with a group of distinguished nurse leaders from around the country. We were starting a year-long process that included individual executive coaching for each leader. As we discussed our coming work together, it became clear that many of these leaders had concerns about time. Some of them literally said, “I don't have time” for executive coaching or reflecting on their leadership. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222294 Mon, 01 Nov 2010 00:00:00 +0100 4222294 http://www.medworm.com/index.php?rid=4222293&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002430%2Fabstract%3Frss%3Dyes Almost all healthcare organizations report management fatigue as a serious challenge in leadership. Regardless of a manager's tenure in the role, it appears that the pressures of the job are related to a number of factors, including the sheer volume of work related to span of control, the constant pressures of managing change, the increasing complexity of the changes needed, and relentless pressure to speed up results. With these factors overlaid on the requirements to deliver error-free patient care, it is no wonder that, over time, leaders can feel they are drained of energy and find they are in a slump with no clear path to climb out. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222293 Mon, 01 Nov 2010 00:00:00 +0100 4222293 http://www.medworm.com/index.php?rid=4222292&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002752%2Fabstract%3Frss%3Dyes Dear Editor, I am a graduate nursing student. My career path is nursing administration and leadership, which I am passionate about. As I plan for my future as a nurse leader, I look for, listen to, and learn from sources that will prepare me to lead. After reading the article “Managing Your Talent Forward” (August 2010), I found the recommendations to “move your talent forward” wise and practical. Although the article is geared toward nurses currently in managerial positions, as a graduate student and future nurse leader, I consider it inspirational. It serves as guidance on how to “move our talent forward” while still in school and take advantage of every opportunity to come. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222292 Mon, 01 Nov 2010 00:00:00 +0100 4222292 http://www.medworm.com/index.php?rid=4222290&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002739%2Fabstract%3Frss%3Dyes “My life is my message.” Mahatma Gandhi (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222290 Mon, 01 Nov 2010 00:00:00 +0100 4222290 http://www.medworm.com/index.php?rid=4222289&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002818%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4222289 Mon, 01 Nov 2010 00:00:00 +0100 4222289 http://www.medworm.com/index.php?rid=4033803&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000340%2Fabstract%3Frss%3Dyes Nursing leaders struggle to ensure that their nurses look professional. First, the nursing leader must define what constitutes a professional look and then assess other variables. If a change is needed, the nursing leader may face issues gaining consensus from the nurses. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033803 Thu, 30 Sep 2010 23:00:00 +0100 4033803 http://www.medworm.com/index.php?rid=4033802&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000339%2Fabstract%3Frss%3Dyes Jessica, a new graduate nurse, has just begun her first job after graduation from an accelerated nursing program. She has a degree in biology and chose nursing as a second degree to be more directly involved in helping people. Her educational path was a generic master's degree in nursing, and she is now hired on a med/surg unit. Though she graduated at the top of her class and passed her licensing exam on the first attempt, Jessica is struggling with time management and is unfamiliar with some clinical skills. She feels uncertain and nervous compared to traditional associate-degree nurses (ADN), who seem to be more comfortable in the nurse role. As a nurse leader, you need to orient, coach, and develop this new nurse to your unit. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033802 Thu, 30 Sep 2010 23:00:00 +0100 4033802 http://www.medworm.com/index.php?rid=4033801&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000133%2Fabstract%3Frss%3Dyes Teamwork is used to help accomplish change and achieve goals. There are many different aspects of teamwork: tasks and achievements, devotion to work and responsibility, communication within the teams, team management (leadership), team organization, and team role and status in the organization. One aspect of teamwork, leadership, is vital to the achievements of the team. John Maxwell wrote, “The key to success in any endeavor is the ability to lead others successfully” (pg. ix). To become an effective leader, an individual must determine a personal leadership style, know the different characteristics and types of leaders, and develop strategies that emphasize the individual's leadership style. Leadership integrates the ability to empower the team, communicate with many different levels... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033801 Thu, 30 Sep 2010 23:00:00 +0100 4033801 http://www.medworm.com/index.php?rid=4033800&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210000315%2Fabstract%3Frss%3Dyes Much has been written about the importance of having physicians on the hospital board. Until recently, however, few articles have appeared in support of similar representation by nurse leaders. Most of what has been written has focused mainly on the contributions nurse leaders can make in the areas of quality of care and patient safety. Although these are valid considerations, they are incomplete. There are a number of other important areas where nurse leaders can add value. The purpose of this article is to provide a broader view of the potential benefits that nursing leadership can bring to the hospital boardroom. Nurse leaders constitute a significant untapped resource that can help fulfill governance responsibilities in the challenging times ahead. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033800 Thu, 30 Sep 2010 23:00:00 +0100 4033800 http://www.medworm.com/index.php?rid=4033799&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461209002146%2Fabstract%3Frss%3Dyes Ten years ago, the phrase “resource management” was often a euphemism in people's minds for “what the insurance companies will and will not pay for.” Since then, the term has been used liberally and in various contexts, occasionally as a synonym for utilization review. Now, given the spotlight on healthcare reform in the United States, resource management is taking on new and more urgent meaning. Increasingly, resource management is viewed as a way for hospitals and other care settings to self-police their use of clinical resources, whether at bedside or system-wide. