Digital Commons Network^™

Practice Assimilation For New Graduate Registered Nurses: A Clinical And Academic Nurse Leader Collaborative, Angela James, Katrina D. Jackson-Britt, Carol Rose Delilly, Sharaun Sandoz-Britt

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Purpose: To bring together visionary nursing leaders to prepare New Graduate Registered Nurses (NGRN) for entry into professional practice. Background Nursing literature is replete with facilitators and inhibitors to work environments affecting the transition of New Graduate Registered Nurses (NGRN) into practice. Growing evidence suggests that a positive workplace greatly impacts role integration and retention of NGRN. New graduate RN retention in the first year of employment is a challenge for hospitals, ranging from a low of 25% to a high of 64% (Friedman, Delaney, Schmidt, Quinn, and Macyk, 2013). New graduate registered …

Reducing Hostility In Nursing, Vicki S. Wetter

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Hostility is common in every professional but even more so with nursing. A review of the literature showed that all nurses are victims of hostility, to varying degrees, at some time during their career. This includes nurse to nurse, nurse to student, nurse to manager and nurse to care provider hostility. By learning how to use positive communication, nurses may be able to reduce hostility in their work environment. Nurses may also utlitize the education module to teach other health care providers about the importance of assertive, not aggressive communication skills. King's goal …

Healthy Work Environments For Retention Of Hospital Nurses In Japan, Sachiko Tanaka, Yasuko Ogata, Midori Nagano, Kimiko Katsuyama, Yoshie Yumoto

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This study was intended to clarify the factors involved in Healthy Work Environments (HWE) for retention of hospital nurses in Japan. This study is important for hospital nurses who wants to know what is Healthy Work Environments (HWE),and they can keep work healthy.

Advanced Practice Nurse Orientation: New Directions, Ladawna Goering

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Purpose of the Presentation: The purpose of the poster presentation is to outline the development of a comprehensive advanced practice nurse (APN) orientation program directed toward improving the transition of APNs into today's healthcare work environment and improve APN job satisfaction and retention.

Background: The need for hospital acute care advanced practice nurses continues to grow (Yeager, 2010). Studies have shown that APN practice provides safe, effective, efficient, and patient-centered care that is evidence-based (AANP, 2015; AANP, 2013; Kilpatrick et. al, 2015). The nurse-practitioner (NP) care model has shown to decrease length of …

Improving Workplace Incivility Utilizing The Aacn Healthy Work Environment Standards, Amy L. Scott

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The purpose of this study was to evaluate the impact of healthy work environment interventions implemented by a shared governance council on improving incivility in a pediatric emergency department.

Teaching Graduate Teaching Assistants Effective Ways To Communicate, Coach, And Collaborate With Students, Pamela M. Karagory, Karen J. Foli, Ruth A. Fiedler, Marilyn Wideman

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Background: The national shortage of nursing faculty continues to have a significant impact on the ability of schools of nursing to meet the current and future demands for professional nurses prepared at all educational levels (AACN, 2014).(American Association of Colleges of Nursing, 2014). The empirical evidence indicates that the cause of the faculty shortage is multifactorial; it includes economic factors, role transition challenges, increasing complexity of the nurse educator role, and the aging of the baby boomer population of nurse educators. Role transition and the increasing complexity of the nurse educator role create …

Characteristics Of The Nursing Practice Environment Related To Creating Healthy Work Environments For Nurses, Yasuko Ogata, Kimiko Katsuyama, Sachiko Tanaka, Midori Nagano, Yoshie Yumoto, Masaomi Ikeda

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Nurse managers' leadership and support of nurses form an important part of the nursing practice environment, and have a significant effect on staff nurses' health and tendency to remain in their jobs. To create a healthy work environment for nurses, authentic leadership by their managers is vital.

