nurse leadership

护士领导
  • DOI:
    文章类型: Journal Article
    护士领导在支持患者及其工作人员的安全方面发挥着至关重要的作用。他们在建立强大的安全文化和参与组织准备调查方面的指导对于消除患者伤害非常重要。确保透析设施和工作人员做好调查准备,促进致力于患者健康和安全的文化。本文介绍了透析设施的调查过程,并提供了调查提示,以指导护士管理人员每天做好调查准备。
    Nurse leaders play a critical part in supporting the safety of patients and their staff. Their guidance in establishing a robust safety culture and engagement in preparing their organizations for the survey is important in eliminating patient harm. Ensuring the dialysis facility and staff are survey-ready promotes a culture dedicated to patient wellbeing and safety. This article describes the survey process in dialysis facilities and provides survey tips to guide nurse managers in being survey-ready every day.
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  • 文章类型: Journal Article
    这项研究旨在开发FAce面对面合作评估量表短期版本(FACES),以创建一个简单的低负担评定量表,以促进健康与长期护理提供者之间的合作。对151名护理提供者进行了调查,从147名护士(30名护士,67名护理经理,和50名护理人员;反应率97.4%)。通过验证性因素分析,我们通过从原始21项版本的7个因素中的每个因素中选择回归系数最高的一个项目,开发了由7个项目组成的短版本量表。通过确认内部一致性验证了可靠性。关于结构效度,拟合优度指数证实了可接受的拟合,原始版本和缩短版本之间的相关性为0.98。使用协作行为评估量表和工作满意度度量发现收敛效度是显着的。FACES被认为是一个有用的量表,可以轻松衡量社区中各种职业之间的合作水平。
    This study aimed to develop the FAce-to-face Cooperation Evaluation scale Short-version (FACES) to create a simple low-burden rating scale for promoting collaboration between health and long-term care providers. A survey was conducted with 151 care providers, obtaining valid responses from 147 (30 nurses, 67 care managers, and 50 care workers; response rate 97.4 %). Through confirmatory factor analysis, we developed a short-version scale consisting of 7 items by selecting one item with the highest regression coefficient from each of the 7 factors in the original 21-item version. The reliability was verified by confirming internal consistency. Regarding construct validity, the goodness-of-fit indices confirmed acceptable fit, and the correlation between the original and the shortened version was 0.98. Convergent validity was found as significant using the collaborative behavior evaluation scale and job satisfaction measure. FACES is considered a useful scale for easily measuring the level of collaboration among various professions in the community.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    背景:需要医疗补助支付改革和交付模式创新,以全面改变美国的医疗保健结构和供应。
    目的:综合护士主导的护理模式及其对改善医疗服务的影响,质量,并降低医疗补助接受者的成本。
    方法:对有关护士主导的模型及其对解决健康的社会决定因素(SDOH)的影响的文献进行严格审查,采用人口健康方法,管理复杂的护理,并将行为和身体保健纳入医疗补助计划。
    结论:出现了三个相互关联的发现(a)投资动态护士主导模式对于减轻SDOH和采用基于价值的护理很重要,(b)防止护士在其培训和执照的最大程度上执业的条例限制了临床影响和价值,(c)定向付款可以为医疗补助管理式护理建立基于价值的期望。
    结论:采用护士主导的护理模式有可能在医疗补助和全国范围内推进减少不平等和促进全民健康的目标。
    BACKGROUND: Medicaid payment reforms and delivery model innovations are needed to fully transform U.S. healthcare structuring and provision.
    OBJECTIVE: To synthesize nurse-led models of care and their implications for improving health care access, quality, and reducing costs for Medicaid recipients.
    METHODS: A critical review of the literature regarding nurse-led models and implications for addressing social determinants of health (SDOH), adopting population health approaches, managing complex care, and integrating behavioral and physical health care within Medicaid.
    CONCLUSIONS: Three interrelated findings emerged (a) investing in dynamic nurse-led models is important for mitigating SDOH and adopting value-based care, (b) regulations preventing nurses from practicing at the fullest extent of their training and licensure limit clinical impact and value, and (c) directed payments can establish value-based expectations for Medicaid managed care.
    CONCLUSIONS: Adoption of a nurse-led model of care has the potential to advance the goals of reducing inequity and promoting whole-person health within Medicaid and nationally.
