Digital Commons Network^™

Reasons Why Dissatisfied Acute Care Registered Nurses And Health Care Assistants Remain In Their Jobs, Zelda Gibbs

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Financial challenges for hospitals demand strategies to ensure superior patient satisfaction scores. Healthcare employees face substantial challenges in their efforts to provide exceptional patient care and meet organizational expectations (Centers for Medicare and Medicaid Services, 2013; Top issues, 2016). Health care assistants (HCAs) are providing direct care for patients along with registered nurses (RNs). Yet, they are an understudied population in acute care facilities. Job descriptions for HCAs in acute care facilities are extremely diverse, and RNs feel reluctant to assign responsibilities to HCAs (Jenkins & Joyner, 2013; McKenzie & Turkhud, 2013). Stressful …

Nurse-Led Peer Review Committee Promotes External Recognition Of Nurses, Maggie Finke, Pamela Petto, Renee Roberts-Turner, Cheryl Reggio

Creating Healthy Work Environments (CHWE)

This abstract describes a nurse peer review committee focused on external recognition of nurses. Support for external awards promotes a positive, professional nursing work environment that recognizes nurses directly for autonomous nursing practice. The Nursing Nomination Advisory Committee (NNAC) supports clinical nurses, nurse leaders, and nurse- led collaborative teams who provide evidence of quality improvements targeted toward the advancement of nursing. Promoting nurses externally is a strategy to highlight an organization's mission, vision, and values. It showcases nursing and organizational performance as it focuses on excellence in the delivery of patient and family-centered care. This innovative program encourages and supports …

Bridging The Gap Between Academia And Practice In Service Excellence And Core Quality Measures, Crystal Joy Wilkinson, Elizabeth H. Boyd

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The goal of this project is to improve competency in service excellence and core measures in nursing graduates and residents to help reduce the time and cost of transition to practice.

Creation Of A Serenity Room In An Acute Care Hospital Setting, Susanlee Wisotzkey

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Nurses face physical, emotional, and mental stress in their daily work. Job-related stress is linked to decreased job satisfaction and patient satisfaction. Researchers describe job-related stress as; burnout, compassion fatigue, and vicarious traumatization.(1,2, 10) Nurses at a community teaching hospital, through the EBP/nursing research forum, focused on the topic of nurse stress and burnout as a means of addressing job satisfaction, staff morale and patient satisfaction. The group formed the EBP practice forum group in the fall of 2014. The evidenced based practice project was discussed and decided upon. Seventeen nurses in an …

Creating A Psychologically Healthy Workplace In Nursing Education, Matt F. Hoffman, Debra W. Matthews

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This project surveyed academic nursing faculty and staff on each of the APA's five workplace practices in order to assess the work environment and to better enable strategic and shared decision-making efforts.

Mindfulness For Stress Reduction In The Workplace, Betsy Murphy

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Research has shown that patient outcomes and clinical judgment improve in caring-healing environments. Current trends are for healthcare facilities to provide education in wellness, which includesstress reduction activities for their employees as a way to improve self-care, the work environment, and ultimately patient care. Significance: Mindfulness is a method for paying attention in the present moment, without judgement, and has many applications for the use in clinical settings, providing leadership and management support for staff as well as tools that enhance the nurse-patient interactions and outcomes. Mindfulness is a well respected and evidence-based …

Impact Of Meaningful Recognition On Nurses' Environment: Comparative Exploration Of Leaders' And Staff Nurses' Perception, Usha Koshy Cherian

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: ABSTRACT: Impact of Meaningful Recognition on Nurses' Work Environment in ICU: A Comparative of Nurse Leaders' and Staff Nurses' Perception. Purpose: Meaningful Recognition (MR) for job performance, one of the six essential standards of a Healthy Work Environment (HWE), is central to nurses' satisfaction and retention, patient satisfaction and outcomes, and organizational outcomes (AACN, 2005). However, little evidence exists to guide clinical practices related to MR strategies that are most valued by clinical nurses. As a result, nurse managers and other leaders often provide recognition based on assumptions, traditions, and previous experiences, which …

Integrating Nursing Peer Review And A Restorative Just Culture For A Healthy Work Environment, Jane Braaten, Cynthia A. Oster

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

The purpose of this project is to describe a process for pairing a restorative just culture into nursing peer review in order to heal, learn, collaborate, retain staff, and improve outcomes for patients.

