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Full-Text Articles in Nursing Administration

Incorporating Quality Improvement And Problem-Solving Into A Unit Safety Huddle, Kay M. Rowles Jan 2022

Incorporating Quality Improvement And Problem-Solving Into A Unit Safety Huddle, Kay M. Rowles

Theses and Graduate Projects

The complex nature of healthcare creates significant risks of harm to patients. Safety huddles are a mechanism some hospitals utilize to raise awareness of safety concerns and minimize risks. Typically occurring at the start of each shift, safety huddles generally take the form of a brief, structured discussion with visual management for information sharing. In addition, safety huddles create a safe space for nursing staff to escalate concerns, supporting a culture of safety. This quality improvement project describes the expansion of a safety huddle process that has become a mere ritual at the start of each shift on a 25-bed …


The Art Of Emotional Intelligence: Decreasing Lateral Violence Among Nurses, Cheryl Ann Brugger Aug 2021

The Art Of Emotional Intelligence: Decreasing Lateral Violence Among Nurses, Cheryl Ann Brugger

Theses and Graduate Projects

Nurses work in stressful and complex work environments and, unfortunately, can be subjected to lateral violence. Lateral violence is described as repetitive actions and behaviors of verbal and emotional abuse or acts of incivility from one nurse(s) to another on equal levels of the organizational structure; the behaviors are meant to threaten, harm, or intimidate. Nurses will not stay in an environment that is negative, hostile, and demoralizing; lateral violence can decrease nursing retention rates and increase turnover and job dissatisfaction. Nurses leaving the profession contributing to shortages, poor patient outcomes, and safety concerns. Enhancing nurses’ emotional intelligence may assist …


Exercise As Self-Care To Combat Nurse Burnout, Jessica Petefish Aug 2021

Exercise As Self-Care To Combat Nurse Burnout, Jessica Petefish

Theses and Graduate Projects

The demands on nurses continue to grow, inducing stress and other symptoms of burnout. Nurse burnout can cause short and long term physiological and psychological symptoms. Nurse burnout not only affects nurses but has implications for patients and hospitals as well. Exercise has been proven to have many health benefits and the ability to alleviate symptoms of burnout. Nurses on a hematology/oncology unit cited burnout as their reason for leaving the unit. This project proposes a walking program as a self-care method to reduce symptoms of nurse burnout. Utilizing Jean Watson’s Theory of Human Caring and her idea of self-care …


Mentorship Through Storytelling Program, Debra Marie Perry Jan 2019

Mentorship Through Storytelling Program, Debra Marie Perry

Theses and Graduate Projects

The Mentorship Through Storytelling Program began in response to an urgent need to reduce registered nurse (RN) turnover rates and improve nurses’ satisfaction on a medical surgical unit in a Midwestern Hospital. The unit was challenged to hire, integrate, and retain a multigenerational team of RNs. Guided by Jean Watson’s Theory of Human Caring, the Mentorship Through Storytelling Program was initiated in the fall of 2018 after doing a broad literature review and adapting the Academy of Medical Surgical Nurses’ Mentorship Program to include the concepts of storytelling, mentoring, and caring. Digital recordings of five expert nurses’ oral histories (stories) …


Nursing Bedside Shift Report: A Best Care Practice, Heather Gleason Jan 2014

Nursing Bedside Shift Report: A Best Care Practice, Heather Gleason

Theses and Graduate Projects

For healthcare organizations, patient safety and satisfaction are major priorities and are impacted by many different professional disciplines. Nurses can influence this greatly through the relationships built with patients and the information provided to them regarding care while in the hospital. Communication errors are the leading cause of sentinel events for patients, reiterating the importance of having a safe transfer of care between nurses at shift change. Bedside shift report not only creates transparency of patient information but results in improved patient safety and hospital satisfaction scores. Completing nursing shift report at the bedside promotes patients' and families' contribution to …


Development Of An Education Module On Conflict Resolution For Charge Nurses, Robert H. Petersson Jan 2014

Development Of An Education Module On Conflict Resolution For Charge Nurses, Robert H. Petersson

Theses and Graduate Projects

A healthy work environment is essential for providing safe and efficient care for patients. When nurses avoid conflict on a patient care unit they create an unhealthy work environment by leaving problems unresolved. Avoiding conflict is common due to the perception that conflict is a negative outcome of dysfunctional relationships. In reality, conflict is a normal part of human interactions that stimulates individuals to adapt to the diversity that surrounds them. Increasing charge nurses‟ understanding of interpersonal conflict and improving their skills of constructive conflict resolution, supports the creation and maintaining of a healthy work environment. An education module titled …


Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald Jan 2014

Advanced Practice Care Model In A Midwestern Allergy Clinic, Bernie Theobald

Theses and Graduate Projects

Health care organizations are creating innovative patient care models to deal with the rapidly changing healthcare environment. Implementation of the Affordable Care Act has led to reduced revenue for healthcare organizations and placed an impetus on quality. For healthcare providers to continue to practice, they must change their model of care. An allergy clinic in a large Midwestern healthcare organization created acare model which capitalizes on the unique skillset that nurses possess. Nurses in the care model contact the patient before their visit, assess patient needs, and follow-up with the patient in a post-consult nurse visit. The care model has …