Critical Conversations With New Nurses, Susan G. Forneris, Molly E. Kellgren

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

New nurses require well developed clinical reasoning skills in order to deliver safe, effective, and compassionate care. Preparing nursing students for practice, and guiding the new graduate nurse through the transition to practice demands that academic and practice-based educators use transformative strategies to develop clinical reasoning skills. A key partner in both settings is the preceptor/clinical coach. The National League for Nursing (NLN) and the International Nursing Association for Clinical Simulation and Learning (INACSL) believe that debriefing techniques hold great promise in coaching novice nurses in today's health care system (NLN, 2015). Debriefing …

Autonomy, Role Ambiguity, And Collaborative Relationships Impact Novice Nurse Practitioner Turnover Intention In Primary Care, Asefeh Faraz

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017: The purpose of this study was to describe the individual characteristics, role acquisition and job satisfaction of novice nurse practitioners (NPs), and identify the factors associated with their successful transition and turnover intention in the first year of primary care (PC) practice. This research study was a descriptive, cross-sectional quantitative design conducted via online survey administered by Qualtrics. A national sample of NPs who had graduated from an accredited NP program and were practicing in a PC setting for 3-12 months participated in the study. The study was comprised of a researcher-created demographic …

Creating A Healthy Work Environment For Nurses Transitioning From Staff Nurse To Management, Jennifer Sylvia Buffenbarger, Jeanne M. Sorrell

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This presentation focuses on a qualitative bounded case study that was implemented to explore nurses' experiences in transitioning from staff nurse to management. Research findings will offer avenues for discussion of nurse manager turnover and identifying aspects of a healthy work environment that can facilitate nurse manager retention.

The Effect Of Leadership And Staffing Adequacy On Nurse Coworker Incivility In Hospitals, Jessica G. Smith, Karen H. Morin, Eileen T. Lake

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The purpose of this study is to determine whether nurse co-worker incivility is associated with modifiable features of the hospital nurse work environment, namely nurse staffing adequacy and nurse manager effectiveness.

Incivility In Nursing Classrooms, Sheri L. Wainscott, Carie L. Strauch, Angela D. Martindale

Creating Healthy Work Environments (CHWE)

Session reported on Saturday, March 18, 2017: Background: In recent years the prevalence of incivility in educational settings has received heightened attention in academic and popular press. In light of nursing's position as a profession of humanistic, caring interaction, measures to reduce incivility are of dire need in the academic setting. The presence of uncivil behaviors not only diminishes the modeling of professional nursing and fails to set a standard of acceptable behavior, but restricts learning and destroys the educational environment (Altmiller, 2012; Clark & Springer, 2007; Luparell, 2007; Robertson, 2012). The incidences occur student to student, faculty to student, …

Resolving Conflict With Staff, Patients, Families, And Friends And Improve Patient Safety, Terri L. Bogue, Robert L. Bogue

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

The complex, high stress, and emotionally laden environment of health care frequently leads to conflict. This conflict may contribute to a culture of disrespect, which is a barrier to patient safety and quality of care (Leape, et al., 2012). Patient safety and quality care is dependent on collaborative relationships among healthcare team members, effective communication, and a collaborative work environment (The Joint Commission, 2008). Overall, the Joint Commission has found that communication failures are a 'root cause in nearly 70% of reported sentinel events, surpassing other commonly identified issues such as staff orientation …

A Multi-Center Study For The Psychometric Testing Of The Humpty Dumpty Inpatient Scale, Deborah Hill-Rodriguez, Jacqueline L. Gonzalez, L. M. Hernandez, Jennifer Cordo

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

According Hill-Rodriguez, et al (2009), the Humpty Dumpty Falls Prevention Program(TM) was developed out of a need to identify pediatric patients at risk for their potential to have a fall event. An inter-professional team of nursing, risk and rehabilitation specialists came together to review the then current fall risk identification scales and literature. Most of the literature was focused on scalessubstantiated in the adult population. Due to the limitation of scales and published findings relating to pediatrics, the team developed the comprehensive Humpty Dumpty Falls Prevention Program. The scales and corresponding program were …

Music Therapy To Reduce Staff Annoyance Related To Construction Specific Noise: A Quality Improvement Project, Kimberly K. Norton

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

This quality improvement project was the first of its kind to research workplace environment of a critical care unit under construction in terms of staff self-perceived annoyance level.