Bringing Back Field Day: An Innovative Approach To Cultivating Healthy Work Environments, Sara K. Kaylor, Paige Johnson

Creating Healthy Work Environments (CHWE)

A positive workplace culture is perhaps one of the most dynamic factors thought to be integral to an organization's success, as it has potential to significantly boost employee commitment, engagement, and job satisfaction (Burchell & Robin, 2011). One aspect that plays into the health of organizational culture is 'social capital,' which refers to the thought that social networking and interpersonal relationships create value and resources for individuals and organizations (DiCicco-Bloom et al., 2007; Read, 2013). Formulated by American education scholar L. J. Hanifan (1916), 'social capital' is defined as 'goodwill, fellowship, mutual sympathy and social intercourse among a group of …

Mindfulness Training: Building A Supportive Environment, Carol Boswell, Jessica Tully, Teresa Mills

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

Mindfulness training methods have been employed effectively and productively in healthcare organizations to reduce stress, anxiety, emotional fatigue, depersonalization, depression, and burnout. These strategies have been beneficial for stimulating personal triumphs, self confidence, empathy, concentration, and frame of mind. Utilizing these approaches, institutions have creatively diminished employee health costs, augmented personal output, impacted job contentment, and decreased negative physiologic markers (Francis, n.d.). Individuals and organizations should undertake to tackle the uneasiness and challenges experienced by employees to ensure that the workplace is a health work environment. A West Texas acute care agency recognized …

Patients' Perception Of The Use Of Motivational Interviewing For Childhood Obesity Treatment: A Qualitative Study, Penelope Lynn Neal

Dissertations

The purpose of this qualitative interpretive descriptive study was to better understand children's perceptions of the use of motivational interviewing (MI) as a communication style for childhood obesity treatment. Childhood obesity in the United States has reached epidemic proportions and much research effort has been dedicated to reversing this trend. One approach that has demonstrated positive outcomes in the clinical setting is MI. Leading organizations in pediatric healthcare now recommend MI as a communication style to be used for childhood obesity related behavior change. Although empiric studies have demonstrated improvement in outcomes when this communication style is used with patients …

Adequate Staffing, Retention, And Recruitment Strategies, Robyn Weilbacher, Julie Ann Brooks, Kimberly L. Siemons

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The purpose of this project was to utilize an evidence-based leadership tool for the prioritization of many best practices related to nursing recruitment and retention strategies in order to provide a healthy work environment throughout the Mercy system.

Evaluating A Healthcare System's Use Of The Wright Competency Assessment Model, Angela J. Deere

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Competence in the health care industry is a fundamental expectation of healthcare organizations, consumers, regulatory boards, and accrediting agencies. Ensuring staff-members are competent is a complex process involving every discipline, at every level, ranging from the executive suite to the bedside caregiver. Donna Wright (2005) developed her model on competency assessment to address the dynamic nature of the health care field. She identified proven principles that could be applied to a multitude of situations where competency assessment was necessary. The three main principles of Wright's model are as follows: 1. Competencies are collarboratively …

The Relationship Among Change Fatigue, Resilience, And Job Satisfaction Of Hospital Staff Nurses, Robin J. Brown

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Health care is typified by change. Organizational changes have a negative impact on nurses and the effects of organizational change is being overlooked and under researched (Delmatoff & Lazarus, 2014; McMillian & Perron, 2013). Change in an organization leads to increased sick time, work disability, loss of productivity, organizational commitment, increased turnover rates (Bernerth, Walker, & Harris, 2011), stress (McMillian & Perron, 2013), emotional exhaustion (Manzano Garcio & Ayale Calvo, 2012), and change fatigue (Bernerth et al., 2011; McMillan & Perron, 2013). Change fatigue is a result of constant organizational change and has …

Creating A Healthy Work Environment Through Mentoring For Novice Nurse Educators, Pamela R. Cangelosi, Jeanne M. Sorrell

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This presentation will address mentoring strategies that assist novice educators in gaining new skills and self-confidence in their ability to teach. Through discussion of research findings, both novice and experienced educators will be stimulated to explore ways to help experienced clinicians move successfully to their new role as nurse educators.

