A Health Care System's Approach to Support Nursing Leaders in Mitigating Burnout Amid a COVID-19 World Pandemic

2022 ◽  
Vol 46 (1) ◽  
pp. 52-59
Author(s):  
Sylvain Trepanier ◽  
Robin Henderson ◽  
Arpan Waghray
Keyword(s):  
Health Care ◽  
Nursing Leaders

A NEW BREED OF NURSES NEEDS TO BRIND NURSING BACK TO THE BEDSIDE

PEDIATRICS ◽  
1981 ◽  
Vol 68 (4) ◽  
pp. 578-578
Author(s):  
A. D. Roberts
Keyword(s):  
Health Care ◽  
Young People ◽  
Health Care Professional ◽  
Medical Practice ◽  
Middle Ground ◽  
Short Supply ◽  
New Model ◽  
Nursing Leaders ◽  
Schools Of Nursing ◽  
Standards Of Accreditation

What are we offered today by the aggressive new breed of leaders and educators in nursing? An angry, dwindling profession, failing with increasing frequency to meet the needs of patients and physicians and in the process making themselves and everyone else miserable. The idealistic young people who come into the profession to actually nurse patients are sometimes made to feel like Aunt Jemiinas, become discouraged and leave, or, if they remain, are denied status, promotions and raises. The "new model" nursing leaders and educators pursue higher status, higher incomes, more respect and recognition—as indeed most of us do. There's nothing wrong with that. What is damaging is the mode of attack. By striving to capture some independent middle ground between classical nursing and medical practice, nursing leaders threaten to make of their professionals neither nurses nor physicians, fit only to cause trouble: trouble for people who really want to nurse, trouble for physicians and administrators who can't get the help they need and, most of all, trouble for patients, who often cannot get timely medicines and competent ministrations without hiring a private-duty nurse. And even then competence is far from assured. Many nursing leaders and educators seem intent on abandoning a badly needed profession in the search for a new category of health-care professional that no one has asked for and hardly anyone needs. They have not merely neglected and downgraded classical, basic nursing; they have also sought to restrict entry into the profession by raising the standards of accreditation of schools of nursing and of licensure of individuals in many instances beyond what is necessary for the basic skills that are in such short supply.

Nursing Leaders' Experiences With the Ethical Dimensions of Nursing Education

2008 ◽  
Vol 15 (3) ◽  
pp. 332-345 ◽  
Author(s):  
Mary Tod Gray
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Pilot Study ◽  
Phenomenological Approach ◽  
Moral Leadership ◽  
Nursing Leaders ◽  
Community Needs ◽  
Health Care Institutions

This pilot study explores four nursing leaders' experiences with the ethical dimensions of leadership in education. Gathering and interpreting such data of experience fosters greater understanding of the nature of moral leadership as it is lived in nursing education. A phenomenological approach was used to collect and analyze the data. The results revealed four major themes: integrity, justice, wrestling with decisions in the light of consequences, and the power of information. These themes clarify the values that direct these leaders' actions as they mediate community needs common to educational and health care institutions.

Why Hire a Doctor of Nursing Practice–Prepared Nurse? The Value Added Impact of the Practice Doctorate

2016 ◽  
Vol 9 (1) ◽  
pp. 152-157 ◽  
Author(s):  
Rosanne Burson ◽  
Katherine J. Moran ◽  
Dianne Conrad
Keyword(s):  
Health Care ◽  
Nursing Practice ◽  
Health Care Systems ◽  
Value Added ◽  
Doctor Of Nursing Practice ◽  
Organizational Goals ◽  
Nursing Leaders ◽  
Care Systems ◽  
Practice Doctorate ◽  
Post Baccalaureate

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.

scholarly journals The Nursing Presence in General Practice: Revealing Dimensions of Day-to-day Experience of Practice Nurses in New Zealand

2021 ◽  
Author(s):  
◽  
Katrina Fyers
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
New Zealand ◽  
Models Of Care ◽  
Complex Nature ◽  
Practice Nurses ◽  
Nursing Leaders ◽  
Primary Health ◽  
General Practices

