Practice/regulation partnerships: The pathway to increased safety in nursing practice, health care systems, and patient care

Nurse Leader ◽  
2007 ◽  
Vol 5 (3) ◽  
pp. 50-54 ◽  
Author(s):  
Mary Beth Thomas ◽  
Debora Simmons ◽  
Krisanne Graves ◽  
Sharon K. Martin
OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.


2019 ◽  
Vol 38 (1) ◽  
pp. 147-155 ◽  
Author(s):  
Dawn M. Hawthorne ◽  
Shirley C. Gordon

Background and Purpose: Spirituality has been identified as the essence of being human and is recognized, by many health care professionals, as a central component in health and healing. Scholars have identified spiritual nursing care as essential to nursing practice and include caring for the human spirit through the development of relationships and interconnectedness between the nurse and the patient. However, despite the recognition of spiritual practices as important to health, little attention has been given to spirituality in nursing practice and education in the literature. The purpose of this article is to explore factors contributing to the invisibility of spiritual nursing care practices (SNCP), recognition and offer strategies to enhance the visibility of SNCP. Two major factors that reduce visibility of SNCP are conceptual confusion differentiating between spirituality and religion and limited education in the area of spirituality including nursing curricula and organizations. Strategies to enhance visibility of SNCP include educational approaches in nursing curricula and health care organizations. to influence nurses’ perceptions about spirituality and creation of a culture of spiritual care. Conclusion: Holistic nursing includes assessing and responding to the spiritual needs of patients. Changes in nursing education and health care systems are needed to increase the visibility of SNCP.


2016 ◽  
Vol 9 (1) ◽  
pp. 152-157 ◽  
Author(s):  
Rosanne Burson ◽  
Katherine J. Moran ◽  
Dianne Conrad

Nursing leaders are essential in promoting the doctor of nursing practice (DNP)-prepared nurse in various innovative roles (Nichols, O’Connor, & Dunn, 2014). However, according to the recently released RAND study,The DNP by 2015: A Study of the Institutional, Political, and Professional Issues That Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program(Auerbach et al., 2014) employers and health care organizations need outreach and data to understand the added competencies and capabilities of DNP-educated nurses. Practicing DNPs are in an excellent position to demonstrate and educate our executive colleagues. The purpose of this article is (a) to foster nursing leadership’s understanding of the uniquely prepared nursing practice doctorate, (b) to illustrate how the DNP-prepared nurse is being integrated/used to their potential within health care systems to maximize clinical and population health outcomes, and (c) to issue a call to action for nursing leadership to engage the DNP-prepared nurse to accomplish organizational goals.


2017 ◽  
Vol 29 (1) ◽  
pp. 6-13
Author(s):  
Evelyn P. Brewer

Introduction: Nursing practice is continuously evolving in response to global health care need, sociopolitical culture, and advancing medical knowledge necessitating ongoing evaluation of professional practice. The purpose of this state of this science paper was to explore current perceptions of nursing and critique the depth of knowledge specific to nursing practice in the Appalachian region. Methodology: A review of the literature in multiple databases was conducted to explore perceptions of nursing in Appalachia. Results: Categories of perception included the following: (a) perceptions of nurses and education leaders that practice in the Appalachian region, (b) perceptions of communities of Appalachia and Appalachian health care systems, and (c) perceptions of patients possessing inherent cultural characteristics of the Appalachian region. Discussion: None of the literature specifically addressed perceptions of nursing. Much of the available literature was over 5 years old. A significant deficiency in understanding perceptions of nursing in Appalachia was identified.


