Nurse Administrators Research Articles

Nursing Perspectives on the Impacts of COVID-19

Nursing Perspectives on the Impacts of COVID-19

Is Legal Really Legal?: The Evolving World of Cannabis.

Lynn S. Muller, JD, BA-HCM, RN, CCM, is a nurse attorney and managing partner of Muller & Muller with a Bachelor of Arts degree in Health Care Management from St. Peter's University of New Jersey. She earned her Juris Doctor from Quinnipiac University School of Law in Connecticut. Her practice includes defense of health care professionals before the state licensing boards, case management litigation, family law, wills, trusts, and estates, as well as consulting representation of medical practitioners, facilities, and health service corporations on such issues as regulatory compliance and day-to-day operations. Dr. Muller is a popular and sought-after keynote and session speaker at national and regional conferences. She is the Contributing Editor of the journal Professional Case Management. She is an adjunct professor at St. Peter's University School of Nursing in the MSN and DNP programs. Dr. Muller is the author of more than 50 articles in nursing and case management journals and was featured in the Journal of Nurse Administrators. She is a contributor to the 2016 CMSA Standards of Practice and CMSA Career & Knowledge Pathways, the author of the Legal & Ethical Chapter of the sixth edition of the Case and Population Health Chapter for Leadership and Nursing Case Management by Diane L. Huber, published by Elsevier. Dr. Muller is the author of both legal chapters of the third edition of Case Management: A Practical Guide for Education and Practice and third edition of the CMSA Core Curriculum for Case Management. She is a former Commissioner for the Commission for Case Manager Certification (CCMC), where she now serves on the Professional Development and Education Subcommittee, is a facilitator for the CMCC360 2-Day Immersion Program, and is a contributor to the CCMC Case Management Body of Knowledge (CMBOK). She is a past President of the New Jersey Chapter of CMSA and the former Director of Social Services for the Borough of Bergenfield, NJ, a community-based case management program she developed and initiated. Dr. Muller has also served her community as a public defender, a municipal court judge, a councilwoman, and chaired the Borough's Barrier Free Committee. Address correspondence to Lynn S. Muller, JD, BA-HCM, RN, CCM, Muller & Muller, P.O. Box 164, Bergenfield, NJ 07621 ([email protected]). Disclaimer: The information contained in this department is for educational purposes only. It is not legal advice, which can only be given by an attorney admitted to practice in the jurisdiction/state(s) in which you practice. Do you have a question or issue you would like addressed here? Questions are always welcome. We encourage ALL readers to submit questions and/or manuscripts, as well as topics you would like to see addressed in this department. Questions and other inquiries are accepted by e-mail at: [email protected]. If you have an idea you would like to discuss, send your contact information by e-mail and you will be contacted via your preferred method. The author reports no conflicts of interest.

Factors associated with workplace fatigue among midwives in southern China: A multi-centre cross-sectional study.

To identify the level of workplace fatigue among midwives and factors influencing their fatigue. Midwives who play an important role in medical care are prone to experience workplace fatigue, which negatively affects their well-being and work quality. A multi-centre cross-sectional study was conducted among 666 Chinese midwives from 38 hospitals in March 2019. Data were collected by four questionnaires of self-designed demographic questions, the Pittsburgh Sleep Quality Index, the Social Support Self-Rating Scale and the 14-item Fatigue Scale. Descriptive statistics, univariate analysis and multiple linear regression were used to analyse the data. Midwives had moderate levels of fatigue with the mean scores of physical fatigue, mental fatigue and total fatigue being 9.53, 6.25 and 15.79, respectively. Multiple linear regression results showed that sleep quality, social support, job satisfaction, occupational injuries, adverse life events, frequency of irregular meals and employment type were statistically significant factors influencing fatigue among the participants. Physical and mental fatigue were generally common among midwives and were affected by personal-related and work-related factors, sleep quality and social support. Nurse administrators have the opportunity to advocate for improved health policy under the two children rule to prevent workplace fatigue amongst midwives.

Optimizing the student learning environment: A framework to select faculty for teaching courses.

