Leadership

2018 ◽  
pp. 573-586
Author(s):  
Maria Flynn ◽  
Dave Mercer
Keyword(s):  
Patient Experience ◽  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Leadership Skills ◽  
Nursing Leadership

There is an ongoing professional debate about the nature of effective nursing leadership. It is important that general adult nurses have an understanding of definitions and key principles of leadership, and the leadership skills and attributes which are relevant to nursing care delivery. Exploring these issues will support nurses in reflecting on their role and responsibilities, examining how, as a leader of care, they can enhance nursing practice and improve the patient experience. This chapter considers the broad principles of leadership which are relevant to general adult nurses and their practice.

scholarly journals Cultivating Connection: The Magic of Attuning, Wondering, Following & Holding

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Ann Flanagan Petry
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Nursing Care ◽  
Interpersonal Relations ◽  
Care Delivery ◽  
Employee Attitudes ◽  
Patient Centered ◽  
Caring Relationships ◽  
Award Winning ◽  
And Performance

Remember what drew you to health care? And what makes your work meaningful now? Chances are caring for people is the answer to both questions. In fact, healthcare is provided through relationships. Over a decade ago we developed a care delivery framework described in the award-winning book Relationship-Based Care: A Model for Transforming Practice. We were on the vanguard of a revolution toward more patient-centered caring. Indeed, we have always known the importance of connection to patient experience, employee attitudes, interpersonal relations, teams and performance. For nurses, caring relationships are so essential at work that it is inseparable from the work itself. We believe the best nursing care requires understanding of three key relationships: A. Relationship to one’s self, B. Relationship to co-workers and C. Relationship to patients and families. And, the hallmark of meaningful connection is attunement or tuning-in to others with genuine interest and care.

Concepts and Principles of Integrative Nursing

2018 ◽  
pp. 3-19
Author(s):  
Mary Koithan
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Full Range ◽  
Therapeutic Strategies ◽  
Health And Wellbeing ◽  
Whole Person ◽  
Healing Relationships ◽  
Whole Systems ◽  
The Way

The discipline of nursing has always had a holistic ontology and epistemology that aligns with the unitary paradigm. Yet nursing practice has not always been consistent with these perspectives. This chapter describes concepts and principles of integrative nursing, which offer a way of being-knowing-doing that advances the health and wellbeing of persons, families, and communities through caring/healing relationships in a manner that honors historical roots and transforms nursing care delivery. Six principles provide a framework that can shape the way nurses use evidence to select therapeutic strategies from the full range of possible interventions to support whole person/whole systems healing.

scholarly journals Pengembangan Model Praktek Keperawatan Profesional (PKP) di RSUP – Cipto Mangunkusumo dan Hasil Yang Dicapai

2014 ◽  
Vol 2 (5) ◽  
pp. 157-165
Author(s):  
Ratna S Sudarsono
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Qualitative Evaluation ◽  
System Structure ◽  
Practice Model ◽  
Primary Nursing ◽  
Primary Nurse ◽  
Professional Pride ◽  
Main Components

Model Praktek Keperawatan Profesional (PKP) diartikan sebagai suatu system (struktur, proses dan nilai-nilai professional) yang memungkinkan perawat professional mengatur pemberian asuhan keperawatan termasuk lingkungan yang diperlukan. Melalui pengembangan model ini terdapat otonomi dan akontabilitas perawat, pengembangan professional dan penekanan pada mutu asuhan keperawatan. Berdasarkan hal tersebut pada model PKP yang dikembangkan di RSCM diperlukan penataan 3 (tiga) komponen utama dalam pemberian asuhan keperawatan yaitu ketenagaan; metoda pemberian asuhan dan dokumentasi keperawatan. Pada model ini metoda pemberian asuhan keperawatan yang digunakan adalah tim primer (kombinasi metoda keperawatan primer dan metoda tim). Model ini dikembangkan di ruang rawat penyakit dalam dengan kapasitas 30 tempat tidur. Setelah model dimplementasikan +/- 8 bulan, hasil yang dicapai menunjukkan, secara kualitatif perawat primer merasakan kebanggaan professional, perawat asosiet mengatakan pekerjaan lebih terencana dan dokter menilai, bahwa mereka merasakan kerjasama dengan perawat lebih baik dibandingkan dengan ruang rawat lainnya. AbstractProfessional nursing practice model (PNPM) is a system (structure, process and values) that supports nurse control over the delivery of nursing care and the environment in which care is delivered. This model ensure nurse autonomy, nurse accountability, and professional development. It also emphasizes on high quality of care. In order to develop the model at Cipto mangunkusumo hospital, it is needed to focus on three main components. The components are nursing manpower, method of nursing care delivery and nursing documentation. The method of nursing care delivery used in this model is a primary team which is the combination of primary nursing and team method. The model was developed at medical word with 30 beds. After eight month implementation, a qualitative evaluation showed that primary nurses felt a professional pride, associate nurses stated that tasks are more organized and doctors assured that collaboration with nurses in the model unit is better than in order places.Keywords: Professional nursing practice model, primary team, primary nurse.