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  • DOI:
    文章类型: Journal Article
    本文探讨了护理领导在肾脏病护理向基于价值的模式转变中的关键作用,强调跨学科护理团队和人群健康管理策略如何有助于改善患者预后并实现肾脏护理中的健康公平性。通过回顾肾脏病学中基于历史和当前价值的护理模式,本文展示了医疗服务的演变过程,以及医疗实践与基于价值的目标的战略一致性.我们介绍“健康”作为肾脏病护理领导的创新蓝图,在基于价值的模型框架内囊括加强肾脏保健的关键策略。缩写HEALTH代表整体护理整合,公平和量身定制的护理,分析和机器学习,利用联邦计划,培训和教育,和改善的习惯,每个都代表了推进肾脏病护理战略方法的基石。通过这个镜头,我们讨论了护理领导对培养持续改进文化的影响,利用技术进步,并倡导全面和公平的病人护理。本文旨在为肾脏病学护理领导者提供路线图,以应对医疗保健交付的复杂性,确保高质量,符合成本效益的护理,满足不同患者群体的需求。
    This article examines the critical role of nursing leadership in the transition of nephrology care toward value-based models, highlighting how interdisciplinary care teams and population health management strategies are instrumental in improving patient outcomes and achieving health equity in kidney care. By reviewing both historical and present value-based care models in nephrology, this article showcases the evolution of care delivery and the strategic alignment of health care practices with value-based objectives. We introduce \"HEALTH\" as an innovative blueprint for nephrology nursing leadership, encapsulating key strategies to enhance kidney health care within the framework of value-based models. The acronym HEALTH stands for Holistic Care Integration, Equity and Tailored Care, Analytics and Machine Learning, Leverage Federal Programs, Training and Education, and Habit of Improvement, each representing a cornerstone in the strategic approach to advancing nephrology care. Through this lens, we discuss the impact of nursing leadership in fostering a culture of continuous improvement, leveraging technological advancements, and advocating for comprehensive and equitable patient care. This article aims to provide a roadmap for nursing leaders in nephrology to navigate the complexities of health care delivery, ensuring high-quality, cost-effective care that addresses the needs of a diverse patient population.
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  • 文章类型: Journal Article
    背景:预算限制,人员短缺和高工作量给德国医院带来了挑战。Magnet®和Pathway®是实施组织范围变革和重新设计工作环境的概念。对护士领导在美国以外推动实施Magnet®/Pathway®原则的关键要素的研究有限我们探讨了护士领导者通过Magnet®/Pathway®原则在德国医院推动组织范围变革的关键属性。
    方法:使用定性研究设计,半结构化访谈(n=18)与护士领导进行,经理,和临床医生,在五家德国医院中,他们已经开始实施Magnet®或Pathway®原则。访谈被逐字记录和转录。在Atlas中分析数据。ti使用内容分析。为了分析,使用演绎归纳法创建了一个类别系统。
    结果:五个领导属性和11个子属性被确定为主要主题和子主题:具有远见的领导者,他们拥有并传达了强烈的愿景,并作为榜样来激励变革。专注于战略规划和获得最高管理层支持的战略领导者。赋权的支持性领导人,强调员工的积极性,个性化支持,和团队协作。耐力突出勇气,自信,面对挑战时的韧性。最后,敏捷性,解决领导者的存在,可访问性,和快速的反应能力,培养适应性。
    结论:该研究表明,在德国五家医院中,领导属性明确关注通过Magnet®/Pathway®原则来激励和推动整个组织的变革。研究结果表明,需要全面准备和持续发展旨在建立和维持积极的医院工作环境的护士领导者。
    BACKGROUND: Budget constraints, staff shortages and high workloads pose challenges for German hospitals. Magnet® and Pathway® are concepts for implementing organization-wide change and redesigning work environments. There is limited research on the key elements that characterize nurse leaders driving the implementation of Magnet®/Pathway® principles outside the U.S. We explored the key attributes of nurse leaders driving organization-wide change through Magnet®/Pathway® principles in German hospitals.
    METHODS: Using a qualitative study design, semi-structured interviews (n = 18) were conducted with nurse leaders, managers, and clinicians, in five German hospitals known as having started implementing Magnet® or Pathway® principles. The interviews were recorded and transcribed verbatim. Data were analyzed in Atlas.ti using content analysis. For the analysis, a category system was created using a deductive-inductive approach.
