In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping ...out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. InNursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis.
Gordon examines how health care cost cutting and hospital restructuring undermine the working conditions necessary for quality care. She shows how the historically troubled workplace relationships between RNs and physicians become even more dysfunctional in modern hospitals. In Gordon's view, the public image of nurses continues to suffer from negative media stereotyping in medical shows on television and from shoddy press coverage of the important role RNs play in the delivery of health care.
Gordon also identifies the class and status divisions within the profession that hinder a much-needed defense of bedside nursing. She explains why some policy panaceas-hiring more temporary workers, importing RNs from less-developed countries-fail to address the forces that drive nurses out of their workplaces. To promote better care, Gordon calls for a broad agenda that includes safer staffing, improved scheduling, and other policy changes that would give nurses a greater voice at work. She explores how doctors and nurses can collaborate more effectively and what medical and nursing education must do to foster such cooperation. Finally, Gordon outlines ways in which RNs can successfully take their case to the public while campaigning for health care system reform that actually funds necessary nursing care.
This accessible textbook provides a comprehensive resource for healthcare students and professional students studying non-medical prescribing, taking into account the Royal Pharmaceutical Society ...(RPS) competency framework for non-medical prescribing.
Non-Medical Prescribing: A Course Companion includes chapters on the context of non-medical prescribing; pharmacology; professional, legal and ethical issues; psychological influences; working in multidisciplinary teams; working with patients with complex conditions and co-morbidities; understanding antibiotics and resistances; prescription writing; and the role of non-medical prescribing leads. Each chapter acts as a self-contained study module, with key facts and areas highlighted, illustrative clinical cases to link learning to practice, and a self-test quiz.
Designed for professionals from a range of non-medical disciplines including nursing, midwifery, pharmacy, physiotherapy and occupational therapy, this book can be used at both pre- and post-registration level.
Advanced practice nursing Jansen, Michalene; Zwygart-Stauffacher, Mary
2010., 2009, 2009-10-26
eBook
Now in its fourth edition, this highly acclaimed book remains the key title serving graduate-level advanced practice nurses (APNs) and recent graduates about to launch their careers. The book ...outlines what is required of the APN, with guidelines for professional practice for each of the four APN roles: the nurse practitioner, clinical nurse specialist, certified nurse midwife, and certified registered nurse anesthetist. Advanced Practice Nursing focuses not only on the care and management of patients, but also on how to meet the many challenges of the rapidly changing health care arena. Obtaining certification, navigating reimbursement, and translating research into practice are just a few of the challenges discussed.
Advanced Practice Nursing Jansen, Michaelene P; Zwygart-Stauffacher, Mary; Jansen, Michaelene P. Mirr
2006
eBook
This thoroughly updated edition provides essential information on the multifaceted role of the advanced practice nurse in a concise format. The text has been designed to reflect the competencies ...identified by key organizations, including the National Organization of Nurse Practitioner Faculties, National Association of Clinical Nurse Specialists, American Association of Nurse Anesthetists, American College of Nurse Midwives, and American Association of Colleges of Nursing. New to this edition are chapters on leadership skills, reimbursement, and marketing of Advanced Practice Nursing services.
The organizational environment can foster or impede full deployment of advance practice registered nurses (APRNs), affecting the quality of care and patient outcomes. Given the critical role APRNs ...play in health care, it is important to understand organizational factors that promote or hinder APRN practice to maximize the potential of this workforce in health care systems.
The aim of this study was to synthesize evidence about APRN practice environments, identify organizational facilitators and barriers, and make recommendations for better APRN utilization.
A literature search was conducted in CINAHL, PubMed, and PsychInfo, yielding 366 studies. No time or geographic limitations were applied. Study quality was appraised using the National Institutes of Health National Heart, Lung, and Blood Institute Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Studies.
Thirty studies conducted in the United States, Canada, and the Netherlands met inclusion criteria. The majority of the studies involved nurse practitioners. Facilitators to optimal practice environment were autonomy/independent practice and positive physician/APRN relations. Barriers included policy restrictions on practice, poor physician relations, poor administrator relations, and others' lack of understanding of the APRN role. Barriers correlate with job dissatisfaction and increased intent to leave job.
The review highlights the importance of physician and administration relations, organizational-level policies, and colleagues' understanding of the APRN role in promoting effective practice environments. Organizations should align policy reform efforts with factors that foster positive APRN practice environments to efficiently and effectively utilize this increasingly vital workforce. Future research is warranted.
To identify newly qualified nurses’ experiences during transition to professional practice, and explore their and other key stakeholders’ perceptions of nursing transition programmes.
Scoping review ...using the Arksey and O'Malley framework.