Nursing in the New Millenium: Touching Patients' Lives Through Computers

2000 ◽  
Vol 44 (12) ◽  
pp. 2-626-2-629
Author(s):  
Shirley M. Moore ◽  
Constance Visovsky
Keyword(s):  
Work Environment ◽  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Delivery Systems ◽  
Work Systems ◽  
Functional Roles ◽  
Face To Face ◽  
Attitudes Towards Technology ◽  
Potential Impact

Common nursing functions, previously done in face-to-face interactions, are beginning to be done using computer interactions, thus changing the work environment of nurses. This paper reports experiences from a series of projects about the potential impact of electronic care delivery systems on nurses' work systems. Nurses' attitudes towards technology, values central to nursing practice and nursing functional roles are important factors to consider when designing computerized nursing care delivery systems.

scholarly journals Making the mundane remarkable: an ethnography of the ‘dignity encounter’ in community district nursing

2021 ◽  
pp. 1-23
Author(s):  
Emma Stevens ◽  
Elizabeth Price ◽  
Elizabeth Walker
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Interactions ◽  
Older Adult ◽  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Community Nursing ◽  
Community Settings ◽  
Multiple Meanings

Abstract The concept of dignity is core to community district nursing practice, yet it is profoundly complex with multiple meanings and interpretations. Dignity does not exist absolutely, but, rather, becomes socially (de)constructed through and within social interactions between nurses and older adult patients in relational aspects of care. It is a concept, however, which has, to date, received little attention in the context of the community nursing care of older adults. Previous research into dignity in health care has often focused on care within institutional environments, very little, however, explores the variety of ways in which dignity is operationalised in community settings where district nursing care is conducted ‘behind closed doors’, largely free from the external gaze. This means dignity (or the lack of it) may go unobserved in community settings. Drawing on observational and interview data, this paper highlights the significance of dignity for older adults receiving nursing care in their own homes. We will demonstrate, in particular, how dignity manifests within the relational aspects of district nursing care delivery and how tasks involving bodywork can be critical to the ways in which dignity is both promoted and undermined. We will further highlight how micro-articulations in caring relationships fundamentally shape the ‘dignity encounter’ through a consideration of the routine and, arguably, mundane aspects of community district nursing care in the home.

scholarly journals Progran Evaluasi Model Praktek Keperawatan Profesional

2014 ◽  
Vol 2 (5) ◽  
pp. 166-171
Author(s):  
Elly Nurachmah
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Care Delivery ◽  
Practice Model ◽  
Nursing Service ◽  
Evaluation Plan ◽  
Professional Nursing ◽  
Model Unit ◽  
Professional Nursing Practice ◽  
Process And Outcome