    RESULTS: Five leadership attributes and eleven sub-attributes were identified as main themes and sub-themes: Visionary leaders who possess and communicate a strong vision and serve as role models to inspire change. Strategic leaders who focus on strategic planning and securing top management support. Supportive leaders who empower, emphasizing employee motivation, individualized support, and team collaboration. Stamina highlights courage, assertiveness, and resilience in the face of challenges. Finally, agility which addresses a leader\'s presence, accessibility, and rapid responsiveness, fostering adaptability.
    CONCLUSIONS: The study demonstrates leadership attributes explicitly focusing on instigating and driving organization-wide change through Magnet®/Pathway® principles in five German hospitals. The findings suggest a need for comprehensive preparation and ongoing development of nurse leaders aimed at establishing and sustaining a positive hospital work environment.
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  • 文章类型: Journal Article
    背景:慢性疾病在全世界流行。虽然大多数慢性疾病是可以预防的,美国在健康和预防方面的医疗支出很少。护士是领导首席健康官(CWO)所需范式转变的理想职业。
    目的:本文的目的是描述CWO在改善大学和卫生系统中的人口健康和福祉方面的作用。
    方法:提供了一个如何在大型公共土地出让大学中实施CWO角色的示例。采用社会生态模型和生命历程观点作为框架,以基于证据的质量改进策略来指导雄心勃勃的健康战略计划。
    结论:CWO在当今的高等教育机构和卫生系统中起着至关重要的领导作用。
    结论:护士迫切需要加强这些有影响力的CWO职位。
    BACKGROUND: There is an epidemic of chronic conditions throughout the world. Although the majority of chronic disease can be prevented, the U.S. invests so little of its healthcare spending in wellness and prevention. Nurses are an ideal profession to lead a needed paradigm shift as chief wellness officers (CWOs).
    OBJECTIVE: The aim of this paper is to describe the role of the CWO in improving population health and well-being in universities and health systems.
    METHODS: An example of how the CWO role was implemented at a large public land grant university is provided. The socioecological model and life course perspective was adopted as the framework to guide an ambitious wellness strategic plan using an evidence-based quality improvement strategy.
    CONCLUSIONS: The CWO is a vital leadership role in today\'s institutions of higher learning and health systems.
    CONCLUSIONS: There is an urgent need for nurses to step up into these impactful CWO positions.
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  • 文章类型: Journal Article
    目的:探索当地护士领导如何积极影响护士保留的证据。
    背景:护士的离职和保留是一个邪恶的问题,有多个相互关联的因素,没有一个解决方案。当地护士领导有可能直接或通过各种因素积极影响护士的留任意愿。
    方法:现实主义综述。
    方法:设计了一种基于持续计划理论的搜索策略,筛选了三个数据库中的1386次初始点击,并在2010年至2021年之间发表了48篇研究文章。文章的内容是针对支持的发现进行编码的,完善或矛盾的四个上下文机制结果配置。
    结果:发现了足够的证据支持四个指导灯,鼓励当地护士领导者:(1)促进关系联系;(2)实现专业实践自主权;(3)培养健康的工作场所文化;(4)支持专业成长和发展。如果领导者自己要体验幸福和成长,互惠和互惠也是关键。
    结论:以人为本,转型和共鸣的本地护士领导者可以积极影响护士留在工作场所或组织内的意图。
    符合JCN指南\'按文章类型\'在主要内容中涵盖什么内容以进行评论。
    没有患者或公共捐款。
    OBJECTIVE: To explore evidence on how local nurse leaders can positively influence nurse retention.
    BACKGROUND: Nurse turnover and retention is a wicked problem with multiple interrelated factors and no one solution. Local nurse leadership has the potential to positively influence nurse intent to stay directly or via various factors.
    METHODS: A realist review.
    METHODS: Having designed a search strategy based on a tentive programme theory, 1386 initial hits in three databases were screened and reduced to 48 research articles published between 2010-2021. The articles\' content were coded for findings that supported, refined or contradicted four ContextMechanismOutcome configurations.
    RESULTS: Sufficient evidence was found to support four guiding lights encouraging local nurse leaders to: (1) foster relational connectedness; (2) enable professional practice autonomy; (3) cultivate healthful workplace cultures; (4) support professional growth and development. Mutuality and reciprocity is also key if leaders themselves are to experience wellbeing and growth.