<p>This study makes visible and gives value to the day-to-day experience of practice nurses who work in New Zealand general practices. Nursing leaders internationally and locally have highlighted the importance of the Primary Health Care nurse to improving health outcomes, addressing inequalities and implementing new models of care. As one of the largest groups of Primary Health Care nurses, practice nurses have a significant part to play. There is however, no consensus and limited research related to the day-to-day experience of practice nurses. Therefore, the nature, extent, and contribution of nursing in general practice may be overlooked or misunderstood. Furthermore as an autonomous self-regulating profession, nursing has a responsibility to the public to provide understanding of nursing in the present and in the future, particularly when this relates to the care of families and the structure of health systems. Located within the qualitative research paradigm and utilising a narrative inquiry methodology, this study applies a 'supportive voice' to highlight the experience of five practice nurses, and in the process makes visible the dimensions of nursing work in New Zealand general practices. The five constructed narratives particularly draw attention to the complex nature of nursing work that practice nurses engage in daily, the importance of nurse-patient relationships and continuity of care and the significance of autonomous and specialty aspects of nursing practice. Ultimately, the value of the practice nurse in the day-to-day operation of general practice is brought to the fore.</p>

scholarly journals An ethical issue: nurses’ conscientious objection regarding induced abortion in South Korea

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Chung Mee Ko ◽  
Chin Kang Koh ◽  
Ye Sol Lee
Keyword(s):  
Health Care ◽  
South Korea ◽  
Health Care Professionals ◽  
Conscientious Objection ◽  
Constitutional Court ◽  
Moral Integrity ◽  
Perioperative Nurses ◽  
National Health Care ◽  
Nursing Leaders ◽  
Legal Reforms

Abstract Background The Constitutional Court of South Korea declared that an abortion ban was unconstitutional on April 11, 2019. The National Health Care System will provide abortion care across the country as a formal medical service. Conscientious objection is an issue raised during the construction of legal reforms. Methods One hundred sixty-seven perioperative nurses responded to the survey questionnaire. Nurses’ perception about conscientious objection, support of legislation regarding conscientious objection, and intention to object were measured. Logistic regression was used to explore the factors associated with support of the legislation and the intention to conscientiously object. Results Only 28.8% of the responding nurses were aware of health care professionals’ conscientious objection. The majority (68.7%) felt that patients’ rights should be prioritized over health care professionals’ conscientious objection. On the other hand, 45.8% supported the legislation on conscientious objection to abortion, and 42.5% indicated a willingness to refuse to participate in an abortion case if conscientious objection was permitted. Religion, awareness of conscientious objection, and prioritizing of nurses’ right to conscientious objection were significantly associated with supporting the legislation. Moreover, religion and prioritizing nurses' rights were significantly associated with the intention to conscientiously object. Conclusions This study provides information necessary for further discussion of nurses’ conscientious objection. Nursing leaders, researchers, and educators should appeal to nurses and involve them in making policies that balance a women's right to non-discrimination and to receiving appropriate care with nurses' rights to maintain their moral integrity without compromising their professional obligation.

The factors influencing the innovative performance of leaders in nurses’ professional: a developing country perspective

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shaymaa Najm Abed ◽  
Amir A. Abdulmuhsin ◽  
Abeer F. Alkhwaldi
Keyword(s):  
Health Care ◽  
Selection Criteria ◽  
Health Care Services ◽  
Content Type ◽  
Nursing Leaders ◽  
Care Services ◽  
Professional Recognition ◽  
Factors Influencing ◽  
Nurse Leader ◽  
Leader Performance

Purpose The health-care services in Iraq currently face many challenges. The most noted is the lack of effective nursing leaders to meet the growing needs of the health-care services. Effective nursing leadership is critical to the health-care system, affecting work performance, quality of care and staff satisfaction. The literature suggests that nursing leaders in Iraq are not adequately trained to provide leadership to improve the nursing profession and have limited involvement in decision-making. The purpose of this study is to explore the views of nurses on what they believe constitutes effective leadership in Iraq. Design/methodology/approach A qualitative methods approach is used involving 20 semi-structured interviews of senior nurses. The sample of nurses came from two large general hospitals in Iraq. The qualitative data was thematically analyzed and interpreted. Findings The study results indicated that there were factors that influence the performance of nurse leader, namely, excessive workload, personal relationship with nursing staff, professional recognition of nursing and selection criteria of leaders. Test results show that there were significant differences in views of the nurses toward nurse leaders’ performance. This research concludes that the nurse leader performance in developing countries is affected by excessive workload, personal relationship with nursing staff, professional recognition of nursing and selection criteria of leaders. Originality/value The relevance of the study stems from the scarcity of research on the leader performance in developing countries, while studies on the factors influencing the innovative performance of leaders in nurses’ professional are significantly limited. This study is one of the earliest studies that investigate these factors influencing the nurse leader’s performance.