Toward A Healthy Work Environment: Honoring The Voices Of Frontline Nurses, Deborah Dang, Tracey M. Long, Carolyn J. Cumpsty-Fowler, Jennifer R. Day

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

Clear and concise communication is a key component of a professional work environment; especially in healthcare, where communication lapses can lead to patient safety events. Transparent two-way communication is a key part of establishing and maintaining a healthy work environment. A critical part of this transparency is giving a voice to frontline staff and valuing the input they provide. An example of the impact of transparent, two-way communication and its link to a healthy work environment is the evaluation of the Johns Hopkins Nursing Professional Practice Model (JHNPPM). A professional practice model provides …

Responding When Incivility Arises In The Workplace, Monica Kennison, Laura Cox Dzurec

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Almost a decade has passed since the Joint Commission issued a Sentinel Alert linking intimidating behaviors to medical errors, patient dissatisfaction, and adverse outcomes. More recent studies confirm that workplace acts of incivility, progressing to bullying and even physical abuse in some cases, continue to significantly undermine the culture of safety that facilitates effective healthcare practice. While professional comportment policies pay lip service to what 'should occur' in instances of intimidation and bullying, the inherent, complex and subtle contextual elements of those acts present challenges that supersede the benefits of legislated, cookie cutter …

The Watson Room: Managing Compassion Fatigue In Clinical Nurses On The Front Line, Crystal Crewe

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The concept of compassion fatigue (CF) emerged in the early 1990s in North America to explain a phenomenon observed in nurses employed in emergency departments. A precursor to burnout, CF is a well-known phenomenon associated with emotional exhaustion, depersonalization, and an inability to work effectively. In nurses, CF has been shown to reduce productivity, increase staff turnover and sick days, and lead to patient dissatisfaction and risks to patient safety. The aim of this study was to determine if the use of a Watson Room designated as a 'quiet zone' with warm colors …

Creating A Healthy Work Environment Through Mindful Interventions, Elizabeth Ann Vaclavik

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

This activity utilized qualitative and quantitative data to identify poor job satisfaction and a high level of moral distress among nurses related to healthcare providers giving patients a sense of false hope. The activity focused on minimizing perception of moral distress measured again by survey following several
mindful interventions.

Promoting Healthy Work Environments By Evaluating And Addressing Sleep Habits Of Nursing Students, Cynthia M. Thomas, Ruthie Lamar, Constance E. Mcintosh

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

Nursing students, part of the healthcare team, lose sleep by working long hours in jobs and clinicals. Long work hours may lead to psychological, health, safety and quality care issues, hence, an unhealthy work environment. This presentation communicates our study findings and introduces strategies for addressing nursing student sleep deprivation.

Study Of An Interprofessional Simulation Intervention To Improve Nurse-Physician Collaboration, Lori J. Pajakowski, Cheryl J. Erler

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Purpose: The purpose of this study was to evaluate for improvement in attitudes toward nurse-physician collaboration in nursing and medical students before and after an interprofessional simulation exercise, and again at three months after the intervention to evaluate for sustainment of results.

Background and Research Questions: The need for improved collaboration among healthcare professionals has been identified by both the World Health Organization (WHO, 2010) and the Institute of Medicine (IOM) in the landmark report To Err is Human(IOM, 2000). In a follow up report by the IOM, simulation was identified as one …

Application Of Smartphone/Mobile Devices For Std And Hiv Prevention, Abimbola Bolanl Lasisi, Huey-Shys Chen

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Problem: STD and HIV are major public health crisis in the United State. Study shows that about 1.1 million of American are living with HIV and 110 million cases of STD. Incidence rate of HIV and STD are 56,000 and 20 million respectively. 1 in 5 HIV patients are unaware of their HIV status. Smartphone applications are increasingly used for sexually transmitted disease (STD) and HIV treatment, although little focus has been on STD and HIV prevention. Purpose: The purpose of this review is to synthesize and evaluate existing literature on using smartphone/mobile …

Barriers And Values Of Moral Distress Among Critical Care Nurses, Melissa A. Wilson

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

The purpose of this work is to examine the barriers in both civilian and military healthcare environments that prevents a nurse to act in a morally comforting manner and the moral values that are present in moral distress experiences. Identification of specific barriers and values within the context of moral distress may lead to crucial interventions that could lessen the effects of moral distress on nurses.