Interprofessional Collaboration, Amy L. Brabec Jan 2014

Interprofessional Collaboration, Amy L. Brabec

Theses and Graduate Projects

The World Health Organization emphasizes the importance of interprofessional collaboration, which occurs when multiple health workers from different professional backgrounds work together with patients, families, caregivers, and communities to deliver the highest quality of care. As the blood and marrow transplant (BMT) practice continues to grow at a large Midwestern hospital, the need for improved interprofessional collaboration between the hospital-based nurses and the mrse coordinators in the outpatient clinic was apparent. Using Newman's theoretical framework of nurse-patient relationship, person-environment interaction, and rurses being fully present, the BMT partnership group was formed. An interdisciplinary group consisting of the hospital-based nurses and …


A Healthy Work Schedule: Improving Dynamics For Nurses’ Health, Amy Schei Jan 2014

A Healthy Work Schedule: Improving Dynamics For Nurses’ Health, Amy Schei

Theses and Graduate Projects

Rotating shift work is an unavoidable, integral aspect of nursing at a large hospital in the Midwest; however, the fatigue involved in rotating shift work is avoidable. Research has shown how fatigue related to rotating shifts can impact nurses and ultimately affect patients. Fatigue caused by rotating shift work has been proven to decrease nurses’ levels of alertness and vigilance, which directly correlates to higher incidences of errors with patients. In addition, nurses who work rotating shifts have been proven to have problems with psycho-physical health, biological functions, and social relationships. It is through an understanding of the risks related …


Nursing Leadership Team Orientation Program, Sheryl Capelle Jan 2013

Nursing Leadership Team Orientation Program, Sheryl Capelle

Theses and Graduate Projects

Nursing is a dynamic profession. Throughout the history of nursing, leaders have emerged. Some leaders have joined a nursing leadership team to provide care and support to the unit staff and patients. Developing a highly functioning leadership team comes through having a well-developed orientation plan. The nursing leadership team must learn, their roles and expectations from each other. This project explains nursing leadership teams and discusses the development of a new orientation program for the nursing leadership team. A conceptual model of a puzzle is used to describe how nursing leaders bring the ptzzle pieces of leading, caring and relationships …


Patient-Family Centered Advisory Council For The Emergency Department, Kelly Sanocki Jan 2013

Patient-Family Centered Advisory Council For The Emergency Department, Kelly Sanocki

Theses and Graduate Projects

Issues such as overcrowding and long wait times in the ED cause an increase in patient frustration and dissatisfaction, which may lower hospital satisfaction scores,, and reimbursement. This project proposes the implementation of a Patient-Family Advisory Council (PFAC) in the Emergency Department (ED) setting in a large urban hospital. The addition of a PFAC will offer patients and family members a voice in their care, as they work collaboratively with various healthcare providers to improve patient care, patient safety, and overall satisfaction. The addition of Watson's Caring theory will serve as the theoretical framework for the PFAC since it is …


Who Do You Think You Are? And Who Would You Like To Become?, Sandra Koeller Jan 2013

Who Do You Think You Are? And Who Would You Like To Become?, Sandra Koeller

Theses and Graduate Projects

Ultimately -y goal would be to enhance staff satisfaction to the point of better retention of nursing assistants on my floor. I thought this would also assist in improving RN satisfaction, as there would be solid, reliable assistive staff on the floor. Research of the literature shows staff retention has a direct impact on patient satisfaction as well. The constant cycle of replacing staff is costly to the organization and diminishes satisfaction to all staff as they become trapped in the endless cycle of training new staff in. Patient quality of care suffers, as newly trained staff needs time to …


Floattng Through Uncharted Waters, Amanda Moscatelli Jan 2013

Floattng Through Uncharted Waters, Amanda Moscatelli

Theses and Graduate Projects

The act of floating or flexible staffing is a cost effective way to maintain nursing staffing levels through times of shortages and surplus. While the financial and patient care benefits are abundant, the culture of floating tends to be negative. Nurses cite difficulty adapting to a changed environment, caring for different patient populations, and working with different staff members as the most difficult and anxiety provoking aspects of floating. Although nurses at a large Midwest medical center frequently float across a number of nursing units, they receive no formal education on the practice of floating. Introduction of an online floating …


Bridging The Gap: Nurse Mentorship Program, Jacqueline J. Johnson Jan 2012

Bridging The Gap: Nurse Mentorship Program, Jacqueline J. Johnson

Theses and Graduate Projects

High-quality, effective mentorship can be a crucial and valuable tool in recruiting, retaining, and supporting nurses' success, especially novice registered nurses. In the current healthcare environment, growth and development of nursing staff is essential to maintain quality outcomes. Mentorship programs can create a unique environment that facilitates educational opportunities for both the novice and expert registered nurse. Nursing leaders and organizations can make lasting impacts through mentoring relationships. Through effective mentorship, nurses can positively impact healthcare organization, improve job satisfaction, promote professional development, and empower themselves. Even more important is that mentoring can result in improved nursing care, high-quality healthcare, …


Comparison Of Registered Nurse Job Satisfaction To Patient Satisfaction And The Link To The Role Of The Nurse Manager, Deborah M. Spotts Jan 2011

Comparison Of Registered Nurse Job Satisfaction To Patient Satisfaction And The Link To The Role Of The Nurse Manager, Deborah M. Spotts

Theses and Graduate Projects

This is an in depth qualitative research study using a compelling literature review and an in depth case study of one hospital comparing registered nurse job satisfaction scores with patient satisfaction scores. The literature review indicates that research positively correlates nurse job satisfaction to patient care satisfaction. This research study focuses on understanding the possible relationship between registered nurse job satisfaction and patient satisfaction with nursing care. The role of the nurse manager is explored in order to understand possible the impact of that role on the satisfaction scores of both groups.