Interprofessional Collaborative Partnerships To Create Healthy Environments: Understanding Fetal Alcohol Spectrum Disorders, Irene Kane, Ann M. Mitchell, Kathryn Puskar, Holly Hagle, Dawn Lindsay

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017:

The Center for Disease Control and Prevention (CDC) along with Practice Implementation Centers (PICs) and Discipline Specific Workgroups (DSWs) have embarked on an interprofessional collaborative practice project to enhance professional's clinical skill sets for the prevention of Fetal Alcohol Spectrum Disorders (FASDs), by employing the expanded use of alcohol screening and brief intervention. This innovative collaboration entails work from 6 disciplines and numerous national partners. Maternal prenatal alcohol use is one of the leading preventable causes of birth defects and developmental disabilities (Hartje, Edwards, & Edney, 2015). Children exposed to alcohol during fetal …

Promoting Wellness And Mindfulness For Nurses, Deborah A. Raines, Diane Ceravolo

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

This presentation will share the design, implementation and evaluation of a series on wellness and mindfulness for nurses. Nurses often state they are too busy to take a break or lunch, to go to the restroom or even to take a deep breath and reflect for a moment. But in order to provide quality care for others, one must first be present, care for themselves and feel nurtured and supported. Like the safety announcement on an airplane, put your oxygen mask on first, then help others. This presentation shares our experience in providing …

Using Cognitive Rehearsal To Address Nurse-To-Nurse Incivility: Student Perceptions, Jennette S. Logan, Maija Anderson, Pamela Stoekel

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Abstract: Incivility is defined by researchers as rude, discourteous, dismissive and belittling behavior which causes physiological and psychological problems for all involved. It may occur on a continuum which ranges from eye rolling to physical stalking or injury. It creates barriers to learning and destroys work relationships. Unfortunately, incivility is so prevalent, it has become the accepted norm in many work environments. Incivility contributes to students leaving the nursing program, clinicians leaving the practice and educators are leaving the class room. Additionally, it contributes to medication errors, poor patient outcomes and satisfaction. Incivility …

Implementing Crucial Conversations In A Fast-Paced, High-Stress Environment, Miranda S. Cassity, Matthew S. Howard

Creating Healthy Work Environments (CHWE)

This presentation was initiated as a performance improvement effort aimed toward improving the work culture in a high-acuity and high-stress environment. With the full implementation of this program, the authors expect to improve attitudes toward, and effectiveness in, holding difficult conversations that are necessary between co-workers.

The Service Line Model: A Novel Model For Delivering Medical-Surgical Nursing Services, Mark Stephen Mcclelland

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: Hospital-based nursing has become extremely complex since the emergence of the modern hospital in the early 1900s. The organizational design for delivery of nursing services has been based on the nursing unit. Given the profound changes underway throughout the healthcare industry the nursing unit may not optimize the delivery of nursing care. The Service Line Model (SLM) for delivery of medical-surgical nursing care should be thought of as a replication of the roles and processes used by physicians to support the rise of the hospital industry. The SLM is driven by the Attending …

A Toolbox To Diminish Lateral Violence In The Workplace, Sara C. Germann, Shannon Marie Moore

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Lateral violence, also known as horizontal violence and workplace bullying, is extremely prevalent in nursing as it has been noted to impact up to 90% of nurses at some point in their career (Smith et al., 2010). Both novice and experienced nurses have reported being impacted by these behaviors which can be both overt and covert in nature. These behaviors can lead to 'a decreased sense of well-being, physical health complaints, and depressive symptoms' (Dehue et al., 2012). The psychological and physical complaints range from sleep disturbance, anxiety symptoms, post-traumatic stress disorder symptoms …

Dedicated Education Unit: An Academia And Clinical Practice Partnership Aimed At Improving Outcomes, Cynthia L. Jones, Martha M. Scheckel, Diane Forsyth, Leann M. Johnson, Jennifer M. Mcguire, Sherry S. Chesak, Sonja J. Meiers

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

The academic-practice gap is an area of concern when dealing with the education of future health care professionals. The transition from hospital-based training to academically based training for nurses contributed inadvertently, but substantially to the development of a wide chasm between the academic and practice sectors (Beal, 2012). Traditional clinical experiences for nursing students involve the faculty member being the expert and imparting knowledge and experiences on their students as time permits. This approach to clinical education limits the students' opportunities to learn about the workflow and culture on a nursing unit. Because …

Program For Promoting Self-Management Of Health Status For Nursing Students Based On Oriental Medical Concepts, Shu Chun Chien, Yoshiko Wazumi, Toshie Yamamoto, Takeshi Matumoto, Takashi Maeda, Tomoko Katagiri, Akiko Nagata, Fusako Kawabe

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Most nursing curriculums include many courses spanning medical knowledge, technology, and nursing skills. However, our research has established that nursing students often show symptoms or signs of afflictions such as menstruation disorders, algomenorrhea, constipation, skin allergies, headaches, and so on. These symptoms or signs are known as the 'pre-disease' stage (i.e., the stage before an illness is diagnosed) in Oriental medicine in Japan. It is worthwhile to help nursing students recognize the influence of these symptoms or signs and then make efforts to improve them through their daily lives. Based on one major …

Nursing Barriers To Implementation Of Daily Sedation Interruption, Loni E. Tyndall, Penny A. Sauer

Creating Healthy Work Environments (CHWE)

The purpose of this pilot study is to determine factors that influence nurses' decision to implement daily interruption of sedation.