Nurse educators must provide high quality student education and demonstrate foundational competencies to fulfill the academic role. Reports on nursing and health care underscore the importance of nurse educators' clinical expertise and educational preparation in teaching; yet, a framework to framework faculty selection and preparation to teach courses does not exist. The purpose of this article is to describe an innovative Faculty-Course Selection Framework (FCSF) for nursing education and discuss two practical examples of application in one school of nursing. The FCSF describes student, organizational, and faculty elements for consideration in determining faculty-course assignment. The fundamental units of the framework include workload needs, credentials, skills, content interest, individual attributes, and commitment. The FCSF equips nursing program administrators and directors to cultivate a highly functioning faculty team that can achieve pedagogical, subject, social, and organizational competence to practice the nurse educator role skillfully and artistically and optimize the student learning environment.

The relationship between optimism and job satisfaction for Chinese specialist nurses: A serial-multiple mediation model.

This study aimed to examine the relationship between optimism, core self-evaluations, positive coping strategies, and job satisfaction for Chinese specialist nurses. A cross-sectional design was used. Two hundred and seventy-eight Chinese specialist nurses answered the Chinese Minnesota Satisfaction Questionnaire, the Chinese Revised Life Orientation Test, the Chinese Core Self-Evaluations Scale, and the Chinese Simplified Coping Style Scale. Descriptive analysis, independent-sample T-tests, one-way analysis of variance, Pearson correlation analyses, and bootstrap method were conducted to analyze data. Total effect (c = 0.860, SE = 0.143, 95% CI 0.579-1.142) of optimism on job satisfaction was significant. The path through single mediation of core self-evaluations (point estimate = 0.165; 95% CI 0.041-0.318), the path through the single mediation of positive coping (point estimate = 0.124; 95% CI 0.042-0.254), and the path through both mediators (point estimate = 0.033; 95% CI 0.005-0.085) were all statistically significant. The total indirect effect was also statistically significant (point estimate = 0.322; 95% CI 0.151-0.535). This study concluded that optimism was first sequentially associated with core self-evaluations and then associated with positive coping strategies, which was in turn related to job satisfaction of Chinese specialist nurses. Clinical nursing administrators should take measures that focus on improving specialist nurse job satisfaction to further improve their retention rates.

Involvement in health policy and political efficacy among hospital nurses in Jordan: A descriptive survey.

The aims of this study were to (a) examine the levels of nurses' political efficacy and involvement in health policy; and (b) explore the relationships between political efficacy, involvement in health policy and participants' background variables. Nurses as citizens and health care providers have the right to express their opinions and beliefs in regard to issues that are concerned with the health care system or the public health domain. A descriptive, cross-sectional design using was utilized. A self-administered questionnaire (Political Efficacy Scale & Involvement in Health Policy Scale) was completed by a convenience sample of 302 nurses. The results of this study showed low levels of involvement in health policy and political efficacy, and a positive weak correlation between political efficacy and involvement in health policy. The perceived level of political efficacy was associated positively with nurses' age and experience. Nurse administrators and managers may empower, support and encourage nurses to enhance their involvement in health policy. The findings have implications for nursing leaders and administrators to design appropriate strategies to enhance nurses' involvement in health policy development.

Influence of Organizational Issues on Nurse Administrators' Support to Staff Nurses' Use of Smartphones for Work Purposes in the Philippines: Focus Group Study.

BackgroundStudies show that nurses use their own smartphones for work purposes, and there are several organizational issues related to this. However, it is unclear what these organizational issues are in the Philippines and the influence they have on nurse administrators’ (ie, superiors) support to staff nurses’ (ie, subordinates) use of smartphones for work purposes.ObjectiveDrawing from the Organizational Support Theory (OST), this study aimed to identify organizational issues that influence nurse administrators’ support to staff nurses’ use of smartphones for work purposes.MethodsBetween June and July 2017, 9 focus groups with 43 nurse administrators (ie, head nurses, nurse supervisors, and nurse managers) were conducted in 9 tertiary-level general hospitals in Metro Manila, the Philippines. Drawing from OST, issues were classified as those that encouraged or inhibited nurse administrators to support nurses’ use of smartphones for work purposes.ResultsNurse administrators were encouraged to support nurses’ use of smartphones for work purposes when (1) personal smartphones are superior to workplace technologies, (2) personal smartphones resolve unit phone problems, and (3) policy is unrealistic to implement. Conversely, issues that inhibited nurse administrators to support nurses’ use of smartphones for work purposes include (1) smartphone use for nonwork purposes and (2) misinterpretation by patients.ConclusionsNurse administrators in the Philippines faced several organizational issues that encouraged or inhibited support to staff nurses’ use of smartphones for work purposes. Following OST, the extent of their support can influence staff nurses’ perceived organizational support on the use of smartphones for work purposes, Overall, the findings highlight the role and implication of organizational support in the context of smartphone consumerization in hospital settings, especially in developing countries.