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033799 Thu, 30 Sep 2010 23:00:00 +0100 4033799 http://www.medworm.com/index.php?rid=4033798&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001898%2Fabstract%3Frss%3Dyes In the current environment of transparency, no-pay events, nurse-sensitive indicators, Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS), healthcare reform, and staffing effectiveness initiatives, accredited hospitals are directing more attention toward examining measures that lie within their span of control to ensure contracted staff meet quality standards equivalent to hospital staff. Hospitals can rest assured of credentialing and competency assessment among contracted healthcare staff retained through healthcare staffing service (HCSS) firms certified by The Joint Commission (TJC). The purpose of this article is to illuminate both the parallel and intersecting nature of the relationship between TJC standards for hospital accreditation and the criteria that must ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033798 Thu, 30 Sep 2010 23:00:00 +0100 4033798 http://www.medworm.com/index.php?rid=4033797&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS154146121000193X%2Fabstract%3Frss%3Dyes The healthcare industry is undergoing major transformations. The national imperative to provide high quality, safe, and cost-effective care is a priority for all caregivers. Nursing leadership and staff are key stakeholders in healthcare reform. An engaged professional nursing workforce is essential to accomplish this work. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033797 Thu, 30 Sep 2010 23:00:00 +0100 4033797 http://www.medworm.com/index.php?rid=4033796&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001904%2Fabstract%3Frss%3Dyes The ultimate objective of any healthcare system ought to be to promote health, whether by treating diseases that arise or by preventing them from occurring in the first place…[but the] more important determinant of health…is an individual's behavior. The share of Americans who are overweight or obese has risen dramatically over the past 3 decades, from about one-half to roughly two-thirds of the population—with the share who are obese accounting for the entire increase. The rise in obesity rates in the United States is related mostly to an increase in caloric intake—and, in particular, an increase in calories from snacks—rather than a decline in caloric expenditures, that is, reduced activity. Obesity is associated with many serious medical conditions, including diabetes, heart d... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033796 Thu, 30 Sep 2010 23:00:00 +0100 4033796 http://www.medworm.com/index.php?rid=4033795&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002168%2Fabstract%3Frss%3Dyes (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033795 Thu, 30 Sep 2010 23:00:00 +0100 4033795 http://www.medworm.com/index.php?rid=4033794&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210002302%2Fabstract%3Frss%3Dyes Hometown (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033794 Thu, 30 Sep 2010 23:00:00 +0100 4033794 http://www.medworm.com/index.php?rid=4033793&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001886%2Fabstract%3Frss%3Dyes Jim Cato is vice president and chief nursing officer (CNO) of the Eclipsys Corporation. With more than 30 years in clinical practice, nursing administration, and academia, he is among the most-respected nursing executives in the nation. Cato has a doctoral degree in organizational leadership and is an adjunct faculty member at Johns Hopkins University School of Nursing and University of Pennsylvania School of Nursing. A Robert Wood Johnson Executive Nurse Fellow, he is also a J&J/Wharton Fellow in Executive Nurse Management. He has published many articles and spoken on a variety of informatics and nurse leadership topics throughout the United States and overseas. In addition to being an executive in a health information technology (HIT) firm, Cato is a certified registered nurse anesthetis... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033793 Thu, 30 Sep 2010 23:00:00 +0100 4033793 http://www.medworm.com/index.php?rid=4033792&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001941%2Fabstract%3Frss%3Dyes Each year, Elsevier, the publisher of Nurse Leader, invites the attendees of the American Organization of Nurse Executives (AONE) Annual Meeting to submit questions for “The Coaching Forum.” As I reviewed the April 2010 entries, I was struck by a common theme: how do we know when it's time to move on? (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033792 Thu, 30 Sep 2010 23:00:00 +0100 4033792 http://www.medworm.com/index.php?rid=4033791&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001928%2Fabstract%3Frss%3Dyes There is nothing better than a celebration! Each day, healthcare organizations celebrate good things that are happening in their facility. These things range from a good patient experience to state and national awards of recognition for outstanding quality or financial results. It is interesting to see that the pursuit of awards is now a way to distinguish an organization in the marketplace and to highlight achievements. Often, staff view these awards with a degree of cynicism since their daily challenges of staffing, equipment availability, and supply stock seem more important to be resolved than getting an award. (Source: Nurse Leader) Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033791 Thu, 30 Sep 2010 23:00:00 +0100 4033791 http://www.medworm.com/index.php?rid=4033790&cid=s_38697_27_f&fid=38697&url=http%3A%2F%2Fwww.nurseleader.com%2Farticle%2FPIIS1541461210001916%2Fabstract%3Frss%3Dyes It will come as no surprise to nurse leaders and executives that healthcare reform will mandate an integrated approach to the delivery of care. It is about time that the financial and delivery system will be aligned so that providers can work together to ensure the provision of coordinated episodes of care. We in nursing have taught an integrated approach to delivering nursing services in our educational systems and have worked to implement this within hospitals. Facilitating this in hospital environments has been a huge challenge. Medicare payments set the standard for much of the payment system by other payers, as well as the reimbursement we now receive for many of our existing patients. The existing payment methodology has been counterproductive. Currently, Medicare pays physicians to ... Nurse Leader journals http://www.medworm.com/rss/comments.php?id=4033790 Thu, 30 Sep 2010 23:00:00 +0100 4033790