    CONCLUSIONS: Person-centred, transformational and resonant local nurse leaders can positively influence nurse intent to stay within the workplace or organisation.
    UNASSIGNED: Conform JCN guideline \'What to cover in the main tekst by article type\' for reviews.
    UNASSIGNED: No Patient or Public Contribution.
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  • 文章类型: Journal Article
    目的:本研究旨在描述护士领导者在医疗保健部门的远程领导经验。
    方法:在2022年1月至3月期间,对护士领导(N=12)进行了半结构化访谈。所有受访者都有远程领导的经验,并在芬兰四个省的医疗保健组织中担任直接(n=5)或中层(n=7)领导人。对收集的数据进行归纳内容分析。
    结果:领导者经历了向远程领导的快速过渡,并强调了与不同利益相关者进行指导和联合讨论的必要性。受访者认为,工作生活在过去两年中发生了变化,远程领导现在将成为医疗保健领导的关键部分。领导者的经历强调了信任在远程领导中的重要性。此外,受访者指出需要面对面接触,并描述了远程领导的其他良好做法。在遥远的背景下,监督与工作有关的福祉也被强调是重要的;然而,受访者表示需要有关员工福祉管理的指示和工具。对远程领导的突然改变不仅被描述为有趣,而且具有挑战性,这影响了领导人与工作相关的福祉。组织和其他员工的支持被发现对医疗保健领导者与工作相关的福祉至关重要。
    结论:当前的研究补充了很少研究的医疗保健部门远程领导的主题。结果提供了可用于发展远程领导和/或指导未来研究的见解。
    This study aimed to describe nurse leaders\' experiences of remote leadership in health care sector.
    Semistructured interviews were conducted among nurse leaders (N = 12) between January and March 2022. All of the interviewees had experiences of remote leadership and worked as immediate - (n = 5) or middle-level (n = 7) leaders in health care organizations across four provinces in Finland. The collected data were analyzed by inductive content analysis.
    The leaders had experienced a rapid transition to remote leadership and highlighted the need for guidelines and joint discussions with different stakeholders. The interviewees felt that working life has changed in the last two years and that remote leadership will now be a key part of leadership in health care. The leaders\' experiences highlighted how important trust is in remote leadership. Furthermore, the interviewees pointed out a need for face-to-face contact and described other good practices for remote leadership. Overseeing work-related well-being was also stressed as important in the remote context; however, the interviewees expressed a need for instructions and tools concerning the management of employee well-being. The sudden change to remote leadership was not only described as interesting but also challenging, which has affected the leaders\' work-related well-being. Support - both from the organization and other employees - was found to be crucial to health care leaders\' work-related well-being.
    The current study complements the little-researched topic of remote leadership in the health care sector. The results provide insights that can be used to develop remote leadership and/or guide future research.
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  • 文章类型: Systematic Review
    背景:护士领导在改善患者质量护理服务方面发挥着重要作用,从而改善患者的临床结果。
    目的:本系统评价研究了迄今为止护理领导在降低患者再入院率方面的知识。
    方法:使用七个电子数据库进行了文献综述:MedlineOvid,PubMed,护理和相关健康累积指数(CINAHL)加,翡翠,PsycINFO,ABI/INFORM集合,和EBSCO,增加了相关论文的参考文献。
    结果:搜索结果共15篇文章。研究结果表明,护士的领导实践对降低患者再入院率具有影响。
    结论:结果表明,需要进一步严格的研究,调查护理领导与患者再入院率的关系机制,以及如何将其转化为跨不同文化的实践。
    BACKGROUND: Nurse leaders play a fundamental role in improving patient quality care delivery, thus improving patient clinical outcomes.
    OBJECTIVE: This systematic review examined the knowledge to date of nursing leadership on reducing patient readmission rates.
    METHODS: A literature review was conducted using seven electronic databases: Medline Ovid, PubMed, Cumulative Index to Nursing and Allied Health (CINAHL) Plus, Emerald, PsycINFO, ABI/INFORM collection, and EBSCO, with the addition of references for relevant papers reviewed.
    RESULTS: The search resulted in a total of 15 articles. Findings revealed that leadership practices of nurses have an impact on reducing patient readmission rates.
    CONCLUSIONS: The results suggest a need for further rigorous studies investigating the mechanism of how nursing leadership relates to patient readmission rates and how to translate this into practice across diverse cultures.
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