Recognition and Participation Behaviors of Nurse Managers in Nurse Administrators Meetings

Recognition and Participation Behaviors of Nurse Managers in Nurse Administrators Meetings

The Effects of Job Demand and Job Resources on Burnout and Work Engagement of Hospital Nurse Administrators

The Effects of Job Demand and Job Resources on Burnout and Work Engagement of Hospital Nurse Administrators

NURSING CORE CURRICULUM REVISION IN ISRAEL: HISTORICAL REVIEW

The Nursing Core Curriculum has been continually developed and revised in many countries over recent decades. These revisions are shaped mainly by social changes and challenges: for example, the forecast that the elderly will become a significant percentage of populations in developed countries, global migration processes, computerization of medical services, and new complex medical devices have all necessitated changes in the education of 21st century nurses. In Israel, nursing education has developed simultaneously under the influences of both the British versus the American core curricula through the last century. The latest Core Curriculum was published in 2012, and for the last three years, the Ministry of Health Nursing Administration have been working on the development of a new core. Meanwhile, all nursing education institutions are expected to implement de-facto changes which are supervised by the Ministry of Health’s audit tool development and inspection process.

Ensuring Workplace Safety: Evidence Supporting Interventions for Nurse Administrators.

Healthcare workplace violence is a growing concern among nurses; however, nurse administrators and managers may not be fully aware of the level, frequency, or extent of the trauma that staff nurses experience. This information gap is influenced by nurses' failure to report violent incidents, their belief that they are expected to care for violent/assaultive patients, time required for extensive documentation about these incidents, and perceptions that minimal follow-up to mitigate future episodes will occur. This article describes the evidence-based structures, processes, and practices supported to minimize organizational risk and protect nurses and other staff from being physically or emotionally injured and/or traumatized in the workplace.

Self-Efficacy and Research Capacity of Clinical Nurses in China.

Research capacity is essential to nursing profession development. Literature about the research capacity of Chinese nurses is scarce, especially regarding self-efficacy. A cross-sectional design with a cluster random sample of 780 clinical nurses was recruited from five tertiary hospitals in China. Self-reported data were collected with a Demographic Data Form, General Self-Efficacy Scale, and Self-Rating Scale of Nurses' Research Capacity. The majority (60.9%) of the nurses' research capacity was at a low level. A positive correlation was found between self-efficacy and research capacity among clinical nurses (r = .287, p < .01). Multiple linear regression analyses indicated that educational level, self-efficacy, support level, and position were predictors that explained 31.9% of the variance of research capacity. Chinese nurses' research capacity is insufficient. Educational level, self-efficacy, support level, and position contributed to nurses' research capacity. Nurse administrators should engage in improving Chinese nurses' self-efficacy to facilitate research capacity. It is necessary to develop continuing education to enhance Chinese nurses' research capacity. [J Contin Educ Nurs. 2019;50(11):509-516.].

Research progress on the core competence of head nurses

With the rapid development of economy and society and the progress of health care, the requirements of the head nurses' core competence are also changing.The head nurse, as the manager of nursing work, has gradually raised the requirements on the head nurse in the new era.The development of core competence is the basic requirement of the head nurse, which is of vital importance to the development of the head nurse.This paper introduces the requirements of head nurse, the role of head nurse, the core competence of head nurse and the methods to cultivate the core competence of head nurse in the new era. Key words: Aptitude; Nurse administrators; Core competence; Leadership style; Nursing management; Interpersonal communication; Nursing research

Gregory A. Adams, MHA

Gregory A. Adams is executive vice president and group president for Kaiser Permanente, reporting to the chairman and CEO. He has direct responsibility for all 8 Kaiser Permanente Regions, serving more than 12.3 million members and operating 39 hospitals and 701 medical office facilities. In addition to his group president responsibilities, he serves on the organization's national executive team and executive committee. Adams started his career with Kaiser Permanente in 1999 and has held a number of executive leadership positions within the organization, including president of the Northern California Region. Prior to joining Kaiser Permanente, Adams held several executive roles in the health care industry, providing strategic and operational leadership for hospitals, health systems, and medical groups throughout the country.