Several electronic databases were searched for relevant articles, which were supplemented by hand-searching and internet searches for grey literature. 1823 potentially relevant articles published between 1974 and 2019 were retrieved from the initial search, and an additional ten articles were obtained from the supplemental search. Each article was independently reviewed, leaving 60 articles eligible for inclusion in the review.
Two overarching themes emerged: 1) the transition experience; 2) the perceived benefits of nursing transition programmes. Evidence that nursing transition programmes positively impact the transition experience is inconclusive. Some studies suggest a positive impact on newly qualified nurses’ competency, level of confidence and attrition rates; others reported no impact. There was a general consensus that newly qualified nurses still encounter difficulties when transitioning into professional practice. Most articles found were quantitative in nature, focusing on measurable outcomes of nursing transition programmes. Few investigated the experiences and perceptions of newly qualified nurses, preceptors, and managers regarding the transition to professional practice.
Literature mapping suggests that newly qualified nurses frequently struggle to successfully complete the transition into professional practice, and that this transition is complex and multifaceted. There is limited evidence to justify the widespread implementation of nursing transition programmes. Additional research focusing on experiences and perceptions of newly qualified nurses and their transitory process is warranted.
Tweetable abstract: Are newly qualified nurses receiving sufficient transition support (e.g. #nursing residency programs or #preceptorship)? #Nurse #Nurses #nursing_intern
Aim
This study examined the influence of toxic and transformational leadership practices on nurses' job satisfaction, psychological distress, absenteeism and intent to leave the organisation or the ...nursing profession.
Background
Transformational leadership is attributed to favourable nurse consequences; however, the nursing literature is silent regarding the causal association between toxic leadership and nurses' job outcomes.
Methods
This is a cross‐sectional study involving 770 registered nurses from 15 hospitals in Central Philippines. Data were collected using seven self‐report scales during the months of December 2019 to February 2020.
Results
The composite scores for the transformational leadership scale and toxic leadership scale were 4.22 and 1.59, respectively. Toxic leadership predicted job satisfaction, absenteeism, psychological distress and intention to leave the profession. Transformational leadership predicted job satisfaction and intent to leave the profession.
Conclusion
Results suggest that nurses working with a transformational leader report higher job contentment and lower intent to leave the nursing profession. Nurses who work for a manager exhibiting toxic leadership behaviours demonstrated lower job contentment, higher stress levels, frequent absenteeism and higher intent to leave the nursing profession.
Implication for Nursing Management
Nurse retention strategies should include measures to foster transformational leadership and derail toxic leadership practices in nurse managers through evidence‐based education, training and professional development.
Aims
The aim of this study was to describe the nurse–patient relationships and to study how caring behaviours were described. The review question was: What factors influence the caring relationship ...between a nurse and patient?
Background
There is a growing perception that nurses fail to provide compassionate and competent care. Policy documents prescribe compassion as an essential aspect of care; however, the evidence drawn on remains unclear and without clear applications to practice.
Design
Umbrella review methodology, informed by the Joanna Briggs Institute guidelines, was employed and adapted to enable the inclusion of systematic reviews that were of sufficient methodological quality.
Data sources
An extensive PsychInfo, Pubmed, CINAHL, Scopus, WoS and Embase search was conducted for literature published from January 2000 ‐ March 2014. Key words included ‘nurse’, ‘patient’ and ‘relationship’ in combination with index terms to find literature published from 2000 onward.
Review methods
Critical appraisal, data extraction and synthesis were carried out according to existing guidelines for undertaking umbrella reviews.
Results
Twelve reviews (representing over 290 studies) were included following critical appraisal. Forty‐seven findings were extracted, resulting in 14 categories and six synthesized findings; ‘Expectations of the relationships’ ‘Values’, ‘Knowledge and skills’, ‘Communication’, ‘Context and environment’ and ‘The impact of the relationship’.
Conclusions
A substantial body of evidence demonstrates that both patients and nurses have expectations about the nature and importance of the caring relationship. Nurses should be mindful that their behaviours and attitudes need to align with what patients value about the relationship. Context shapes the relationship in positive and negative ways.
A single comprehensive reference for nursing leaders, leadership organizations, nursing clinicians, and educators, Nursing Leadership is the only compendium of nursing terminology in existence. ...Written by eminent nursing professionals, it provides descriptions of prominent individuals in nursing, information regarding nine leadership-related topics, and current trends in nurse leadership. This second edition has been expanded to encompass 80 new entries and revisions or updates to all original entries. It provides an extensive overview of current leadership issues including theories, characteristics, and skills required of nurse leaders in today's complex health care system. Highly respected contributors include Claire Fagan, Beverly Malone (NLN CEO), Polly Bednash (AACN CEO), Patricia Benner, and many others. For ease of use this new edition contains both alphabetic and thematic indexes, extensive cross-referencing, and print and web references for each entry.
PDF
