摘要:

&NA;This department addresses issues related to leadership and collective bargaining. Whether a staff is unionized or not, administrators need to know how to make the organization run smoothly and efficiently. In organizations that are not unionized, nurse leaders should understand the benefits of vulnerability audits, be able to recognize signs of union activity, and know what to expect during an organizing campaign. In unionized organizations, managers need to know their role in contract negotiations, be comfortable with handling grievance, discipline, and arbitration issues, and be ready for what may happen during strikes. Other specific management/labor issues will be addressed as well. The authors welcome questions from readers.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

&NA;“Consider This …”gives you quick access to innovative ideas, research findings, interesting solutions to common problems, and more from a variety of sources. For the busy nurse executive,JONAasks you to “Consider This …”

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

&NA;The demand for knowledgeable and skilled nursing leaders at the first, middle, and executive levels of management in healthcare organizations drove a multi‐phased project about the kinds of nurse managers who will be needed in the future and their educational needs.This first article in a two‐part series describes seasoned nurse leaders' opinions about the educational preparation, experiences, and competencies desired in nurse managers for the year 2020.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

&NA;Key organizations and new legislation are promoting staff nurse involvement in decisions about nursing practice and patient care as a long‐term strategy to improve the culture of the work environment. The authors discuss the Decisional Involvement Scale (DIS), a multipurpose measure that can be used as a diagnostic tool, an organizational development strategy, and an evaluative instrument. In addition, support to substantiate the DIS as a valid and reliable measure is summarized.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Objective:This study examined the variation in role stress and career satisfaction among hospital‐based registered nurses (RNs) by shift length.Summary background data:Many hospitals have reorganized care delivery into 12‐hour work shifts to improve RN recruitment, retention, and cost effectiveness. Yet little is known about the effects of 12‐hour shifts on RN role stress and career satisfaction. As an unprecedented RN shortage approaches, factors that contribute to satisfying and healthy practice environments must be identified.Methods:This study used a descriptive cross‐sectional research design. Five hundred RNs were randomly selected to receive a mailed questionnaire packet.Results:Initial findings indicate RNs working 12‐hour shifts were younger, less experienced, and more stressed than colleagues working 8‐hour shifts. When differences in nursing experience were controlled, similar RN stress levels were found. Although overall career satisfaction was comparable between groups, significant differences were found in the areas of salary and professional status. Pay, autonomy, and professional status were the most important determinants of career satisfaction for all RN participants.Conclusions:These findings suggest that RNs may experience greater professional fulfillment when strategies are implemented that promote autonomous practice environments, provide financial incentives, and recognize professional status. Proactive decision‐making may avert RN disillusionment and avoid other negative consequences that impact quality of care.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

&NA;As important as sound decision‐making is, many executives neglect to utilize any formal decision‐making process. As many executives know, making the wrong decision can be disastrous, if not career ending. In today's high‐pressure, complex, and challenging healthcare environment, it makes sense to follow a tried and true process for making decisions. The author examines the traditional method ofproblem identification, setting objectives, listing alternatives and consequences, and selecting the best solutionin the decision‐making process as well as new research in this field.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

&NA;To help alleviate the nursing shortage, nurses from overseas are being recruited. These nurses must adjust to numerous cultural, social, and organizational experiences. Using Pilette's phases of adjustment and a theoretical framework, the author discusses a Buddy Program that has been instituted in a community hospital to provide support and resources to help international nurses with their earliest phase of acculturation.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID

摘要:

Objective:The primary objective was to review the research regarding advice nursing practice to determine the content areas investigated and the quality of the evidence.Methods:A systematic review of advice nursing research was done in electronic databases, reference lists, and the literature identified by experts (N = 527). After deletion of duplicates and clinical and theoretical articles, full text reviews were done on 62 studies.Results:Eight thematic content areas were identified: delivery and continuity of care to populations, appropriateness of advice given, patient/provider satisfaction, disposition/utilization after calls, reason for calling, cost analysis, process of decision‐making, and documentation. The most frequently investigated subject was delivery/continuity of care (n = 16).Implications:For certain chronic disease populations, interventions using telephone advice for social support, education, and symptom management improve clinical outcomes. Availability and use of protocols and guidelines do not guarantee standardized care or ensure that appropriate advice will be given. Consumer satisfaction with advice nursing is high, and appears to be related to the intervention component of the nursing process. The priority for future research should be given to those studies that describe the character and suitable dose of the nursing intervention that is advice nursing.

ISSN:0002-0443    

出版商:OVID    

年代:2003

数据来源: OVID