Magnet® Hospital Recognition Linked to Lower Central Line-Associated Bloodstream Infection Rates.

JONA: The Journal of Nursing Administration: October 2019 - Volume 49 - Issue 10S - p S56-S64 doi: 10.1097/NNA.0000000000000803

Leadership Practices and Patient Outcomes in Magnet® vs. Non-Magnet Hospitals.

JONA: The Journal of Nursing Administration: October 2019 - Volume 49 - Issue 10S - p S50-S55 doi: 10.1097/NNA.0000000000000798

Hospitals Known for Nursing Excellence Associated with Better Hospital Experience for Patients.

JONA: The Journal of Nursing Administration: October 2019 - Volume 49 - Issue 10S - p S25-S39 doi: 10.1097/NNA.0000000000000800

Influence of workplace incivility on the quality of nursing care.

To examine the influence of workplace incivility on the quality of nursing care. Recent evidence describes workplace incivility as a serious concern in the healthcare setting worldwide. Exposure to workplace incivility can alter a nurse's behaviour, thought process and perspective towards the nursing profession. However, there is insufficient evidence to determine whether workplace incivility might be associated with the quality of nursing care in Saudi Arabia. A quantitative and cross-sectional study. A survey was carried out amongst 378 nurses in two government hospitals in Saudi Arabia from February 2018-May 2018 using the Nurse Incivility and quality of nursing care scales. Multivariate multiple regression was performed to investigate the influence of the uncivil experiences of nurses from different sources on the different aspects of quality of nursing care. The study adhered to STROBE guideline (see Appendix S1). The overall mean of the quality of nursing care scale was 3.14 (SD=0.66) from a scale of 1-5, with patient satisfaction receiving the highest mean dimension (mean=3.27, SD=0.72) and health promotion the lowest mean dimension (mean=3.08, SD=0.74). Experience in the present hospital and the hospital were associated with the overall quality of nursing care. General and nurse incivility exerted a multivariate effect on overall quality of nursing care and its different dimensions. General incivility and nurse incivility were found to negatively impact quality of nursing care and its different dimensions. Stronger policies geared towards eliminating workplace incivility should be implemented as uncivil acts can lead to poor quality of nursing care. Nurse administrators and nurses should be pro-active in recognising, preventing, approaching, reporting and intervening with uncivil acts in the hospital to protect these workers from these types of behaviours and avoid their negative impacts on patient care.

Upper Gastrointestinal Bleeding in a Male Patient Taking Megestrol Acetate and Rivaroxaban: A Case Report

OBJECTIVE: This report describes the case of a 76-year-old male who developed an upper gastrointestinal bleed shortly after beginning megestrol acetate (MGA) to treat geriatric failure to thrive (GFTT). He was also taking rivaroxaban for stroke prevention because of atrial fibrillation but had a low risk of bleeding. This article aims to provide the reader with an overview of MGA's impact on hemostasis, as well as a review of therapeutics on appetite stimulants and important transitions of care considerations for GFTT.<br/> SETTING: The primary setting was a community teaching hospital in Florida. The patient had many transitions of care, including hospital-to-skilled nursing facility and then a hospital readmission for the primary problem reported here. A skilled nursing facility medication administration record and outpatient community pharmacy were the primary sources of the patient's admission and discharge medication histories.<br/> PRACTICE CONSIDERATIONS: MGA's published labeling supports a prothrombotic mechanism; however, its pharmacology may also confer anticoagulant properties. This may lead to potential drug-drug interactions in patients on concomitant anticoagulant therapy. There is weak evidence supporting appetite stimulants in GFTT, and transitions of care in this population is especially important because of these patients' frequent care continuum contact.<br/> CONCLUSIONS: MGA, a synthetic derivative of endogenous progesterone used to treat GFTT, may exert either prothrombotic or anticoagulant effects, and as such potential for drug interactions with anticoagulants must be considered. Patients taking MGA should be closely monitored for coagulation changes throughout transitions of care.

Elizabeth Madigan, PhD, RN, FAAN

Elizabeth Madigan began her nursing career with her bachelor of science in nursing (BSN) from Wright State University and has been on a journey of progressive roles, organizations, and forward-thinking endeavors since that time. She received her MS from The Ohio State University, and began her career in formal leadership positions, including a position as Director of Home Care in Columbus, Ohio, and as assistant chief nursing officer in a hospital at the age of 30.