Model praktek keperawatan professional merupakan suatu model yang memberikan kesempatan bagi perawat untuk menunjukkan otonomi dan akuntabilitas dalam memberikan asuhan keperawatan kepada klien. Suatu program evaluasi bagi model praktek keperawatan professional diperlukan untuk mengkaji sejauh mana keefektifan model keperawatan ini terhadap peningkatan pelayanan keperawatan di ruang model ini. Evaluasi dapat diarahkan kepada aspek struktur dimana komitmen organisasi pelayanan keperawatan akan dikaji, aspek proses dimana factor pelibatan dan partisipasi dari seluruh komponen yang terlibat dalam pemberian asuhan keperawatan dinilai, serta aspek hasil dimana kepuasaan klien dapat diukur. Program evaluasi ini seyogyanya dapat dilaksanakan minimal dua kali dalam tiga tahun, dimana evaluasi pertama merupakan informasi dasar bagi evaluasi selanjutnya. AbstractA professional nursing practice model is an approach that enables nurses to demonstrate their autonomy and accountability in delivering their care to patients. An evaluation program for a professional nursing practice model is required to assess the effectiveness of this model toward an improvement of nursing service in this model unit. The evaluation plan is involved in three aspects: structure, process, and outcome. The aspect of structure is evaluated to assess a commitment of the nursing service organization. The aspect of process is directed to evaluate an involvement and participation of all components in a nursing care delivery system. And finally, the aspect of outcome is assessed to determine the satisfaction of patients and the staff. A program of evaluation is best to be conducted twice for a period of three years during which the first evaluation is used as a baseline data for an incoming evaluation.Keywords: A professional nursing practice model, a program evaluation, structure, process, outcome.

scholarly journals Evaluation of Patient Experience During Virtual and In-Person Urgent Care Visits: Time and Cost Analysis

2021 ◽  
Vol 8 ◽  
pp. 237437352098148
Author(s):  
Saif Khairat ◽  
Xi Lin ◽  
Songzi Liu ◽  
Zhaohui Man ◽  
Tanzila Zaman ◽  
...  
Keyword(s):  
Patient Experience ◽  
Care Delivery ◽  
Turnaround Time ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Urgent Care ◽  
Cross Sectional ◽  
Significant Difference ◽  
Virtual Visits ◽  
One Year

Urgent care (UC) is one of the fastest growing venues of health care delivery for nonemergent conditions. This study compared the patient experience during virtual and in-person urgent care visits. We conducted a cross-sectional study of patients with the same diagnosis during Virtual Urgent Care (VUC) and in-person UC visits with the same diagnosis with regard to time and cost over a period of one year. We recorded and analyzed 16 685 urgent care visits: In-person UC (n = 14 734), VUC (n = 1262). Significant differences were found in the average total time for a visit in an in-person UC (70.89 minutes), and VUC (9.38 minutes). The average total cost of VUC ($49) and in-person UC ($142.657) differed significantly. Significant difference was found between UC turnaround time and VC turnaround time (Dependent variable (DV): 53.77, P < .01). We found significant differences in cost and time between in favor of virtual visits. Our findings suggest additional policy reform to expand the use of virtual care among target populations to improve access, reduce costs, meet the needs of patients, and reduce emergency department visits.

The patient experience of having a stoma and its relation to nursing practice: implementation of qualitative evidence through clinical pathways

2016 ◽  
Vol 14 (3) ◽  
pp. 39-46 ◽  
Author(s):  
Concepción Capilla-Díaz ◽  
Pat Black ◽  
Candela Bonill-de las Nieves ◽  
Jose Luis Gómez-Urquiza ◽  
Sandra Hernández Zambrano ◽  
...  
Keyword(s):  
Patient Experience ◽  
Nursing Practice ◽  
Clinical Pathways ◽  
Qualitative Evidence ◽  
Practice Implementation

scholarly journals Nursing care time and quality indicators for adult intensive care: correlation analysis

2012 ◽  
Vol 20 (4) ◽  
pp. 651-658 ◽  
Author(s):  
Paulo Carlos Garcia ◽  
Fernanda Maria Togeiro Fugulin
Keyword(s):  
Intensive Care ◽  
Correlation Analysis ◽  
Intensive Care Units ◽  
Quality Indicators ◽  
Nursing Care ◽  
Nursing Staff ◽  
Care Delivery ◽  
Average Length ◽  
Quality Care ◽  
Descriptive Study

The objective of this quantitative, correlational and descriptive study was to analyze the time the nursing staff spends to assist patients in Adult Intensive Care Units, as well as to verify its correlation with quality care indicators. The average length of time spent on care and the quality care indicators were identified by consulting management instruments the nursing head of the Unit employs. The average hours of nursing care delivered to patients remained stable, but lower than official Brazilian agencies' indications. The correlation between time of nursing care and the incidence of accidental extubation indicator indicated that it decreases with increasing nursing care delivered by nurses. The results of this investigation showed the influence of nursing care time, provided by nurses, in the outcome of care delivery.

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