Nursing Empowered Leaders: A Study Describing Who We Are And Who We Want To Be, Judi Allyn Godsey, Tom Hayes

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017: Numerous articles have been written describing the disconnect between the perceived image of nursing and the unfavorable, inaccurate, stereotypical representations of nursing commonly fed by the media (Morris, 2007; Cabiniss, 2011; Kelly et al., 2011; Rezaaie-Adaryani et al., 2012). Media representations of nurses have typically included their role as subservient to physicians, angels of mercy, or sex objects (Cunningham, 1999; Mendez & Louis, 1991; Pierce, S., Grodal, K., Smith, L. S., Elia-Tybol, S., Miller, A. & Tallman, C., 2002; Ward, Styles and Bosco, 2003). Researchers have consistently called for the profession of nursing …

Building A Culture Of Ownership In Healthcare: The Invisible Architecture Of Ownership, Values, And Attitude, Robert L. Dent, Joe Tye

Creating Healthy Work Environments (CHWE)

Session presented on Friday, March 17, 2017: When we design a new physical facility we hire professional architects and engineers to guide us through the process; we go through multiple iterations from schematic design to final construction blueprints; we have committees giving input on wallpaper design and carpet color. We'll lay out a room with masking tape in the parking lot to make sure that there is a good fit between the new design and the processes and equipment for which that space is being designed. But when it comes to employee engagement, patient satisfaction, effective communication, and even quality …

Registered Nurses' Lived Experiences Of Peer-To-Peer Incivility In The Workplace, Susan Condie

Creating Healthy Work Environments (CHWE)

Session presented on Sunday, March 19, 2017:

Incivility negatively interferes with patient care delivery, nursing retention, as well as medical costs. Disregard for another's knowledge and skills through rude and discourteous actions that prevent others from thriving is an actual depiction of an uncivil workplace. The purpose of this qualitative study was to explore registered nurses' lived experiences of peer to peer incivility in the workplace. An aim of this study was to understand the participants' experiences of peer to peer incivility in the workplace, its effect on patient safety and nursing job satisfaction and retention. Descriptive phenomenology was used …

Transcending The Scarcity Narrative: Understanding And Leveraging Nursing's Strengths To Create A Healthier Work Environment, Carolyn J. Cumpsty-Fowler, Erin K. Van Dyke, Deborah Dang

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017:

Today's nurses are asked to provide safe, expert, compassionate, person-centered care in the midst of a complex and rapidly changing healthcare environment. Many are stressed, tired, and disengaging. Nursing turnover rates are high (averaging 17.1% in 2015)1 which, with medically complex patients, may result in nursing concerns about staffing shortages, skills deficits and threats to patient safety 2-3. The American Association of Colleges of Nursing's Nursing Shortage Fact Sheet 3 cites the stress associated with inadequate staffing and patient safety concerns as factors that impact nurses' decisions to leave the profession. Although nurse …

Confronting Nursing Incivility: Educational Intervention For Change, Sharon Kay French, Ernestine Hunter Cuellar

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: It is essential for nurses and nursing faculty to increase and implement interventions that decrease incivility within the nursing profession. Incivility is known by a variety of terms, such as workplace and lateral violence, abuse, and bullying, that are all detrimental to nursing (Clark, 2008). Workplace incivility continues to occur at an estimated astronomical cost of $24 billion annually in the U.S and severely impacts professional nursing practice, patient care, and nurses' health and well-being (Andersson, 1999). A key component contributing to and motivating the development of educational strategies is the identification and …

Generating Gratitude In The Workplace To Improve Job Satisfaction, Amy Stegen, Jamie Wankier

Creating Healthy Work Environments (CHWE)

Session presented on Saturday, March 18, 2017: A nursing shortage is looming yet again and has been well documented in the literature. As a result, it is vital that we keep the nursing faculty we have and improve the job satisfaction of those faculty as much as possible. Studies show the cost of replacing an employee ranges from six months' salary to as much as twice their annual salary (Merhar, 2016). Higher education continues to struggle with having adequate funding and cannot afford the cost of turnover. In addition, the nursing shortage decreases the supply of qualified faculty making it …