2019 ◽  
Vol 85 (6) ◽  
pp. 638-644 ◽  
Author(s):  
K. Michael Hughes ◽  
Zachary T. Ewart ◽  
Theodore D. Bell ◽  
Stanley J. Kurek ◽  
Krystal K. Swasey

As the roles of trauma/acute care surgeons continue to evolve, it is imperative that health-care systems adapt to meet workforce needs. Tailoring retention strategies that elicit workforce satisfaction ensure continued coverage that is mutually beneficial to surgeons and health-care systems. We sought to elicit factors related to career characteristics and expectations of the trauma/acute care surgery (ACS) workforce to assist with such future progress. In this study, 1552 Eastern Association for the Surgery of Trauma members were anonymously surveyed. Data collected included demographics, career expectations, and motivators of trauma/ACS. Four hundred eight (26%) Eastern Association for the Surgery of Trauma members responded. Respondents were 78 per cent male and had a median age of 47.3 years. Forty-six per cent of surgeons reported earning $351K–$475K and 23 per cent >$475K. At this point in their career, 49 per cent of surgeons felt quality of life was “most important”, followed by 31 per cent career ambitions and 13 per cent salary. Prominent career satisfiers were patient care and teaching. Greatest detractors were burnout, bureaucracy, and work environment. Eighty per cent would change jobs in the final 10 years of practice, 31 per cent because of family/retirement, 29 per cent because of professional growth, 24 per cent because of workload, and 7 per cent because of salary. This study could be used to help develop trauma/ACS workforce strategies. This workforce remains mobile into late career; personal happiness and patient ownership overshadow financial rewards, and most prefer a total and shared patient care model compared with no patient ownership. Burnout, bureaucracy, and work environment are dominant detractors of job satisfaction among surveyed trauma/ACS surgeons.


2019 ◽  
Vol 14 (4) ◽  
pp. 275-282
Author(s):  
Kimberly S. Peer ◽  
Chelsea L. Jacoby

Context The Cuban medical education and health care systems provide powerful lessons to athletic training educators, clinicians, and researchers to guide educational reform initiatives and professional growth. Objective The purpose of this paper is to provide a brief overview of the Cuban medical education system to create parallels for comparison and growth strategies to implement within athletic training in the United States. Background Cubans have experienced tremendous limitations in resources for decades yet have substantive success in medical education and health care programs. As a guiding practice, Cubans focus on whole-patient care and have established far-reaching research networks to help substantiate their work. Synthesis Cuban medical education programs emphasize prevention, whole-patient care, and public health in a unique approach that reflects disablement models recently promoted in athletic training in the United States. Comprehensive access and data collection provide meaningful information for quality improvement of education and health care processes. Active community engagement, education, and interventions are tailored to meet the biopsychosocial needs of individuals and communities. Results Cuban medical education and health care systems provide valuable lessons for athletic training programs to consider in light of current educational reform initiatives. Strong collaborations and rich integration of disablement models in educational programs and clinical practice may provide meaningful outcomes for athletic training programs. Educational reform should be considered an opportunity to expand the athletic training profession by embracing the evolving role of the athletic trainer in the competitive health care arena. Recommendation(s) Through careful consideration of Cuban medical education and health care initiatives, athletic training programs can better meet the contract with society as health care professionals by integrating the Accreditation Council for Graduate Medical Education's core competencies of patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice now promoted in the Commission on Accreditation of Athletic Training Education's 2020 Standards for Accreditation of Professional Athletic Training Programs. Conclusion(s) Educational and health care outcomes drive change. Quality improvement efforts transcend both education and health care. Athletic training can learn valuable lessons from the Cubans about innovation, preventative medicine, patient-centered community outreach, underserved populations, research initiatives, and globalization. Not unlike Cuba, athletic training has a unique opportunity to embrace the challenges associated with change to create a better future for athletic training students and professionals.


2016 ◽  
Vol 64 (3) ◽  
pp. 225-228 ◽  
Author(s):  
Janet K. Williams ◽  
Ann K. Cashion ◽  
Sam Shekar ◽  
Geoffrey S. Ginsburg

Author(s):  
Charles F. Manski

This chapter views patient care from a population health perspective. The argument for treatment variation strengthens when one considers patient care as a population health problem rather than from the perspective of a clinician treating an individual patient. This chapter shows that randomly varying the treatment of patients with the same observed attributes can provide valuable error protection and information under uncertainty. That is, it may be useful to diversify treatment choice. The chapter explains that implementation of adaptive diversification may be possible in centralized health-care systems where there exists a planning entity who chooses treatments for a broad patient population.


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