Developing A Supportive Environment For Our Healthcare Workers, Kim Tharp-Barrie, Tracy Williams

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

In preparation for a three year strategic plan, our organization recently surveyed nurses throughout our five hospital system to understand how we could better maintain and protect our health care staff. We found that staffing shortages, long work hours, retention issues, and inability to maintain a satisfactory work-life balance were the main issues affecting staff. Knowing that these stressors affect employees' relationships at all levels, our leadership has developed a number of programs that encourage a healthy workplace where employees feel heard, valued, and experience personal satisfaction. Our organization created an Institute for …

Risk Behaviors And Preventive Interventions For Deaf And Hard-Of-Hearing Youth, Ying Xue, Huey-Shys Chen, Yu-Han Zheng, Yu-Ku Chen

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Problem: Although the number of sign language users in the United States has not been measured by census efforts, estimates range between 500,000 and 2 million users. 17.1% lost their hearing before age 19 and 6.6% lost their hearing before age 3. Compared with the hearing population, they have poor health knowledge and inequitable access to medical and behavioral care in our health system due to cultural and language barriers. The deaf populations are at high risk for health disparities. Purpose: The purposes of this literature review are to synthesize current literature on …

Living With A Defibrillator, Tiffanee F. Wazny-Kohl

Creating Healthy Work Environments (CHWE)

This qualitative research study describes the experience of living with an implanted cardiac defibrillator (ICD) and reports results of five adult patients living with the device. The study utilizes subjective statements of each patient, capturing their words and the story of their life with an ICD.

How Nurse Work Environments Relate To The Presence Of Parents In Neonatal Intensive Care, Sunny G. Hallowell, Eileen T. Lake

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Research Objective: Parental presence in the neonatal intensive care unit (NICU) is essential for families, especially mothers, to be partners and active participants in the care of their infants. Parental presence in the NICU is particularly important to achieve a smooth transition from hospital to home. However, NICUs vary in their policies on parent visitation and inclusion of parents in decisions about and care of their infant. Nurses are the principal caregivers in the NICU setting. The nurse work environment may influence whether parents spend time with their hospitalized infants. Features of work …

Nursing Staffing And Technology: A Relationship Formed In The Electronic Environment Benefiting Patients And Nurses, Gayle Luker

Creating Healthy Work Environments (CHWE)

The rising costs of health care are creating diminishing budgets for hospitals, impacting direct patient care hours. Previous versions of acuity systems were subjective and required additional effort by nurses. Innovative technological advances have led to acuity systems that retrieve data from the electronic medical record and generate an acuity score that is objective, valid and reliable. Acuity informed staffing is a benefit to patients, staff, and budgets. The strategy was to implement a process by which a valid acuity tool could aid in the decision making of staffing and patient assignment. The goal was to leverage the latest technology, …

Promoting Healthy Work Environments: Improving Rn Attitudes Towards End-Of-Life Care, Sondra B. Lee, Jeffery Wade Forehand, Judith L. St. Onge, Kristi A. Acker

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Purpose: The presentation intent is to disseminate the findings from a recent DNP Project aimed at changing acute care nurses attitudes towards end-of-life care by reducing the communication anxiety through the effects of an evidence-based communication intervention. Background: Nurses are charged with providing quality end-of-life care for their patients. The aging baby boomer generation will create an increased number of patients and families approaching the end-of-life or dealing with life limiting illness. For example, in 2014, the percentage of the population age 65 and older was 14.5%. This number is expected to rise …

Examination Using The Improving Nurse Competence Program For Senior Clinical Nurses To Achieve Safe Staffing, Masaki Shinjo, Itsuko Akamine

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Background: Short staffing compromises care both directly and indirectly, and results in elevated staff stress and reduced staff wellbeing, increasing both absences due to sickness and staff turnover. 1. Daily staffing levels are insufficient to meet patient needs safely, so safe staffing relies on good management to fill budgeted posts and achieve effective deployments, and availability of staff to work. 2. Less is known about the leadership skills of senior charge nurses that are effective for ensuring the safety of both patients and staff in their wards. 3. The primary issue remains the …