Sustaining Caring Change in a Healthcare System

2010 ◽  
Vol 14 (4) ◽  
pp. 45-50
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Guided Practice ◽  
Nursing Leaders ◽  
Future Goals ◽  
Colorado Health ◽  
Telemetry Unit ◽  
Successes And Challenges

In 2003, nursing leaders from the Eastern Colorado Health Care System (ECHCS) integrated caring theory-guided practice on 4South, a busy %bed surgical telemetry unit. The endeavor was documented in the 2005 article, Being and Creating Caring Change in a Healthcare System (Bent et al., 2005). Since then, there have been successes and challenges in sustaining an atmosphere based on the implemented changes. This article serves as a follow up to the creation of the Nightingale Unit. We will outline the conscious efforts and actions on 4outh over 6 years and discuss future goals for this innovative unit.

scholarly journals The Role of the Nurse in Renal Care

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
A.M. De Kleijn
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Services ◽  
Scope Of Practice ◽  
Cornell University ◽  
Practice Nurses ◽  
Nursing Leaders ◽  
School Of Nursing ◽  
Care Services

Recently we have been made aware by our nursing leaders that the nurse must extend her role. Professor Eleanor Lambertson, Dean of the School of Nursing. Cornell University, New York, has said and I quote: “It is my premise that until and unless nurses willingly face the issues associated with the extension of their scope of practice, nurses will become obsolete in terms of today’s and tomorrow’s need for health care services.”

scholarly journals Advanced practice nursing in Latin America and the Caribbean: regulation, education and practice

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Keri Elizabeth Zug ◽  
Silvia Helena De Bortoli Cassiani ◽  
Joyce Pulcini ◽  
Alessandra Bassalobre Garcia ◽  
Francisca Aguirre-Boza ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Universal Access ◽  
Advanced Practice Nursing ◽  
Advanced Practice ◽  
Health Coverage ◽  
Nursing Role ◽  
Nursing Leaders ◽  
Primary Health ◽  
Access To Health

Abstract Objective: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives. Method: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in primary health care. Result: the participants were largely familiar with the advanced practice nursing role, but most were unaware of or reported no current existing legislation for the advanced practice nursing role in their countries. Participants reported the need for increased faculty preparation and promotion of curricula reforms to emphasize primary health care programs to train advanced practice nurses. The vast majority of participants believed their countries' populations could benefit from an advanced practice nursing role in primary health care. Conclusion: strong legislative support and a solid educational framework are critical to the successful development of advanced practice nursing programs and practitioners to support Universal Access to Health and Universal Health Coverage initiatives.

Florence Nightingale in Absentia: Nursing and the 1893 Columbian Exposition

2010 ◽  
Vol 28 (4) ◽  
pp. 305-312 ◽  
Author(s):  
Louise C. Selanders ◽  
Patrick Crane
Keyword(s):  
Health Care ◽  
North America ◽  
Western Europe ◽  
Social Issues ◽  
International Congress ◽  
Half Century ◽  
Nursing Leaders ◽  
Florence Nightingale ◽  
Columbian Exposition ◽  
Scientific Advances

In 1893, Chicago hosted the Columbian Exposition. This event showcased America’s social, cultural, and scientific advances and its growing cultural parity with Western Europe. This was the first major exposition in which women played a prominent role. Integral to the fair was a series of Congresses that provided an international platform for discussion of social issues. The Congress on Hospitals, Dispensaries, and Nursing, a section of the International Congress of Charities, Correction, and Philanthropy, particularly focused on health care issues. Nursing leaders from Europe and North America participated. Although Florence Nightingale provided a major paper that was read at the Congress, she was unable to attend the event. The intent of this article is to examine the issues and themes debated at the 1893 Congress and identify how the influence of Nightingale effected these discussions and the development of Western nursing for the next half-century.

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