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When "First, Do No Harm" Fails: A Restorative Justice Approach To Workgroup Harms In Healthcare, Pedro L. Flores
When "First, Do No Harm" Fails: A Restorative Justice Approach To Workgroup Harms In Healthcare, Pedro L. Flores
Dissertations
In healthcare, workgroup mistreatment is a pervasive problem that begins during medical education (medical and nursing school) and becomes embedded in the “hidden curriculum of professionalism,” which dissuades and even punishes learners for talking about abuse they witness. Furthermore, the mistreatment of healthcare providers (HCPs) pervades all disciplines in the healthcare delivery chain due to a combination of cultural factors, systemic pressures, dysfunctional hierarchies, and leadership’s tolerance of intimidating and disruptive behaviors. Not surprisingly, 18% of U.S. HCPs have left the medical field since the start of the COVID-19 pandemic, and burnout, stress, anxiety, and increased workloads have been identified …
How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis
How Does Organizational Culture Impact Rn Engagement, Veronica Anntionette Ruffin-Ellis
Walden Dissertations and Doctoral Studies
Lack of RN engagement in the acute care setting can result in poor staffing, nursing shortages, increased stress levels for nurses and decreased morale. When nurses are not engaged in their work setting, quality of care suffers. A wide range of literature focuses on the importance of RN engagement; however, few health care organizations have taken the initiative to implement programs that foster RN engagement, demonstrating a gap in practice. This study examined the relationship between the levels of RN engagement and their perceptions of their organizational culture. Kolcaba's humanistic approach to meeting the needs of RN staff was used …
Diversity, Inclusion And Organizational Citizenship Behaviours: A Study Of Nurses In The Irish Healthcare Sector, Deirdre O'Donovan
Diversity, Inclusion And Organizational Citizenship Behaviours: A Study Of Nurses In The Irish Healthcare Sector, Deirdre O'Donovan
PhDs
This thesis focuses on inclusion, national culture and Organizational Citizenship Behaviour (OCB) in the Irish healthcare sector. Due to the high number of migrant nurses employed in the sector, the level of understaffing and subsequent requirement for effective performance and behaviours, the Irish healthcare sector was chosen as the primnary focus for the research. In particular, the study draws on in-depth interviews undertaken with 37 nurses and midwives, from four cultures, currently employed in hospitals in Cork. Analysis of the interviews resulted in the identification of a number of findings. One significant finding concerns the identification of a set of …
Impact Of Improving Throughput In The Emergency Department, Katherine J. Edrington
Impact Of Improving Throughput In The Emergency Department, Katherine J. Edrington
Doctor of Nursing Practice (DNP) Projects
The purpose of this project was to evaluate the patient experience in the emergency department (ED) and in the inpatient setting while correlating increased throughput and patient outcomes at a suburban Acute Care facility in Ohio. The culture in the organization has lacked accountability and ownership of the patients. The ED admitted length of stay (ALOS) was 358 minutes in the beginning of 2013. For the first time in the organization’s history, the ED ALOS is now typically less than the recommended benchmark of 300 minutes. A report of findings among ED’s surveyed showed the ALOS best practice is 244 …